Specialist Certification Research Articles

Labour mobility of medical specialists: attitudes and factors

Introduction. The healthcare sector characterized by low levels of labour mobility of medical specialists. In this regard, the purpose of the study is to identify the causes of the current scale of intra-firm and inter-firm mobility in the healthcare sector, which are associated with readiness for professional and qualification growth, as well as with external and internal employment conditions. Materials and methods. The study was based on regulatory documents of the Ministry of Health of the Russian Federation and the Government of Moscow. Data from Rosstat and statistics of the Moscow Healthcare Department, as well as materials from expert and questionnaire surveys of Moscow medical specialists, have compiled a statistical database. Results. The relatively small scale of inter-firm mobility of medical specialists in Moscow is largely due to the similarity of employment conditions in the public sector, which includes most healthcare institutions. This hinders the transfer of personnel to other institutions, although their specifics, such as a significant workload on staff and low wages, are unlikely to suit specialists. At the same time, a significant part of doctors and nursing staff have active attitudes towards professional and qualification growth. Such attitudes can be realized by the institute of certification for the qualification category. However, its imperfection does not allow coping with these functions. Research limitations. Due to the scarcity of official statistics, the study was mostly based on expert and questionnaire surveys of medical specialists, which, by definition, provide mainly subjective information and limited factual data. Conclusion. For the institute for certification of medical specialists for the qualification category to fulfill the functions assigned to it, its work should be supplemented with professional training programs by category, the additional payment for them should be increased, and categorical and job status should be linked. To curb the undesirable consequences of the outflow of personnel from the healthcare sector, it is also necessary to take measures to reduce the workload on staff and increase wages.

Public Health Nurses' Competence Related to Long-Term Breastfeeding in the Context of Maternity and Child Health Clinics.

To explore public health nurses' competence (namely knowledge, skills, and attitudes) in relation to long-term breastfeeding and their experience of the need for additional training on the subject. The study design was quantitative, descriptive, and cross-sectional. Public health nurses (n = 270). Data were collected with the Long-Term Breastfeeding Competence Scale (LBCS) online survey. Data analysis was done with Spearman's correlation analysis and binary logistic regression analysis. Slightly more than half of the respondents had a good level of knowledge and skills. The majority had a baseline positive attitude toward long-term breastfeeding, but the attitude became more negative as the age of the breastfed child increased. Better competence was associated with younger age, parenthood, an additional degree in midwifery, and breastfeeding specialist certification. Knowledge and skills, and attitudes revealed a high correlation: the higher the knowledge and skills level, the more positive attitudes. Respondents with better knowledge and skills experienced more often the need for additional training on the subject. This study addresses that public health nurses lack competence in relation to long-term breastfeeding. This may compromise the quality of breastfeeding guidance for families in healthcare settings.

Thoughts on and Proposal for the Education, Training, and Recruitment of Infectious Disease Specialists.

The global pandemic of COVID-19 has underscored the significance of establishing and sustaining a practical and efficient infection control system for the benefit and welfare of society. Infectious disease (ID) specialists are expected to take on leadership roles in enhancing organizational infrastructures for infection prevention and control (IPC) at the hospital, community, and national levels. However, due to an absolute shortage and an uneven distribution, many core hospitals currently lack the ID specialists. Given the escalating global risk of emerging and re-emerging infectious diseases as well as antimicrobial resistance pathogens, the education and training of ID specialists constitutes an imperative concern. As demonstrated by historical changes in the healthcare reimbursement system, the establishment and enhancement of IPC measures is pivotal to ensuring medical safety. The existing structure of academic society-driven certification and training initiatives for ID specialists, contingent upon the discretionary decisions of individual physicians, possesses both quantitative and qualitative shortcomings. In this article, I first address the present situations and challenges related to ID specialists and then introduce my idea of securing ID specialists based on the new concepts and platforms; (i) ID Specialists as National Credentials, (ii) Establishment of the Department of Infectious Diseases in Medical and Graduate Schools, (iii) Endowed ID Educative Courses Funded by Local Government and Pharmaceutical Companies, and (iv) Recruitment of Young Physicians Engaged in Healthcare Services in Remote Areas. As clarified by the COVID-19 pandemic, ID specialists play a crucial role in safeguarding public health. Hopefully, this article will advance the discussion and organizational reform for the education and training of ID specialists.

Analysis of test results and test quality during certification of non-destructive testing specialists

This article analyzes the results of personal certification for eddy current testing of railway facilities. The influences of education level, the work experience, the candidate age on the qualifying examinations results are considered. The conformity between test task difficulties and certification candidate training is analyzed with Rasch method. The characteristic curves of test task difficulties and the characteristic curves of candidate training levels are constructed. The results general and special examinations of 2020 and 2021 are analyzed to identify extreme test questions. The research results enable to assess the candidate training and the test task difficulties through latent parameters measured as logit unit. The analysis identified test tasks with overstated and understated task difficulty logits compared with the logits of the candidate training, assessed the correspondence between test difficulties and training candidate level, and assessed a distribution uniformity of the tasks’ difficulty. The required training logit of candidates for the certification is calculated for successful passing general and special exam tests. The getting results give a basis for further analysis of the tasks complexity, identification the reasons for the insufficiency of the auditory material familiarization for the tasks with low rate of response, for making adjustments to the consulting sessions, as well as the content and form of the test.

Launch of Board Certification in Pediatric Infectious Diseases in Japan.

To cultivate specialists in pediatric infectious diseases (ID) in Japan, the Japanese Society for Pediatric Infectious Diseases initiated board certification for pediatric ID in 2017. Previously, in 2014, we had formed a committee for board certification in pediatric ID and discussed the fundamentals of the board certification system, including the goals, requirements for designated training institutions, provisional certification of pediatric ID specialists and eligibility for and content of the board certification examination. After approval from 31 programs, the pediatric ID programs started in 2017 with 8 fellows in 7 programs. The first 6 graduates received board certification in 2020. To date, 61 pediatricians have been board certified as pediatric ID specialists. In parallel, we introduced board certification for pediatricians who work mainly in primary care settings and have a special interest in pediatric ID. This system has certified 338 pediatricians. During and after the development of the programs, we achieved substantial progress in highlighting the pivotal role of pediatric ID specialists, including the establishment and maintenance of antimicrobial stewardship programs, pediatric ID consultations and introduction of viral diagnosis by polymerase chain reaction at institutions. However, several issues need to be addressed, including the establishment of independent pediatric ID departments in institutions, payment of consultation fees, program site visits, maintenance of certification and cultivation of physician-scientists. These challenges will be the focus of future efforts.

ТЕНДЕНЦИИ РАЗВИТИЯ ПОЖАРНОГО НАДЗОРА

The key features of the modified form of implementation of supervisory activities by state fire supervision authorities are considered, related both to the exclusion from the plan of carrying out planned control (supervisory) activities in relation to objects of protection with an assigned risk category below «high», and with the fact that in order to carry out unscheduled control (supervisory) activities, a reasoned and justified decision of the supervisory authority is required, supported by the occurrence of one of the grounds in the list established by clause 3, part (a) of the Government Resolution Russian Federation «On the features of the organization and implementation of state control». The problem of the increase in the number of fires is touched upon at protection facilities of a significant risk category. It has been stated that only subject to an integrated approach to compliance with the procedure and rules for certification of specialists, as well as effective control and supervision by the competent authorities, together with the introduction of a number of specific liability measures, can positive results in the field of fire safety be expected. It is concluded that the principles of the modern approach to ensure fire safety are based on strengthening the institution of responsibility on the part of persons carrying out commercial activities in this area.

P086 Trends in the Incidence and Management of Gout in England: A Nationwide Study using the OpenSAFELY Platform

Abstract Background/Aims Gout is the most common inflammatory arthritis worldwide, yet one of the worst managed. Few population-level studies have evaluated how the COVID-19 pandemic impacted on incidence, prevalence, management and hospitalisations for people with gout. We investigated this in England using the OpenSAFELY platform. Methods With the approval of NHS England, we conducted a population-level cohort study using primary care and hospital data via the OpenSAFELY platform for 17.9 million adults (40% of England’s population). We analysed the following outcomes between 1 March 2015 and 28 February 2023: 1) incidence and prevalence of recorded gout diagnoses; 2) incidence of hospitalisations with primary admission diagnoses of gout; 3) initiation of urate-lowering therapy (ULT); and 4) serum urate target attainment. Results From 17.9 million adults, there were 246,695 incident gout diagnoses between March 2015 and February 2023. The mean age of diagnosed patients was 61.3 years; 66,265 (26.9%) were female; and 189,035 (90.9%) of 208,050 with available ethnicity data were White. On a background trend of decreasing gout incidence since 2015, new gout diagnoses fell by 31.0% in the first year of the pandemic (from 1.78 to 1.23 diagnoses per 1,000 adults), relative to pre-pandemic. A partial recovery in gout incidence was seen in the years commencing March 2021 and March 2022, but this remained below pre-pandemic levels. Gout prevalence was 3.07% in 2015/16 and 3.21% in 2022/23. Gout hospitalisations decreased by 30.1% in the year commencing March 2020, relative to the preceding year (9.58 vs. 13.7 admissions per 100,000 adults). People presenting with gout during the pandemic did not have more severe disease than those presenting pre-pandemic, but did have proportionately fewer comorbidities. Of 228,095 people with incident gout and available follow-up, 66,560 (29.2%) were prescribed ULT within six months of diagnosis. Of 65,305 ULT initiators with available follow-up, 16,790 (25.7%) attained a urate ≤360 micromol/L within six months of ULT initiation. In interrupted time-series analyses, ULT prescribing improved modestly during the pandemic, relative to pre-pandemic, while urate target attainment was similar. Conclusion The incidence of recorded gout diagnoses in England decreased markedly during the pandemic. No rebound increase in incidence has been observed as of early 2023, suggesting many people remain undiagnosed as a consequence of the pandemic. For patients who were diagnosed during the pandemic, ULT initiation improved modestly relative to before the pandemic; however, absolute levels of ULT initiation and target attainment remain far below an acceptable standard. Importantly, we showed how country-wide, routinely-collected data can be used to map disease epidemiology and monitor care quality for rheumatological diseases. Disclosure M.D. Russell: Honoraria; AbbVie, Biogen, Eli Lilly, Galapagos, Menarini. Grants/research support; from Eli Lilly, Pfizer, Janssen and UCB. J. Massey: None. E. Roddy: None. B. MacKenna: None. S. Bacon: None. B. Goldacre: Grants/research support; Laura and John Arnold Foundation, NIHR, NHS England, Mohn-Westlake Foundation, Wellcome Trust, Good Thinking Foundation, HDRUK, Health Foundation, WHO, MRC, Asthma UK, BLF, National Core Studies. C.D. Andrews: None. G. Hickman: None. A. Mehrkar: Other; former employee and interim Chief Medical Officer of NHS Digital, RCGP representative on GP Data Professional Advisory Group to NHS Digital. A. Mahto: Honoraria; AbbVie, Galapagos. Grants/research support; Educational support from Eli Lilly. A.I. Rutherford: Grants/research support; Educational support from Eli Lilly. S. Patel: None. M.A. Adas: None. E. Alveyn: None. D. Nagra: None. K. Bechman: Grants/research support; Educational support from UCB, and Grants from Versus Arthritis/Pfizer. J.M. Ledingham: Other; BSR President, secretary for The Federation of Joint Royal Colleges of Physicians Specialist Certificate Exam Board, and a trustee of BSR. J. Hudson: None. S. Norton: None. A. Cope: Honoraria; BMS, AbbVie, GSK/Galvini. Grants/research support; BMS. J. Galloway: Honoraria; Abbvie, Biovitrum, BMS, Celgene, Chugai, Gilead, Janssen, Lilly, Novartis, Pfizer, Roche, Sanofi, Sobi, and UCB.

A retrospective audit of general practitioner's referrals to Guys and St Thomas' specialist menopause clinic between 2021 and 2022.

Purpose: We performed a retrospective audit of General Practitioners' (GPs) referrals to the specialist Menopause Clinic at Guys and St Thomas's (GSTT) between 2021 and 2022. We aim to establish the indication for the referrals and whether they were compliant with the National Institute for Health and Care Excellence Guidance NICE.Background: GSTT is a teaching hospital in central London that educates gynaecologists in training as well as (GP) for specialist certification in Menopause. The menopause clinic receives approximately 580 GP referrals per month from South East London practices. The current waiting time for an initial appointment is up to 1year. This delay reflects an increase in demand for menopause care and a deficit in service provision in many areas of the UK.NICE has recommended that GPs refer complicated cases to menopause specialists, with 11 specific criteria.Study Sample and Data Collection: We randomly selected 50 patients referred to the GSTT clinic by a GP between 2021 and 2022. Patient data were collected, including patient demographics, date of referral, indication for referral, date of consultation, waiting time, past medical history, investigations, and treatment instigated during the appointment.Results: The majority of referrals to the GSTT menopause Specialist clinic met the NICE guidelines (76%). One-sixth of the referrals could have been prevented or managed through alternative routes. Finally, although this is a small study, some patient unmet needs (PUNS) and GPs' educational needs have been identified.

Analysis of Test Results and Test Quality during Certification of Non-Destructive Testing Specialists

Analysis of Test Results and Test Quality during Certification of Non-Destructive Testing Specialists

ОСОБЛИВОСТІ ПРОФЕСІЙНОЇ ПІДГОТОВКИ ТА СЕРТИФІКАЦІЇ ПРОЄКТНИХ МЕНЕДЖЕРІВ В УКРАЇНІ

The article raises questions about the peculiarities of professional training of project managers and their certification in Ukraine. An overview of the market of educational services for the training of specialists in the field of project management is provided. The features of the activities of the leading organizations of additional education and training (certification) in this area, operating in Ukraine or providing services online, are described. A brief description of the demand in this area of training in higher education institutions of Ukraine under educational and professional programmes of the first level of education (bachelor's degree) within the specialty 073 - "Management" is given. The authors analyses the Ukrainian market of educational services to identify higher education institutions that provide training in project management. To achieve this goal, a content analysis was conducted using the Unified State Electronic Database of Education. The requirements for international certification of project management specialists, associations involved in the development of competencies in this field of knowledge are considered. The advantages of certified specialists are presented. Certification of specialists is aimed at achieving the following objectives: determination and confirmation of the level of competence of specialists to ensure their competitiveness in the Ukrainian and foreign markets of services in the field of project management; protection of legal entity engaged in the field of project management from incompetent and dishonest specialist; assistance to legal entities engaged in the field of project management in the selection and recruitment of competent specialists. A certified project management specialist must meet the established international requirements, which cover: professional knowledge; skills and abilities; personal qualities and ethical code of the project manager. The authors substantiate the need for highly qualified project managers in the new realities of martial law, who will contribute to the rapid recovery of the economy and the country after significant destruction.

In Memory of Professor Joon Young Song

Professor Joon Young Song was a dermatologist who exhibited extraordinary dedication to medical education in the Daegu-Gyeongbuk region. After graduating from Kyungpook National University School of Medicine in 1958, he obtained his dermatology specialist certification in 1962. From 1966 onwards, Professor Joon Young Song guided future generations at Keimyung University Dongsan Hospital for 33 years. He also conducted research in mycology and leprology and, notably, dedicated his life to treating patients with leprosy in the Daegu-Gyeongbuk region. Professor Joon Young Song contributed to the development of mycology and leprology in Korea, following the footsteps of Professor Soon Bong Suh in the Daegu-Gyeongbuk region.

Новые требования к аттестации в области промышленной безопасности

An overview is provided related to the main changes in the procedure for conducting certification of managers and specialists in the field of industrial safety. These changes are due to the entry into force on September 1, 2023 of the requirements of the Government of the Russian Federation of January 13, 2023 № 13 «On certification in the field of industrial safety, on the issues of safety of hydraulic structures, safety in the electric power industry» and the termination of the requirements of the Russian Federation Government Decree dated October 25, 2019 № 1365 «On training and certification in the field of industrial safety, on the issues of safety of hydraulic structures, safety in the electric power industry». The changes in the field of certification establish: exclusion of certain categories of employees from the number of persons required to receive additional professional education in the field of industrial safety and undergo certification in industrial safety at least once every five years; the categories of employees who undergo certification exclusively in the certification commissions of the organizations operating in the field of industrial safety; expanding the list of information provided by the applicant for certification in the territorial certification commission of Rostechnadzor; the procedures in case of force majeure circumstances preventing the presence of the certified person during certification in the territorial certification commission of Rostechnadzor; the requirements for computer testing as part of industrial safety certification; the procedure for filing and consideration in the central certification commission of Rostechnadzor of appeals against a decision, action (inaction) of the territorial certification commission of Rostechnadzor; the procedure for entering information on the results of certification in the Rostechnadzor certification commissions and the certification commissions of organizations into the register of the certified persons, as well as cases of exclusion of information from this register; adjustment to reduce the time required for completing procedures as part of Rostechnadzor provision of state services for organizing certification in the field of industrial safety.

102. Assessing ChatGPT Performance in the Brazilian Infectious Disease Specialist Certification Examination

Abstract Background Advances in artificial intelligence have the potential to impact medical fields, including the use of natural language processing-based models, such as ChatGPT. The ability of the ChatGPT to provide insightful responses across diverse fields of expertise could assist in medical decision-making and knowledge management processes. ChatGPT has already demonstrated high accuracy in medical examinations such as the USMLE. To explore the potential of this tool in various contexts, our study aimed to evaluate the accuracy of the ChatGPT in the 2022 Brazilian Infectious Disease Specialist Certification Examination. Methods We conducted a test to evaluate the performance of GPT-3.5 and GPT-4 on the 2022 Brazilian Infectious Disease Specialist Certification Exam. A theoretical exam, consisting of 80 multiple-choice questions with five alternatives, was used to test performance. The GPT was given a command containing the question statement and alternatives, and a brief comment on the logic behind the answer was requested. Descriptive statistics were used to analyze the absolute performance of the correct answers in the ChatGPT-3.5 and ChatGPT-4 models. In addition, the degree of correlation between answers and performance throughout the test was estimated using Spearman's coefficient and a logistic regression curve, respectively. Results Of the 80 questions in the exam, four were excluded because they were invalidated in the final answer key. ChatGPT-3.5 had an accuracy of 53.95% (41/76), whereas ChatGPT-4 had an accuracy of 73.68% (56/76). Spearman's correlation coefficient between the two models was 0.585. There was a slight trend towards improvement in ChatGPT-4 performance throughout the test, as observed in the logistic regression curve. Comparison of Accuracy between ChatGPT 3.5 and ChatGPT4 The graph shows the percentage of accuracy for the two GPT models. The performance of ChatGPT-4 was superior to ChatGPT-3.5. Distribution of Correct and Incorrect Responses by ChatGPT-4 in Medical Test Questions The graph displays the distribution of responses generated by ChatGPT-4. The logistic regression curve shows a slight upward trend, indicating a slight improvement in performance as the questions were answered. Conclusion ChatGPT-4 achieved performance above the 60% minimum threshold required for the certification exam. This indicates that it is a promising technology in various fields, including infectious diseases. However, its potential applications and associated ethical dilemmas must be thoroughly assessed. This advancement also highlights the need for medical education to concentrate on developing competence, skills, and critical thinking rather than relying solely on memorization Disclosures All Authors: No reported disclosures

Beliefs and practice patterns of spinal thrust manipulation for mechanical low back pain of physical therapists in the state of Minnesota

ABSTRACT Introduction The primary purpose of this study was to examine the perceptions and utilization of spinal thrust manipulation (STM) techniques of physical therapists who treat patients with low back pain (LBP) in the State of Minnesota. A secondary purpose was to investigate differences between physical therapists who perform STM and those who do not. Methods A cross-sectional design was utilized through the completion of an electronic survey. 74 respondents completed the survey. Descriptive measures were recorded as frequencies for categorical data or mean ± standard deviation for continuous data. For between-group comparisons, chi-square analyses were used for categorical items of nominal or ordinal data and t-tests were utilized for continuous data. The alpha level was set at p < 0.05. Result 60.2% of respondents reported using STM when treating patients with LBP. 69.9% of respondents utilize a classification system. 76.7% of individuals answered correctly regarding the Minnesota State practice act. Of those who use STM, 81.8% utilize a Clinical Prediction Rule. Respondents who use STM were more likely to have a specialist certification (chi-square = 6.471, p = 0.011) and to have completed continuing education courses on manual therapy (chi-square = 4.736, p = 0.030). Discussion/Conclusions Physical therapists who perform STM are more likely to have a better understanding of their state practice act, be board certified, and have completed continuing education in manual therapy.

О профессионально-личностной компетентности тестировщика программного обеспечения в условиях цифровой трансформации общества

The profession of «software tester» is currently included in the list of the 50 most popular, new and promising professions on the labor market. Currently, due to the rapid development of IT technologies, the requirements for testers, their knowledge and qualifications are constantly increasing: the professional activity of a tester is becoming more and more "engineering" and requires specific knowledge, skills and competencies, as well as technical savvy. The main task of the tester is to evaluate programs that are in development or already functioning, identify failures, errors (bugs) in them and transmit this information to developers for correction. A "successful" tester, in the context of the analysis of his professional and personal competence, can be determined in the presence of the following main characteristics: the presence of professional training and work experience; the presence of internal motivation for the implementation of successful professional activities in the field of information technology; possession of reflection and introspection in the context of performing testing activities; the presence of professionally important characteristics that ensure the success of professional activities, including, for example, patience, diligence, conscientiousness, independence, etc.; the presence of ideas about test design techniques, types of testing, ways to identify and eliminate errors, a variety of approaches to testing; the presence of technical testing skills in information systems administration, programming; ability to work with test documentation: to draw up a test plan, requirements specifications, develop test scenarios, issue test reports, bug reports, etc.; availability of organizational, managerial and communicative competencies. The analysis of the professional and personal competence of testers, their professional and personal qualities can serve as a basis for the development of criteria for the success of professional activity, determining the prospects and trends of professional development, optimizing the procedures for professional selection and professional certification of testing specialists within the professional standard.

Relationships between elementary mathematics specialist certification, knowledge, beliefs, and classroom learning environments

AbstractWe report on the differences in mathematics learning environments in classes taught by certified Elementary Math Specialists (EMSs) (n = 28) and their peers (n = 33) as determined by observations of instruction. We used path analysis to examine how variables such as mathematical knowledge for teaching, beliefs, and background characteristics were related to the learning environment. We used the Classroom Learning Environment Measure (CLEM) observation protocol, which attends to aspects of mathematics lessons such as opportunities for students to justify their reasoning and attend to mathematical concepts. Our analysis revealed that learning environments incorporating such elements were significantly more prevalent in classes taught by EMSs, and that there were two paths indicating mediation effects on the relationship between EMS status and learning environment. One path was related to teachers’ beliefs about the primacy of computation in learning mathematics; the other path was related to teachers’ mathematical knowledge for teaching and their beliefs about the extent to which mathematical knowledge is constructed by the learner. We share implications for EMS programs and recommendations for future research on the impact of EMSs in elementary schools.

THE WORLD PRACTICE OF CERTIFICATION OF UNIVERSITY GRADUATES ACCORDING TO INTERNATIONAL PROFESSIONAL STANDARDS

The purpose of this article, using the example of the partnership of Esil University and Chartered Management Institute, is to describe the prospects for promoting the National Qualification System in Kazakhstan based on international standards. Methods of comparative analysis of the international practice of professional certification of managers were used in the preparation of the article. As the main results of the study, it can be noted that modern universities, acting as key participants in the labor market, as the main suppliers of qualified personnel, as feedback from employers constantly receive complaints about the poor quality of training in the higher education system and their inconsistency with the constantly changing requirements of the labor market. This is not only Kazakhstan's realities, but also a modern and global trend. In this regard, Kazakhstani entrepreneurs have different attitudes to the idea of introducing a unified system of certification of specialists, as they do not have a proper understanding of the advantages represented by professional certification. Their general attitude to the short-term development of business and the desire to minimize the costs of its maintenance give rise to a number of problems, the roots of which go into the misunderstanding by the heads of enterprises themselves that in order to create a stable business, a clear system of uniform standards is needed not only in the field of tax, legal and sanitary regulatory requirements, but also in the field of professional standards, which set the general logic of the work and development of each organization and enterprise, solve the problem of staff turnover and lack of corporate interest. This is a global trend, and the Kazakh labor market will also inevitably come to reorganize approaches to training and hiring personnel in line with modern trends in the system logic of a single professional model.

Анализ кадровых ресурсов врачей- специалистов призывных комиссий муниципальных образований Оренбургской области.

Currently, the issues of human resources are raised by many Russian and foreign scientists. Personnel, being the main, most valuable and significant part of health resources, ultimately ensure the effectiveness, efficiency and quality of medical care to the population. Therefore, there is no accidental scientific interest in studying the state of human resources of draft commissions carrying out military medical expertise. The purpose of the study is to characterize the personnel composition of doctors of conscription commissions of municipalities of the Orenburg region. Materials and methods. The analysis of the personnel of doctors working in the draft commissions of the Orenburg region was carried out. Statistical, analytical and sociological research methods were used. The following indicators were analyzed: staffing of draft commissions with medical personnel; age composition of doctors; general medical experience of doctors and work experience in draft commissions; availability of certificates of specialists and medical categories. To compile a social “portrait” of doctors working in the draft commissions of the Orenburg region, a sociological survey was carried out, in which 393 specialist doctors took part. The sociological survey made it possible to study the opinion of doctors who carry out medical examination of conscripts on the organization of medical care for young men in the pre-conscription period. Results. The average doctor working in the conscription commission of the Orenburg region municipality is characterized by a high level of professional training, which proves that he has a great medical experience, medical category and a specialist certificate. Conclusion. The article presents the results of the analysis of staffing indicators and the level of professional training of doctors working in the draft commissions of the Orenburg region. Taking into account the completed questionnaire, a social “portrait” of doctors carrying out medical examination of persons of military age was compiled. The opinion of doctors on the organization of medical care for young men in children’s polyclinics and draft commissions was studied. The information received should be taken into account when planning priority measures at the regional level aimed at improving the quality of medical support for the preparation of citizens for military service.

EXPERIENCE IN TRAINING SPECIALISTS IN NON-DESTRUCTIVE CONTROL IN THE NUCLEAR POWER INDUSTRY

The data on certification of specialists of non-destructive testing of nuclear power engineering. It is shown that the largest number of specialists is certified for visual and measuring, capillary and ultrasonic control. Some procedures of training specialists in terms of presenting physical principles of NDT and some provisions of normative documents are considered. Relevant recommendations are given for the purpose of full assimilation of the training material. The main points of normative documents, which should be paid special attention to when studying them, are marked. It is noted that the experience, level of training and education of the certified specialists should be taken into account when giving lectures.

Features of the legal status of sports federations in Ukraine

Introduction. Sport is an autonomous system that includes a huge array of various public sports organizations connected by complex relationships, the central place among which is occupied by sports federations. The purpose of the paper is to determine the specifics of the legal status and areas of activity of sports federations in Ukraine. Results. Results. The Law of Ukraine "On Physical Culture and Sports" provides for the delegation of powers for the development of the relevant sport, organization and holding of official international and all-Ukrainian sports competitions on the territory of Ukraine, etc. to public associations of physical culture and sports orientation. At the same time, it is difficult to talk about the complete autonomy of sports federations, since the sports federation, among other things, ensures cooperation with the structural units of local state administrations and local self-government bodies regarding the development of the respective sport; agrees with the Ministry, relevant local bodies of executive power and local self-government bodies on the issue of holding international sports competitions on the territory of Ukraine; implements and demands the same implementation from its members of the decisions of the Ministry, relevant contracts with local executive bodies in the field of physical culture and sports; submits a report on the use of budget funds in case of financial support from the state budget to a sports federation for the development of a sport, organization and holding of sports events; is obliged to submit a report to the Ministry on the state of implementation of the cooperation agreement, etc. every year. The peculiarity of the legal status of sports federations in various sports is that they can be created only as non-commercial organizations. At the same time, sports federations can independently or through legal entities created by them carry out entrepreneurial activities, if such activities are not their main activity and correspond to the purpose for which they were created and contribute to its achievement. Conclusion. The legal status of sports federations is hybrid. On the one hand, they are accountable to the central body of executive power - the Ministry of Youth and Sports of Ukraine, and on the other hand, they are autonomous and independently determine the directions of their activities, including: organization and holding of competitions; approval of internal documents and their implementation; implementation of the system of certification of clubs, coaches and other specialists in the field of sports; establishment of institutions, enterprises and organizations to achieve their statutory goals and objectives, participation in civil-law relations, acquisition of property and non-property rights; determination of the mechanism for resolving sports disputes.