Features of doctors training for navy in modern conditions: retrospective study

OBJECTIVE. To study features and issues of preparing future doctors for the Navy.

MATERIALS AND METHODS. There was analysis of reports on the results of the naval internship of cadets-trainees, undergoing practical training on surface ships and submarines, during the period of completing education in 2021-2022 and 2022-2023 school year in the Northern, Black-Sea and Baltic fleets. Report processing was carried out by the method of historical comparison, systemic and comparative analysis. There was a comparison of the preparation system for Navy doctors of the Russian Federation at different historical stages, economic component and level of medical specialists’ training.

RESULTS. It was found that surgical patients constitute more than 60 % of all cases of initial visits and 70 % of all evacuations on surface ships during the long voyage. Thus, surgical pathology is decisive in causes of morbidity and evacuation, being a limiting factor in medical support of the long voyage and requiring the organization of adequate qualified surgical aid directly on ships. Analysis of enhanced medical support on a ship long voyage in modern realities showed that with medical specialists it reaches almost 100 % as a consequence of staffing naval positions with specialists of the qualification “medical doctor”.

DISCUSSION. Due to the shortage of naval doctors with a surgical specialty, 5 options of the position substitution with “surgery” specialization were offered, based on the analysis of the system of training doctors for the Navy and in view of the changed regulatory framework in the preparation of medical specialists.

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