Medical Work

Therapeutic work is carried out by the departments of the Federal State Budgetary Educational Institution of Higher Education “Astrakhan State Medical University” of the Ministry of Health of Russia both at the main clinical bases, medical and preventive institutions of the city of Astrakhan and the Astrakhan region, and at the University Clinic of the University.

In organizing medical work, the university relies on current legislation, regulations of the Ministry of Health of Russia, the Ministry of Education and Science of Russia, and regional regulations:

• Federal Law No. 323-FZ “On the Fundamentals of Health Protection of Citizens in the Russian Federation” dated 21.11.2011.
• Federal Law No. 273-FZ “On Education in the Russian Federation” dated 29.12.2012.
• Order of the Government of the Russian Federation of 28.12.2012 N 2580-r “On approval of the Strategy for the development of medical science in the Russian Federation for the period up to 2025”
• Resolution of the Government of the Russian Federation of 26.12.2017 N 1640 (as amended on 18.09.2023) “On approval of the state program of the Russian Federation “Healthcare Development”
• Resolution of the Government of the Russian Federation of 16.04.2012 No. 291 “On licensing of medical activities”
• Order of the Ministry of Health of Russia dated 19.08.2021 N 866n “On approval of the classifier of works (services) constituting medical activity” (Registered in the Ministry of Justice of Russia on 31.08.2021 N 64810) 
• Order of the Government of the Astrakhan Region No. 385-Pr dated 17.09.2010
• Order of the Ministry of Health of the Astrakhan Region dated 10.10.2012 No. 524r “On the organization of the educational process of clinical departments at the bases of state healthcare institutions of the Astrakhan Region”
• Order No. 435n of 30.06.2016 “On approval of the standard form of the agreement on the organization of practical training of students, concluded between an educational or scientific organization and a medical organization or an organization engaged in the production of medicines, an organization engaged in the production and manufacture of medical devices, pharmacy organizations, a forensic institution or other organization operating in the field of health care”

The main areas of interaction between the university and healthcare institutions are the following:

1. Providing the region’s population with highly qualified medical care:
   • medical and advisory assistance
   • clinical expert work,
   • introduction of modern treatment methods and technologies into healthcare practice
2. Training of medical personnel for regional healthcare:
   • at the stage of secondary vocational education;
   • at the stage of higher professional education;
   • at the stage of training highly qualified personnel (residency).
3. Continuous postgraduate education of doctors through professional retraining and improvement programs.

Astrakhan State Medical University provides a high level of consultative, diagnostic and therapeutic activities, which are carried out in close cooperation between clinical departments and medical institutions of the city and region.

In addition, Astrakhan State Medical University has signed cooperation agreements with federal and departmental healthcare institutions located in Astrakhan: Federal Center for Cardiovascular Surgery of Astrakhan, Astrakhan Anti-Plague Station of the Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing, Branch No. 3 of the Federal State Budgetary Institution 413 Military Hospital of the Ministry of Defense of the Russian Federation, Administration of the Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing in the Arkhangelsk Region, Tinaki Rehabilitation Center of the Social Insurance Fund of the Russian Federation, Medical and Sanitary Unit, a private healthcare institution serving the staff of Gazpromdobycha-Astrakhan, South Regional Clinical Hospital of the Federal Medical and Biological Agency of Russia, Russian Railways Clinical Hospital of Astrakhan, and a number of private healthcare institutions.

In the last decade, medical and preventive institutions of the city of Astrakhan have been equipped with the latest medical and diagnostic equipment, newly built medical buildings have been put into operation, providing excellent opportunities for students to master the most modern medical and diagnostic methods. It is important to note that the largest hospitals (State Healthcare Institution of the Astrakhan Region Astrakhan Regional Clinical Hospital and State Healthcare Institution of the Astrakhan Region City Clinical Hospital No. 3 named after S.M. Kirov) have separate educational buildings that optimize the process of mastering theoretical knowledge and practical skills by students, and it is planned to create additional simulation centers at these clinical sites.

In the joint work of clinical departments and health care institutions, plans and reports are prepared annually detailing the tasks for each department:

• medical work with patient management, consultations, diagnostic aids, surgical interventions.
• scheduled visits by heads of departments, associate professors in assigned departments, review of case histories, participation in the work of the LCC, KILI.
• development of new methods of diagnosis, treatment and rehabilitation of patients and the implementation of scientific developments into practice.
• organization of scientific and practical conferences for doctors and employees of the academy and other scientific institutions, management of scientific work among practicing doctors, training of candidates and doctors of science.
• training of specialists through internship, residency, and programs for additional professional education of doctors.
• recruitment of clinical department staff as part-time chief specialists of the Ministry of Health of the Astrakhan Region.

In total, about 6,000 treatment beds are used in the educational process for various profiles of medical care in all studied specialties.

The chief physicians of the base hospitals are members of the Academic Council of the Astrakhan State Medical University and faculty councils.

The medical work is based on the concluded agreements on joint activities with subordinate institutions of the Ministry of the Astrakhan Region, other departmental and federal institutions located in the city of Astrakhan, where the bases of clinical departments are located. In particular, in accordance with the Order of the Ministry of Health of the Astrakhan Region, the departments are distributed among medical institutions in accordance with the bed fund:

In addition, assistance in medical work at basic healthcare institutions is provided as part of the internship of students and residents. Students’ industrial practice is carried out on the basis of agreements on the industrial practice of students, interns and residents. The standard form of agreements is established by: Order of the Ministry of Health of the Astrakhan Region dated 10.10.2012 No. 524r “On the organization of the educational process of clinical departments on the basis of state healthcare institutions of the Astrakhan Region”, Order No. 435n dated June 30, 2016 “On approval of the standard form of the agreement on the organization of practical training of students concluded between an educational or scientific organization and a medical organization or an organization engaged in the production of medicines, an organization engaged in the production and manufacture of medical devices, pharmacy organizations, a forensic institution or another organization operating in the field of health protection”

Therapeutic work is carried out by the staff of the clinical departments in accordance with the staffing schedule (part-time in the healthcare facility) and individual civil law contracts. All employees involved in the treatment work have specialist certificates in the relevant profiles of treatment activities.

The teaching staff of the clinical departments (full-time) consists of 273 teachers, 81% of whom have academic degrees, including 70 professors and doctors of medical sciences, 144 associate professors and candidates of medical sciences.

Among the university’s teachers are 39 chief freelance experts of the Ministry of Health of the AO. In addition, 183 doctors from clinical sites are involved in the teaching process.