There are two ways to get continuing education credits, one is to participate in various classes and training courses organized by the personnel department, and the other is to study in a higher-level hospital for more than 6 months every year. At that time, the first-class and second-class scores were ***25 points. Therefore, as long as you are studying in a higher hospital, you don't have to worry about not having enough credits in that year. If you are studying on the job rather than in various classes organized by the personnel department, you'd better attend, or you'll have no place to get these two grades if you miss them. As long as the score of one year is not enough, the promotion period will not be counted, which means that it will be delayed for one year. (One is online distance education. You should know this, right? )
However, if you have a huge face in the local personnel bureau, it is possible to make up credits later. But I haven't seen anything to add later.