Continuous medical experience. Allowances for continuous medical experience

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Published: December 24, 2017

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All citizens of the Russian Federation have the right to receive financial assistance from the state upon completion of their working activities, if they meet certain conditions. The main condition for assigning pension payments is the achievement of a specific age, along with it the accumulated work experience and the correct payment of contributions to the pension fund by the employer are taken into account. Nevertheless, the legislation defines certain categories of citizens who have the right to count on preferential conditions when entering a well-deserved retirement. For example, the conditions of retirement for employees of medical institutions included in the legislative list differ from the generally accepted ones. In general, people involved in healthcare in the Russian Federation have a special medical experience and are subject to a different procedure when registering and calculating pensions.

• 1 Latest news
• 2 Legislative framework
• 3 Preferential experience
• 4 What is included in the length of service of doctors? 4.1 In government institutions
• 4.2 In private clinics

Medical workers rightfully deserve benefits when applying for a pension, because they are engaged in such important and difficult work. However, the benefits guaranteed by law do not provide for an increase in the amount of benefits or the introduction of additional payments. Benefits for doctors include a reduction in the required work experience. In the case when all Russians receive an additional 1 year, in addition to this, doctors are given another 3 to 9 months. A long-service pension is awarded to doctors who have accumulated sufficient experience. To retire, such people will not have to wait until retirement age (55-60 years). The length of service of doctors is calculated in different ways, taking into account different working conditions and qualifications. So how to correctly calculate the period of rest? We'll look at it in detail in this article.

Definition

Unfortunately, the concept of continuity of medical experience is not always clear to citizens. And not in all cases it is possible to correctly calculate its duration.

Continuous medical work experience is the time that an employee has worked in the field of medicine, with only officially permitted breaks in work. For example, annual leave.

Continuity of work experience in the medical field is important for many. After all, this indicator helps to receive certain additional payments to the established salary. And we are not talking about bonuses at all. What features does continuous medical experience entail? What should you pay attention to? And what additional payments are due to employees under certain circumstances?

Supreme Court of the Republic of Bashkortostan Determination Civil case 33-5455

According to paragraph 16 of the Resolution of the Plenum of the Supreme Court of the Russian Federation dated December 11, 2012 No. 30 “On the practice of consideration by courts of cases related to the implementation of the rights of citizens to labor pensions”, the question of the identity of the work performed by the plaintiff in his position with those works that give the right to early assignment of labor old age pensions, if they are fulfilled in the same structural unit of the medical institution.

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In this list, the names of structural units include the departments of anesthesiology and intensive care, as well as resuscitation and intensive care institutions, and the positions of nurse anesthetists are among the job titles.

Features of Calculus

Let's clarify the situations in which the length of service will not be considered interrupted. The fact is that this moment is extremely important. If continuous medical service breaks, all bonuses and allowances disappear, and the employee runs the risk of being left without additional payments.

At the moment, in Russia, continuous medical experience is maintained subject to working activity without periods of unemployment lasting more than a month. But in this case it is important not to change the field of activity. That is, if an employee decides to change jobs, he can do so. But to ensure continuity of medical experience, you will have to continue performing your job responsibilities in the field of medicine.

Please note which periods can be considered counted towards the length of service:

• Holiday to care for the child;
• “rest” during pregnancy and in view of the upcoming birth;
• military service on urgent conscription;
• serving under a contract;
• alternative service in the armed forces of the Russian Federation;
• the period of caring for disabled people and the elderly who have reached the age of 80 years.

During these periods of time, termination of performance of official duties is not considered a break in work activity. This means that all allowances and bonuses will be retained by the employee.

Upon dismissal

It has already been said that dismissal is not a death sentence for continuity of employment. This is normal. All employees are allowed to look for a new job for some time and at the same time have the opportunity to accumulate continuous experience. But what about finding a job in the medical field? How much time does it take to find a new job?

Continuous medical experience after dismissal remains for a month. During this time, the citizen must again begin working in the medical field. It is not necessary to work as a doctor or strive for employment in high-ranking positions. The main thing is to work and be listed as medical personnel.

Accordingly, all allowances will remain the same - you don’t have to worry about that. But their size may change. After all, there is one very important factor on which the amount of additional payments to earnings depends. More about him a little later. The first step is to figure out how to maintain continuity of work experience.

Registration procedure

Social payments are issued in accordance with the general procedure. The sequence of action is as follows:

1. The beneficiary must collect all the necessary documents.
2. Then write an application for a long-service pension and contact the Pension Fund office.
3. Wait for a decision.

The application is submitted in several ways:

1. Personal visit to the Pension Fund branch at your place of residence.
2. Visit to the multifunctional center.
3. Submitting an application through the human resources department of the medical institution.
4. Online application through the government services portal.

The standard package of documents includes:

• passport of a citizen of the Russian Federation;
• employment history;
• SNILS;
• confirmation of employment in a specific position from the place of work;
• certificate of average salary;
• Marriage certificate.

The list of documents can be clarified on the website or at the Pension Fund branch. The registration date is the day the application is submitted.

Pension for employees of private clinics

For employees of a private clinic, the procedure for receiving a pension and rights are exactly the same. The main thing is that the medical organization operates legally, has the required licenses, and the employer makes contributions to the Pension Fund for its employees.

If these conditions are met, it makes no difference whether the medical specialist works in a public or private institution.

Reduction and liquidation

Sometimes it turns out that a person loses his job due to staff reduction or liquidation of the company. What to do then? How long can you look for a new job?

Continuous medical experience after the reduction or liquidation of an organization lasts 3 months from the date of termination of employment. A citizen has 90 days to find a new job. Again, it is very important to maintain employment in the medical field, otherwise there will simply be no continuity.

We can conclude that continuous experience in the field of medicine is not always lost after dismissal. This means that, under certain circumstances, you can hope for allowances and bonuses provided for by law.

Unfortunately, their exact sizes are difficult to calculate. There is a possibility that after the next employment, payments will either increase or decrease. But they are unlikely to remain unchanged.

Interruption of work experience at the initiative of the employer

Termination of an employment contract at the initiative of the employer may be associated with the implementation of certain actions on the part of the employee or have objective reasons (Article 81 of the Labor Code).

Recent reasons for dismissal include:

• liquidation of the enterprise;
• staff reduction;
• change of owner of the enterprise.

For persons dismissed on such grounds, in accordance with clause 4 of the Rules, continuous MD is maintained for 3 months.

More information about how reduction occurs is described in the article “What are the grounds for reducing the number of employees?”

Examples of employee actions that led to his dismissal at the initiative of the employer are:

• repeated failure to perform his labor functions without sufficient grounds;
• failure of the employee to pass certification;
• absenteeism or going to work while drunk or otherwise intoxicated;
• a single gross violation of one’s labor functions;
• entry into legal force of a court verdict, as a result of which the employee cannot go to work (conviction to stay in prison, etc.);
• union demand;
• submission of false documents when applying for a job, etc.

Committing the above illegal actions deprives the employee of the right to enroll a certain period of unemployment in a continuous MD (clause 7 of the Rules).

So:

Where to work

The next question that interests many is employment in a new medical institution. The fact is that now it is possible to divide all activities into several components. There are public and private medical institutions. Does working in a particular location affect bonuses and continuity of service?

Not always. In terms of payments, often yes, but in terms of length of service, no. In other words, continuous medical experience after dismissal, for example, from a public clinic and employment in a private hospital will remain. And vice versa. The main thing is to meet the time restrictions established in Russia at the legislative level.

How to apply for a pension for a medical worker

First of all, the physician needs to count all the periods when he carried out the relevant work activity. To do this, you should contact the human resources department of the healthcare institution where he works. Next, you should attend to the preparation of the necessary documents, including those related to confirmation of preferential length of service. After this, the citizen applies to the pension fund on a general basis.

It should be noted that due to changes in legislation regarding deferment of pension registration, documents should be submitted to the pension fund one month before the right to receive funds arises.

Does everyone get paid?

Some are interested in which employees are entitled to cash payments for continuous work in the medical field. Does position play a role in accruing additional money?

The question is difficult. In general, continuous medical experience has many features. Russian legislation indicates that position plays a role in calculating relevant payments. But it is not the case that some people are entitled to bonuses and others are not. All employees who work in the medical field for a long and continuous time will be rewarded to one degree or another.

The only thing that the employee’s position affects is the amount of money accrued. And nothing more. Therefore, there is no need to worry about losing additional accruals if an employee moves from the status of a doctor to the rank of a nurse. All required bonuses for continuous medical experience will still remain.

What affects the amount of payments

It is also important to understand what exactly affects payments for labor in medicine. It has already been said that there are no clearly established amounts to be paid to one degree or another to medical personnel. But there are factors that influence what the additional payment for continuous medical experience will end up being. This:

• employee's place of work;
• job title;
• time spent working in the medical field;
• salary.

The most significant point is the last one. And all the rest are just small factors on which the level of earnings an employee receives depends. True, in some cases all of the above indicators play the same role.

It turns out that the higher the salary, the greater the payment. And it is right. After all, all calculations are carried out as a percentage of the earnings received. This means that the bonus for continuous medical experience cannot be the same amount of money. Everywhere has its own salary. And the surcharge depends very much on it.

The length of continuous medical experience also plays a huge role. It is not difficult to guess that the longer an employee works, the higher the additional payments will be. Therefore, this point should not be overlooked either. It is this reason that becomes the main one when deciding on the further employment of a dismissed employee. You don’t really want to lose the bonus!

Last news

In recent years, there have been no significant changes affecting the financing of state benefits and the calculation of length of service. Accordingly, medical staff will receive preferential assistance from the state as usual.

The Ministry of Labor does not plan to cancel benefits for medical personnel. However, it is possible to change the conditions for providing such payment. According to available information, the length of service for employees of medical institutions may be increased in the coming year, but at the moment the corresponding bill has not been adopted.

Features of accruals

How to correctly calculate the required additional payments? The bonus for continuous medical experience for part-time workers and other medical personnel is given in different amounts. How to correctly determine their size?

It has already been said that accruals will depend directly on the salary. In one case or another, a certain percentage of funds is taken from him, which will reflect the amount of payments due. It is important to consider that we are talking about the so-called net salary - without taking into account previously assigned allowances, bonuses and additional payments.

It is this point that is often not taken into account by employees. And they are surprised at the too small accruals for continuous medical experience. The additional payment is calculated taking into account only the “bare” salary. Any additional funds paid to medical personnel can no longer serve as a basis for accruals.

Phthisiology

What other features should you pay attention to? Now that all the basic information about continuous medical experience and the specifics of calculating additional payments are known, you can study who is entitled to bonuses and in what amounts.

For example, what can employees who work in anti-tuberculosis institutions and are engaged in the field of phthisiology expect? For such personnel there are special conditions for calculating payments.

The bonus for continuous medical experience for part-time workers, secondary personnel, as well as key workers in institutions designed to diagnose and combat tuberculosis, as well as phthisiatricians, is in the following amounts:

• 30% of the salary received for the first 3 years of work;
• 45% - over 5 years;
• 60% - for 7 or more years of continuous work experience in the field of medicine.

Anti-leprosy and anti-plague institutions

Further attention should be paid to anti-leprosy units, as well as institutions that were created to combat the plague. In these cases, all personnel are entitled to certain allowances for continuous work in the field of medicine.

Only in the first case, additional payments cannot exceed 80% of the salary, and in the second there is a limit of 100%. This is for medical professionals only. All other employees cannot receive bonuses that total more than 50 and 80 percent, respectively.

So how much is the staff entitled to in this or that case? In them, the bonus for continuous service for part-time workers, as well as other personnel, is set at 10% for each year of work. Accordingly, the exact amounts of payments will be known only after information about salaries in certain institutions is clarified.

Resolution of the Presidium of the St. Petersburg City Court dated N 44g-787

The court did not take into account that the staff of the 14th structural unit of anesthesiology and resuscitation of the 442 OVKG included the position of “senior nurse anesthetist” until 02.22.2002, which, on the basis of the directive of the State Medical University of the Ministry of Defense of the Russian Federation dated 02.22.2002, was changed to the position “ senior nurse". At the same time, despite the difference in job titles, the positions remain identical, since the nature of the work performed by the “senior nurse anesthetist” and the “senior nurse” of department 14 remains the same, they perform the same functional duties.

P. filed a lawsuit against the defendant for the obligation to include in the special length of service the periods of work from 09/06/1982 to 02/01/1990 and from 02/15/1996 to 04/01/1997, the obligation to assign a pension from 03/19/2003, indicating, that from 09/06/1982 to 02/01/1990 she worked as a ward nurse, dressing room nurse of the 6th thoracic department of the Leningrad City Oncology Dispensary. This department is a department of surgical profile, and therefore in accordance with Resolution of the Council of Ministers of the RSFSR dated 09/06/1991 N 464, according to which the calculation of terms of service is carried out according to the following rules: surgeons of all names, nursing staff of departments (wards) of surgical profile of hospitals . one year of work in these positions and departments shall be counted as one year and 6 months,” the specified period of work must be counted according to the specified principle. However, the commission took into account this period according to its actual duration. From 02/15/1996 to 04/01/1997, she worked as a senior nurse anesthetist in the department of anesthesiology and resuscitation of the 442 military clinical hospital named after. Z.P. Solovyova. The commission counted this period of work according to its actual duration. At the same time, it was not taken into account that department 14 retained the structure, goals and functions in the treatment process. The position of nurse anesthetist is provided for in the List of positions of doctors and paramedical personnel, work in which for a year is counted towards the length of service giving the right to early assignment of an old-age pension, as a year and six months, approved by the Decree of the Government of the Russian Federation of October 29, 2002 N 781. In addition, the position of “senior nurse anesthetist” was provided for in the staffing table of 442 OVKG until 1999. In connection with the directive of the State Medical University of the Ministry of Defense of the Russian Federation N 161/11080 dated February 22, 2002, the position of “senior nurse anesthetist” was changed to the position of “senior nurse”. The job descriptions of the senior nurse anesthetist and senior nurse remained the same.

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Other

In some cases, you should expect a payment equal to 30% of the salary for 3 years, as well as accruals of 15% for each next 2 years of work for work in the field of medicine. But additional accruals cannot exceed 60% of “net” earnings. When are such bonuses due for continuous medical experience? Whether they are accrued to pensioners or not is not so important. The main thing is that this opportunity appears in the following cases:

• when working in rural areas and boarding schools;
• if the employee belongs to the nursing staff of obstetric centers;
• paramedics who work in pediatrics and in therapeutic departments of clinics;
• doctors working in the field of home care;
• to all chairmen and doctors of medical commissions.

Continuous medical work experience is what many employees in this field strive for. And there are reasons for this. After all, for continuous work, personnel are awarded certain additional payments in certain amounts.

What can any personnel who work in the medical field count on? Or more precisely, all employees of healthcare institutions and places of social protection of the population? It does not matter whether continuous medical experience in private clinics is implied or in public ones. The main thing is its presence and duration. All personnel who work in the field of health and social protection receive a bonus of 20% of the salary paid for the first 26 months of work, as well as 10% for each subsequent 24 months of work (but not more than 30% in total).

Continuous medical work experience is an important point for those who plan to work in the field of medicine permanently. Previously, certain bonuses were awarded for the continuity of any work, but in modern Russia there are none. Therefore, you should not worry too much about this component if you do not plan to work permanently in medicine.

Principles for calculating medical experience for preferential retirement

In order for a health worker to have the opportunity to receive a pension within the framework of the benefit in question, it is only necessary to have sufficient specialized experience. In this case, the number of years a citizen has lived is not decisive. In this regard, medical experience, in its essence, is a length of service, which is used by analogy to determine the right to preferential material support for certain categories of civil servants.

It has been established that in order to enter a well-deserved rest, a medical worker is obliged to carry out medical activities no less than:

• 25 years under working conditions in rural areas;
• 30 years under working conditions in urban healthcare institutions.

Against the background of changes in pension legislation, which consist in increasing the criteria regarding the required number of years for citizens to retire, initiatives have been repeatedly introduced to increase the requirements for the length of service of medical workers. However, at the moment, no specific decisions have been made on this issue.

However, the reform of the pension system also affected medical workers. Starting from 2020, a rule has been introduced according to which a deferment in the assignment of pensions to doctors who have worked the allotted time is established. This period will increase by 1 year until it reaches 5 years in 2023.

Attention! In 2020 and 2020, there will be a relaxation of deferment, which consists of assigning a pension six months earlier. Thus, in 2020, doctors will be able to apply for pension benefits after 6 months of service, and in 2020 after 18 months.

To understand this mechanism, an example should be given.

Doctor Egorov worked in the Moscow healthcare system for 30 years, and on December 1, 2020, he became eligible for a pension. However, due to the fact that there is now a deferment for the registration of pension payments to doctors, he will begin to receive security only from May 1, 2020 - after the expiration of 6 calendar months.

In addition, to receive pension payments, employees in the medical industry must have a sufficient number of pension points. So, in 2020, the IPC parameter should be at least 16.2. And from 2025, at least 30 pension points will be required to retire.

For certain categories of medical workers, special experience is calculated taking into account an increasing coefficient. For example, for representatives of senior and nursing staff working in surgical, burn, and intensive care departments of hospitals, 1 year is counted as 1 year and 6 months. In addition, for health workers working in rural areas, a year of medical experience is counted as 1 year and 3 months.