Article 1 In order to encourage and standardize doctors to practice more in this province and ensure medical quality and safety, According to the Law of People's Republic of China (PRC) on Medical Practitioners, the Interim Measures for the Registration of Medical Practitioners (Order No.5 of the former Ministry of Health) and the Notice on Printing and Distributing Several Opinions on Promoting and Regulating Doctors' Multi-point Practice (Guo Wei Yi Fa [2014] No.86), according to the Opinions on Deepening the Reform of Medical and Health System of the Central the State Council and the General Office of the Provincial Party Committee and the General Office of the Provincial Government on Printing and Distributing Further,
Article 2 The term "multi-point practice of doctors" as mentioned in these Measures refers to the practice of clinical, oral and traditional Chinese medicine practitioners (excluding practicing assistant doctors, the same below) to carry out diagnosis and treatment activities in two or more medical institutions within the administrative region of this province according to law. Encourage doctors to practice more in primary medical institutions and social medical institutions.
Doctors who participate in charity or public welfare roving medical treatment, free clinic, emergency or disaster medical rescue work and participate in the implementation of basic and major public health service projects do not belong to the practice of doctors as prescribed in these Measures.
Article 3 Medical institutions with first practice shall support doctors to practice more, and shall not artificially set obstacles. Medical institutions should reasonably determine the job responsibilities, working hours and workload of practicing doctors in accordance with relevant laws and regulations, and improve specific management measures such as assessment, rewards and punishments, and competition for posts, and should not affect their professional title promotion and academic status because doctors practice more.
Article 4 The registered practice place of doctors is the first practice place, and the additional practice places are the second and third practice places in turn.
Fifth, doctors should practice registration management at more points.
Article 6 Doctors who participate in counterpart support in urban and rural hospitals and support grass-roots units, or practice among medical institutions that have signed agreements on assistance or custody of medical institutions and established medical groups or medical consortia, do not need to go through relevant procedures for multi-point practice.
Article 7? Doctors go out for consultation in accordance with the Interim Provisions on the Administration of Doctors Go Out for Consultation and other relevant regulations.
Eighth provincial health and family planning administrative departments are responsible for the guidance, supervision and management of doctors' multi-point practice in the province. Health and family planning administrative departments at all levels shall, in accordance with their respective responsibilities, do a good job in multi-point practice registration, supervision and management of doctors. Areas where conditions are ripe can explore the implementation of regional registration, and the specific measures shall be formulated by the administrative departments of health and family planning of each district and city.
Chapter II Practice Registration
Article 9 A medical practitioner who meets the following conditions may apply for multi-point practice:
(1) Having obtained the practicing certificate of a doctor, having the qualifications for professional and technical positions at or above the intermediate level, and having been engaged in the same professional work for 5 years;
When a doctor of traditional Chinese medicine is registered as a multi-point medical institution, his professional and technical post qualifications shall be implemented in accordance with the Measures for the Administration of Traditional Chinese Medicine Clinic (Trial);
(2) Being able to complete the work of the medical institution in the first practice place;
(3) Being in good health and competent for multi-point practice;
(4) There is no unqualified record in the regular examination of physicians for two consecutive periods recently;
(5) Persons who hold hospital-level leadership positions in public hospitals are generally not allowed to engage in other forms of multi-point practice, except in the circumstances listed in Article 6 above.
Article 10 A physician who intends to practice multi-point practice shall submit a copy of the multi-point practice agreement to the place where he first practiced, and after fulfilling the notification and filing procedures, apply for registration to the administrative department of health and family planning where the medical institution that intends to practice multi-point practice is located, and submit the following materials:
(1) Approval Form for the Application for Multi-point Practice Registration of Doctors in Shandong Province (attachment);
(two) the applicant's "doctor qualification certificate", "doctor practice certificate" and "professional and technical post qualification certificate" and a copy of the original;
(three) the employment agreement signed by the applicant and the medical institution that intends to practice more.
Article 11 The applicant submitted in Article 9 of these Measures shall sign an employment agreement with the medical institution that intends to practice more, and stipulate the practice period, time arrangement, work tasks and medical responsibilities.
Article 12 The practice category and scope of multi-point practicing doctors shall be consistent with the practice place of the first diagnosis, and the practice category and scope shall be within the scope of diagnosis and treatment subjects of medical institutions to be multi-point practicing; The major involved in the scope of practice shall be the same as the secondary diagnosis and treatment subject of the medical institution where it first practiced. Doctors who practice in primary medical and health institutions through general practitioner training can increase the number of registered general practitioners in the same practice category.
Article 13 The administrative department of health and family planning shall, within 20 working days from the date of receiving all the application materials for registration, review the application materials submitted by the applicant, register those who agree to increase the practice place, indicate the increased practice place and time limit in the column of "Change of Registration Record" of the doctor's practice certificate, affix the seal, and update the network data of practice registration at the same time.
If it does not meet the registration requirements, it shall notify the applicant in writing and explain the reasons within 20 working days from the date of receiving all the application materials for registration. If the applicant disagrees, he may apply for administrative reconsideration or bring an administrative lawsuit to the people's court according to law.
Fourteenth doctors who practice multi-point practice change the registered practice category, scope and place of first practice, which shall be handled in accordance with the Interim Measures for the Registration of Doctors' Practice. After the change, its multi-point practice registration is invalid at the same time. If it is necessary to continue to carry out multi-point practice after the change, the doctor shall re-apply for multi-point practice registration in accordance with the provisions of these measures.
Fifteenth doctors need to be renewed after the expiration of the multi-point practice period, and multi-point practitioners should apply to the registered health and family planning administrative department for renewal 0 months before the expiration of the employment period; If the agreement is terminated in advance, it shall apply for cancellation of the corresponding practice place; If it is not renewed, it will automatically expire when it expires.
Sixteenth doctors who cancel their multi-point practice places shall go through the formalities of cancellation of registration at the administrative department of health and family planning at the place of registration.
Chapter III Supervision and Administration
Seventeenth medical institutions shall, in accordance with the provisions of relevant laws and regulations and employment contracts, labor contracts or related written agreements, standardize the practice of doctors, do a good job in the examination of doctors, and ensure the safety and quality of medical care.
Eighteenth doctors who carry out multi-point practice should practice according to law, strictly abide by the rules of practice, and carry out medical activities in accordance with the practice location, scope and category approved by the administrative department of health and family planning.
Article 19 Medical injuries or disputes arising from doctors' multi-point practice shall be handled by medical institutions and doctors involved in medical injuries or disputes in accordance with relevant laws and regulations, and other medical institutions not involved shall not be responsible for handling related medical injuries or disputes.
Article 20 If a doctor commits illegal acts in practicing more, he shall be punished by the health and family planning administrative department at or above the county level where the illegal acts occurred. The health and family planning administrative department that made the administrative punishment shall notify other relevant health and family planning administrative departments registered for him in writing within 10 working days.
If a doctor is sentenced to suspend his practice according to law, he shall also stop his practice in other places of practice.
Article 21 Multi-practice doctors shall report the relevant information of multi-practice to the medical institution where the first-visit practice is located, undertake the work tasks reasonably according to the agreement signed with the relevant medical institutions, arrange the working hours reasonably, and complete the work tasks with good quality and quantity.
Doctors who carry out multi-point practice should abide by professional ethics, and may not unreasonably refer patients for illegitimate interests, disrupt medical order, or damage the legitimate rights and interests of medical institutions and patients.
Doctors who carry out multi-point practice should obey the dispatch of medical institutions in the first place of practice and deal with public emergencies and medical rescue work.
Twenty-second doctors who carry out multi-point practice activities without going through the multi-point practice procedures shall be dealt with according to the Law of People's Republic of China (PRC) on Medical Practitioners and the Interim Measures for the Registration of Doctors.
Twenty-third doctors who continue to practice in the original medical institutions without going through the relevant procedures after the expiration of the multi-point practice period shall be punished as doctors who carry out multi-point practice activities without approval.
Chapter IV Supplementary Provisions
Twenty-fourth doctors practice in medical institutions other than the first place of practice, which is not used as the personnel basis for qualification verification, technology access, clinical key specialty evaluation and hospital evaluation of this medical institution.
Twenty-fifth the first place of practice for doctors in medical institutions outside the province to apply for more practice in our province, in accordance with the provisions of these measures. The first practice place for doctors from medical institutions in our province to practice outside the province shall be implemented in accordance with the relevant provisions of the province.
Twenty-sixth approach by the provincial health and family planning commission is responsible for the interpretation of.
Article 27 These Measures shall come into force on February 30th, 20 16, and shall be valid until October 30th, 20 18. If the provisions of the previous documents are inconsistent with these measures, these measures shall prevail. ? [ 1]