I43BECTVTfl,

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ISSN 1310-6376
I43BECTVTfl,
- BaPxa
rra Cbrcsa Ha freHlrre
cb[bP)KAHI,{E
Ennrla Huxolosa
MexgynapogHl( BPbsKu c o6ulecrrenocrra
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Ha IOPU,q[qecKaTa IIc]uorlorl,tg..........,......
fanrYuuprxuora
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28
CrrpyAurvecrBo
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A:n6alaius ( I 94tt-1990). B ltuflHt4r, B'b?xy
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60
nso6pasurenHoro r{3KycrBo.....'..'...........'
fanflua Kosa.Iena
Hflrou Ilosu uoAxoglr
rru
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o6ulectroto.
collr{ilrlHocr Ha rll4qHocrra }r
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HarrHoTo uo3HaHlre......
oPraHI'I3aIIu.sra u AeF{Hocrra
MaprxKspgxneaa
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KyltypHoro saKoHo,qarerlcrno
u
c$epata ua
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MaputPa[esa
Oco6enocru na rpyAoBo-[PaBHure orHolueHlts
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'36
I,Iso Ctau6ofiificlxn
OunocoQcroro H LlcroPl'rqecKo rIo3HaHI'Ie
78
eAIrHcrBo Ir Mnoroo6pasue
CbtrO3 HA YIIEHI4TE
PEAAKIIIIOHHA KO]IEII4,g IIA EPO.'I
PEAAKUI4OHEH C'bBET
Eo.en Me4nuxaPoa
npo$. l.n.rr.
npo,|. t-p flanen flasnos
rrpo$. a,.rr,r.n. Pocen MaAxos
r,orr. A-p I4saH I'IsaHon
AorI. A-p,flanuena feopruena-Knucapona
Bapua 9000
yn. "Bacun,{pyr"ren" No 73
npoQ. n.c.u. Iloperta flapaurrcrora
[,oq. A-p Mapraprra BtvraPora
Aoq. A-p Macrc XagxozsE
upoQ. u-p BarePu Crolsos
aorr. A-p Arton fposgauor
Vlsriecrrs,sa Crrosa
Ea
yueufire
-
Bapna
ll2ll2
TIPABO
ocoEEHocTI4 HA TpynOBO -IPABHHTE
Mapru
OTHOIIIEHULfr, B JIETIEEHI{TE 3ABE ilEHLlfl,
Pagena
Ysol
Merrquucxo o6pasoBaHlle rr Me,4IdII]rIrcKa
",{eura[Ha Meguqrua", "OapMaqurg."
tpu>Klr" (vn. 183, an. 1 ot 33).
Lr "3gpasurz
upoQecrr
O6u{ara rpaBHa ypeg6a Ha rpyAoBure orHorrelpWI4 OTHOrrreHr4[, HeIOCPeACTBeHO
cBbp3aHr,r c rf,x, ce cbAbpxa s KoAexca Ha rpyAa.
HI,Ifl, KaKTO H Ha
Oco6esocrure Ha rpyAoBo -rIpaBHlITe orHoIIIeHHq,
KopITo ce ocblrlecrBgBar B ne.{e6Hl4te 3aBeAeH}Ig, ce
o6.scH.{gar ct c cuequQrrKrzTe Ha 3ApaBHara c}rcreMa.
3axosrr 3a sApaBero BBBexIa floHflTuero HaquoHarHa cucmeMa sa sdpaeeonaslaHe, Kogro BKrIIoqBa
ne.re6Hure 3aBeAeHr,r.g, perl4crpupaHll ro 3axona sa
ne.{e6HNre 3aBeAeHId.rI (3II3), sApaBHI,Ire 3aBeAeHV.s,
r,rH crlrryrllr oH arrr,r 3r,rpaH 14 crc 3 axona 3a 3ApaB ero
(33), aurexure, KaKTo Ir A'bpxaBHlrre, o6urzncrute
N o6rqecroeHrrre opraHr,r vvtlacrvtrqr.Ir{ 3a opraHu3aUHlr, yfipaBrreuuev KoHTpon Ha,qelZHocture no ola3BaHe r{ yKpe[BaHe Ha sApaBero. O6uIecrseHVTe orHorrreHlr.s rlo npeAocTaB.flHe Ha MeAurIrrHcKu ycilyrvr
ce pea.nusutpat s ne.re6Hure Ir - B rro-MarlKa creneH - B
3ApaBHI,rre 3aBeAeH[.s
SoprrarEpar.rrAporo Ha 3ApaB-
r
HaTa clrcTeMa.
BxAHo or reKcra Ha rr[. 174, an. 1 or 33 B HarluoHarlHara cllcreMa 3a gApaBeola3BaHe pa6orrr KaKTo
MeArqI,rHcKpr, TaKa Lr HeMeAr,rqfi HCKH cnequa[IlcT?I, Ho
o6pasorauuero, Koero [oryraBar r{ ABere Karerop}ru
upo$ecuonailvcrvq ce oflpege[.tr (n urzpox cr'rucu)
Karo MeAr{rIuH cKoro o6pasosanrae. Crrnacr o qI,ITI,I paHara HopMa MeAr4rllrHcKoro o6pasoBaHr4e ocrtrypfrBav rapaHrrrpa o6eua
pr
KaqecrBoro Ha rroAroroBKa Ha MeAr,rqlIHcK[Te cneq}{a/IHcT}{, KaKTo u Ha HeMe-
[[IruHcK]rre raKvtBa, pa6orerqu B Harl]roHa/rHara ct4creMa 3a 3gpaBeonaseaHe. Ilpaenoro rroloxeHr.re Ha
HeMeAr,rqlrHcKuTe crreqrr alrvrcrvr, pa6orerqu B HarluoHarrHaTa cI,IcTeMa 3a 3ApaBeola3BaHe, ce ollpeAerlfl kt
oT HOpMaTr,rBHaTa petyna\r4fl Ha T.flxHaTa KoMrreTeHTHocr. Mrnucmprr Ha 3gpaBeona3BaHero r.r3AaBa
uapeg6u sa npoSecvoHarrHara KoM[ereHTHocr Ha
rr[qara, pa6orerqu B HarluoHarrHara czcreMa 3a 3Apa-
Perynrpanure upoQe ctrtr B 3[paBeorla3BaHeTO
3axoHrr sa npoQecuoHaIIHoro o6paaoaaHue r'I
o6yreuue BbBexAa repMI.IHa "perynupaHa npo$ect4s". C'bt\acno S 1, r. 11 or,[P ua 3ilOO peryrupanara npoSecilfl ce oflpeAerls Karo p,efiuoct unu
cbBlgmHocr or Aerluocrlt, BKrIIoqeHa s Cnucrxa ua
peryrrr4paHr,rre rpo$ecupt s PE, Ko.aro e or o6ulecroeHa 3HarruMoct fi.lunu e oT c'buecTBeHo 3HaqeHrre 3a
xlrBoTa r,r 3ApaBeTo Ha xopaTa, I,I [paBoro 3a ynpaxH.rIBaHe Ha KO.TITO e OnpeAerIeHO rrpe3 3aKoHoBLl,
3aKoH oBpr
ililv
tIoA-
a4uuHl4crparuB HI,I pasuop eg6u sa
lpuTexaBaHero Ha cnequ$uvua upoQecuoHarlHa
xnanuQuxarlr4.s, npaBocnoco6uocr ulu qleHcrBo B
upoSecuouarrHa opraH vsat\vrs., pa6orerqa 3a [oAAbpxaHe Ha BucoKo paBHr.rqe B cboTBeTHaTa npo$ecuouanna o6ract, 3a ocbxlecrB.sBaHero Ha Koero
e nolyqil[a cnequ$uuHo rIpI43HaBaHe or AlbpxaBara. Ktu 2012 r. rrecrHa4ecer ca perynupaHl,Ire npo-
n cQepara Ha sApaBeola3BaHero. Tona ca npoSecunre: Ilerap, Ilexap rlo AeHrarIHa ue4uqnua, (DapMarIeBr, MeAuqrncxa cecrpa, Alqauepxa, MeAUI{zu-
$eclru
cxu na6op aHT, PeHrreuon ra6opan't, P exa6unwr a rop, I,lncneKTop rro o6ulecrseHo 3gpaBe, @engurep,
OpronegnveH TexHprK, Macaxucr, 3t6orexsur, llorvroululrx-$apMarleBr, flpenoAaeare[ IIo IIpaKr}{Ka rro
clteuuarlHocrlrre
or
upoQecuottarrHo HanpaBrleHrle
,,3gpaeuu tpvxur", KraHesrrepanenr.
MuutEctepcKlrflT c'bBer, lto flpeArroxeHr,re Ha M]I-
HlICTbpa Ha 3APaBeOIla3BaHeTO, rlplleMa eAHHHX
AT,pxaBHLr trzvcKaarns sa npugo6uBaHe Ha Brrclre
o6pasoaauue [o clequarrHocrr{re tro perylupaH]rre
upoQecrlu or npo$ecuoHarrHll HailpaBileHl,zrl, "MegHquHa", ",[eHTa[Ha MegHquHa", "OapMaqnfl" r "06rlecrBeHo s4paBe" w " 3apaanvt rpxxil".
Hopuatunua ypeg6a na upoQecr{oua/rlrara
Beona3BaHe, 3aBbprxurru Br,rc[re o6paeoraulre lto cle" Ku He gure p arrrrfl.",
ufiarl H o cr]ITe " fI cplxoll orll,r
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"Monerynxp Ha 6uro,r.otr4s." .
B noggrzero ,,MeAHrIr,rHcxa upoSecyrfl>> ce BKlIoqBaT eALIHCTBeHO rruqa, Ipr4TeXaBaUIlr ,qXlrIOMa 3a
yrrpaxH.,rBaulr4 perylr.tpaHa npo$ecn.s B 3ApaBeorra3BaHeTO, e ypeAeHa B rroA3aKoHoBr4 HopMaTuBHfi aKTose. O6elubr Ha Bb3rlaraH[Te or pa6oroAarernlTe
3aBbplxeHo Blrc[Ie o6pasoraulre tto cflequarlHocrr{
or lpoSecuora\Hu HarrpaBrreHr.s "MeAurI LrHa",
KoHKperHr4 rpyAoBu 3agbrrxeHzn rpn6ya Aa e cro6pa3eH c pasuopeg6nre Ha [oA3aKoHoBara HopMarr.rB-
",
36
}Issecrils. na Cuosa
Ha
KOMIETEHTIIOCT
llpoQecuonailHara KoMlereHTHocr Ha fivrfara,
yqeHure
-
Bapua 1l2OL2
TIPABO
Ha ypet6a.
flpoSecxou altHar a KoMIrereHTHocr Ha rIeKaPI4Te
cror-
H rreKapl,ITe rro AeHTarIHa M e1vfi\v:Ha,npzAo6zrN
BeTHa ClequaIIHocT, e yPeAeHa B MeAIIIITIHCKT'ITe CTaH-
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cMlrc'blla ua 3axona sa ne're6Hl4re 3aBeAeHI'I.g tto cleqlrarrHocru t4lrfi sa olpeAerleHl{,4efi uocrn B MeAl{qu Hara ce cb3gaBar
Me
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Me1uIllltt-
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craHAaprv onPeAe[.sr upo$ecrou ailHar a
KOMlereHTHoCT, pec[. oTroBopHocT[, KaKTO 3a IIeKapI,ITe cllc cneq[a[Hocr, TaKa u 3a resu 6es npu4o6ura cneqraallHocr.
Hapeg6a I I 20ll sa npo$ecuoHallHlIre 4ertruoctll,
TIHHCKII
3axonrr 3a cbcrloBHara oPraHI'I3a\r49. Ha Marucrrp-SapMaIIeBTI.ITe lIHcrlITyt\uora,lfi3vpa
Errrapcxut QapuaqeBrrlqeH c'rros (E@C). MarNcrrp.SapMaIlesrure, KoI{To yfiPaxHfl Bar npo$ecr4sra cvr, qleHyBar s BOC.
Ynenynauero B ctorBerHara cbcrloBHa opraHu3a-
qrI.s e ocHoBaHI,Ie 3a C'blr{ecTByBaHero Ha rpyAoBoTo
EpaBoorHolxeuNe. CtrnacHo q[. 330, ar.2, r.3 ot
KT pa6oroAarerlrr Moxe Aa [peKparil rpyAoBI'Iq
AoroBop 6es npe4uenecrlde, xoraro cllfxlrrerlsr e 3alrrqeH oT perncrp[Te Ha cbcrIoBHpITe OptaHI'I3aII[lI
no
3COII[[M, 3COMO, 3COMCAAMC'
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B xe.re6nute saBereHlr"f,
Ctrnacro S 1 or,{P ua KT ocHosuo rpyAoBo IrpaBOOTHOITTeHI,Ie e BCqKo TpyAoBo rlpaBoorHolrleHl',Ie,
KOI{TO MeAIIII.{HCKI,ITe CeCTpI,I, alqrlflepKl',ITe, ACOI\\4UpaH lrre M eAI,III X H CKI/ Cfl eLIIAII,CTVI 14 3Ep ABHI',ITe aCfi -
KOeTO He3aBlICLlMO OT OCHOBaHHeTO, Ha KOeTO e
B!3HI,IKHarIO, e C'bIrIecTByBaIIO [peEI4 CKIIIOqBaH eTO Ha
VIIil CAupo$ecuouarlHara
Mocro.srerlHo, peulaMeHTI{pa
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,,acoquHpaHla MeALiqI,IHCK[ Cleq[a[vIC"tvt r B KOeTO Ce
BbBexAaT rIoH.rITlreTo (ocHoBeH TpyAoB,qoroBop).
cTeHTI4 MOraT Aa I43BbpIXBaT IIO Ha3HaqeHI',Ie
BKIIOIIBAT MEAI.,IqI,IHCKUIC NA6OPATTTI{, PEHTTEHOBI'ITE
op au ru, n exap cKI,ITe acr4cr elaT 14, p exa6unur ar o -
na6
pnre, $en,4rueplrre, oproleAur{Hure rexHl4rlr4 H MacaxHcTI4Te.
Crrnacuo Hape46a 412006 sa npoSeoroHallHara
Ha rII4IIaTa, sAr,bPrnvilu sucme o6pa3oBaHI,Ie tto crequa[H ocrra " KllHe3larep arlvfl", KvlHBL{Tepafl eBT}rre ocbllecrBfl Bar Aeft uoct s [e're6HI'IKOMTIeTeHTHOCT
Te 3aBeleHl,ttr oT HaIITIOHaTIHaTa CUCTeMa Ha 3ApaBeoIIa3BaHeTO IIOA MeTOAI,IqHOTO p'bKOBOACTBO Ha rleKap
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cIIeIII4arII4ct
uo $usuKarlHa u pexa6unuralliloHHa
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Ycnosue 3a ylpaxHcBaHe Ha Aerlnoct rro peryIlupaua npoSecuc e qleHcrBoro B c'borBerHara c'bc/IoBHa opraHl.rsault[, lrHcTuTyqvoHailLrsilpaHa c6c 3aKOH.
3axosu 3a cbclloBHara opraHll3a\vfl'Ha rIeKapI'ITe I'I
,rerapvre ro AeHrarIHa MeAuIIIaHa (3COUIAM)
ypexAa craryra u SyHrqurare na Brrrapcrvrs' rleKaptxu crrce (EnC) u Ernrapcxra.s gl6onexapclor cblo3
(E3C). Csrnacro .r^n.3, aD.1 or 3COII[,(M ncrvxu
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ru (3COMCAAMC).
Tpy!,or:lrfl AoroBop 3a AoIrbrIHI'IreIIeH rpyl' Orcrstsalrxu or lrAe.sra na KT, ceKTopHlrre 3aKoHI4
flo cuucrna
na 3axosa 3a 3ApaBHoro oclrryp.flBaHe H
3axosa ea ne.Ie6Hzre saBeAeHu.tr ocHoBeH TpyAoB AoroBoP e TpyAoBlrsT AoroBop, cKrIIoqeH 3a olPeAe_rleH
r4rrlr Heo[peAerleH nepuoA or BpeMe Ha trbrlHo pa6orHO BpeMe, ycTaHoBeHO 3a C'bOTBeTHara ATIIbXHOCT.
Ilerannara ge$unuqul Ha rloH.flTl,Iero (ocHoBeH TpyAoB AotoBop) e AaAeHa s S 1 or AP ua 3II3. I'IsuonsBaHero Ha roBa noHcrue e 3axoHa 3a 3ApaBHoro oclrryp.[BaHe fipenpaua Kt,M IIHrI,Ipauara /r,e SuH lrIII4.u B
3Ii3. Uenrf Ha BHaI4paHLIre pa3roP ery6u e oKa3BaHeHa KaqecTBeHa MeAITIIIIHCKa TIOMOIIL TapaHTI',IPaor Haluquero Ha Aocrarbrren 6poll rexapz, pa6oTerrlil Ha rrBrIHo pa6oruo BpeMe. B raeu BPb3Ka ca I4
r,r3MeHeHI,Isra s 33O or 2010 r., cbrllacHo Korrro Bcsxo ne.re6Ho 3aBeAeHlre sa 6onHu'rHa floMoul Moxe Aa
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Kosro IrMa c[eq]ranucrlu, pa6oreul/u Ha ocHoBeH
rpyAoB AoroBoP. (un. 59, ar. 10 or 33O). I'IsxruleqrleH,
Hr.re or npI4HIILIla ce BbBexAa c an. 12sa c'blrlltI
c'brllacHo Ko.sro ne.re6gute 3aBeAeHHq sa 6olHI'IqHa
TO
Ha
rroMou1. KOUTO He OTrOBapflT Ha ycrIoBI,I.aTa IrO an. 10,
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no KT c MeAI,IqLtHcKlr cfleuxaflrrcrl'I, ocblqe-
crsqsaqz geltruocr s 6onuH'rHI,I crPyKrypll 6es nerIIa, 3a CTIeAHI4Te Cneql,IarlH ocTI,I : BI,IpyCOiI Orl4g', KItt4HHiIHa uuxpo6uon otl,lfl , KnvHt4tIHa napa3llrorlof I'Iq,
KIII'IHLIqH a IIaTOIIOIIq, HyKIIeaPH a MeAIII]IH a.
Paanope,46ara Ha qrl. 59n, r. 1 or 33O BbBexAa
o6esneqeHocrra Ha rleqe6Hnre eaueAeHurl c MeAHIIHHcKH Crleqxam4crv Ha ocHoBeH TpyAoB AOTOBOP KarO
Kpvrepvir 3a AocTbnHocr Lr Kar{ecrBo Ha MeAI4IIIHCxara uornrout.lfurupanure pa3nopeA6u (vn. 59, an.
12 u'tn.59s or 33O) ca ararcyyarv upeA KoHcrury-
cb[,3a Koero e o6pasyrauo KoHcr' aeno 4l
2010. OcttoBeH MorI{B Ha Bgoc}rre/Ildre Ha }IcKaHero
rIr4oHHr.Ic
llssecrrc na Crrosa Ha yqeurre - Bapna ll2OL2
37
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a[. 12 or 33O e, qe pa3[opeA6ara crsgasa HepaBHo-
Hara 3ApaBHa cilcTeMa), ca caMo eAHa rlacr oT
rrocraBeHocT MexAy rreKapHTe, eAHa qacT oT KoI{TO, C
orrreA Ha nplITexaBaHXTe cIreIIHarIHocTlr, I.rMaT [paBo Ha AorrbrrHlrrerreH TpyAoB AoroBop no KoAexca ua
c H3[brIHeHr4eTO Ha 3aAbIIXeHVqTa Ha CrIrxI,ITen
u cao6ycroBeHu or HerlpexbcHarl'Lg pexLIM na pafu
ra s neqe6Hvre 3aBeAeHwx.3agrnxeHfiero ga oKirF
3a o6-sBqBaHe
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a Apyrl.rre, 6es
resu c[equarlHocr]I
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Mar raKoBa rrpaBo. IrlsxoAuara rIo3IrIIH.rI, c xoqto KC
OTXBT,pII.fl NcKaHeTO, Ce OTHaC.g Ao XapaKTepVCTVKaTa Ha oclopeHrrre reKcroBe Karo erIeMeHTI4 Ha Hop-
MarlrBHara ypeg6a na peSopr*aara B 34paBHoocurypr,rrerrHara cucreMa Ha AbpxaBara. Iloco.{euara peSoprraa vMasaqen nogo6pqBaHe KaqecrBoro u eSex-
TrrBHocrra Ha MeAI,IqI,IHcKoro o6cnfxsaHe npu cro6pa3.sBaHe Bb3MoxHocTuTe Ha orpaHfiqeHua $unancoB pec)?c, xotato o6esne.rasa rona o6cnyxnaHe. IIpu
o6crxgase pasnopeg6ara Ha qrl. 59n, t. 1 or 33O
KoucruryuuoHH[-sr cbA pa3BHBa ABe rlporuBo[orroxHN craHoBprxla . Cl Luute Evurus,,{pyuena, Bra-
\ucrrar Claaon, Enarosecr flyner, I{aHxa I-{aurona,
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Knnrouuc:
3s[Hon[esa, A. MeguqLIHcKo rlpaBo, CoSut,
1.
2004
2.
Pagera, M. Alr',rrnrcrparllB
Ho - Irp aBHI4
acrleK-
TI{ HA KAIIECTBOTO HA MEAI,IIII4HCKATA UOi'AOIq. HAyrrHr,r rpyAose Ha I4ucrl4ryra 3a AbpxaBara LI
rrpaBoro, EAH,
3.
http
:
rou ViI, CoSraa,2012
I I www.
gli. government.b g/
page.php?c= 47 &d=653
3a
ronrartr
Ac. Mapux Pagesa
Pyceucxu yur.rBepcl,Irer
Iopuguvecxu Qarynrer
,{orropaur s nno sAlrsc Kus. yHilBep
Pyce7017, yr. Cry4enrcxa, No 8
e-mail: [email protected]
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