Continuous medical experience. Allowances for continuous medical experience

What is continuous medical experience? How is it calculated and does this component of work make sense for medical workers? All these questions are interesting when a person is going to devote his life to medicine. This area of work is extremely responsible and serious. This means that for the mentioned features you can expect some kind of allowances and bonuses. How are things going with this in Russia? What can medical personnel expect in a given country?

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?

Is continuity maintained if you change jobs?

When determining the duration of continuous work experience, most employers continue to apply the rules that are no longer valid, but do not require additional development and are quite understandable, approved by Resolution of the USSR Council of Ministers of April 13, 1973 No. 252.

According to these rules, continuous work experience retains its continuity when changing jobs, if the break in work does not exceed:

1 month for the general case of transition from one job to another (clause 2);
3 weeks (for dismissal in the period from 01.09.1983 to 31.12.2006) when dismissing an employee on his own initiative without a reason recognized as valid (clause 2);
2 months after completion of work in the Far North and in areas equivalent to it, or work abroad (clause 3);
3 months upon dismissal from liquidated, reorganized or downsizing organizations, from downsizing military units, after dismissal due to the inability to continue working in the same place for health reasons or dismissal of primary school teachers due to the reorganization of the education system (clause 4). For persons who quit for health reasons, a break in work during the period from 07/01/1973 to 10/01/1973 does not affect their continuous work experience. If dismissal for health reasons required time to restore working capacity, then the duration of the permissible break in work is counted from the date of this restoration, confirmed by documentation.

How the Far North affects men's pensions, see the link.

Continuous work experience does not depend on the duration of the break in employment for situations of applying for a job after dismissal in connection with (clause 6 of the resolution of the USSR Council of Ministers dated April 13, 1973 No. 252):

transfer of a spouse to work in another area;
retirement due to old age or long service.

The same decree can be used to determine periods:

who do not maintain continuity of service (clause 7);
non-labor, counted towards continuous work experience (clause 8);
not taken into account in the length of service, but not interrupting it (clause 9).

Find out the nuances of accounting for individual time periods in the work experience from the materials:

“Is military service included in the length of service (nuances)?”;
“Is maternity leave included in the length of service (nuances)?”;
“Is study included in the work experience (nuances)?”.

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.

What periods are counted towards length of service?

As a general rule, the insurance period (hereinafter referred to as SS) includes such periods as:

Work or other activities within the Russian Federation.
Work or other activities outside the Russian Federation.
Voluntary contribution by a citizen himself or another person for him to the Pension Fund of the Russian Federation (hereinafter referred to as the Pension Fund) as part of compulsory insurance. Moreover, the duration of such a period should not exceed 50% of the length of service required to establish an old-age pension.
Other periods listed in the law.

The latter include:

time of military service;
illness confirmed by sick leave;
maternity leave (but only in terms of maternity leave and the first 1.5 years of parental leave, in total no more than 6 years);
time of receipt of unemployment payments;
the time of arrest of persons groundlessly accused of a crime or groundlessly repressed and subsequently rehabilitated, and the time of stay of these persons in prison by court verdict;
caring for a disabled person of group I, a disabled minor or a person over 80 years old;
the time when the spouse of a contract serviceman was unable to find a job after moving to an area where there are no suitable vacancies (in general, such a period should not exceed 5 years);
the length of stay of spouses of diplomats or consuls in a foreign country, but not more than 5 years;
time spent working under a contract in agencies engaged in operational investigative activities;
the time when a person, groundlessly accused of a crime and subsequently exonerated, was suspended from work.

READ Do they take you into the army with a suspended sentence?

IMPORTANT! The main condition for including the above periods in the SS is the insurer making payments to the Pension Fund (Article 11 of Law No. 400-FZ).

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.

The importance of continuity of service in 2021

Until 2007, when the Russian Federation Law “On compulsory social insurance in case of temporary disability and in connection with maternity” dated December 29, 2006 No. 255-FZ came into force, the amount of continuous work experience was important for calculating sick leave payments. The size of the percentage in which the employee was paid the actually accrued sickness benefit depended on this length of service (clause 25 of the resolution of the Council of Ministers of the USSR and the All-Russian Central Council of Trade Unions dated February 23, 1984 No. 191, which has now lost its effect):

at least 8 years - 100%;
from 5 to 8 years - 80%;
less than 5 years - 60%.

Law of the Russian Federation dated December 29, 2006 No. 255-FZ (Article 7) tied these figures to the insurance period, i.e. to the total duration of those periods during which a person was an insured person and paid insurance contributions to the Social Insurance Fund (Article 16) .

Find out about the rules for calculating the insurance period here.

Thus, continuous work experience has lost its only important purpose, although the Law of the Russian Federation of December 29, 2006 No. 255-FZ contains a clause that if the length of service calculated for the period before 2007 according to the new rules turns out to be less than continuous for the same period, then the insurance period for the purposes of calculating sick leave is considered equal to continuous (Clause 2, Article 17).

The calculation of continuous work experience during the period of its legislative significance was carried out according to the rules approved by Resolution of the USSR Council of Ministers dated April 13, 1973 No. 252. This document is now considered no longer in force, although in reality its text remains in demand, since continuous work experience continues to play a certain role in relationship between employee and employer.

Departmental regulations or local internal documents of the employer may establish a dependence on this length of service for such things as:

additional payments and salary supplements;
one-time rewards for length of service;
right to additional leave.

The following materials will introduce you to the types of work experience:

“Special work experience - what is it?”;
“Total length of service - what is included and how to calculate?”;
“Calculation of medical experience for retirement (nuances).”

The nuances of calculating length of service were explained in detail by ConsultantPlus experts:

Get trial access to the K+ system and go to the HR Guide for free.

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.

How is medical experience calculated?

In order for work in medical institutions to be counted in the SS, the physician must work full time. Part-time work will not be taken into account in the length of service, with the exception of cases of part-time work in several institutions at once, if in the end the employee is busy the whole day (clause 4 of the Decree of the Government of the Russian Federation “Rules for calculating periods of work...” dated October 29, 2002 No. 781, hereinafter - resolution No. 781).

Periods of work are taken into account in the length of service in calendar order. At the same time, in relation to certain categories of physicians operating in a certain area, medical training is considered according to preferential rules, namely:

for doctors working in rural areas and urban settlements, 12 months of such work are counted as 15 months of regular experience;
For doctors from the list specified in Resolution No. 781, as well as surgeons, anesthesiologists, resuscitators and pathologists, 1 year of work is counted as 18 months.

More information on how to calculate SS is described in the articles:

“What is the insurance period for a pension?”;
“Work experience for calculating old-age pension.”

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.

History of allergies

You can try to explain the reluctance of doctors to give medical advice. One of the contraindications is a severe allergic reaction to something that happened even a long time ago. The fact is that the so-called anamnesis (one of the main research methods) is collected from the words of the patient or persons related to him. This may be necessary in the case where, for example, the patient himself is not able to tell anything about himself.

A doctor in a clinic cannot know everything that happened to a person in the past. This is why there is a collection of information about past reactions, conditions, etc. There is nothing to stop a person from stating that they have had severe reactions to a particular intervention in the past. It is not possible to check this; that is what anamnesis is for.

Technical features are also important - a unified database of medical information in the capital, for example, began to function about a year and a half ago. And paper medical records - they get lost, torn and forgotten at bus stops. From here, the legs of reluctance to give a medical outlet may grow.

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!

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.

Medical experience: how is it correctly calculated and in what cases is it interrupted?

Medical experience (hereinafter referred to as medical experience, MD) is a type of work experience in a certain field - in organizations providing medical services to the population.

As a period of working activity, the medical period is included in the insurance period to establish the right of the employee (hereinafter referred to as the physician) to certain types of pensions, the calculation rules of which are regulated by the Law “On Insurance Pensions” dated December 28, 2013 No. 400-FZ (hereinafter referred to as Law No. 400-FZ , ed., active in 2021). You can find additional information about what is included in the insurance period in the presented video.

IMPORTANT! At the moment, it is not the length of service itself that is accumulated, but the coefficients obtained during the period of employment due to contributions made by the employer to the Pension Fund (Article 15 of Law No. 400-FZ).

In addition, the MD is needed to determine the amount of bonuses and additional payments due to a physician during continuous medical practice. For example, for physicians working in hospitals and clinics of the Federal Customs Service (hereinafter referred to as the FCS), an allowance is provided in the amount of 30 or 20% (depending on the position) of the salary for the first 36 months of work (clause

2 orders of the Federal Customs Service of the Russian Federation “On approval of the payment procedure...” dated November 13, 2008 No. 1412).

The duration of the MD also affects the possibility of receiving additional days of vacation (Article 350 of the Labor Code of the Russian Federation). For example, for 3 years of experience, family doctors are given 3 additional days of vacation (Resolution of the Government of the Russian Federation “On the Establishment ..." of December 30, 1998 No. 1588).

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.

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.

Medical experience of chief doctors and his deputies

In accordance with paragraphs. 20 clause 1 art. 27 Federal Law “On Labor Pensions in the Russian Federation” to persons who have carried out medical and other activities to protect public health in health care institutions for at least 25 years in rural areas and urban-type settlements and for at least 30 years in cities, rural areas and urban-type settlements, or only in cities, regardless of their age, an early retirement pension is granted.

The chief physician and his deputy perform functions related to the implementation of organizational, administrative and administrative duties, and therefore are officials. To be included in the medical experience of this work, they can engage in medical activities, separately or under certain conditions, combining it with the main one.

The Constitutional Court of the Russian Federation in Resolution No. 11-P of June 3, 2004 noted that, while establishing in the above Law the legal grounds and conditions for the assignment of pensions and providing for certain categories of citizens engaged in certain professional activities, the possibility of early assignment of an old-age labor pension, The legislator associates the right to assign a pension before reaching the generally established retirement age not with any work in a certain field of professional activity, but only with that, the implementation of which is associated with the adverse effects of various factors, increased psychophysiological stress, due to the specifics and nature of the work; At the same time, differences in the nature of the work and functional responsibilities of persons working in the same positions, but in institutions and organizations with different profiles and tasks, are also taken into account.

Decree of the Government of the Russian Federation dated October 29, 2002 N 781 approved the List of positions and institutions, work in which is counted towards length of service, giving the right to early assignment of an old-age pension to persons who carried out medical and other activities to protect public health in state and municipal institutions healthcare. This List includes doctors - specialists of all types (except for statisticians), including doctors - heads of institutions (their structural divisions), provided that they carry out medical activities. The presence of a medical practice is confirmed by a certificate of performance of part-time or part-time work, based on the job description and other evidence.

In any case, the identity of the medical and other functions performed to protect the health of the population, giving the right to early assignment of an old-age labor pension, can be established by district courts.

The Pension Fund of the Russian Federation refused to grant an early pension? Trust our lawyers to restore your right to a preferential pension! At your service: calculating length of service and drawing up claims to the Pension Fund online. If you live in Izhevsk, Udmurt Republic, we can provide a whole range of services to represent your interests in court.

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