the main - Carr Allen.
Nii Petrova Ordinature. Department of Oncology. Scientific Department of Surgical Oncology

In the FSBI "RNCRHT them. AK. A.M. Granis "Citizens of the Russian Federation, foreign citizens and stateless citizens who have received higher medical education, who have been approved by the Ministry of Health, approved by the Ministry of Health, approved by the Ministry of Health of the Russian Federation, are accepted for the Russian Ministry of Health.

Persons who have previously held a full course of study in the order at the expense of the budget, do not have the right to re-enter and teaching in the order at the expense of budget allocations. Training in the ordinature is carried out only in full-time.

In 2019, reception in the order of the FGBU "RNCRHT them. AK. A.M. Granov "Ministry of Health of Russia is held according to the following educational programs of the ordinance:

Name specialty Specialty code Control figures for training at the expense of budget allocations of the federal budget for 2019/20 academic year The number of places to receive targeted training in the specialties, directions at the expense of the federal budget budget allocations Number of reception sites under contracts for the provision of paid educational services
Radiology 31.08.08 2 1 4
Radiology 31.08.09 3 3 6
Ultrasound diagnostics 31.08.11 1 1 0
Oncology 31.08.57 4 3 4
Radiotherapy 31.08.61 0 0 4
Surgery 31.08.67 2 1 3
Urology 31.08.68 1 0 2
Total 13 9 23

List of documents required for admission to the residency

The applicants must provide the following documents at the Department of Radiology, Surgery and Oncology:

  1. Application addressed to the director of the FSBI "RNCRHT them. AK. A.M. Granov "Ministry of Health of Russia with a request to admit to participate in the competition.
  2. A copy and original for reconciling the identity document.
  3. A copy and original for reconciling the document of the established sample (a document on higher medical education for specialist programs (graduate) and annexes to it).
  4. A copy and original for reconciliation of a certificate of accreditation of a specialist or discharge from the final protocol of the meeting of the accreditation commission on the recognition of the specialist increditing accreditation (for persons completed the development of higher medical education programs in accordance with the federal state educational standards of higher education).
  5. Copy and original for reconciliation of a certificate of a specialist (if available).
  6. Copy and original for the reconciliation of a military ticket (if available).
  7. A copy and original for reconciliation of a certificate of registration of an individual in the tax authority.
  8. Copy and original for reconciliation of insurance certificate of compulsory pension insurance (SNILS).
  9. 4 photos 3 × 4 cm.
  10. Copies and originals of documents indicating individual achievements (recommendations of educational and scientific organizations, recommendations of medical organizations, the presence of published works, inventions).
  11. Copies and originals of documents confirming limited health capabilities requiring the creation of special conditions (if necessary, it is necessary).
  12. For disabled I and II groups, disabled since childhood, persons with disabilities due to military injury or disease received during military service, the conclusion of a federal institution of medical and social expertise on the absence of contraindications for training in relevant educational organizations with a copy.

Approaching training has the right to provide information about its individual achievements. Points accrued for individual achievements are included in the amount of competitive points. All information provided must be confirmed documented!

Accounting for the results of individual scores is carried out by achieving on the following criteria:

The scholars of the President of the Russian Federation, the Government of the Russian Federation (if the appointment of scholarship was carried out during the period of obtaining higher medical or higher pharmaceutical education) 20 points
Document of the established sample with honors 15 points
The overall work experience in the positions of medical and (or) pharmaceutical workers in the period from crediting for training on programs of higher medical or higher pharmaceutical education, confirmed in the manner prescribed by the labor legislation of the Russian Federation:
from one year to three years in the positions of medical and (or) pharmaceutical workers with secondary vocational education 10 points with an increase in the weight of achievement on 5 points for every next three years of experience
from nine months to two years in the positions of medical and (or) pharmaceutical workers with higher vocational education 12 points with increasing weight achievements for 5 points for every next two years of experience
work experience in medical and (or) pharmaceutical workers with higher professional education in medical organizations located in rural settlements or workers' settlements or urban-type settlements, from nine months 10 points for the entire period of employment in addition to points accrued in the presence of a common experience in medical and (or) pharmaceutical workers
Individual achievements established by the procedure for admission to training for the programs of the ordinance (total no more than 15 points, in the provision of documents on the presence of several individual achievements of the same species, points are accrued once):
The presence of a diploma on the end of the internship (orders) 3 points
Availability of publishing in journals included in Web of Science, Scopus, Rincz, Vak 2 points
Availability of other publications (articles and abstracts) and poster reports (three or more) 1 point
Participation with a report on Russian congresses, conferences, forums, associations, specialist communities (two or more) in medical specialty 2 points
Participation with a report on international congresses, conferences, forums, associations, specialist communities (two or more) for medical specialty 3 points
Winners (winners) of All-Russian Olympiads and Competitions (if the Olympiad or Competition was held during the period of obtaining higher medical education) 3 points
Possession of a foreign language confirmed by an international certificate, or possession of several foreign languages \u200b\u200bconfirmed by other certificates 1 point

Receive documents

Karshievas, 31.03.2017 16:39, 72

The Cancer Prevention Foundation and the Nii of the Petrov Oncology began the third set to the Higher School of Oncology - the residency for young doctors. They take the students of the sixth course, interns and orders on a very strict competition, from all the former USSR. In the ordainture there will be nine places.

The orders will teach the newest protocols for the treatment of cancer, scientific work, communication with patients and many other essential things. Teach will be Russian, European, American oncologists (therefore, one of the key requirements for young doctors will be free English, will have to talk and read, and write). The ordinite itself will be free (the reaction is paid by the fund). Young doctors will pay a scholarship - 15,000 rubles, from this year, besides, from this year they will compensate for money on housing.

"The orders will teach the best oncologists of the world. We organize internships in the West, we will teach our doctors not only to treat, but also to teach other orders. This is the most important thing, this is the criterion for the release of the High School of Oncology, "says Ilya Fomintsev, Executive Director of Cancer Prevention Foundation.

"Our goal is to provide graduates with the skills necessary for the practice of modern oncology, to keep in demand scientific and educational activities. This is an evolving project, the ultimate goal of which will be the adaptation of the Western concept of postplomal education (residency) for Russia, "says Vadim Gushchin, a teacher VSO, head of the Mercy Clinic Department of Oncology (Baltimore, USA).

Competition will be held in three stages. The first will explore the questionnaires and applications of students, in the second will respond to them in English and will offer tests on medicine and oncology. In the third round, school teachers will look at candidates in person, they will give them new tasks in medicine, medical ethics and communication with patients.

"In the third round, candidates advocate patients with a speech on why they want to become oncologists," explains the Fominians. Patients make assessments. We need to know how patients react to them, as far as they are empathic. We are wondering how they keep themselves, this is a competition that reveals very well. They solve the ethics tasks that do not have the right answer. But we are interested in how they will answer. In general, we will learn this later, they will pass exams to communicate with patients on live actors. Naturally, they do not know how to communicate with patients now. It does not depend on the susceptibility of the language, from communicative abilities. This is taught. "

"We are interested in people with the best medical knowledge and best clinical thinking. We, in general, are little interested, knows candidate oncology or not. He comes back there to learn oncology, he can not know her well, even if he studied well at the university, because in Russia they do not teach oncology. Highly".

Applications for the competition can be submitted until April 16. Detailed information about the competition, its terms and training in the VShO is looking for the website of the competition http://hso.nenaprasno.ru. Community for participants: https://vk.com/hso2017.

Categories: Russian Science Research Institute of Oncology. N. N. Petrov

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Activities:

Every year, at least 750 students of the 6th year, 250 doctors - listeners, as well as 10-15 clinical orders, 2-3 graduate students are studying up to 750 students.

The main directions of educational, scientific and practical activities of the staff of the Department of Oncology are:

  • Preservation of traditions of the department of oncology.
  • The use of the colossal potential of the Institute for Teaching Oncology.
  • Fundamental oncology practical doctor.
  • Modern methods of combined and complex treatment of malignant tumors (including high-tech).
  • Psychological problems in oncology.
  • Palliative treatment of malignant tumors.

Scientific activity:

Department of Oncology conducts research and development on a planned topic "Improving the diagnosis and treatment of solid tumors and lymphoproliferative diseases".

Scientific areas of the Department, determined by the theme of the planned Nir and provide:

  • Optimization of surgical treatment methods, including organ-bearing operations, reconstructive plastic, as well as superradical cytioneducions using photodynamic therapy, argon-plasma destruction, introduction of endovideosurgery.
  • Increasing the effectiveness of drug therapy in the treatment of malignant neoplasms, including hyperthermic perfusion of chemotherapy products, highly visible chemotherapy, biotherapy.
  • Development of the methodology necessary for the selection of individual chemotherapeutic drugs in the treatment of patients with solid and lymphoproliferative diseases using the results of modern fundamental oncology and oncomorphology
  • Optimization of radiation and combined therapy of solid tumors and malignant lymphoma;
  • Detection of the most adequate ways for social and social and psychological rehabilitation.

The level of education: Students of 6 courses-on dodigrous education, listeners- on postgraduate education.

Form of study: Day.

Regulatory term of study:students - 9 months. In the year. Listeners :: OU-144 h (1 month), Tu-144 h. (1 month.), 108 h. (0.75 months), PP- 504 hour. (3.5 months) Total: 8.5 months. In the year.

Availability of training books:Training rooms-2, audience-1.

The presence of objects for practical training:departments, polyclinic, operating FGBU Research Institute of Oncology named after N.Petrov.

Student training program for the 6th year students: specialty -14.00.12.-Oncology

Clinical Residential Training Program: Specialty - 14.00.12.- Oncology

Diagnosis and treatment of malignant neoplasms

Postgraduate study program: Specialty - 14.00.12.- Oncology

Diagnosis and treatment of malignant neoplasms

The department is held training cyclesunder the following sections:

  • Clinical oncology Preparation and reception of the exam for confirmation of a certificate of a specialist (for the headset, oncologists, surgeons and gynecologists)
  • Oncology. Professional retraining. Acceptance of the exam on the diploma and the certificate of a specialist (for the doctors of the medical profile and pediatricians who have experience in the specialty "Oncology" for more than 5 years)
  • Chemo and hormone therapy of malignant tumors (for the head of statements, oncologists and chemotherapists of oncodispeans, oncological departments of hospitals and a clinic)
  • Clinical oncology (for interns and clinical orders of the Department
  • surgical Profile and Research Institute)
  • Nursing in oncology. Preparation and reception of the exam for a certificate of a specialist (for paramedics and nurses)

Head of the Department, D.M., Professor Belyaev Alexey Mikhailovich

Deputy Head of the Department at the time of his absence, head of the learning part: Urmancheeva Adili Fetthekhovna.

Professor Department: A.S. Barchuk, A.M. Belyaev, M.L.Gelfond, E.N.Inyanitov E.V.levchenko, V.G. Melleov, V.F. Medigazov, A.F. Amcheva.

Association of the Department: A.I.Arsenyev, A.I.Vorobiev, E.V. DEMEIN, A.E.Mikhnin, A.E.Protasova, E.A. Yulrych, V.A. Chulkova.

Assistants Department: N.Yu.Aristidov, N.A. Vorobyev, P.V. Krivoropko, F.V. Moiseenko, A.A. Ryazankina,. Yu.V. Semilieva V.Yu. Halturin.

The emergence and formation of the department of oncology is inextricably linked with the name of the founder of domestic oncology, the creator of the polyethylological theory of the origin of malignant tumors, corresponding member of the USSR Academy of Sciences, Academician of AMN USSR, Professor Nikolai Nikolayevich Petrov and the names of His closest students and comrades.

For many years, with 1913 by 1958 years, N.N. Petrov headed at the State Institute to improve doctors (Lengidow) department of SurgeryIn the activity of which under his leadership, the problems of oncology occupied the dominant position. As a result of exceptional activity, N.N. Petrova, his repeated performances in the press, at meetings and congresses, in the Drug Advocracy of the RSFSR, in Leningrad, in 1927. On the basis of the hospital. I.I.Mechnikova was created Scientific and Practical Oncology Institute Leningrad provincial health department.

N.N. Petrov, continuing to establish the Gidouw Surgery Department in 1931. Created and headed the domestic on oncology and began classes with doctors who went to him at the department from all regions of the country. For teaching various sections of oncology, they were attracted by employees of the newly created Institute of Oncology; Classes took place mainly on the basis of the Institute.

IN 1935. Basic duties for teaching at the Department of Oncology N.N. Petrov laid on Semen Abramovich. Holdin. The official recognition of the Department of Oncology was received only in 1944 in accordance with the order of the All-Union Committee on Higher School Affairs at SCC of the USSR No. 301 of 10/28/1944. Already in the process of its work as an assistant, and then associate professor of the Department of Oncology S.A. Holdin published in the collection of "10 years of the Institute of Oncology" prepared by him the program of the oncological cycle for the Department of Oncology Gidouw, described in detail the lecture and practical classes, as well as the domestic and foreign literature they need. The cycle included 510 hours; Of these, 136 hours were assigned to lectures on oncology and 374 hours for practical classes. In addition, 86 lecture hours were discharged to related disciplines, among which it is necessary to note epidemiology, biochemistry, biology and general pathology.

Head of the Department of Oncology S.A. Holdin was officially elected 11/16/1944and occupied this post simultaneously with the work in the research institution to 1953.. According to information that S.A. Holdin, on the first cycles there was a small number of doctors, mainly surgeons, then their number began to increase rapidly; In addition, special specialization cycles were created (for 4 months) to train the personnel of oncologists - employees of anti-cancer points and hospitals.

IN 1953. Department of Oncology, headed Alexander Ivanovich Rakov, A well-known surgeon-oncologist, a major specialist who has made a great contribution to the development of general principles for the diagnosis and treatment of malignant neoplasms, including the definition of surgical interventions in neoplasia of the stomach, light, soft tissues. One of the pioneers of the Surgery of Lung Cancer, A.I. Rakov headed the department of oncology to 1970, continuing active activities in the walls of the institute, where he continuously worked since 1932. In 1960 A.I. Rakov was elected a corresponding member of the AMN of the USSR and from 1966 to his death in 1972 headed the Institute of Oncology of the Ministry of Health of the USSR.

His activity at the Department of Oncology Gidouus was extremely fruitful. A widely educated, loved and finely understood art, a brilliant lecturer, he invariably attracted not only doctors who were trained at the department of oncology, but also numerous employees of the institute filling the audience. Many of his students so far work in oncological institutes and dispensaries in all regions of Russia and newly educated independent states.

IN 1970. The head of the department was elected professor Vladimir Nikolaevich Demin. The department remained on the basis of the city oncological dispensary, and the institute moved to the village of Sandy 20 kilometers from Leningrad. V.N. Demin came to Gidoux in 1946 as a graduate student, defended his candidate and then doctoral dissertations under the direction of S.A. Holdin and from 1970 to 1986 headed the department of oncology. In addition, from 1955 to 1962 V.N. Demin served as the main oncologist of the city and made a significant contribution to the development of anti-cancer fight in Leningrad. With his name, the creation of the first district oncological cabinets in clinics and the creation of a regional oncological dispensary, whose activity has made it possible to significantly improve the provision of oncological assistance to residents of the Leningrad region. One of the first V.N. Demin brought information about the number of doctors who were trained at the department. According to him, for the first 15 years of activity, about 500 doctors visited the cycles of improvements, and over the next 15 years their number has increased to 2500 people. In total, the number of students of the department exceeded 5,000 people, not counting doctors who were engaged in the department short periods of time, as they were trained on other Geduv cycles. In general, according to V.N. Demin, for the period from 1931 to 1980, the department held 125 cycles, the staff of the department took part in the publication 8 of the Guides, 16 monographs, 62 lectures. V.N. Demin over the years at the department published more than 300 scientific papers, including 2 monographs.

C. 1986 by 2001 Chairsoncology was led by Professor Vladimir Vasilyevich Martynyukwho came to the Department in 1962 as a graduate student prof. A.I.Rakova. The topic of the candidate thesis (1965) - "Clinical and anatomical assessment of groin lymphadenectomy (Operation Duchene) in metastases of malignant tumors", Doctoral (1982) - "Sphinker-sowing operations with a straight and sigmoid gut". Professor V.V. Martynyuk - author of 130 scientific works, a well-known surgeon, a scientist and teacher. Under the guidance of Professor V.V. Martynyuk was protected by 2 doctoral and 8 candidate dissertations. During these years, a significant scientific and methodological work was carried out, which allowed not only to preserve, but also to increase the experience of teaching activities accumulated on the department for decades. The main areas of scientific activities of the department were: the development of new methods for combined treatment of malignant neoplasms, studying and analyzing the results of organ-grinding surgical interventions. The considerable efforts of the staff of the department during this period were aimed at the maximum convergence of the teaching process with the practical needs of oncologists.

C. 2001 by 2011 The department headed Professor Vladimir Mikhailovich Moiseenko. The formation of V.M.M.Miseenko, as a doctor and a scientist is inextricably linked with the Research Institute of Oncology. N.N.Petrov. Under the leadership of the leading oncologists of the country, he was trained in clinical order and graduate school, he worked as a junior researcher, later - elders; In 1996, he created and headed in the Research Institute of Oncology, the branch of biotherapy and complex methods for the treatment of solid tumors; From 2000 to 2005 he was Deputy Director of the Institute. V.M.Moisesenko is the author of more than 250 scientific papers, including 4 monographs. Merit of V.M. Moiseenko is the creation for the first time in the country of the Patriotic School of Oncologov with the publication of the magazine "Practical Oncology".

FROM 2001.a new stage has begun in the activities of the department, when after 30 years it happened to the reunion of the oncology. prof. N.N. Petrov, which, naturally, strengthened the scientific potential and discovered the prospects in organizational and methodological activities. The main directions of scientific and practical work were: the development of new methods of combined treatment of malignant tumors of various localizations, palliative oncology, oncogenesis and psycho-nominal.

IN 2011.the Department of Oncology, formerly As part of the St. Petersburg Medical Academy of Postgraduate Education, in connection with the reorganization of the Higher School of Medical Education and the Creation of the North-West State Medical University. I.I.Mechnikova, was merged with the Department of Oncology of the St. Petersburg Sanitary and Hygienic Medical Academy. I.I. Mechnikov. The tasks of the department were expanded, namely, teaching oncology to students of the 6th course, thereby creating continuity in learning oncology at the pre-and postgraduate levels.

Teaching students of oncology in the St. Petersburg Sanitary and Hygienic Medical Academy. I.I. Mechnikov was organized by Professor Anatoly Nikolayevich Matycin in 1980at the Department of Surgical Diseases No. 2.

IN 1990-1995g. Institution course oncology has passed to prof. Dmitry Georgievich. Belyaev.

IN 1996.on the institution of the oncology course was invited Vladimir Grigorievich LemekhovUnder the leadership of which in 1997 the oncology course was transformed into the Department of Oncology, which he led until 2011 the professorship staff of the department was formed from the staff of the Nii of Oncology. N.N.Petrov.

In October 2011 The head of the Oncology Research Institute of Oncology was appointed. N, N.Petrov MW and Wed RF Professor Alexey Mikhailovich Belyaev. A graduate of the Military Medical Academy A.M. Belyaev after the adjuncture worked as a teacher at the Department of Naval Surgery of the Military Medical Academy. In 2004, they were protected by a doctoral dissertation on the theme "Citoceductive operations and hyperthermic intraperitoneal chemotherapy in the complex treatment of common forms of abdominal cancer." A.M. Belyaev since 2007 to 2009 was the head of the Department of Naval Surgery of the Military Medical Academy and simultaneously head of the department of emergency oncology in the development of ambulance. I.I. Janelidze. In 2009, A.M. Belyaev was appointed director of the research institution. N.N.Petrov.

In 2008, 3 monographs were published by the Department of Oncology:

  1. Practical oncogynecology: Selected lectures.
  2. Practical Oncurology: Selected Lectures.
  3. Handbook of oncology.

In 2010-2012, 14 methodological benefits were published by the department: Sarkom Yinga.

  1. Complications of cytostatic therapy: febrile neutropenia. Infectious toxic shock.
  2. Evaluation of trophological status in cancer cachexia.
  3. Correction of urological complications with colorectal cancer. Features of medicinal treatment with oncological patients in outpatient conditions. Oxaliplatin (eloxatin) in the treatment of metastatic ovarian cancer. Treatment of malignant liver tumors using local destruction methods. Surgical treatment of breast cancer patients.
  4. Melanoma and pregnancy
  5. Screening in oncology.
  6. The effectiveness of anti-EGFR monoclonal antibodies in the treatment of colon cancer patients. Individualization of drug treatment of malignant tumors. Informing an oncological patient.
  7. Tumors of female genital organs and pregnancy
  8. Soft sarcoma treatment. Screening of colon cancer.
  9. Modern methods of diagnosis and treatment of melanoma skin. Complex treatment of malignant bronchial tumors and / or tracheas using endotracheobronechial operations, refined chemical therapy and photodynamic therapy.
  10. Preservation of fertility in patients with oncological diseases.
  11. Malignant tumors of female genital organs and pregnancy.
  12. Ovarian tumors. Clinic, diagnosis and treatment.
  13. Emotional burnout of oncologists and nurses of the oncological clinic.
  14. Targeted therapy of the inoperable non-elloclete lung cancer.

Having found an error in the text, highlight it and press Ctrl + Enter

In St. Petersburg, a couple of years ago, the "Higher School of Oncology (VSO) was launched - a joint project of the Foundation for the Prevention of Cancer and Research Institute of Oncology named after N. N. Petrov. The training program for young oncologists is designed for graduates of medical and interest doctors. There were two sets, the third is prepared. In total, 17 students study in VSO, geography - from Kaliningrad to Blagoveshchensk and from Velsk to Kharkov.

Get into the VSO is extremely difficult. Applications are served about 300 people, the candidate needs to go through three rounds. It is also watching and evaluated: in addition to specialized knowledge and average assessment in the university (with a score below four, it is selected immediately) - the level of English, motivation and even pages in social networks. In the second round, asked to write an article for patients, and in the third - to speak in front of them with a speech about why you want to become an oncologist. "One began to read poems is immediately minus. Although the verses were penetrating, "says the executive director of the Pachak Prevention Foundation Ilya Fomintsev. Finally, it is proposed to solve the ethical task, for example, such: "You are the only one who knows that your colleague made a mistake that led to the patient's death. How do you do in this situation? " There is no correct answer. "But the fact that it is a candidate is responsible, reveals it," the phominists explains.

After admission to the VSO, the whole life of the project is subordinate to Oncology. With eight or nine in the morning, training begins in the ordinacy - mainly in the Research Institute of Oncology, located in the village of Sandy near St. Petersburg. Saturdays are lectures: the basic course is devoted to the adoption of clinical decisions in oncology (it is actively practicing in the USA Surgeon-Oncologist Vadim Gushchin); There is also a course of clinical epidemiology and medical statistics, a coupling course with patients (teach, in particular, appeal as equal to) and others. "Students of the VSO are so immersed in the oncology that they are no longer talking about. If they begin to talk about the relationship of the floors - everything ends with the themes of the human papilloma virus and cervical cancer, "says Ilya Fomintsev.

"They are trained with evidence-based medicine, a scientific decision-making method in oncology," he adds. - Oncology consists of solutions. Regarding most of them there are research. To be able to search, read, evaluate their accuracy and apply - this is a professional mechanism. " In addition, says Fomintsev, students learn to see their own cognitive distortions - what affects the decision-making (this, for example, the authority of colleagues) - and work with them.

The Foundation's website indicates that at least 60 specialists prepared according to international standards should be the result of the VSO program for five years. To learn how to help the project, you can.

On the eve of the World Cancer Day on February 4, The Village talked to the three students of the VSO about what it was - in 25 years to devote all her life oncology, whether they experience sympathy for patients and with what delusions about cancer are facing.

Katya Baron, 25 years old, Surgeon-Oncologist

About the series "Ambulance" and Krasnoyarsk

I am from the family of doctors, but no one forced us to make your choice (my brother, for example, is not a doctor). I myself dreamed of becoming a doctor from five years old. As a child, I had a real first aid kit - with needles, syringes and even a scalpel. My toys were constantly on drying from daily injections. Mom worked at ambulance, and we watched the series Emergency Room (ambulance) with George Clooney.

As a result, I went to a medical school in my Krasnoyarsk. But initially wanted to do emergency assistance, not oncology. Therefore, I chose Surgery - I do not think more urgent. And then in my family there was a misfortune: my aunt died from cancer of the pancreatic gland, which I loved very much. She was an oncologist. This event was impressed that I decided that I decided to start studying cancer after an internship in surgery.

And I got into a dispute. I ended the internship and wanted to get into the alternate on oncology in Moscow. I came across a funny online announcement about the residency in St. Petersburg "without bribes and majors". Left his data on the page to learn more about the competition. The application did not send. And then I wrote Ilya Fomints in Vkontakte. He began to ask about what I would like to do, pour questions on medicine - I answered. And he suddenly stated that if I would now answer his last question, then I got to the third selection tour, bypassing the second. I am a gambling man, so agreed. It was a question for which it is impossible to find an answer on the Internet. Ilya gave a day. I answered and got into the third round.

In general, I am a fan of my native Krasnoyarsk and really would like to return there, but it's not so easy. Only it seems that you can dwell with diplomas and grades from cool places - and you will be taken with open arms. In fact, no one is waiting for us, so many are afraid to leave: they want to work where they caught. The problem is that our Russian diploma does not speak anything very often about a person, so they want to see the specialist in the hospitals and independently appreciate it.

About surgery and targeted drugs

In oncology, there are three large groups of treatment methods: preparations, irradiation, operation. If we talk about operations, then how we were convinced in the ordinature, it is possible to operate if you wish almost everything. As for the drugs - from the new now, targeted are investigated: these are drugs that, getting into the bloodstream, destroy only the cells that are targets for them, and allow you to slow down the spread of the tumor.

It becomes clear to the whole world that with a scalpel in the hands of cancer you will not be caught. Not surgeons will win cancer. In most cases, cancer is a systemic disease (exception - is that completely early stages). Now the bet on the same targeted drugs, chemotherapy. That is, surgery are being solved far from all problems, sooner or later, a person needs other systemic treatment methods. This is the so-called modern multidisciplinary approach in oncology: when a person, a cancer, is treated at the same time the therapist, radiation therapist and surgeon. Three are developing the optimal tactics. Understanding the importance of this approach is in hospitals in large cities - where doctors fly regularly at the conference, accustomed to the exchange of experience. In some regions, this understands little. But then the question is not even to our doctors. It's just that the surgery cannot be saved, the world has become clear quite recently.

About colorectal cancer

Of the proven risk factors and the prevention of this type of cancer - the food culture: high consumption of animal fats in combination with low fiber consumption (in addition, up to 20% of the thick bowel cancer are hereditary). But here there are many delusions. For example, for a long time it was believed that the consumption of red meat is a factor for the occurrence of such cancer, and then a study appeared that the intestine vegetarians the intestine wall is in a state of constant inflammation, and this can also be a risk factor. In general, they agreed that the red meat is better to eat more than once a week, but the rest of the time - either a bird or fish.

Screening colorectal cancer can reduce not only mortality, but also incidence. The fact is that the tumor grows out of polyps in the colon. And if the polyp is detected, it is removed, and the incidence is reduced. There are studies according to which the formation of polyps can reduce the use of aspirin, therefore, people are able to drink aspirin after 45 years abroad.

Volodya Kushnarev, 25 years old, pathologist

About "Errousmit" and raises at six in the morning

I come from the Amur region, the village of Tambovka. Once, the book of the Nobel laureate of Sinclair Lewis "Errousmit" was made to me - it was told about the formation of a medical-microbiologist student. I read the book in the eighth grade, then reread three more times. Sometimes I compare myself with the main character, Martin Errousmit.

I graduated with honors from the Amur State Medical Academy in Blagoveshchensk. The year was in danger in Freiburg - in the group of Irina Nazarenko "Biology of tumors and exosomes". After the internship, I realized that oncology was really interesting to me. And I decided that I would connect life with experiments: I wanted to study cancer development mechanisms.

Having moved to Petersburg, I with two other ordinators of the VSO removed the three-room apartment at the metro station "Prospect of Enlightenment". The road to the research institute occupies somewhere 30-40 minutes, if without traffic jams. Usually I get up about six o'clock in the morning: it is necessary to be at work to eight. Leaving from work, as a rule, in a half-night night.

I dedicate all your free time. Now I want to participate in the contest of young scientists. - Until February 6, you need to file theses, Dedine close. Me Katya (Baron. - Approx. Ed.) Revised - said: "Right run here - you need to give an interview." And at this time I was sitting in a laboratory with one of the researchers: we watched various forms of breast cancer. Our task was to compare the automatic method for analyzing the index of the proliferative activity of Ki-67 in tumor cells with the level we estimate visually.

About expensive books and types of cancer

The main tool of the pathologist is a microscope, but now has many additional research methods: like all specialties, our develops in the field of IT technologies, biotechnologies. You need to keep up to date. There is always something to do, because it depends on you the correct diagnosis, the treatment of the patient and the forecast. The clinician is focused on you, who is waiting for concluding. Clinicians constantly call: we are trying to explain that an average of a conclusion takes about a week, but everyone wants in two days.

All literature is English-speaking, we work in accordance with international standards, including on WHO collections (so-called Blue Books). In the department, always a set of fresh books, in addition to the necessary profile literature. I myself, to be honest, I could not even buy one book: for example, the cost of the WHO book is about $ 150, and they are 12. There are publications that are 40-60 thousand rubles. You look at the shelf of books and you understand that half a million lies there.

One of the problems of our profession is that very few young personnel: the population of pathologists will grow rapidly. However, we believed that the older the pathologist, the more experienced: he revised more cases, learned more. Our value rises with age, like wine, with terabytes glass, pictures that you looked.

Everyone thinks that the pathologist is engaged exclusively by opening tel. This is not the case, but the autopsy is also part of the work. For the first time I independently started an autopsy in 23 years. It was not terrible, I calmly treat it. Partly because my grandmother was a veterinarian, and I often have seven-eight years - I went with her to open animals.

About fear of death and zumb

I wondered about death, because I came across her. This, of course, is not the most pleasant component of human life, but when you know about the mechanisms for the development of the disease, you are calmer. You can adjust your own lifestyle. I do not smoke, I go to the gym at least two or three times a week. Physical activity should be because you are constantly behind the microscope - it is a seating and a stress for the eyes. From the factors of the development of hypodymna, it is necessary to get rid of. Some go to the lessons of Zumba dance (after 18:00, 30-40 minutes). This is also a way to unload.

When I was still in high school, gastritis was diagnosed myself. Himself prescribed drugs (expensive, by the way). But over time, you begin to understand what you do not need to do so. Now I try not to project the disease.

With misconceptions about oncology periodically have to face. From the common: supposedly if you drink a cola, it will lead to a stomach cancer. Some people believe that cancer is infectious: they say, they will come to the oncodispener and get sick with some kind of tumor. I even heard from physicians that no one canceled the viral theory of cancer.

Nastya Gritsenko, 25 years old, Surgeon-Oncologist

About tonometers and tattoo

I am from Arkhangelsk, studied in a chemical biological class, so the choice was small: either medicine, or some kind of chemical and technological university. Chose medical. I am not a hereditary doctor, but in distant childhood played with all sorts of old tonometers: Dad worked as a driver at the ambulance. So that I clearly realize what I go, my parents sent me immediately after school all summer to sanitize in the hospital. But I was not disappointed. It did not seem to me that there is something impossible in the hospital.

While I studied, I worked as a nurse - first in hematology, then in oncology. I wanted to enter the Research Institute of Oncology, another year before the contest of the Cancer Prevention Foundation: I was preparing for the exam, took a ticket for a plane, but before leaving I broke my leg. One day, a headman mug on oncology was asked to fill out a questionnaire to participate in the Cancer Prevention Foundation Competition, so that at least someone introduced the University. I resisted for a long time, but still filled out the questionnaire and sent.

Passed in the second round. I was sent a topic for writing a article that was absolutely not close to me. I thought everything to quit, but it became consformed, and I decided to honestly finish. He wrote an article for the evening and forgot. But Ilya Fomintsev called, said that the article is super and that they take me on the third round.

In general, I had a clear plan: local internship and ordinature in my oncodispere. I even made a tattoo when I received a diploma, a set of surgical instruments. Rank somehow decided. Ilya constantly tells everyone about this tattoo.

About fear and empathy

I am doing thoracic surgery (Surgery of the chest organs. - Approx. Ed.). This is a very long operation. In our area, the absolute majority are men, but I do not strive to lose your nose, just love the anatomy of the chest cavity. It is aesthetically beautiful, especially if we are talking about reconstructive operations when we create anatomy ourselves. I do not notice these long hours on the operation. By the way, I was made and independently carry out operations. It was something like a training business trip to Arkhangelsk - I was operated on the doctor absent in the separation. But basically I am assisting.

Assistant is not scary: just help the surgeon, what you need - hold, where you need - you show. Scary - this is when you operate, and behind your back there is no senior doctor who will help and give advice. Scary more than surgery than during. And scary after - you go around the patient, check whether everything is fine.

I cried only twice, and once here, in the ordinature. For the first time, when a boy died, who was quite a long time in the department, where I worked as a nurse. Here, probably, my non-professionalism played, because I usually did not communicate with patients to not be attached to them. And they lay for a long time - for six months, by year. But for this boy I had affection. Losing it was hard.

This year, the situation was just a classic - we disassemble this in our classes dedicated to communicating with patients. A young girl hides from the mother that the forecast is bad, and the mother hides it from his daughter. Separately, they with the doctor normally and openly talk, and when together, then try to protect each other. And it was also very hard.

About cancer and statistics

The main cause of the occurrence of esophageal cancer is alcohol consumption. Smoking here also plays a role. Prevention is simple - not to drink alcohol. As for proper nutrition, there are no studies that would prove to participate acute food in the formation of esophageal cancer. It is believed that hot drinks can somehow affect his appearance. But this again has not been proven.

Evidence-based medicine is based on research. Therefore, it is impossible to say how dangerous for the lungs, for example, Weiping: there were no studies on this. But in general, the figures for lung cancer are now reduced. Although there is also a question for statistics: where did she get from? And another moment: yes, the call is now popular, people began to drink less and smoke, but, in addition, and medicine has become more modern - revealed detectability. Now you can more often determine that a person died not just like that, namely from cancer. So now the situation with statistics is aligned, and on the fact of the difference in numbers we can not see.

Help in the preparation of material: Daniel Shirokov and Elizabeth Dubovik

 


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