State and problems of the training system for surgical specialities

Imperfections of existing programs of practical training to acquire surgical skills in our country, together with continuing progress in the field of high-tech medical care and acute lack of personnel in all fields of surgery define the necessity of changes in system of surgical training itself. A possible scheme of improvement of surgical training in Russia should include creation of National committee on surgical training and development of high technology, and implementation of modern methods of selection for surgical specialties. Important measures include lengthening of post-diploma specialization training with different time periods depending on specialty and intensification of training with inclusion of new techniques for improvement of manual skills. A legal base is necessary for surgical training involving animals, as well as creation of veterinary laboratory (with conditions for raising animals, using them for medical purposes and utilization of corpses). A good quality training for surgical staff requires s centralized anatomy theater allowing to thematic cycles dedicated to various types of surgical interventions; creation of legal and financial conditions for trainees to take part in real surgical practice. It is impossible to implement without increased role of mentorship, making teaching profession financially appealing, training of teaching staff, increasing prestige of teaching centers and involvement of trainees in scientific activities.