"After Completing Our Residency Program, We End Up With A Doctor Who Is Familiar Only With Technologies From The Last Century."

So much for "best practices."

State propaganda continues to run rampant. "Soviet Belarus" has published yet another article about the brilliant state of affairs in Belarusian medicine, with the subtitle "Why Medical School Graduates Go to the Bykhov District Hospital to Learn from Best Practices."

It’s worth noting that young doctors don’t choose where they work—they’re assigned to mandatory service. So what kind of advanced experience do they gain at the district hospital?

— Let’s start with the fact that, like many healthcare organizations, the Bykhov Hospital needs doctors. But the specialists who come there should have completed five years of training and worked—for example—at the Mogilev Regional Hospital, and be ready to work independently, explained “Solidarnast”, one of the leaders of the independent medical workers’ union Stanislav Solovey. – By the way, in developed European countries, postgraduate training in this specialty lasts five years, or even longer, and only then does a doctor begin working.

But we have our own rules. As the article’s subject says (a young anesthesiologist and intensive care specialist, a recent graduate of Vitebsk State Medical University—S.), “the team is great—they support and help me, and I can call the department head for professional advice at any time of day or night.”

The problem is who will train the young specialist in Bykhov—and how. Even if there are excellent doctors at the hospital, they will only teach what they themselves know. And as a result, the hospital’s standards will remain the same as they were 5 or 7 years ago. In other words, the technological gap will continue to widen.

Consider this: the Bykhov Central District Hospital has neither a CT scanner (let alone one operating 24/7) nor an angiograph. This means that all heart attack and stroke patients must be transported to Mogilev. Let’s set aside the question of how the transport of such emergency patients from Bykhov works—that is, how promptly they receive adequate, modern medical care in the regional center.

We’re interested in something else: what can a young specialist learn during a one-year residency in anesthesiology and critical care at the Bykhov Central District Hospital, where there are no modern emergency neurology or cardiology services? And where there is certainly no specialized, high-tech surgery?


As a result, by the end of the mandatory assignment period, we’ll have a doctor who has overcome their fear and gained experience, but is familiar only with 20th-century technology.

Emergency care for children is a separate issue: in the one-year internship program, the course in pediatric anesthesiology and intensive care is very short (unlike the lengthy European residency program). And then these specialists provide care to children—in this situation, complications and errors are inevitable.

Such is this “best practice.”

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