Russian Doctors Believe That Residency Should Be Paid - Poll

Russian doctors believe that residency should be paid - poll

The MIR company, using the Doctor's Handbook application, conducted a survey on postgraduate education with the participation of 7838 doctors and medical workers. Among the respondents, 30% of doctors were trained in residency, and 7% are undergoing training, a total of 2874 doctors. The respondents consider the education in residency to be of insufficient quality and see the need to pay for their work.

Photo: press service of the Russian MIA Administration for the Khanty-Mansi Autonomous Okrug - Yugra

How did the doctors assess the level of education in the residency?

Doctors gave a grade from 1 to 5 to assess the level of education. They rated the level of theoretical training at 3.55 points, and the level of practical training at 3.72.

The teaching staff did not set any special requirements for knowledge - exams required persistent preparation only for 50% of the respondents. At the same time, the test of knowledge itself was carried out 2 times a year and more often in 73% of respondents.

Absolute dissatisfaction with education, i.e. grades 2 and 1 were given by 17% of doctors in relation to theory and 16% in relation to practice. That is, more than 80% of doctors globally assess the training as satisfactory. 32% of doctors are satisfied with practical training, while only 24% are satisfied with theoretical training.

Degrees of freedom: how much and to whom were they allowed?

43.9% of the respondents trusted the conduct of manipulations and operations, 24.8% “assisted more often”, 6.6% did not allow manipulations, and the residency of 24.6% did not require any manipulations at all. Quality control of mastering manipulations was carried out in 74% of cases.

The quality of training completely depended on the relationship with the curator in 49.5% of the respondents. 40.3% of the respondents noted that the quality depended partly on this factor. Only 10.2% of respondents received some amount of knowledge independently.

54.9% of the respondents got the impression that their colleagues treated them “haughtily, condescendingly or in a consumerist manner”. 85.7% of the surveyed doctors believe that residents should receive a salary.

How do those who have completed the residency rate their colleagues with a similar education?

Doctors assessed each other as follows:

4.9% - assess the level of professionalism as "very high"

30.7% - high level of professionalism

54.5% - the usual level

8.9% - low level

1.1% - a very low level

Konstantin Khomanov, CEO of Medical Information Solutions, creator of the Doctor's Handbook mobile application:

“The results of the study reveal long-standing problems - doctors do not receive a sufficient amount of theoretical knowledge in residency and find themselves in a kind of labor camps for two years with their leaders. At the same time, residents are faced with not the best attitude towards themselves - due to a shortage of personnel, free workforce is often used "full time" with all the costs.

The doctors themselves have repeatedly noted the need to pay residents, this is still relevant to this day. You need to either load people less, or pay them more. Given the rise in the cost of educational services, some people could count on a loan for the period of study - but how to give it back when there is no source of income? These questions cannot be called rhetorical and cannot be left unanswered - active action is needed.

The period of residency is the most fragile in terms of becoming a doctor as a clinical practice - the foundations for his self-realization as a specialist are laid. Here it is important not only to instill in a young doctor the motivation to treat patients, but also to form professional inclinations that will help to maintain it when the doctor leaves the residency to “free swimming”.