About a forming system of continuous medical education in Russia in opinions of doctors and health care managers in Far-East Federal region

Written by Bogachevskaia S.A., Pchelina I.V., Semenov V.Yu.

  UDK: 614.252.1:379.046.4:303.442 | Pages: 85–89 | Full text PDF | Open PDF 

Objective. To identify awareness and accepting changes in the system of medical education, a sociological survey of medical workers of the Far Eastern Federal District was conducted.
Methods. The selection of the units was carried out by a simple random sampling method. The follow-up period was 2.5 years (2013– 2015). The study involved 174 doctors and 167 public health officials. Primary information was collected by questionnaire.
Results. Among the doctors surveyed, more than half (52.9 %) did not qualify, 71.3 % did not leave the region for professional improvement or retraining, 86.2 % felt the need for new information on their specialty. 11.5 % of respondents did not use the Internet. Half of all respondents were negative to the planned abolition of certification and the introduction of the standard of continuous medical education, and a third was difficult to answer this question. At the same time, 19.1 % of respondents noted the need to improve the level of professional training of personnel under the present conditions.
Conclusions. By the end of the initial phase of the reform of medical education, the bulk of the target audience remains unprepared. The reasons for the rejection of the new system are an increased level of distrust of specialists to the actions of the Ministry of Health of Russia, as well as their low motivation to change the education system. Expected employee turnover, including the change of generations, the low level of electronic communication of the Far East creates additional difficulties in the successful implementation of the concept of the continuous medical education.

Links to authors:

S.A. Bogachevskaia1, I.V. Pchelina1, V.Yu. Semenov2
1 Federal Centre of Cardiovascular Surgery (2b Krasnodarskaya St. Khabarovsk 680009 Russian Federation),
2 Bakoulev National Scientific-Practical Center for Cardiovascular Surgery (8/7 Leninsky Ave. Moscow 119049 Russian Federation)

1. Bakhtina I.S. The turning point in the development of continuing medical education. Ways out of the crisis // Materials of the conference of heads of educational institutions of the Russian Federation. Moscow, 2005.) URL: http://edu.rspp.ru/site.xp/049049 052124049051057. html (date of access: 25.05.2017).
2. Statement by the Minister Veronika Skvortsova on session “Strategic vectors of healthcare development in the Far East” in the framework of the Eastern Economic Forum.) URL: https://www. rosminzdrav.ru/news/2016/09/02/3135-vystuplenie-ministraveroniki- skvortsovoy-na-sessii-strategicheskie-vektory-razvitiyazdravoohraneniya- na-dalnem-vostoke-v-ramkah-vostochnogoekonomicheskogo- foruma (date of access: 25.05.2016).
3. Danilov E.O., Makhnenko A.A., Stupin M.G. The reform of the level of proficiency in medicine. Perspectives and realty // Institute of Stomatology. 2017. No. 1. P. 10–11.
4. Danchenko O. On the competent medical education and CME (continuing medical education) // Materials of the VII All-Russian scientific-practical conference «Health and Quality». Moscow, 2015.) URL: http://mosapteki. ru/material/o-kompetentnosti-medpersonala-i-nepreryvnomobrazovanii- 5053 (date of access: 25.05.2017).
5. The report on the state of health of the population and the organization of public health services based on the results of the activities of the executive authorities of the constituent entities of the Russian Federation for the year 2014.) URL: http://static-0.rosminzdrav.ru/system/attachments/attaches/000/026/627/ original/Doklad_o_sostojanii_zdorovja_naselenija_2014. pdf?1434640648 (date of access: 25.05.2017).
6. Esaulenko I.E., Sushchenko A.V., Chaykina N.N. On the results of the pilot project on continuing medical education using distance learning system «MOODLE» // Nauchno-meditsinskiy Vestnik Tsentral›nogo Chernozem›ya. 2016. No. 63. P. 119–125.
7. Kiselev S.N. Tendencies of demographic capacity and economy of growth in the Population in Far Eastern Federal District at the beginning of the 21st Century // Far Eastern Medical Journal. 2017. No. 1. P. 78–82.
8. Kochkina N.N., Krasilnikova M.D., Shishkin S.V. The accessibility and quality of medical care according to the population assessment. Moscow: Izd. dom Vysshey shkoly ekonomiki, 2015. 56 p.
9. Lopanova E.V. Continuing education of teachers of medical universities based on competence approach. Modernization of the professional education system based on the controlled evolution // Materials of the XI International scientificpractical conference in 6 parts. Moscow, 2012. P. 20–28.
10. There are no statutory acts obliging medical doctors to join the NMO: an explanatory letter from the Ministry of Health of the Russian Federation.) URL: https://www.zdrav.ru/news/1086332-netnormativnyh- aktov-obyazyvayushchih-medikov-vstupat-v-nmo (date of access: 25.05.2017).
11. On approval of the model working out the basic principles of continuous medical education of specialists with higher medical education in educational organizations under the jurisdiction of the Russian Federation Ministry of Health, with the participation of medical professional non-profit organizations: the Order of November 11, 2013. No. 837.) URL: http://docs.cntd. ru/document/499072081 (date of access: 25.05.2017).
12. Reshetnikov A.V. Sotsiologiya meditsiny. Moscow: Meditsina, 2002. 975 p.
13. Semenova T.V., Kupeyeva I.A., Son I. M. [et al.]. Human resources of health institutes. Moscow, 2014. 80 p.
14. Davis D.A., Thomson M.A., Oxman A.D., Hayes R.B. Evidence for the effectiveness of CME. A review of 50 randomized controlled trails // JAMA. 1992. Vol. 268, No. 9. P. 11–17.
15. Peck C., McCall M., McLaren B., Roten T. Continuing medical education and continuing professional development: international comparisons // British Medical Journal. 2000. Vol. 320, No. 7232. P. 432–435.


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