Reflexology category. Qualification characteristics of a reflexologist. When to contact a reflexologist

A reflexologist is a specialist who treats diseases by influencing acupuncture. Special points of the human body are directly related to various systems and internal organs. A professional in this field should have practical skills and an extensive theoretical knowledge in the field of neurology. Having a clear understanding of the anatomy, the doctor can perform procedures without risking harm to the patient.

The specialty "reflexologist" was approved in 1998. Doctors independently prescribe and perform procedures. The techniques have almost no contraindications, so adults and children can be patients.

In all biologically active points of the body, there is an increased lymph flow and blood flow. In these areas, oxygen is absorbed much more actively, due to which the sensitivity to pressure in certain places is increased. In response to the impact, a weak electrical impulse is formed at the acupuncture points, which is transmitted to the affected organ through a number of nerve centers. The process not only stimulates the organ's work, but also activates the recovery system.

What methods does he use for treatment?

A professional reflexologist in the course of treating diseases can use various methods of influencing biologically active points.

• Acupressure is a technique that involves the impact on acupuncture using acupressure with fingers.
• Pharmacopuncture, which is the subcutaneous injection of drugs (in most cases, homeopathic remedies) into acupuncture points.
• Acupuncture, which is the most common reflexology technique, in which thin needles are inserted into different parts of the body. The length of the needles used is directly dependent on how deep the point is. Depending on the method used by the specialist, the injection technique is chosen - quickly, slowly, deeply, superficially, with scrolling and combining several needles.
• Apitherapy, which implies the use of bees, as well as their waste products - honey, wax, propolis, royal jelly. Treatment can be carried out by direct stinging at biologically active points, as well as in combination with medications, hormones, exercise therapy and physiotherapy.
• Application reflexology, in which stimulation is carried out using special plates and balls that are attached to the skin in certain areas, after which they remain for several days or a day (in the case of the elderly and seriously ill, as well as children). Some reflex therapists use sprouted seeds and grains, ginger, garlic, onions, and other irritants as applications.
• Magnetopuncture - stimulation of points, provided by alternating or constant low-frequency magnetic fields.
• Thermopuncture, in which the points are stimulated by burning them with wormwood cigars and special cones. The procedure differs in that it has a slight irritating effect: the patient does not experience pain or other unpleasant sensations, but only feels warmth in the stimulated area.

Each of the methods has its own characteristics, advantages and disadvantages. The choice of the technique that will ensure the achievement of the set goal as soon as possible is dealt with directly by the treating reflexologist.

In addition to these techniques, many doctors use personal techniques that have been proven to be effective. To date, more than 900 acupuncture points have been opened, which are associated with various systems and organs of the human body. Performed single procedures and complex courses of treatment contribute to the improvement of general well-being, and also open the channels of inflows of vital energy.

In situations where the patient suffers from a number of unpleasant symptoms, but doctors at the clinic cannot identify the cause, the best solution is to contact a specialist in alternative medicine. The reflexologist uses his own diagnostic methods, during which he examines the condition internal organs by the "signs" displayed on the body. By influencing certain points and tracking reactions, the doctor can draw conclusions about the presence of problems. Moreover, thanks to modern technologies and the use of advanced equipment, the accuracy of diagnostic procedures has increased significantly.

What diseases does it treat?

Among the ailments that a reflexologist helps to cope with are many pathologies of the musculoskeletal system (myositis, arthritis, bursitis, periarthritis, heel spurs, arthrosis). In addition, specialists are often consulted by people suffering from hypertension, chronic bronchitis, gastritis, pancreatitis and headaches. Reflexology helps to cope with nephritis, diseases of the genitourinary system, metabolic disorders, anemia.

In addition to physical diseases, the impact on various points of the body is effective way fight insomnia, depression, emotional instability and increased anxiety.

When should you contact a reflexologist?

The help of a specialist can be useful not only during treatment, but also during preventive measures... Practice shows that they turn to a reflexologist when traditional methods of treatment do not give the expected result. Professional help will help with:

• chronic pain and allergies;
• violations of the reproductive system;
• chronic and acute inflammation;
• developmental delays in children and cerebral palsy;
• skin and infectious diseases;
• recovery from strokes, poliomyelitis, epileptic seizures.

Often people who suffer from alcohol, drug and other types of addiction, who are disillusioned with traditional methods of treatment, seek the help of a reflexologist.

What organs does the reflexologist work with?

It is impossible to determine the main "working organ" of a specialist in the field of reflexology - the doctor acts on all the active points of the human body. The procedures allow you to cope with diseases of various organs, as well as prevent the development of chronic ailments.

It is an integrated approach to the development of a treatment course that helps to achieve maximum results.

Reflexologist: how is the appointment going?

The reflexologist conducts a reception in a fully equipped office, where a special couch is installed, advanced devices for electroacupuncture and other manipulations on modern techniques, as well as a sterile cabinet in which the sets for the acupuncture procedure are stored.

At the initial stage, the doctor collects the patient's history, identifies complaints and assesses his condition. It is very important to timely determine the localization of the pathology in order to correctly draw up a plan of manipulations. That is why it is necessary to provide the specialist with detailed and honest information about your lifestyle, the nature of the diet, the ailments and injuries suffered. It is better to take your medical record, fresh results of examinations and analyzes with you.

You should avoid going to a reflexologist during an exacerbation of chronic ailments or warn the doctor in advance about your condition. Only with up-to-date information, a specialist can draw up an effective treatment program that will not provoke negative consequences.

It is very important to take into account that in order to achieve maximum results, it is important to fully complete the course of treatment, even if after several sessions the patient begins to feel relief. Reducing pain does not mean that the problem is completely eliminated.

What tests do I need to take?

Before an appointment with a reflexologist, you usually do not need to take additional instrumental and laboratory tests. However, there are situations when a specialist can prescribe an examination in order to get an objective idea of ​​the state of the human body. If you have ready-made research results and conclusions of other doctors in your hands, you should take them with you.

Like all professional doctors, reflexologists recommend that their patients seek help in a timely manner, including regularly undergoing preventive procedures to protect themselves from many ailments. Any disease is much easier to prevent than to cure.

• eat in a timely and balanced manner;
• exercise regularly and rest;
• stay in the fresh air for at least one hour a day;
• timely and fully treat all current diseases, including common colds, as well as abandon untested folk methods.

Thanks to the effectiveness of the work of reflexologists, confirmed by hundreds of thousands of positive reviews, the services of specialists in this field are very popular.

If earlier doctors of alternative medicine used only their hands, knowledge and intuition, today modern computers help them in the process of treatment. The system ensures the accuracy of the diagnosis and helps to carry out the procedure without harming the patient's body.

In accordance with the requirements of the specialty, a reflexologist must know and be able to:

1.General knowledge:

Fundamentals of healthcare legislation and directive documents defining the activities of healthcare authorities and institutions of the Russian Federation;

Fundamentals of the organization of medical and preventive care in hospitals and outpatient clinics, ambulance and emergency medical care, the All-Russian Service of Disaster Medicine;

Fundamentals of Medical Ethics and Deontology;

Principles of activity of health care institutions and medical workers in terms of insurance medicine, the main issues of economics in health care;

Fundamentals of Social Hygiene and Sanitary and Epidemiological Service;

General principles and basic methods of clinical, instrumental and laboratory diagnostics of the functional state of organs and body systems;

Etiology, pathogenesis, clinical symptoms, course features, principles of complex treatment of major diseases.

2. A reflexologist should be able to:

Provide emergency medical care for injuries and life-threatening conditions, conduct resuscitation measures for terminal conditions;

Organize and conduct reception of primary patients of various profiles on an outpatient and inpatient basis;

Receive information about the general condition of the patient, identify general and specific signs diseases in accordance with generally accepted modern medical criteria;

Determine the necessary complementary general and special research methods and analyze the data obtained;

Prescribe and carry out the necessary treatment with reflexology methods and complex treatment with their use;

To apply the principles of communication psychology, basic psychotherapeutic skills, necessary in the work of a doctor, to carry out sanitary and educational work among the population;

Prepare medical records, apply statistical methods in healthcare, use a personal computer;

3. Special knowledge.

3.1. A reflexologist should know:

Organization of the reflexology service in the Russian Federation, its organizational and methodological structure, current directive and instructional-methodological documents; tasks and structure of regional and regional clinical centers of reflexology;

Tasks, organization of work and functional responsibilities of employees of centers, departments and offices of reflexology;

Principles of planning activities and reporting of reflexology service institutions;

Methodology for checking the organization and service of reflexology in the structures of health authorities;

General methodology and fundamental theoretical concepts of traditional acupuncture;

Traditional and modern theories of the mechanisms of therapeutic, preventive and rehabilitative action of the means and methods of reflexology, indications and contraindications for their use;

Topography of corporal acupuncture channels and points, their classification, methods of localization clarification, indications for use, their diagnostic and therapeutic value;

Topography of microacupuncture systems (auricular, cranial, hand-foot, nasal, oral), their diagnostic and therapeutic value;

Special diagnostic methods used in reflexology based on the measurement of bioelectric temperature, morphological and physiological parameters of acupuncture points;

Diagnostic value and interpretation of indicators recorded from acupuncture points;

Anatomical and histological foundations of reflexology, general physiology and pathophysiology of the central and peripheral nervous system, analytic (visual, auditory, somatosensory) systems, physiology and pathophysiology of the autonomic nervous system and regulation of autonomic functions, physiology and pathophysiology of higher nervous activity;

Morpho-functional features of acupuncture points and channels, their innervation and vascularization;

Structural and functional bases of viscero-somatic and somato-visceral reflexes, which underlie reflex diagnostics and participate in the development of therapeutic effects of reflexotherapy;

Reflexology mechanisms implemented by the somatic and autonomic nervous systems, peripheral and central levels of development of therapeutic effects;

The mechanisms of development of reflex analgesia, the modern theory of pain, the morphofunctional organization of the nociceptive and antinociceptive systems of the body;

Biochemical and biophysical foundations of reflexology, other sections of fundamental biomedical sciences, provided for by a unified training program for a reflexologist;

General principles and specific schemes for combining reflexology methods with other methods of treatment, prevention and rehabilitation for various diseases and pathological conditions;

Application of reflexology methods in all areas of clinical medicine, where they are not contraindicated;

The use of reflexology during dispensary observation for prophylactic and rehabilitation purposes, in sanatoriums.

3.2. Special skills:

Conduct a clinical examination of the patient, make a diagnosis according to the modern nosological nomenclature and carry out differential diagnostics with an adjacent pathology;

Conduct special diagnostics of the functional state of acupuncture canals and microacupuncture systems using palpation, instrumental, hardware-software and other methods,

provided for by a unified training program for a reflexologist;

Reveal indications and contraindications for reflexology;

Determine the optimal reflex therapy methods for a given patient, their combination and use in complex treatment;

Carry out classical (acupuncture, moxibustion) and modern (electric, laser, etc.) therapeutic methods of influencing acupuncture points and microacupuncture systems;

Provide for possible complications of reflexology;

Use an ambulance reflexology aid;

Use reflexology as an independent method of treatment and as an element of complex treatment for all nosological forms that have indications for its use.

FOR TEACHING THE SPECIALTY "REFLEXOTHERAPY"

Postgraduate professional education in the specialty "Reflexotherapy" has its own essential features, which leave an imprint on the entire organization of the educational process, forms and methods of conducting training sessions.

The residency program has two sections: vocational training and electives. Vocational training accounts for 85% of all study time and includes theoretical and clinical training. The theoretical part is at least 5% of the study time and includes questions of the theory of reflexology, health management, insurance medicine, medical records. Clinical training takes 80% of the study time, necessarily including 8 weeks of work of the resident in the clinic for the entire period of study.

Elective residency courses are aimed at more in-depth training in the specialty, its sections or related disciplines.

After the end of each stage of the educational and professional program, a final certification is carried out, and the issues of training in related disciplines, health management and electives are included in all forms of control of knowledge of residents and cadets.

When conducting an educational process focused on the qualification characteristics of a reflexologist, the following forms are used: lecture, seminar, practical exercises, independent work of cadets.

An educational lecture is one of the forms of systematic training sessions, the task of which is: determining the content of the studied subject, acquainting students with the development of science in the specialty "Reflexotherapy", its connection with other scientific problems and practice of health care, the formation of deontological principles.

The most complex theoretical sections of the course, requiring deep understanding and logical presentation, are brought to the lecture. Depending on the goals and content, the following types of educational lectures are distinguished:

The introductory lecture acquaints cadets with the essence of reflexology, the history of its development in Russia and abroad, its connection with other medical and biological problems, the latest scientific achievements, and issues of healthcare organization.

The review lecture deals with the general, leading problems of reflexology, taking into account the latest achievements of domestic and foreign medical and biological science.

A thematic lecture is part of a systematic course of lectures, devoted to the analysis of one topic or one section curriculum.

The structure of the lecture contains an introduction containing the purpose of the lecture, the main presentation of the material and a conclusion with brief conclusions on individual sections of the lecture. Lectures are given by the most qualified teachers - the head

department, professor, associate professor. The volume of a lecture in hours and by topic is determined by the curriculum of the cycle, the number of lecture hours per day should not exceed 4 academic hours (45 minutes).

For each lecture, methodological developments are made containing the name of the lecture, the amount of study time, its goals and objectives, the contingent of listeners, the sequence of presentation of the material (plan or outline), the nature of the illustrative material, and a list of basic literature on the topic of the lecture. Lectures are preliminarily discussed at the methodological meeting of the department.

Lectures are given in a specially equipped room that allows you to demonstrate tables, slides, devices and work with other technical teaching aids. All the listeners of the cycle are present at the lectures, who are previously introduced to the topic of the lecture.

The teaching load of the teacher giving the lecture is taken into account according to the actual time spent and is noted in the journal of the pedagogical load of the department and in the report of the curator of the cycle.

2. SEMINAR.

Seminar is a systematic, most active and effective form of the educational process, contributing to deep and detailed assimilation teaching material included in the curriculum.

The general objectives of the seminar: deepening and consolidating the theoretical knowledge of cadets in a specific section, the topic of the curriculum, the formation of skills and abilities to use them, the development of the logic of thinking, the ability to make the right decision. The seminar is an important link between the theoretical development of the specialty of reflexology and the application of these provisions in practice, serves to form cadets' professional qualities, scientific thinking.

As a rule, the most difficult sections of the program are brought to the seminars, requiring deep reflection, logical actions, and the development of specific solutions. The volume in hours, topics and content of the seminars are determined by the curriculum of the cycle.

In preparation for the seminar, the teacher should:

Clearly define the goals and objectives of the seminar, give it a name in strict accordance with the curriculum of the program,

Draw up a methodological development of the seminar, containing the procedure for work, a list of questions for discussion and the literature necessary for preliminary study,

Use the content of theoretical studies (lectures) on the topic of the seminar.

Preliminary self-preparation of cadets for seminars is required. It includes familiarization with the topic of the upcoming seminar, a list of issues to be discussed and the necessary literature. The duration of one training hour of the seminar is 45 minutes, the total duration of the seminar is from 1 to 4 hours. The leadership of the seminar is entrusted to the most experienced and trained teachers from among professors, associate professors, assistants, and in individual cases- to workers of practical health care.

Improving the effectiveness of seminars is facilitated by the provision of auxiliary means, which include posters, tables, diagrams, technical teaching aids, as well as educational and methodological materials (reference books, methodological developments).

Depending on the goals and objectives of training, the following types of seminars are used:

The colloquium seminar is held to check the development of

the formation obtained in the classroom, repetition and consolidation of knowledge, their assessment. The methodology consists of questions and answers (orally or in writing). Programmed test control of knowledge. The teaching load is calculated according to the actual time spent according to the schedule of the teacher leading the seminar.

A seminar on the discussion of control works is carried out in order to clarify unclear questions, to consolidate information. The teacher leading the seminar gets acquainted with the tests of the cadets and analyzes the mistakes made. The teaching load is calculated according to the actual time spent according to the schedule of the teacher leading the seminar.

The seminar-discussion is held with the aim of communicating new information, developing thinking, the ability to apply knowledge in practice, and familiarizing cadets with scientific activities. The teacher leading the seminar raises questions of a problematic nature for discussion, conducts a discussion, evaluates the past discussion and sums up the results. The teaching load is calculated according to the actual time spent according to the schedule of the teacher leading the seminar.

A seminar-conference is one of the forms of a seminar, which is a link between the theoretical provisions of science and their application in practice. The general purpose of the seminar-conference is to communicate new information(results of scientific research, approbation of new methods of diagnosis, treatment, rehabilitation, prevention, etc.) one of the cadets of the cycle. In the structure of the seminar-conference, an introductory part, a speech by a speaker, speeches by co-speakers (reviewers), a discussion on the main provisions of the report, the conclusion of a teacher leading a seminar-conference are distinguished. The seminar-conference is conducted by the head of the department, professor or associate professor with all the cadets of the cycle. The teaching load of the faculty of the department participating in the seminar-conference is determined from the actual time spent and is taken into account by the leader of the conference and all teachers present at it.

Seminar - an educational and abstract conference is one of the forms of a seminar that contributes to a deeper and more detailed mastering of the subject, serves as a school of scientific thinking, the formation of the student's creative thought, the connection between the theoretical provisions of reflexology and their application in practice, the development of interest in the search for necessary information in the literature , developing their own opinion of the future specialist doctor. At the very beginning of the cycle, the head. the department and the curator, taking into account the composition of the cadets and the level of their training, outline the topics of the most relevant abstract reports, distribute the topics among the cadets. For each of the messages, a consultant is assigned from among the teachers to assist the students in finding and selecting the necessary literature. The educational and abstract conference is conducted by the head. department or professor. Holding an educational and abstract conference is possible by reducing the volume of the lecture part of the course. The frequency of the educational and abstract conference is no more than 1 time in 2 weeks. An educational and abstract conference is carried out with the entire cycle. The teaching load is taken into account for all teachers who took part in the conference.

The excursion seminar acquaints cadets with the latest achievements of science and practice of reflexology, promotes a deeper assimilation of the subject, broadens the horizons of future medical specialists. The object of the excursion seminar can be departments and rooms of reflexology of a medical institution, departments

and laboratories of various directions and problems of reflexology research institutes. The objectives of the excursion seminar are familiarization with work experience, acquaintance with the achievements of science, development prospects. The main employees of the visited object should be involved in conducting a seminar-excursion. The excursion seminar is conducted with cadets of the entire cycle, it is reflected in the schedule of classes and the journal of pedagogical load. The study load is taken into account by the curator of the cycle or the teacher accompanying the cadets of the cycle.

3. PRACTICAL EXERCISES.

A practical lesson is one of the forms of systematic training sessions, close to the real working conditions of a specialist doctor, aimed at developing the independence of cadets and acquiring the necessary skills and abilities for practical work.

Practical exercises in the specialization cycle in reflexology are the most important part of the general course and consist in mastering the section of the anatomical foundations of reflexotherapy, topography of acupuncture points, methods for determining the localization of acupuncture points, applying knowledge on the use of various methods of reflexology (classical corporal and auricular, electropuncture, laser puncture, etc. .). Practical exercises also include supervision of patients.

Practical lessons can be demonstration or independent, during which cadets, on the recommendation of the teacher or according to methodological instructions, carry out the necessary stages of work. The duration of one lesson is 45 minutes, the total duration is no more than 6 hours a day. The list of skills and abilities that the cadet must master in the process of practical

classes, is determined by the qualification characteristics of a reflexologist (Appendix 3 of the Order of the Ministry of Health of the Russian Federation N364 of 10.12.97).

In preparation for the practical lesson, the teacher determines the goals and objectives of the lesson, provides the necessary equipment and other technical means, draws up a methodological development, including criteria for controlling knowledge, skills and abilities. The study load is calculated according to the actual time spent according to the schedule of the teacher leading the practical lesson.

4. INDEPENDENT WORK OF TRAINERS.

Independent work of cadets, carried out without the direct participation of the teacher, but on his instructions, is the main form of organizing the educational process. TO independent work include classes that are different in form and organization, reflecting the types of activities of a doctor:

Work with educational literature and teaching aids,

Work in the form of educational tasks and exercises for drawing up acupuncture treatment programs (combination of acupuncture points depending on complaints, patient's condition, clinical and instrumental acupuncture diagnostics),

Test and situational tasks,

Preparation of review, abstract and scientific reports,

supervision of patients, etc.

5. SYSTEM OF CONTROL AND ASSESSMENT OF KNOWLEDGE.

Knowledge control is the main element of the management of educational activities and is closely related to other elements

pedagogical system - educational goals, organizational forms of training, didactic processes. The assessment of the knowledge and skills of students should be comprehensive, in conjunction with the requirements that apply to the level of professional competence and qualifications of a medical specialist. The assessment of knowledge and skills is carried out primarily in relation to those actions of the cadet, which are necessary for him to perform professional activities.

Monitoring of training is carried out at all stages of the educational process. Distinguish between preliminary (introductory, basic), current and final control. The basic control is carried out at the very beginning of the lessons on the cycle in order to determine the level of preparedness of the cadets. This makes it possible to make adjustments to the curriculum of the cycle, to recruit groups correctly, and to optimally build individual training. Current control is carried out during training sessions in order to establish the degree of assimilation of educational material at a certain stage of training upon completion of a specific topic or section of the program. Final control (exam) is carried out at the end of training in order to assess the learning outcomes, the level of achievement of educational goals.

Control questions, tasks should correspond to the objectives of the training and relate to the assessment of the level of professional qualifications of each specialist doctor. The following control methods are possible:

Control carried out by the teacher,

Control by technical means,

Self-control,

Self-control by technical means.

The choice of control methods is determined by the objectives of control, the contingent of cadets, the presence of control programs and technical means of control. Various methods of control are used: oral, written, practical and test.

Oral control will be exchanged during a lecture, seminar and practical lesson at all stages of the educational process. Its purpose is to assess the level of knowledge, understanding of educational material, logic of thinking.

Written control in the form of written control tasks, training exercises, reviews, abstracts, reports is used at all stages of training.

Practical control, which evaluates, first of all, practical, manual skills and abilities in reflexology, is used as the results of a practical lesson and as a final exam to assess the achieved result.

Test control makes it possible to quantitatively assess learning outcomes and measure (qualimetry) the amount of knowledge with a minimum amount of time, both in small and large study groups... It is used as a baseline and final control without and with the help of technical means. Set test items must fully cover the content of the training program in the specialty (the "bank" of tests usually contains from 1500 to 2000 test tasks and sample answers).

Control sessions can be conducted in the form of a seminar or a practical lesson. The teaching load of the teaching staff conducting the monitoring of the training is calculated according to the actual time spent.

It is the responsibility of any medical practitioner to improve knowledge and skills. Certification is considered one of the training methods, which has its own requirements and characteristics, according to the results of which specialists are assigned the appropriate category. Each of the categories of doctors occupies a certain level in the hierarchy of the medical sphere.

Goal and tasks

Participation in the certification is voluntary. In the process, the personal consistency of a specialist, the level of his knowledge, practical skills, compliance with the position held, and professionalism are assessed.

Certification of doctors for a category carries a certain interest:

1. This is prestigious. Allows you to occupy a higher position and allows you to draw the attention of management to yourself. Quite often, the categories of doctors are indicated on the signs at the entrance to their office.
2. In some cases, the higher category allows you to reduce the moral or physical responsibility to the patient's relatives. Like, if such a person could not solve the problem, then it is difficult to think what would happen if a less experienced doctor was in his place.
3. The material side. Medical categories of doctors and an increase in the levels of the medical hierarchy allow increasing the increase in the basic salary.

Types of certifications

Several types of certification activities are distinguished in the legislation:

• conferring the title of "specialist" after defining theoretical and practical skills;
• qualification category of doctors (obtaining);
• category confirmation.

Determining the level of knowledge for the assignment of a "specialist" is a mandatory measure before being appointed to the position of a doctor. Conducted by special commissions in institutions postgraduate education... The following candidates are subject to consideration:

• after internship, magistracy, residency, postgraduate studies, if there is no diploma "specialist doctor";
• those who have not worked for more than 3 years in a narrow specialty;
• those who did not pass the certification in a timely manner to obtain the qualification;
• persons who are denied the opportunity to receive the second category for objective reasons.

Each physician has the right to receive a category in several specialties at the same time, if they are related. The main requirement is work experience in the required specialization. The general practitioner category is an exception.

Basic rules and requirements

Distinguish between the second, first and highest categories of doctors. The sequence rule applies to receiving, but there are exceptions. Requirements are discussed in the table.

Dates of validity

According to the old orders, there were certain circumstances that belonged to the category of social benefits and made it possible to extend the term of the current qualification. These included:

• pregnancy and childcare up to 3 years old;
• a month after being laid off due to layoffs;
• business trip;
• a state of temporary incapacity for work.

On this moment benefits are not valid. The attestation commission may decide to extend the validity period at the request of the chief physician of a medical and prophylactic institution. If a doctor refuses to appear for a commission, his category is automatically removed after a five-year period from the date of assignment.

The documents

Also, a report on the work done over the past few years, approved by the chief doctor of the healthcare facility and the personnel department where the attested works, is filled in. Copies of education documents, work record books and the assignment of current qualifications are also sent to the commission.

Attestation report

The introduction includes information about the identity of the doctor and the medical institution where he holds a position. The characteristics of the department, its equipment and staff structure, indicators of the department's work in the form of statistical data are described.

The main part consists of the following points:

• characteristics of the contingent undergoing treatment in the department;
• the possibility of carrying out diagnostic measures;
• medical work carried out with the indicated results for specialized diseases;
• deaths over the past 3 years and their analysis;
• implementation of innovations.

The conclusion of the report consists of summarizing the results, indicating possible problems and examples of their solution, opportunities for improvement. If there are published materials, a copy of them is attached. Indicated and studied over the past few years.

Points for promotion

Each specialist receives points that are involved in the decision on qualifications. They are credited for attending conferences, including international congresses, giving lectures to colleagues or nursing staff, distance learning with the receipt of the final certificate, training in courses.

Additionally, points are awarded for the following achievements:

• publishing house of a textbook, manual, monograph;
• publication of the article;
• obtaining a patent for an invention;
• making a presentation at symposia;
• performance in institutions and the media;
• obtaining a title;
• defense of the thesis;
• rewarding by public authorities.

The composition of the commission

The commission consists of a committee, whose work takes place between meetings, and a narrowly focused expert group, which directly certifies a specialist (exam, testing). Both the committee and the expert group are composed of persons holding the following positions:

1. The chairman, who oversees the work and shares responsibilities between the members of the commission.
2. The deputy chairman performs the functions of the chairman in full in his absence.
3. The secretary is engaged in registration of incoming documents, forms materials for the work of the commission, fixes decisions.
4. The deputy secretary replaces the secretary and performs his duties during the absence.

Each expert group includes specialists of related specialties. For example, the category of dentist and its receipt / confirmation requires a stay in the group of a periodontist, orthodontist, pediatric dentist, therapist.

Order of the meeting

The certification is scheduled no later than three months from the date of receipt of the data on the specialist by the committee. If the data does not match the requirements for the latter, a refusal to accept the documentation is received (no later than 2 weeks from the date of receipt). The secretary of the committee agrees with the chairman of the expert group of the required specialization the date of the exam.

The members of the expert group consider attestation for the category, having issued a review for each of them, displaying the following data:

• the level of practical skills of a specialist;
• participation in social projects related to the medical field;
• availability of published materials;
• self-education of the attested;
• correspondence of knowledge and skills to the declared category of doctors.

The examination should take place within two weeks from the date of receipt of the report. The result of the review is an indicator of the possible outcome of the attestation. The secretary informs the specialist of the date of the meeting, which includes the interview and testing. More than 70% of correct answers allow us to consider the test passed. The interview takes place by interviewing the person being assessed according to theory and practice, knowledge of which must correspond to the requested qualifications.

The meeting is accompanied by the execution of the protocol, which is signed by the members of the expert group and the chairman. The final decision is noted in the qualification sheet. The specialist receives the right to retake the exam only after a year. Within 7 days, the certified person receives a document confirming the increase, decrease or refusal to assign a category.

Extreme measures

The administration of a medical institution can send a request to the commission so that the doctor is deprived of qualifications or upgraded ahead of schedule. In this case, documents are sent to justify the decision. The commission considers the issue in the presence of a specialist. Failure to appear without a good reason allows you to make a decision in his absence.

Protest

From the day the decision is made, the doctor or medical institution may appeal the result to month term... To do this, you must fill out an application specifying the reasons for disagreement and send it to the commission under the Ministry of Health.

Reflexology is a branch of medicine that is based on ancient Chinese teachings - acupuncture, acupuncture. She specializes in the treatment of various pathologies by influencing the active points of the human body. A reflexologist is a doctor who must have a number of special skills and a diploma from a higher medical educational institution.

A reflexologist has the skills to treat diseases by affecting active points

What a reflexologist treats

Each human organ corresponds to a certain number of active points on the surface of the body. Influence on these points is reflexively capable of exerting this or that action, accelerating or depressing its work.

The description of these points is present in the works of ancient oriental doctors, who widely used acupuncture and acupuncture in the treatment of diseases. These techniques are most widely used in Ancient China, where they were finalized, honed to perfection.

The mechanism of action of such methods of treatment is that the impact on the surface of the body at a certain point causes the appearance of nerve impulses that excite the nerves. Improvement of innervation occurs not only on the surface, but also in organs that are located nearby.

Exposure to specific points affects the health of the body

A reflexologist neurologist treats a wide range of diseases. Among them, diseases of an infectious, inflammatory, neurological nature are distinguished. Using the technique of acupuncture, it can help in the treatment of diseases of the following organs and systems:

• Digestive tract. It is worth noting that a reflexologist treats pathologies that are localized in various parts of the gastrointestinal tract, from the esophagus to the rectum.
• Diseases of the female reproductive system.
• Diseases of the endocrine glands.
• Foci of the infectious process in various organs.

Reflexology is used to treat diseases of the gastrointestinal tract

• Pustular, allergic, inflammatory diseases of the skin.
• Immunity disorders and allergic reactions.
• Diseases of the musculoskeletal system.
• Sexual dysfunction in men, women.
• Neurological disorders.
• Pain of various etiologies.

The help of a reflexologist may be required for the development of pathologies of the musculoskeletal system

Based on the above, a reflexologist treats a very a large number pathologies. It should be noted that the treatment carried out by this specialist can be used as a separate type of therapy or combined with the use of medications.

Consultation with a reflexologist is indicated for patients who have undergone serious surgical interventions or injuries. With its help, you can significantly speed up the rehabilitation process and reduce the residual effects caused by pathology.

When to contact a reflexologist

You can contact this specialist when almost all diseases appear. But the main symptoms for contacting such a doctor are:

Reflexology session can help relieve depression

It should be noted that usually the reason for contacting a reflexologist is the ineffectiveness of traditional treatment methods. This can occur as a result of an allergy to the group of drugs that are needed for etiotropic treatment, or with an atypical course of the disease.

Reflexology is the most recognized direction of alternative medicine among specialists who base their treatment methods on taking medications, manipulations, and surgical interventions.

There is also a children's reflexologist, because not only adults face such diseases.

There are reflex therapists who specialize in treating children

Survey methods

The reflexologist does not use special diagnostic methods. Since an appeal to this specialist often occurs after contacting medical institutions, patients have data from laboratory and instrumental studies.

If the patient initially came to a reflexologist, then the usual examination plan is assigned, which is based on complaints, objective data:

If necessary, referrals for ultrasound, radiography, and tomography can be issued.

How is the appointment

Reception takes place in a specially equipped office. The reflexologist's office should be equipped with a couch on which manipulations are carried out, a place for storing sterile acupuncture kits, as well as modern devices for conducting electropuncture and similar manipulations.

The doctor's appointment starts with taking an anamnesis

Reception of a reflexologist begins with identifying the patient's complaints, as well as assessing his condition. Determining the localization of the pathological process is very important when examining a patient, since a plan of manipulations is drawn up on the basis of these data. This is due to the location of biologically active points responsible for the work of a particular organ.

If, at the time of visiting a specialist, a patient's chronic disease worsens, then the doctor must be informed about this. Having studied the history of the disease, a specialist can develop or select an individual treatment program that will be most effective for a given pathology.

A reflexologist can use in practice:

• acupuncture;

A reflexologist uses acupuncture to treat patients

• micro-acupuncture;
• thermopuncture;
• pharmacopuncture;
• acupressure;
• magnetopuncture, etc.

These are far from the only treatments. Many specialists have their own developed methods of treatment. But no technique will be effective if the patient does not follow a number of recommendations from the attending physician.

Treatment by a reflox therapist can be carried out by the method of magnetotherapy

Disease is better prevented than cured. To protect yourself from many diseases, a reflexologist will be able to give the following recommendations:

• to provide rest to your body;
• timely and balanced nutrition;
• small physical activity;
• stay in the fresh air for at least an hour a day;
• timely and complete treatment of all diseases;

For the health of the body, you need to regularly stay in the fresh air.

• the absence of any independent intervention in the treatment of diseases.

The main task of a reflexologist is the prevention, diagnosis, treatment and rehabilitation of neurological, psychological, traumatic and pathological diseases. He can not only cure many diseases, but also carry out course therapy for preventive purposes, provide comprehensive advice.

Who is a reflexologist and what methods a doctor uses to treat patients, the following video will show you: