What is residency? How does internship differ from residency? How does residency differ from primary specialization

Internship and residency are words related to medicine, namely to medical education. If you don’t know medical professionals, it will be difficult to understand these terms alone. But, as always, we will help!

So, internship is a year-long continuation of medical education at a medical institution. She is primary. Residency is a two-year training and is considered more complete. Both options allow you to effectively apply the knowledge already acquired by a medical student in practice, and all actions of an intern or residency student are performed under the supervision of experienced personnel. However, internship alone is often not enough to achieve the desired heights in a medical career. And sometimes even an internship is required to enter residency. In general, the medical specialties that a residency focuses on, such as neurosurgery, are more complex than those that interns practice. Perhaps these are all the differences between internship and residency. In any case, in our country, medical students study for quite a long time before they start treating people on their own, which is good news.

Conclusions website

  1. Internship lasts one year, residency – two years
  2. In most cases, an internship is considered incomplete preparation; sometimes it cannot be counted towards promotion
  3. The list of specialties available for residency and internship may differ.

Final year students of medical universities and institutes often face various questions: “What is the difference between internship and residency?” or “Why does a doctor need postgraduate education at all?” Understanding this issue is quite simple.

The educational process in any higher educational institution is considered fully completed when the graduate receives an appropriate diploma confirming the level of his professional knowledge. A state-standard education document first of all indicates that a newly qualified specialist has a direct path to the labor market and vacancies.

university after graduation

However, with the graduation of students from higher medical institutions, the situation is somewhat different. Here, every graduate will have to learn the difference between internship and residency. A person who has graduated from a university, even with honors, will not immediately be allowed to make responsible decisions related to the treatment of patients.

And although it is quite possible for yesterday’s student to find a job in a clinic or hospital, he will be able to perform his medical duties only under the close attention of his supervisor, scientific advisor. This is when the next transition period from student to professional work begins - residency and internship. The difference between these two concepts is small.

The importance of completing an internship and residency

In fact, both of them are the passage of the stage of formation of individualism and independence of the doctor after receiving the diploma. In addition, this approach was enshrined at the legislative level back in 1994. The order of the Ministry of Health of the Russian Federation approved the procedure for admitting specialists to medical and pharmaceutical activities. To set out on an independent medical professional life, a university graduate must receive another important certificate - a certificate of professional aptitude, which will become a symbolic pass to independent healing.

Residency and internship (all students of medical educational institutions know what it is and look forward to going through these stages) are the main task facing certified specialists, the implementation of which is necessary to complete postgraduate education and comprehensive professional training.

More information about interns

An internship is the primary postgraduate training of accomplished young professionals, graduates of educational institutions of the highest levels of medical or pharmaceutical accreditation. Former students of specialized forms of ownership often entered internships. As a rule, internships take place in places where elements of practical training of specialists and treatment of outpatient and inpatient patients are maximally combined.

It is easier to understand what internship and residency in dentistry are with an example. This is where future dentists of the highest class undergo the final stage of their studies in the relevant areas. Having received a certificate for the right to engage in this activity, former interns can find a job in any dental clinic of private or state ownership or open their own medical institution.

Residency is...

What is the difference between internship and residency, you can find out by finding out the meaning of the second category.

Residency is also a type of specialized postgraduate training for people who have completed their studies at medical higher educational institutions. Its main focus is the desire to achieve the highest skills and abilities necessary to provide full specialized assistance at the proper level.

It turns out that postgraduate training periods include both residency and internship. The difference between the two concepts is contained in the nomenclature of specialties in the medical and pharmaceutical fields approved by order of the Minister of Health of the Russian Federation.

Differences between the two types of preparation

In more detail we can talk about the existing distinction between interns and residents, where the former are trained in basic specialties, and the latter are trained during residency and gain in-depth knowledge.

The Federal Law of the Russian Federation “On Higher and Postgraduate Professional Education” contains a provision confirming that residency and internship differ only during the postgraduate educational process. Interns and residents, increasing their qualification level, acquire the status of students of higher educational specialized institutions. In fact, they are formally equal to the status of university students.

To understand for sure what residency and internship in medicine are, you should identify the purpose of undergoing these types of training.

Features of the internship

Basically, internship training determines the professional future of a medical school graduate. An intern who has received a certificate, as a rule, continues his medical practice in municipal or private clinics, on an outpatient basis.

The main types of training that a medical university graduate undergoes in order to independently treat people include the following:

  • supervision of patients, filling out relevant documentation directly under the supervision of the internship supervisor;
  • periodic duty with subsequent presentation of a report at the morning “five-minute meeting”;
  • gaining experience in the work of diagnostic units of a medical institution, in units or intensive care.

Residency and internship (the difference does not play any role here) include the mandatory development of skills in performing medical procedures. In addition, both interns and residents need to visit scientific societies and take an active part in conferences.

Specifics of residents’ employment during training

It is worth highlighting a few more positions in which residency and internship differ. The difference lies, for example, in the fact that interns undergo a certain number of classroom lessons per year, the total number of hours of which should not exceed 120. At the same time, highly qualified residents are trained according to developed curricula.

The creation of such educational programs is mainly carried out by graduating departments. Mandatory points of the training plan are:

  • independent supervision of sick patients;
  • just like interns, residents gain a lot of medical experience in laboratory, diagnostic (ultrasound, CT, MRI, ECG, encephalography, endoscopy and many other types of examination) departments;
  • for surgical residents, the main requirement in the residency process is considered to be participation in operations;
  • participation in practical seminars.

Another feature of residency training is that some days of the week, according to the curriculum, are set aside for independent disciplinary study.

The duration of internship and residency is different. During the course of 1 year, the intern undergoes internship training, after which the intern passes exams and receives the appropriate certificate. Residents are trained for 2 years.

What is graduate school

An interesting fact is that many people still confuse what internship, residency and graduate school are. And if everything is clear with the first two terms, then not only medical graduates can enroll in graduate school after graduation. This option of postgraduate study is suitable for those who have decided to connect their future with scientific work and research in a particular field. Writing a dissertation, defending it and awarding a scientific degree of Candidate of Sciences is what successful and hardworking graduate students will ultimately receive.

Conclusion

Residency and internship have quite a lot of common points during training. What it is and why it is generally necessary to undergo postgraduate training will become clear not only to specialists and graduates of medical institutions.

In order to take responsibility for the health of patients, predict the condition of patients and timely adjust treatment, high-quality qualification training is necessary. This is why interns and residents go through a long learning curve.

Residency (clinical residency) is a stage of the multi-level structure of higher medical education in the Russian Federation. Residency is a form of continuous professional education for doctors in medical higher educational institutions and research institutions (research institutes), at medical faculties of universities, and at postgraduate institutes for doctors.

The main objective of residency is to train highly qualified specialists for independent work in health authorities and institutions or in private practice.

Persons admitted to clinical residency are clinical residents . Residency training lasts two years with a break from the main place of work. In some specific cases, depending on the specialty of training, by decision of the Ministry of Health of the Russian Federation, the period of study can be extended to five years.

Clinical residency training in our country is carried out in those specialties that are provided for by the current “Nomenclature of Medical Specialties”, curriculum and program for each specialty.

The mandatory minimum professional educational program for a specific medical specialty is established by the relevant state standard.

The training program and curricula, as a rule, are approved by the academic councils of institutions that train clinical residents.

Due to the fact that changes periodically occur in the state educational minimum standard for a professional educational program for each specialty, all training programs, as well as curricula, are reviewed every five years.

What is a targeted clinical residency?

Doctors are accepted into targeted clinical residency in accordance with the plan of the Ministry of Health of the Russian Federation or on the basis of an agreement between the institution that trains clinical residents and the institution or organization that sends a specialist for training. The selection of candidates for the target clinical residency is made by the head of the sending institution or organization.

A distinctive feature is that doctors who have completed a targeted clinical residency are required to return to the disposal of the institutions or organizations that sent them, but at the same time have the right to terminate the employment contract. As for institutions or organizations that sent doctors for training in a targeted clinical residency, at the end of the training period they are obliged to employ residents for permanent work in a specialty not lower than the position they previously held.

Internship and residency are words related to medicine, namely to medical education. What is the difference between internship and residency.

How does an internship differ from a residency?

  • Internship lasts one year, residency – two years
  • In most cases, an internship is considered incomplete preparation; sometimes it cannot be counted towards promotion
  • The list of specialties available for residency and internship may differ.

What is internship and residency?

Internship- this is the first year after graduating from a higher medical school, that is, after 6 courses. During this year, the graduate is engaged in practical activities (in various areas of medicine) under the guidance of doctors, but does not have the right to make decisions independently and is not responsible. At the end of the internship, a “Specialist Certificate” is issued, indicating the acquired specialty. After this, the person moves from the category of intern to the category of doctor and can work independently.

Residency— in-depth study, mastery of a specific specialty for two years. Other specialties are covered, but to a much lesser extent.
A resident may not necessarily be trained at a medical institution. Training can take place at the department. But the main thing is a narrow focus! That is, they prepare a specialist with a capital “S” in his field, in his specialty!
By the way, not everyone who wants to end up in residency is required to pass an exam, go through a competition, if there are more applicants than allocated places!

Residency is not mandatory, but may provide certain advantages when occupying a leadership position (head of a department, for example).

Residency is one of the stages of higher medical education. Let's look at its characteristics and features, as well as the differences from internship, with which this term is often confused.

What is residency

In its fullest meaning, clinical (or medical) residency is one of the levels of higher medical education both in the USSR and in modern Russia and the former Soviet republics. This is strictly a postgraduate education - graduates of medical universities study in residency: universities, research institutes, institutes for advanced training of doctors.

Upon completion of residency training, the graduate is issued a standard certificate, which gives him the right to independent medical practice. This document is valid only in conjunction with a university diploma.

The concept of targeted clinical residency

The difference between a targeted residency is the following: upon completion, specialists are required to continue working in the institution that sent them for training. It, in turn, must provide the health worker with the workplace specified in the contract. The specialist retains the right to terminate the employment contract with this organization.

Main tasks of residency

The main goal of residency can be formulated as follows: training highly qualified professionals for their subsequent employment in the state healthcare structure or for private medical practice.

Based on this, the two most important tasks of residency are:

  1. In-depth comprehension of clinical, methodological, medical and social areas of the medical sciences system.
  2. Development of professional skills and abilities.

Admission to residency

Both citizens of the Russian Federation with a higher medical education and foreign citizens who can confirm the presence of the necessary knowledge and skills are allowed to study in residency. Form of study - full-time, duration - 2 years. Most universities do not provide dormitory accommodation for residents. But it is important to note that the state, within the framework of legislation, provides these students with a number of benefits.

The number of budget places in residency is determined by the Ministry of Education and Science of the Russian Federation. Both Russians and foreigners who have international treaties and intergovernmental agreements giving them this right can participate in the competition. When filling competitive budget places, it is possible to undergo training on a paid basis. It is permissible to nominate both an individual and a legal entity as the payer.

Typically, such educational institutions operate on the basis of medical universities or research institutes. For example, residency in Moscow can be completed with:

  • RNIMU named after. Pirogov;
  • Russian Medical Academy of Continuing Education;
  • Peoples' Friendship University of Russia;
  • Moscow Regional Research Clinical Institute named after. Vladimirsky;
  • First Moscow State Medical University named after. Sechenov;
  • Institute of Surgery named after. Vishnevsky;
  • Scientific Center of Obstetrics, Gynecology, Perinatology named after. Kulakova;
  • Moscow Oncology Research Institute named after. P.A. Herzen;
  • Central Research Institute of Dentistry and Maxillofacial Surgery;
  • Scientific Center for Cardiovascular Surgery named after. Bakuleva;
  • Institute of Surgery named after. Vishnevsky and others.

Residency training

As already mentioned, the duration of residency training is two years. In rare cases, it can be extended to five years. State-funded residents are paid a stipend. In theory (Regulations on clinical residency of February 17, 1993), the period of residency training is included in the length of service of a physician. In practice, for example, when calculating early pensions, this is not observed.

Training is conducted according to an individual plan, which is drawn up by a qualified supervisor (usually professors, candidates and doctors of science with extensive practical experience) and approved by the head of the department where residents are trained. Form of control: passing tests, making presentations at conferences.

So, residency is:

  • practical classes, seminars;
  • clinical rounds of patients, analysis of epicrisis, analysis of medical histories;
  • participation in thematic conferences and meetings;
  • practical work with patients under the supervision of the head of the department;
  • listening to a course of lectures on fundamental, related, highly specialized disciplines.

Residency and internship

Let's touch on the main differences between these forms of training:

  1. Training time: internship lasts a year, and residency lasts two.
  2. Training in an internship is more general and easier than in a residency, where the preparation is more complete and in-depth. In some cases, an internship is a necessary step before entering residency.
  3. The areas of training for interns and residents are mostly different.
  4. Upon completion of residency, a specialist can apply for a management position.

Internship and residency are a narrowing of the profile of a specialist and thorough preparation of him in the chosen field. In both cases, the work of the physician is vigilantly monitored by his supervisor, who is responsible for the actions of the intern or resident.

According to some doctors, residency is the choice of those who are afraid to start independent practice, because this training implies minimal responsibility to patients, part-time work, and no duty. But, on the other hand, doctors who have completed residency are more highly qualified specialists who possess knowledge that interns do not have.