The study of the level of appropriateness of the institutions for assessing qualifications of medical specialists with regard to their purpose is relevant due to a number of manifestations of the dysfunction of these institutions and the need to eliminate them. It is advisable to analyze these phenomena not only in general, but also from individual angles, including in the context of their functioning in outpatient and inpatient conditions. This perspective allows us to identify additional aspects of the dysfunction. The study was carried out on the basis of statistics of the Moscow Healthcare Department and materials of two surveys of medical specialists conducted in 2019 and 2022 by the Department. Opinions of medical personnel in polyclinics and hospitals about advantages and disadvantages of the work of institutions of accreditation and certification to get a qualification category were studied. The shortcomings were associated with the dysfunction factors. It is established that these shortcomings are ranked according to the level of significance. The most significant out of them (high workload and lessened incentives for advancement in skills) are characteristic of both types of medical institutions and their divisions, but more pronounced in outpatient settings. It is shown that a number of shortcomings were eliminated by legislation and due to the development of the infrastructure for continuing medical education. However, some shortcomings cannot be eliminated within the institutions themselves, and further reforming of the healthcare system is required.

institution, staff, doctor, qualification assessment, accreditation, continuing education, qualification category, certification, outpatient and inpatient settings, incentives, workload.