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The new coronavirus infection has put a number of urgent tasks for the professional community on the effectiveness and timeliness of which not only the life and health of patients depends, but the health and quality of life of the medical workers themselves, especially in the case of infection with COVID-19 in the line of duty. The high incidence of acute occupational diseases caused by COVID-19 among medical workers requires appropriate correction of the mechanisms and procedures for linking the disease with the profession, medical and social expertise, rehabilitation and insurance coverage. In the article, the authors analyzed both the existing ones and those that came into force during the development of the pandemic, regulatory documents and methodological recommendations regulating the connection between the disease of a new coronavirus infection and the profession, methodological approaches to medical and social examination and rehabilitation in case of medical workers becoming ill with a new coronavirus infection and its consequences. Reasonable algorithms for the actions of medical workers are presented, starting from the moment of detecting an occupational disease until the moment of examination at the bureau of medical and social expertise in the event of a persistent loss of professional working capacity.

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Aim. To assess the practice in applying Temporary criteria of determination of extent of loss of professional working capacity currently in force in various constituent entities of the Russian Federation and to substantiate the main directions for their improvement. Methods. The analysis of expert decisions to establish the degree of occupational disability, adopted in the period from 2015 to 2017, was carried out in 77 subjects of the Russian Federation for two nosological forms: (1) consequences of lower limb injuries (T93) and (2) bilateral sensorineural hearing loss (H83.3). A comparative analysis of expert decisions made using current and proposed by the authors criteria in 2 constituent entities of the Russian Federation in 2018 was carried out. For data analysis, we used descriptive statistics methods. Results. Taking into account a high variability in expert decisions making in the constituent entities of the Russian Federation for similar cases (coefficient of variation 21.6%), the authors conclude that it is necessary to change approaches to the methodology for assessing the type of professional activity (qualifications, quality and volume of work, ability to perform it). Using the authors propose criteria based on the concept of reasonable accommodation allowed us to significantly reduce the variability of the decisions made in the pilot regions, the coefficient of variation decreased from 21.25 to 7.43%. Conclusion. High variability of decisions made during the examination of the degree of occupational disability is associated with the imperfection of the methods and criteria for assessing the victim's professional activities; the use of the criteria proposed by the authors allows for a higher reproducibility of the results of the examinations.

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