About project

Kazan State Medical University has been implementing a residency educational program in the specialty "Internal medicine" since 2015. Residency is a form of postgraduate medical education in clinical specialties, the passage of which is one of the conditions for admission to medical practice in the United States and Western Europe. Training of specialists within the residency program is carried out using CanMEDS standards.

CanMEDS is a set of competencies developed by the Royal College of physicians and surgeons of Canada that describes the skills required by a doctor for an effective professional activity. These skills are thematically grouped into seven key "roles" of the doctor. According to CanMEDS, a qualified physician must have the competencies of all seven "roles" of the physician.

The purpose of training in residency is to prepare a highly qualified specialist with general cultural and professional competencies in accordance with the CanMEDS Standards necessary for independent professional medical activity, which is achieved through the acquisition of the necessary level of knowledge, acquisition and improvement of skills in the clinical specialty.

The duration of training under the Internal Medicine Residency Program is 4 years. Clinical training is carried out on the basis of the best clinics of Kazan (Republican clinical hospital, Interregional clinical diagnostic center, City clinical hospital №7, Clinic of medical university, Republican infectious diseases hospital, etc.).

On September 27, 2016, Tatarstan President Rustam Minnikhanov met with Director General of the Royal College of Canada E. Padmos with participation of the rector of KSMU A. S. Sozinov in Toronto (Canada). The main issues on the agenda of the meeting were the presentation and discussion of prospects for the development of the KSMU residency program.

In 2017, Kazan State Medical University became the first medical university in the CIS and Eastern Europe who received institutional accreditation of the Royal College of physicians and surgeons of Canada.

In July 2019, the Internal Medicine Residency Program of Kazan State Medical University received the status of an accredited program for a period of 4 years. This status confirms that Kazan State Medical University meets the highest international educational standards and applies the principles of continuous improvement of the quality of educational services. Accreditation of the Residency Program allows graduates of the program after passing exams to engage in medical activities in Canada and the United States.

Royal College Decision Letter

 

Clinical rotations

The goal of Internal Medicine residency training at KSMU is to guide each resident to develop his or her maximum potential and ensure they are well-trained physicians and prepared for internal medicine clinical practice or to pursue further specialty training, if interested.

KSMU internal medicine residency emphasizes training in general internal medicine by offering core base rotations at two participating hospitals and outpatient polyclinics, as well as it focuses on subspecialty training in the wards at the participating tertiary care hospitals.

 

PARTICIPATING SITES

City Hospital # 7

Republican Clinical Hospital

KMU Clinic

Interregional clinical and diagnostic center

Republican Cancer Center

Republican Infectious Disease Hospital

 

PARTICIPATING OUTPATIENT CLINICS

Polyclinic 7

Polyclinic 21

 

City Hospital # 7  https://emckzn.ru/ is one of the largest and most equipped hospitals in the city, with highly qualified specialists and advanced up-to-date medical technologies. Here, they provide medical care around the clock both inpatient and on outpatient basis. The entire diagnostic and treatment process is carried out within the same EMR system allowing consistency and continuity of care.
City hospital #7 is the clinical base for both general internal medicine rotations and a number of ICU rotations where residents learn to perform most of the required for internal medicine procedures. 
 
General internal medicine department in the city hospital #7 is one of the clinical teaching units (CTUs) for the program, where residents have a chance to observe and manage patients with multiple chronic conditions such as poorly controlled arterial hypertension, ischemic heart disease, chronic heart failure, pneumonia, bronchial asthma, COPD, anemia, CKD, liver diseases, etc. 
 
18 beds in surgical ICU for patients with trauma, neurosurgical, maxillofacial, gynecological, general and vascular surgical procedures and patients admitted with the poisoning at toxicology center requiring high-tech diagnostics and intensive treatments.
 
The department has a hemodialysis room which allows performing extracorporeal hemocorrection procedures in intensive care unit for those patients in severe or critical conditions. 
 
Medical ICU is a 12 beds ICU     https://www.emckzn.ru/departments/anesthesiology4 for patients with critical medical conditions, in particular those with decompensated CHF, arrhythmias, hepatic encephalopathy, cirrhosis, DKA and hyperglycemic coma, severe pneumonia, asthma attacks, severe exacerbations of COPD, drug poisoning, coma, severe allergic diseases (such as Stevens-Johnson syndrome), anaphylactic shock and other acute medical emergencies.
 
Cardiac ICU https://www.emckzn.ru/departments/anesthesiology3 deals with patients diagnosed with acute coronary syndrome, in particular myocardial infarction, providing whole spectrum of diagnostics and treatment procedures including planned and acute coronary angiography and percutaneous coronary interventions, management of patients with cardiogenic shock and respiratory failure (mechanical ventilation, intra-aortic balloon counterpulsation), treatment of pulmonary embolism.
 
Neurology department provids diagnostics and clinical care services to patients with both acute (with 12-beds neurological ICU called “Stroke center”) and chronic neurological and chronic degenerative muscular-skeletal conditions at a 48-beds neurology ward. Affiliated with neurology department, an early stroke rehabilitation center is a part of continuity care for patients with acute neurological emergencies.
 
 
 
Republican Clinical Hospital(RCH)  http://en.rkbrt.ru/ is a tertiary level multidisciplinary facility with highly specialized medical care comprised of 13 diagnostic departments and 36 clinical and surgical departments (wards), trauma center and a perinatal center as well as an outpatient polyclinic with specialty consultative services. The Republican Clinical Hospital provides the most advanced diagnostic and medical care services not only to population of the Republic of Tatarstan, but also from other regions. Every year more than 40,000 patients receive in-patient care, more than 30,000 surgical operations, about 250,000 outpatient visits are made at the consultative polyclinic; and more than 5 thousand births are performed at the perinatal center.

The medical care at the RCH http://rkbrt.ru/sluzhby/terapevticheskaya-sluzhba/ is represented by a wide range of specialized inpatient departments such as cardiology and arrhythmology departments, hematology, gastroenterology, pulmonology, nephrology, endocrinology, neurology acute cerebrovascular center.  

The departments of internal medicine adopted latest diagnostic technologies and treatment methods. The Hospital also has an outpatient hemodialysis unit and a machines for therapeutic plasmapheresis.

During their training at the specialty departments and while rotating at the RCH emergency department, which admits more than 300 patients daily, our residents have great exposure to a wide spectrum of patient population with complex patients and rare medical conditions, are involved in complex diagnostic and treatment decisions and together with specialists provide consultative services within the Hospital including ICU.

 

Kazan State Medical University Clinic “KMU Clinic” https://zdrav.tatar.ru/kmu/about is one of the oldest health care facilities in the Republic of Tatarstan, with great history of clinical practice and medical training that took place during the 19th and 20th centuries. 

Today, the Clinic is a newly renovated 300-beds community-based facility with 2/3 of its capacity allocated to OB/GYN and surgical wards and only 1/3 to general internal medicine beds serving about 100,000 patients locally. The facility is a part of health care network but is currently lacking advanced imaging diagnostic equipment (CT scan, MRI) which forces residents to make their health care decisions in the resource-limited environment. During their clinical rotations at the CTU unit or at the emergency department, residents have an excellent exposure to patients with wide spectrum of chronic medical conditions. Additionally, they provide consultative services to the patients hospitalized at other departments within the Clinic.