Since 2016, the provision of public medical institutions with obstetricians and gynecologists in Russia has decreased from 91 to 86.2%. The staffing situation in the obstetric service is not improving, since up to 30% of university graduates do not work in their specialty in the first three years after completing their studies, the head of the department of obstetrics and gynecology reported on November 20 Russian Medical Academy of Continuing Professional Education (RMANPO) Natalia Podzolkova at the round table “Increasing the availability of innovative medical technologies in the interests of mothers and children” in the Federation Council, reports the MV correspondent.
“The main reason is they don’t see the future. This is quite hard work with low wages. A long period of adaptation to work forces people to look for additional sources of income. Specialists, including our department staff, are forced to work two or three jobs, which does not add to their enthusiasm. The second point: there is a problem with professional burnout,” Podzolkova explained.
The problem of emotional burnout is relevant for most medical specialties, but in obstetrics and gynecology it is especially acute, the expert believes. According to official statistics, we have more than 44 thousand obstetricians and gynecologists. The deficit is estimated at 7,795 people. At the same time, up to 30% of workers in the industry are women over 55 years old, Podzolkova noted.
There is a problem of shortage of pediatric gynecologists and pediatric urologists. “Perhaps it makes sense to target graduates graduating from pediatric faculties as pediatric gynecologists and urologists. They can become obstetricians-gynecologists after completing the appropriate two-year training. Maybe it’s worth discussing this with the Ministry of Health,” the expert suggested.
As the deputy head of Roszdravnadzor said Irina Seregina, experienced doctors, as a rule, go to private clinics, the number of which in some regions exceeds the number of public clinics by three to five times. “Of course, we are losing doctors. So far, no mechanism has been found to prevent doctors from leaving for what they consider to be better conditions,” she admitted.
|The system of regional medical organizations in Russia includes more than 1.5 thousand obstetric hospitals. More than 100 thousand specialists work in medical institutions of the obstetric system, including 44 thousand obstetricians and gynecologists, 6 thousand neonatologists and 52 thousand midwives. In 2023, the National Medical Research Center for Obstetrics, Gynecology and Perinatology estimated the shortage of necessary specialists at 8.1 thousand obstetricians. The shortage of neonatologists was estimated at 3.6 thousand.
Previously Deputy Minister of Health Tatiana Semenova stated that there is no actual shortage of doctors in Russia. She believes that the reasons for the lack of employees in the staffing lists of medical organizations are imbalances in the distribution of specialists between territories and the outflow of personnel to private clinics.