Scientific clinical medical bases play an important role in personnel training. Professor and former Minister of Health Talantbek Batyraliev, in his interview, revealed why they are so necessary for the qualification growth of doctors.
- Talantbek Batyraliev — Doctor of Medical Sciences, Professor, Academician of the Russian Academy of Natural Sciences, Member of the American College of Cardiology (MD, PhD, DSc, FACC, FSCAI, FAHA, FESC).
- What is a clinical base and why is it important for resident doctors?
- I'll start with a joke: "Doctor, is it true that a resident doctor will perform my surgery?"
- Yes, that's true.
- And what if he makes a mistake?"
- We'll give him a failing grade and not issue a certificate...
Seriously speaking, it should be understood that not all clinics and medical centers operate at a high level. Leading global institutions tend to attract specialists from other countries to work on contracts for several years. This practice helps maintain the clinic's reputation as a center of competence in its field.
These institutions serve as a model for young doctors undergoing internships or residencies. However, there are not many such places in the world.
In Central Asia, one can highlight a clinic in Astana, where the renowned cardiac surgeon Yuri Vladimirovich Pya works. This clinic meets strict international standards and serves as a role model. Y.V. Pya established this center at the invitation of the country's leadership, and it has become a leader in cardiovascular surgery.
In contrast, other medical universities, mostly private, hire instructors who are not leading specialists of world caliber. This allows for more accessible training and is suitable for a broad audience of doctors wishing to gain practical skills.
The medical university, in collaboration with several hospitals, conducts practical classes at their facilities. It is optimal when resident doctors work in departments alongside experienced mentors, allowing them to accumulate knowledge and skills. The closer the interaction between educators and doctors, the more experience residents gain.
The concept of clinical bases is not new; it was formed back in the mid-20th century when the combination of science, teaching, and practice yielded the best results in training specialists.
- What is the situation today?
- In most countries, medical universities have become less necessary for practical healthcare. In some regions, health leaders view medical institutions as a burden and seek to limit their functions. This leads to a decline in the quality of medical practice and the closure of ineffective hospitals.
- How can high-quality training for doctors and patient rights be reconciled to avoid mistakes by young specialists?
- It is important to strictly adhere to patient rights. The first experience of a doctor should not involve real interventions without prior training on mannequins.
Nevertheless, no simulator can replace live practice. Here, mentors play a key role. If a young doctor works without supervision, the risk of mistakes increases. However, if an experienced educator is nearby, the team of doctors, including the resident, can safely perform procedures.
Our laws allow for the protection of patient rights while simultaneously providing young doctors with the opportunity to learn in quality clinical bases, accumulating valuable experience without harming patients.
The task lies in the proper organization of ethical aspects and interaction between universities and hospitals.
