PROBLEMS OF UNDERGRADUATE MEDICAL EDUCATION: A VIEW FROM THE OTHER SIDE

• Ekaterina V. Silina
• Viktor A. Stupin
• Anna G. Erokhina
• Ksenia A. Vekhova
• Ekaterina A. Gugueva
• Svetlana A. Titova
• Anastasia D. Gurkina
• Maria P. Kruglova
• Ekaterina N. Kabaeva
• Marina N. Vukolova
• Anton V. Tsaregorodtsev
• Zalim Z. Balkizov
• Daria A. Proschenko

Abstract

The aim of the work is to analyse the education in medical schools through the eyes of students and professors in order to find reasoned solutions to some of the problems faced by the Ministry of Health of the Russian Federation, students and professors.

Students and professors of medical universities created a digital questionnaire which was filled in by 454 students of I–VI courses from different faculties of medical universities of our country (medical business 58.5%, paediatric 12.3%, stomatological 13.0%, etc.).

In this paper, the authors analysed the forms of education (budget – 46%, off-budget –30%, target – 24%) and the result of Unified state examination at admission, which was the maximum (Me=272) in budget students, the least (Me=214) in contract students. The authors analysed the reasons for choosing medical education; the main reason was an independent conscious desire to become doctors or work in biomedical specialties (75%), the second place (21%) was taken by the answer “it just so happened”, the third place – the prestige of the profession/university from the point of view of students. It was determined that one third of students manage to combine study with work, the main reason for this is the insufficient level of scholarship, which does not provide a subsistence minimum (38% of students do not receive a scholarship, 51% of students have a monthly scholarship of less than 5 thousand rubles, 5% – 5–10 thousand rubles, 4% – 11–20 thousand rubles, and only 2% – above 20 thousand rubles/month). When payments are higher than the minimum wage, students do not work part-time and devote more time to their studies. The authors also analysed the plans after graduation: 47% are going to go to residency, 20% are ready to work immediately as a clinician; 11% are going to undergo postgraduate training or combine clinical and research activities; 8% have not yet decided, and 5% have already decided to leave the profession. Only 11% of target students are going to return to the territories, the remaining 89% do not plan to work out the target direction.

Keywords: medical students; Unified state examination; medical education; scholarship; part-time work; minimum wage; choice of speciality; future plans; target; budget; off-budget

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