第六十九条の三
Supplementary Provisions, Article 69-3
法第百四十一条第一項（医療法第百二十八条の規定により適用する場合を含む。第五項において同じ。）の規定により法第三十六条の規定を読み替えて適用する場合における第十七条の規定の適用については、次の表の上欄に掲げる規定中同表の中欄に掲げる字句は、それぞれ同表の下欄に掲げる字句とする。ただし、医療法第百二十八条の規定により読み替えられた場合にあつては、同表第一項ただし書きの項中「法第百四十一条第二項」とあるのは「医療法（昭和二十三年法律第二百五号）第百二十八条の規定により読み替えて適用する法第百四十一条第二項」と、同表第一項第三号の項中「法第百四十一条第三項」とあるのは「医療法第百二十八条の規定により読み替えて適用する法第百四十一条第三項」とする。
| 第一項ただし書き | 同条第五項 | 法第百四十一条第二項 |
| 第一項第二号 | 法第三十六条第二項第四号 | 第六十九条の三第二項第一号 |
| 第一項第三号 | 法第三十六条第六項第二号及び第三号 | 法第百四十一条第三項 |
| 第一項第四号 | 法第三十六条第三項の限度時間 | 法第百四十一条第一項（医療法（昭和二十三年法律第二百五号）第百二十八条の規定により適用する場合を含む。）の規定により読み替えて適用する法第三十六条第三項の厚生労働省令で定める時間 |
With regard to the application of the provisions of Article 17 in the case where the provisions of Article 36 of the Act are applied with the replacement of terms pursuant to the provisions of Article 141, paragraph (1) of the Act (including as applied pursuant to the provisions of Article 128 of the Medical Care Act; the same applies in paragraph (5)), the terms set forth in the middle column of the following table in the provisions set forth in the left-hand column of that table are deemed to be replaced with the terms set forth in the right-hand column of that table, respectively; provided, however, that in the case of the replacement of terms pursuant to the provisions of Article 128 of the Medical Care Act, the term "Article 141, paragraph (2) of the Act" in the row for the proviso to paragraph (1) of that table is deemed to be replaced with "Article 141, paragraph (2) of the Act as applied with the replacement of terms pursuant to the provisions of Article 128 of the Medical Care Act (Act No. 205 of 1948)", and the term "Article 141, paragraph (3) of the Act" in the row for paragraph (1), item (iii) of that table is deemed to be replaced with "Article 141, paragraph (3) of the Act as applied with the replacement of terms pursuant to the provisions of Article 128 of the Medical Care Act".
| Proviso to paragraph (1) | paragraph (5) of that Article | Article 141, paragraph (2) of the Act |
| Paragraph (1), item (ii) | Article 36, paragraph (2), item (iv) of the Act | Article 69-3, paragraph (2), item (i) |
| Paragraph (1), item (iii) | Article 36, paragraph (6), items (ii) and (iii) of the Act | Article 141, paragraph (3) of the Act |
| Paragraph (1), item (iv) | the off-hours maximum referred to in Article 36, paragraph (3) of the Act | the hours specified by Order of the Ministry of Health, Labour and Welfare referred to in Article 36, paragraph (3) of the Act as applied with the replacement of terms pursuant to the provisions of Article 141, paragraph (1) of the Act (including as applied pursuant to the provisions of Article 128 of the Medical Care Act (Act No. 205 of 1948)) |
法第百四十一条第一項の場合において、法第三十六条第一項の協定に、同条第二項第五号の厚生労働省令で定める事項として、前項の規定により読み替えて適用する第十七条第一項各号に掲げる事項のほか、次に掲げる事項を定めるものとする。
In the case referred to in Article 141, paragraph (1) of the Act, the agreement referred to in Article 36, paragraph (1) of the Act is to provide for the following matters as the matters specified by Order of the Ministry of Health, Labour and Welfare referred to in paragraph (2), item (v) of that Article, in addition to the matters set forth in the items of Article 17, paragraph (1) as applied with the replacement of terms pursuant to the provisions of the preceding paragraph:
対象期間における一日、一箇月及び一年のそれぞれの期間について労働時間を延長して労働させることができる時間又は労働させることができる休日の日数
the number of hours by which the working hours may be extended, or the number of days off on which work may be performed, for each of the periods of one day, one month and one year within the applicable period
医療法第十条の規定により病院若しくは診療所の開設者が当該病院若しくは当該診療所を管理させることとした者又は介護保険法第九十五条若しくは同法第百九条の規定により介護老人保健施設若しくは介護医療院の開設者が当該介護老人保健施設若しくは当該介護医療院を管理させることとした者（以下この項において「管理者」という。）に、一箇月について労働時間を延長して労働させ、及び休日において労働させる時間が百時間以上となることが見込まれる特定医師に対して厚生労働大臣が定める要件に該当する面接指導を行わせること。
to have the person whom the founder of a hospital or clinic has caused to administer that hospital or that clinic pursuant to the provisions of Article 10 of the Medical Care Act, or the person whom the founder of a long-term care health facility or integrated facility for medical and long-term care has caused to administer that long-term care health facility or that integrated facility for medical and long-term care pursuant to the provisions of Article 95 of the Long-Term Care Insurance Act or Article 109 of that Act (hereinafter referred to as the "administrator" in this paragraph), provide face-to-face guidance meeting the requirements specified by the Minister of Health, Labour and Welfare to a specified physician for whom the hours by which the working hours are extended combined with the hours of work on days off are expected to amount to 100 hours or more per month
管理者に、前号の規定による面接指導（面接指導の対象となる特定医師の希望により、当該管理者の指定した医師以外の医師が行つた面接指導であつて、当該管理者がその結果を証明する書面の提出を受けたものを含む。）の結果に基づき、当該面接指導を受けた特定医師の健康を保持するために必要な措置について、当該面接指導が行われた後（当該管理者の指定した医師以外の医師が当該面接指導を行つた場合にあつては、当該管理者がその結果を証明する書面の提出を受けた後）、遅滞なく、当該面接指導を行つた医師の意見を聴かせること。
to have the administrator, based on the results of the face-to-face guidance under the provisions of the preceding item (including face-to-face guidance provided by a physician other than the physician designated by that administrator at the request of the specified physician subject to the face-to-face guidance, for which that administrator has received the submission of a document certifying its results), hear the opinion of the physician who provided that face-to-face guidance on the measures necessary to maintain the health of the specified physician who received that face-to-face guidance, without delay after that face-to-face guidance has been provided (or, if a physician other than the physician designated by that administrator has provided that face-to-face guidance, after that administrator has received the submission of a document certifying its results)
管理者に、第二号の規定による面接指導を行つた医師の意見を勘案し、その必要があると認めるときは、当該面接指導を受けた特定医師の実情を考慮して、遅滞なく、労働時間の短縮、宿直の回数の減少その他の適切な措置を講じさせること。
to have the administrator, taking into account the opinion of the physician who provided the face-to-face guidance under the provisions of item (ii), when the administrator finds it necessary, take measures of reducing working hours, reducing the number of night duties, or other appropriate measures without delay, in consideration of the actual circumstances of the specified physician who received that face-to-face guidance
管理者に、医療法第百八条第六項の規定により、一箇月について労働時間を延長して労働させ、及び休日において労働させる時間が特に長時間である特定医師に対して労働時間の短縮のために必要な措置を講じさせること。
to have the administrator, pursuant to the provisions of Article 108, paragraph (6) of the Medical Care Act, take the measures necessary for reducing working hours with respect to a specified physician for whom the hours by which the working hours are extended combined with the hours of work on days off per month are particularly long
The document referred to in item (iii) of the preceding paragraph must state the following matters concerning the face-to-face guidance received by the specified physician concerned:
実施年月日
the date on which it was provided
当該面接指導を受けた特定医師の氏名
the name of the specified physician who received the face-to-face guidance
当該面接指導を行つた医師の氏名
the name of the physician who provided the face-to-face guidance
当該面接指導を受けた特定医師の睡眠の状況
the sleep status of the specified physician who received the face-to-face guidance
当該面接指導を受けた特定医師の疲労の蓄積の状況
the status of accumulated fatigue of the specified physician who received the face-to-face guidance
beyond what is set forth in the preceding two items, the physical and mental condition of the specified physician who received the face-to-face guidance
第二項第二号から第五号までの事項は、次の各号に掲げる区分に応じ、当該各号に定める場合には、法第三十六条第一項の協定に定めないことができる。
The matters referred to in paragraph (2), items (ii) through (v) may be left out of the agreement referred to in Article 36, paragraph (1) of the Act in the cases specified in the following items, according to the categories set forth in those items:
第二項第二号から第四号までに掲げる事項 一箇月について労働時間を延長して労働させ、及び休日において労働させる時間が百時間以上となることが見込まれない場合
the matters set forth in paragraph (2), items (ii) through (iv): the case where the hours by which the working hours are extended combined with the hours of work on days off are not expected to amount to 100 hours or more per month
第二項第五号に掲げる事項 一箇月について労働時間を延長して労働させ、及び休日において労働させる時間が特に長時間となることが見込まれない場合
the matters set forth in paragraph (2), item (v): the case where the hours by which the working hours are extended combined with the hours of work on days off per month are not expected to be particularly long
法第百四十一条第一項の規定により読み替えて適用する法第三十六条第三項の厚生労働省令で定める時間は、一箇月について四十五時間及び一年について三百六十時間（法第三十二条の四第一項第二号の対象期間として三箇月を超える期間を定めて同条の規定により労働させる場合にあつては、一箇月について四十二時間及び一年について三百二十時間）とする。
The hours specified by Order of the Ministry of Health, Labour and Welfare referred to in Article 36, paragraph (3) of the Act as applied with the replacement of terms pursuant to the provisions of Article 141, paragraph (1) of the Act are 45 hours per month and 360 hours per year (or, if workers are made to work pursuant to the provisions of Article 32-4 of the Act with a period exceeding three months specified as the applicable period referred to in paragraph (1), item (ii) of that Article, 42 hours per month and 320 hours per year).