The training scheme in medical universities of Russia has radically changed. Due to the abolition of the internship Many fear that the clinic will come to the clinic. The introduction of new medical standards divided doctors into two varieties.

Since 2016, future precinct pediatricians and therapists begin to learn from the abbreviated program, which implies six-year training. Potential surgeons, cardiologists and other specialist doctors will have to spend their studies from 8 to 11 years.

As it was

Previously, all the doctors studied seven or eight years. Six years left for training in a medical institute, and then either an internship for a year or a two-year order. Moreover, in some specialties it was necessary to go through both these steps. However, for many specialist doctors there was a single internship or the residency to choose from.

Intern and the reinforcement are considered in a medical institution by somehow students, as they are not listed in the state, and there are no salaries. They actually do the same as the doctor, with the difference alone - all the actions of the Intern and the orders are performed under the unreasonable look of senior colleagues.

It is not surprising that many, trying to quickly get rid of this half of the status, choose a further step after the university - a one-year interprint. However, since 2017, media graduates will no longer torment a similar choice.

As will be

Now since 2017, students of medical universities will be taught by new educational standards. Immediately after the Institute, graduates will receive right immediately, without any additional preparation, work in areas in polyclinics (therapists or pediatricians). For these purposes, students have introduced much more practical training, both with patients and simulators.

Rector of the First Moscow State Medical University named after I. M. Sechenova, Professor Peter Glybocko, shared his considerations on how a new learning system will be introduced:

"Now in the first year an educational practice for care for sick therapeutic and surgical profile is assumed. In this regard, it is supposed to introduce the learning module "Basics of Patients' Basics" in the amount of 36 hours (24 hours will be allocated to work skills on the skills and simulators in its own gym and 12 hours to practice in clinics). Somewets will learn "the basics of nursing business" in the amount of 72 hours, they will also have work, and practical classes in the gym.

Students of third courses want to add hours of practical courses for emergency medical care. For quadruss and pentolots are going to develop additional training modules on profile departments of surgery, therapy, obstetrics and gynecology.

And here it is also impossible to do without simulators and vougements. On the sixth year, classes on medical simulators will be held in the form of consultation with teachers of the Department of the selected profile.

"A graduate of Medvoz should be ready for independent work immediately after receiving a diploma of the doctor. Let it be a primary health service - an outpatient polyclinic sphere, but our graduates will be prepared for this work during the standard university program, "the rector of the first medical university summed up.

However, such rainbow perspectives see not all teachers in the field of medicine. Simulators and dules are, of course, well, but they do not replace living patients.

"In my opinion, immediately allow graduates to work with patients will be a big mistake. The doctor needs certain skills for this, "the dean of the medical faculty of Rudn Professor Viktor Frolov expressed his fears.

Also, the vast majority of specialists are seriously doubted about the productive work of yesterday's students in clinics. It is unlikely that the skills obtained in the university will be enough, but knowledge after the introduction of new standards in graduates will be even smaller.

"To free up time for practical classes, we had to narrow programs on individual areas of medicine, such as neurology or, for example, surgery. These courses will be read in a more general, theoretical form, "explained to the Ministry of Health and Social Development.

It turns out if earlier a graduate-medic was somehow a "universal soldier", which could understand most diseases and pathologies with the help of a medical certificate, now certified precinct doctors about many diseases will have only theoretical representation.

According to new standards, additional specialty doctors will be able to be accredited in the special center.

(Kazan, July 8, Tatar-Inform, Nadezhda Gordeyev). In Russia, from this year, the boarding school is canceled for graduates of medical universities. In 2017, former students will begin to "go out" from universities in precinct therapists and pediatricians. This was announced in the interview with IA Tatar-Inform, the rector of KGMU Alexei Customin.

As the agency's source clarified, to obtain additional medical specialties, learning in the ordinacy, which will last from one to five years. And also obtaining accreditation. Special attention will be paid to practical classes and visits to medical simulation centers.

"At the stage of an objective-structured clinical exam, a young doctor performs a certain type of task, associated, for example, with emergency assistance to person. The tasks are formed depending on the specialty. And they control these all accreditation commissions, the composition of which is approved by the Ministry of Health of Russia. The Commission includes representatives of professional associations, the university community, employers. After passing these stages, you can get personal accreditation to work at the level of the dentist of general practices, a provision, a doctor, "a hospital," he said.

After a certain period of study, a novice doctor will be able to receive accreditation for new specialties. "Accreditation is one of the new products that appear in the system tolerance of doctors to professional activity," said the rector of KGMU, adding that it concerns all medical workers who will thus confirm their qualifications.

A.Sozinov said that the Federal Methodological Center for Professional Accreditation was created in Moscow. "This year, dentists and provisions came to accreditation. Medical sisters will appear in this system since 2018. Only from the methodological center can be obtained. Each accredited is registered in the federal center, accesss and task from Moscow. At the first stage there is testing in online mode. One of the principles is the minimum participation of people, everything is automatically. For dentists, about 5 thousand test tasks were prepared for the provisions - more than 3 thousand. They are in open access, you can study and prepare. She scored less than 70 out of 100 points, just not passing further, "he said.

A.Sozinov reminded that earlier working doctors and nurses once every five years had to "pass the cycle of improvement" - to pass the exam and get a certificate. "Now, according to the new system, the doctor every year needs to continuously gain 50 credits of educational activity. From English Language "Credit" is translated as "Trust". That is, in fact, a person once a week should devote to the study of something new. A year you need to score at least 50 loans, in five years - 250. I did not score - you will not be allowed to accredit, "he explained.

Existing specialists will have to improve the qualifications in the educational organization, attend trainings, conferences, seminars, etc. "You need to prepare theses for symposia, conferences, seminars that conduct public and professional medical organizations accredited at the federal level, not commercial. It is necessary to study on educational interactive modules on the Internet, for this, a special site has been created, - noted the rector of the university. - Personal accreditation becomes the completion of this system and admission to the next cycle. "

"The new system has an ideology of quality. We proceed from the fact that the doctor must comply with the requirements - professional standards. Do not correspond to, it means you can bring more harm than good, "he believes.

According to the representative of the Meduniversity, as a result, a quantitative and high-quality training for specialists will be taken into account, it will be possible to develop in the direction necessary for Russian health. "If the doctor does not comply with the requirements, then its work experience, experience may not be demanded," he assured.

With a working doctor, according to him, for five years, it is necessary to make up the so-called "portfolio" - "The results of treatment, characteristics from the place of work, reviews from patients", etc. "At the same time, testing and interview will continue. But instead of simulators there will be real life, "A.Sosinov stressed.

He also clarified that five years will be held between primary and re-accreditation, but during this period you can pass primary specialized accreditation. "The doctor can get fundamentally new competencies, master new technologies," concluded the rector of KGMU.

The possibility of obtaining a full education is worried about both students of medical universities and those who are only preparing to enter the Med Institute. And therefore, for future doctors, one question is extremely relevant: internship 2016-2017 - Will or not?

Internature in 2017

According to state standards of education, a graduate of the highest educational institution of medical profile should be fully ready for work in the field of health. Therefore, such a form of education as an internship is completely abolished.

So, all who entered the universities from 2013 and later asked the question "will the internship abolish in 2017?" It is worth knowing:

• on September 1, 2016, an internship for pharmaceutical and dental specialties is canceled;
• on September 1, 2017, an internship for pediatric and therapeutic specialties is canceled.

Main changes

What will change with the cancellation of the internship in 2017? What to wait for future graduates? We will try to tell you about all the most significant changes.

The most significant innovation, which, in fact, is based on the abolition of the internship, these are changes in education format. Practical testing of the surveyed skills will be held at the Institute. By changing the educational process and embedding in it a parallel receipt of practical experience, the ministry hopes to get active who are ready for the work of specialists immediately after graduating from the university.

In addition, it is planned to introduce a narrower specialization for "attending" specialties. In the sixth year of study, the second half of the year will be fully dedicated to the chosen "narrow" specialization, with simultaneous practice in medical institutions attached to universities.

But in order to work as a surgeon, a transplantologist, a cardiologist, neonatologist, and so on, a graduate will be obliged to complete the redemption. Two-year practical training under the guidance of an experienced practicing mentor for such specialties remains mandatory. That is, only the internature is canceled in 2016-2017, but the ordinature as a form of study is still relevant.

A graduate of a medical school will be able to start practical activity as a therapist or pediatrician immediately after receiving a diploma.

If earlier in order to get the right to work even by a district doctor in the clinic, the certificate was required to end the end of the internship, then from next year there will be enough universities "crusts".

In addition, in 2017, certification will be replaced by accreditation. In turn, accreditation for graduates is planned to be combined with state exams. Thus, according to experts, the quality of education should increase significantly.

Many of the abnormalization in 2017 seems to be a very dubious innovation. After all, the usual form of education allowed to acquire the necessary knowledge in practice, while the responsibility with the experts already consisted. However, according to the new standards of education, the same "practical workout" will be included in the main course of training of future doctors. So, the fifth and sixth year of study, and for dentists and pharmacists the fourth and fifth year, will be fully devoted to the acquisition of practical skills. For this, future doctors will work out the skills under the guidance of experienced specialists without separation from the main course of training.

Why do you need transformations?

The main goal that is pursued by the abnormalization of the internship is the decision of the personnel issue. It is no secret to anyone that in our time the shortage of doctors at the primary level of health care system has become a genuine disaster. And the refusal to post-institute-time learning should help in this matter.

The Ministry of Health decided to go even further and "consolidate" a practical solution to the problem of lack of primary practice doctors. Now all graduates who arrived in the so-called target sets, that is, by quotas from the regional ministry or medical institution, will have to work out the opportunity provided to them. They will be attached to the regional clinics of the terrain from which the set was made. And a young specialist for three years will be obliged to work in the specified place. Thus, the ministry hopes to close the "burning" vacancies of the first link medical institutions.

By the way, in the same medical institutions, from which future doctors were aimed at studying, students will take place and practice. That is, the boarding school integrates into the educational process, thereby increasing the overall level of preparation.

However, teachers and experienced doctors express some doubt in the correctness of such a step. Will students have time to assimilate the material that is needed to receive proper skills? The answer to this question can give only time.

Medicine is stably leading in the list of "Dream Professions". The most responsible graduates of schools are striving for a majority of life in a white coat. Sociological studies show that a consistent high demand for medical specialties is not manifested in all subjects of the country. Among the graduates of Moscow and St. Petersburg, for example, it became less than those who wish to make a career on the doctoral field, while inside the professional community of doctors in these cities, stability is observed.

Another thing is the regions: provincial youth is still a great desire to receive one of the doctoral professions. And if for this there is a sufficient volume of knowledge or a bet on paid training is made, then one question remains on the agenda - in which university or the Academy to submit documents.

Perhaps initially thinking about the arrival of medical, boys and girls are more obsessed with the idea of \u200b\u200bbeing enrolled on 1 course. All the principal factor in the assessment of the educational institution should be the quality of education. People who understand this are trying to enter the prestigious universities - of course, Moscow and St. Petersburg. The winners of the All-Russian, International Olympics and another "Golden" contingent, who have the right to enter outside the competition are striving for this.

REFERENCE: Healthcare is the only direction of the formation of a non-humanitarian nature, where the average score on the EGE exceeds the mark "70". In Russia, more than 75 universities of the Ministry of Health provide overestimated requirements for the quality of basic knowledge from applicants. This suggests the prestigious profession of the doctor.

In the sphere of paid education, the place was distributed as follows:

• 32 thousand incoming in 2016 preferred economic specialties;
• 20 thousand people bowed to the management;
• 15.5 thousand - these are future doctors.

The composition of the highest medical school of Russia

In 2019, in the Russian Federation, the reception of applicants carry out 89 higher educational institutions and faculties of the Ministry of Health - of them:

• 48 head public institutions;
• 4 branches of state universities;
• 7 non-state accredited educational institutions;
• 2 branches of non-government universities.

Among them, 23 head physics in 2015 passed a complete accreditation procedure.

What medical universities look like against the background of the general ranking from the expert

The use of the fundamental principles of methodological research and impersonal in the assessment are two weighty grounds to consider the ratings of medical universities RaEx (expert RA) among the most reliable. The opinion of the educational institutions of the health sector has developed from 3 characteristics:

• quality of education;
• research work;
• in demand by employers.

The group of respondents, among whom a survey was conducted, included graduates, students, teachers representing the scientific and academic collegium, employers.

In the first hundred, according to the results of 2016, the 16 best medical universities were. As a result, the rating of medical universities in Russia 2019 on the quality of education and other criteria is as follows:

Judging by the results of the rankings drawn up by the Agency's expert for the last 4 years, the quality of education in medvosakh is insignificant, but improved. In 2014, for example, there were 11 institutions that produce certified doctors, and after 2 years, the list of leaders was replenished with four new names.

What specialties are taught in the best meduses of the state and what is the cost of education obtained on a commercial basis - we present information on the top five leaders:

№1: First MGMU named after I.M. Suchenova

№2: PSPBGMU them. Acad. I.P. Pavlova

№3: RNYMU them. N.I. Pirogov

№4: KGMU (Kazan)

№5: SIBGMU (Tomsk)

Budget or commerce - EEG points will determine

Points scored according to the results of the USE are still a criterion that determines the quality of the knowledge of the applicant. The cherished figures are taken for the very threshold value, to oversail which - it means on September 1, officially stand for the threshold of the selected university. Candidates who do not accept the necessary "glasses" will have to choose between paid education in the same institution, enrollment in another university with a more loyal body policy or to make another attempt to enter the "University of Dreams", but in a year.

1. The first MGMU named after I.M. Schechenov
2. Rfficking them. N.I. Pirogov.
3. SPBGPMU.
4. SPBGMU them. Academician I.P. Pavlova
5. NGMU, Novosibirsk.
6. Ryazhm.
7. Volggm.
8. SIBGMU (Tomsk).
9. Krasgmu, Krasnoyarsk.
10. ROSGMU, Rostov-on-Don.

The best among paid medical universities

The highest level of education is shown by educational institutions of health care Moscow, St. Petersburg, Krasnodar, Kazan, Voronezh, Samara, Nizhny Novgorod, Tver. In these cities, the profession of the doctor is trained in a fee, while even "for commerce" applicants fall with the highest scores of the exam. Information was obtained as a result of monitoring on the initiative of Mia Russia today and HSE.

We present the first ten of universities, for the paid branches of which it is difficult to get due to the overestimated competitive points:

1. PSPBGMU them. Acad. I.P. Pavlova
2. Wgm them. Burdenko.
3. MGMS them. A.I. Evdokimova.
4. Kgmu.
5. SPBGPMU.
6. Kubbma, Krasnodar.
7. The first MGMU named after I.M. Schechenov.
8. Samgm.
9. TGMU, Tver.
10. NIGMA, Nizhny Novgorod.

By tradition, the most demanded specialties with the relevant competition are:

• stomatology
• medical work
• pediatrics
• pharmacy.

It is impossible to get a doctor's profession. In Russian universities, there are a number of faculties, where such a form of training is acceptable, but firstly, their number is gradually reduced to zero, secondly, they are taught here not to future therapists and dentists, and specialists with a conditional medical profile - for example, nursing With a management bias.

How high the diploma of the Russian medical university abroad is valued

Contracts for the award of international qualifications in the field of medicine today is not endowed with a single body in the world. Given this fact, the low status of the diploma of the Russian university and its non-convertibility should be taken as false and no confirmed judgment. A similar myth earlier, in Soviet times, government officials and interested structures tried to overlap the road to the West qualified specialists.

The quality of education in higher education institutions, as well as the prestige of the institution itself, is not entirely judged by the assigned awards and regalia. The most objective assessment factor is the practitioners of graduates - their work, career and achievements. It is possible to hold high status only with a constant presence in the market and the presence of progress in all directions, incl., On research and development and cooperation with "abroad".

The US legislation, for example, allows you to host doctors with university diplomas registered with WHO and in the IMED-Faimer agency (authority authorized by the state). Employers should not be anyway, which institution has graduated - Harvard or GMU in Krasnodar. The chapter is not the place of receipt of the diploma, but professionalism and personal abilities. If the name of the institution is not listed in the WHO list, you should not count on the vacancy. Specifically, the name of the Medvoz should be mentioned in the "Avicenna" catalog (contains an extensive list of educational institutions of world working on health care and other activities) and in WHO WorldDirectory of Medical-Schools.

By the same feature, you should choose a facility for education: if its name is not in the WHO catalogs, it loses attractiveness from incoming and cannot claim prestige.

The registration of medical practices in WHO is based on an application filed by the state body competent in solving such issues. In Russia, such instance is the Ministry of Health of the Russian Federation. The registration procedure itself is performed automatically, but this process is sometimes artificially delayed for reasons known to the representatives of the international organization. The example of this is the medical faculty of St. Petersburg State University: a year of its foundation - 1995, and officially in WHO lists, it appeared only in 2003, and in 2006, after the administration request, was entered into the immed list.

Natalia Litvinova

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The All-Russian Seminar "Organizational and Methodological Questions for the Primary Accreditation of Graduates - 2017" was held on February 16 in the first MIMU. THEM. Sechenov.

The intensive training course of two blocks - theoretical and practical, was proposed to the Chairs of Accreditation Commissions - representatives of non-profit professional organizations, which will be held in the summer of 2017 a large-scale company on primary accreditation of graduates of medical universities.

The organizers of the seminar - the Ministry of Health of Russia, the Union of the Medical Community "National Medical Chamber" and the Methodical Center for Accreditation of Specialists.

The seminar moderator was the Vice-Rector for Research and Professional Education of the First MGMU. THEM. Sechenova Sergey Shevchenko. Opening the seminar, he conveyed the wishes of a successful and fruitful work on behalf of the University Rector, Academician Rounds Peter Glybocko.

With the call to create an effectively working structure of the primary accreditation of graduates, from the very beginning laying the basis for successful work for many years ahead, the President of the National Medical Chamber Leonid Roshal appealed to the participants of the seminar. He noted that along with the development of professional standards, primary accreditation - "This is a specific work that has been transferred to the Ministry of Health of Russia by the National Medical Chamber, a public-social form of educational management."

Director of the Department of Medical Education and Personnel Policy in Health of the Ministry of Health of Russia Tatiana Semenova explained that the seminar takes place in the reference methodological center for accreditation of specialists created on the basis of the first MGMU. THEM. Sechenov. And ideally, precisely in such conditions should be accreditation. She also spoke about the legislative norms that regulate the transition to the accreditation procedure of medical and pharmaceutical professionals. Accreditation is introduced in stages, from January 1, 2016 to December 31, 2025.

Detailed explanations about who will accredit how the Commission is being formed, which documents are necessary for admission and evaluating a specialist contains an order of the Ministry of Health of the Russian Federation of June 2, 2016 No. 334n. Tatyana Semenova explained the need to accredit the "global era of change". New technologies, GEFs and professional standards are being implemented, the unification of the requirements for managing medical care is being unified. In general, accreditation of a specialist is a special form of an exam consisting of several consecutive stages.

The director of the methodological center of accreditation of specialists Zhanna Sizova made a presentation and explained in detail the features of each stage. Each stage is an independent exam that gives the right to admit to the next stage. Primary and primary specialized accreditation include: testing, assessing practical skills (skills) under simulated conditions, solving situational problems.

Each stage is estimated by the accreditation commission in the format handed over / not handed over. Stages of testing, assessing practical skills are considered passed, if at least seventy percent of answers, practical actions are correct. The stage of solving situational tasks is considered passed if at least ten issues from fifteen possible answers are given.

Graduates of universities that have passed accreditation can begin work in the primary link - polyclinic precinct therapists. Graduates of the ordictory have a more complex exam - primary specialized accreditation, which gives the right to admit to specialized medical activities. For the passage of each stage of accreditation there are three attempts.

Zhanna Sizova described in detail about all the intricacies of primary accreditation and suggested to participate in the seminar to move to the second - the practical block of the seminar - demonstration of the primary accreditation procedure with a degree in therapeutic case and familiarize themselves with the stations of an objective structured clinical exam (OSK) to verify the development of professional competencies of graduates. Stations of cardiopulmonary resuscitation, emergency and emergency medical care, physical examination of the patient, clinical examination - to verify the competencies that correspond to the labor-actuators of the regional therapist in accordance with the professional standard are presented.

The practical block caused the great interest of the participants of the seminar. In general, the seminar in full presented information on changes in the order of admission to the professional activities of graduates of Russian medical universities and actually became the start of primary accreditation of graduates of medical universities-2017.

In 2017, more than 37 thousand graduates of medical universities in eight specialties will be held primary accreditation:

Natalia Litvinova

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