Pre-forum — May 18, Forum — May 19–21, 2020, Moscow,
SKK “Podmoskovye,” “Marfinsky” sanatorium of the Ministry of Defense of the Russian Federation

With the support of: • Federation Council of the Federal Assembly of the Russian Federation • State Duma of the Federal Assembly of the Russian Federation • Administration of the President of the Russian Federation • Russian Academy of Sciences • Ministry of Health of the Russian Federation • Ministry of Defense of the Russian Federation • National Medical Research Center for Rehabilitation and Balneology of the Russian Ministry of Health • Federal Agency Rostourism • Federation of Independent Trade Unions of Russia • National Resort Association • Russian Union of Tourism Industry • All-Russian Public Organization “Russian Society of Physicians of Restorative Medicine, Medical Rehabilitation, Balneologists and Physiotherapists” • International University of Restorative Medicine • Moscow Scientific and Practical Center for Medical Rehabilitation, Restorative and Sports Medicine of the Department of Health of Moscow • World Federation of Hydrotherapy and Climatotherapy (FEMTEC)

IN THE FORUM PROGRAM:

XX INTERNATIONAL SCIENTIFIC CONGRESS
“The strategic importance of Russia’s resorts in preserving and restoring the health of the population”

Scientific and practical sections (round tables, plenary sessions, symposia, seminars, lectures, master classes, training sessions): The importance of the spa and resort complex in preserving the nation’s health; the development strategy of the spa and resort complex of the Russian Federation, the role of the spa and resort complex in the development of medical tourism exports, the effectiveness of spa and resort health improvement; the economic significance of disease prevention; staged restorative treatment and medical rehabilitation: follow-up care — tasks and prospects, interdepartmental cooperation • Investment opportunities in the spa and resort industry in the regions • Organizational and legal forms of development and effective management of Russia’s spa and resort industry, the main stages of forming an innovative development strategy for spa, resort, and health-improvement enterprises • Restorative and resort medicine, medical rehabilitation, sports medicine: achievements, prospects, global trends, technologies, equipment • Training and retraining of personnel in the field of medical rehabilitation, health improvement, restorative and resort medicine, service, hospitality • Modern health-improving technologies: spa, wellness, fitness technologies, global anti-aging trends, medical and health tourism • Business context for the development of the resort industry in the Russian Federation: international experience and globalization, development strategies, ways to improve efficiency, business process management, specific features of the spa and resort complex as an object of management • Client-centered approach in balneology and restorative medicine: marketing and advertising, service, nutrition, leisure, consulting, medical management.

 

ALL-RUSSIAN EXHIBITION OF ACHIEVEMENTS OF THE SPA AND RESORT INDUSTRY
“Natural therapeutic factors, health-improvement methods, treatment and rehabilitation in spa and resort organizations”

Mineral waters, therapeutic muds • Diagnostic, therapeutic and auxiliary equipment • Physiotherapy • Equipment and technologies for climatotherapy, balneotherapy, and mud therapy • Massage • Exercise equipment and inventory • Thermotherapy (baths, saunas) • Reflexotherapy • Mechanotherapy • Therapeutic physical training • Manual therapy and traditional medical technologies • Therapeutic and preventive nutrition • Anti-age technologies and products • Cosmetology and aesthetic medicine • Spa and wellness • Resource-saving and environmentally friendly technologies • Technologies for promoting a healthy lifestyle • Equipping sanatoriums • Dietary supplements • Information technologies • Beach equipment • Furniture • Swimming pools • Gymnasiums • Food service equipment • Clothing • Promotion technologies • Transportation • Sale of vouchers • Medical and social insurance • Design, construction and landscaping of sanatoriums • Medical management and marketing • Technological design • Training and retraining of personnel • Consulting • Medical and resort literature.

In implementation of the goals set by the President of Russia to increase the duration of the population’s healthy, active, fulfilling life, the Anniversary All-Russian Forum “Zdravnitsa-2020” will continue the long-standing flagship tradition of joint work, exchange of scientific and practical achievements, solutions, innovations and ideas of the scientific and practical community of the spa and resort industry, and the promotion of the need for health improvement and treatment of citizens at resorts in order to maintain health and active longevity.

The CERTIFICATE AWARD CEREMONY will be held for participants of the System for Evaluating Spa and Resort Organizations with the assignment of NCA and Europespamed quality categories.

CONTEST OF THE ALL-RUSSIAN FORUM EXHIBITION “ZDRAVNITSA-2020” — winners of the competition among exhibition participants in each nomination will be awarded the “Gold” and “Silver” Medals of the All-Russian Forum “Zdravnitsa-2020,” Diplomas, and Special Prizes.

Educational programs:

For medical professionals — provision of continuous medical education: training events with the issuance of numbered certificates (containing ICP) of the Ministry of Health of the Russian Federation, confirming the accumulation of educational points (credits); short-term 12- and 18-hour continuing education cycles with the issuance of standard certificates within the scientific congress.

For specialists — The NKA Business Club, together with partners, is holding a series of business trainings, business seminars, practical workshops, and master classes “Business Lessons for Owners and Managers of Sanatorium and Resort Organizations.”

For children — fostering a culture of health preservation: an interactive educational event “School of Young Balneologists,” within which children will, in a game-based format, receive information about the therapeutic and wellness potential of resorts, the history of the development of the sanatorium and resort industry, and will present a project on the topic: “The Resort of My Dreams.”

Forum Directorate “Zdravnitsa”
http://rumed.ru • +7(495)621-40-26 • forum-2010@mail.ru • 105062, Moscow, Furmannyy Pereulok, 8, bldg. 2

Medicine is philosophy.

A medical scientist is called a Doctor of Philosophy. Medicine is a system of views on disease.
There are hundreds of thousands of diseases, and the number of their combinations is endless.
The laws of disease differ from the laws of physics.
They do not fit into graphs and formulas. They cannot be described by a mathematical model or calculated even on the most powerful processor.

In the laws of disease, there are exactly as many rules as exceptions, and the exceptions are so significant that they have their own rules.
Any third-year medical student knows that a heart attack can present like pneumonia, appendicitis like the flu, the flu like appendicitis, and gastritis like a heart attack, and that all these ailments can have a blurred or completely “silent” clinical picture.

The laws of disease are not easy to fit into computer programs and clinical protocols.

Medicine is a field of knowledge in which the patterns of diagnoses are brazenly violated by atypical symptoms, and disease outcomes are often unpredictable.

Anything is possible here.

In medical science, a fact is considered statistically reliable and proven at a five percent error rate. What does this mean? It means that even the most serious scientific evidence provides only a 95% probability of a correct diagnosis and treatment outcome.

So, conclusion number one.

A medical diagnosis and prognosis are never 100% accurate. Never.
Next — pay attention. In our advanced world, neither super-duper internet, nor a Japanese-super-Japanese robot android, nor a mega-nuclear-super-nuclear tomograph will diagnose you if your stomach hurts. Or your head.

Even if you are capable of automating and subjecting your whole life to technologies and algorithms, a living person in a slightly rumpled lab coat will make the diagnosis.
And that diagnosis will have — at best — ninety-five percent accuracy.

So, the diagnosis is made by a doctor. As it was a couple of hundred years ago, in fact.
And that is conclusion number two.

Third. No doctor in the world is interested in complications or the death of their patient. Period. We accept the third point as an axiom and move on.

So, 95% of diseases have a typical course: the symptoms are known, the tactics are worked out and prescribed by protocols: sore throat — antibiotic, peritonitis — laparotomy and antibiotic, bleeding — cesarean section. Or craniotomy. Depending on what hurts.

The outcome of treatment is predictable… again, about 95%.
So, fourth. In most cases, doctors treat you with confidence in the outcome.

Fifth — those same five percent, damn them.

Atypical, damn it, symptoms or a “blurred clinical picture”.
An unexpected course of the disease or surgery. Or labor. A rare reaction to treatment.

An unexpected combination of several diseases. It is in such situations that standard protocols do not work, and the doctor makes the decision practically alone.

Switches the arrow — at the invisible fork in the road of your fate.

Decides — operate or treat conservatively.
Take the baby to the operating table — or not.
Do a C-section or wait.
Remove an organ affected by a tumor, or preserve it; remove a hypotonic uterus or take the risk and not remove it.
Hospitalize the child — or leave him at home.
Whether to go for a repeat surgery, whether to prescribe thrombolysis, and whether to bypass the brain.
In many such cases, the risk of intervention is almost equal to the risk of no intervention.
Sometimes you have a couple of days to make a decision, sometimes one night, sometimes a few seconds.

And then he decides.
— is surgery needed for the child?
— there are anesthesia risks, intraoperative risks …
— fetal intrauterine death — or a cesarean scar …
— organ defect — or distant late metastases…
— complications of irrational antibiotic therapy or a progressive septic process…
— risk of contamination by a hospital-acquired infection…
— risk of a lightning-fast course of the disease…

Risks, risks, risks…

And yes. Any treatment is costly.

You may be surprised, but all this calculation, all the weighing, comparisons, and prognosis estimates, all the binary choices in such cases are based on a completely ephemeral substance: the doctor’s intuition and experience.

On some mystical trinkets from the magician’s box, in short.
Believe me, that is how decisions are made in the most difficult cases: in-tu-i-tive-ly.

By eye. Heads or tails. Sink or swim.

And if, for example, you happen to be among those five percent, consider that both sides got unlucky here: you and your doctor.

Unfortunately, the math here is different: fifty-fifty.
If the doctor draws the wrong card, that is what is called a medical error.

It is precisely at this point, at the crossroads, that the doctor takes responsibility for the decision.

Well, if the risks were equal from the start, it turns out the doctor will more often be wrong. And will come under a barrage of accusations, under a hail of criticism. “You should have acted differently!” — they will shout at him on the internet, on television, or at a medical staff meeting.

Now imagine what it is like to make a decision at such a moment. Try it, make it. Make a choice. With adrenaline, with a sweaty forehead. Next to asystole, next to clinical death. With a fist on the aorta. With three-tiered profanity echoing in the operating room. With sleeplessness, with tachycardia at the doors of intensive care. With sunken eyes. With a burden for the rest of your life.

Imagined it? Exactly.

The main conclusion. To blame a doctor for an error in a decision made at such a cost means to kill the profession completely. To make all this experience meaningless.

Protect doctors.

The younger generation is not going to be lured into medicine anyway.
Looking at the current witch hunt, soon no one will want to stand there with you — at the key crossroads of your lifelines.
Everyone will go into IT and web design. Or cosmetology.

With smooth skin, you will sit at the computer and be treated on the internet. On beautiful websites.

Unfortunately, I understand what kind of typhoon we are in…. I have long wanted to somehow summarize all the hopelessness of medical practice in our country, but there was neither enough time nor experience for such a deep analysis…. Try to make a mistake—both the patient and your colleagues will tear you apart….
And how many cases of gross error, up to and including postoperative fatality, have there been in Germany, Israel, the UAE, South Korea….. I have several such cases in the much-praised England and the USA…. and what is most humiliating is the silence toward them… well, as if they did everything… they are Divine…
And it is also upsetting when people spend insane amounts of money on checkups abroad and, returning here, ask to review the studies performed….. of course, without payment….
Moreover, our consultations cost a pittance compared with the opinion of a Foreign Doctor… who did not even touch the patient……
In the past, performers were in the role of jesters at courts. Doctors, however, were considered a very privileged estate! And now the jesters are us…..- those who work and live for our people!
Be sure to send this article to people who value the white coat, to your colleagues and grateful patients…. let them learn about the worsening attitude toward us and our life-saving profession.

Leonid Roshal

source: http://www.noav.ru/?p=7749

The annual All-Russian forum “Zdravnitsa-2018” was held in Kislovodsk.

You can ознакомиться with the forum materials below.

On October 30, 31, and November 1, 2017, the congress “RUSSIAN HEALTHCARE TODAY: PROBLEMS AND SOLUTIONS” was held in Moscow, within the framework of which the conference “RESORT MEDICINE” was conducted.

Chairman – President of the All-Russian Public Organization “Russian Society of Doctors of Restorative Medicine, Medical Rehabilitation, Balneology, and Physiotherapy” A. N. Razumov

Members of the presidium – Deputy Director of the Department of Organization of Medical Care and Sanatorium and Resort Affairs E. A. Safronova

Topics for discussion:

• State strategy for the development of the sanatorium and resort complex of the Russian Federation – E. A. Safronova
• Legislative and regulatory acts as the basis for the investment attractiveness of the sanatorium and resort complex of the Russian Federation – A. N. Razumov
• On the necessary measures to increase the investment attractiveness of the sanatorium and resort industry of the Russian Federation – N. A. Murashko
• Belokurikha Resort: problems and development prospects – S. K. Krivoruchenko
• The system for evaluating resorts by the professional community – recommended by the National Resort Association – M. E. Kurgin
• Model for the development of a sanatorium and resort institution in private medicine using the example of JSC “Medsi Group of Companies” – E. V. Gusakova
• Training personnel in the sanatorium and resort industry – E. A. Turova

 

 

 

Your opinion is very important!

 

Assessment of the draft law on protecting doctors, adopted by the State Duma in the first reading on June 16, 2017
The National Medical Chamber has been promoting the draft law on protecting doctors for a long time. As early as last October, together with experts from the All-Russian State University of Justice (RPA of the Ministry of Justice of Russia), the draft “On Amendments and Additions to the Criminal Code of the Russian Federation and the Criminal Procedure Code of the Russian Federation” was prepared. It was submitted to the Ministry of Health of the Russian Federation.

In this draft law, a fundamentally new approach to strengthening liability for causing harm to the life and health of a medical worker was proposed — the introduction of a separate legislative provision. Unlike other draft laws presented at that time, the Chamber’s experts proceeded precisely from the criterion of the social significance of the medical profession, since as a result of causing harm to the life and health of a medical worker, not only the worker suffers, but also patients who are left without the ability to promptly receive medical care.

According to the experts of the National Medical Chamber, it was precisely the social significance of the medical profession, as well as the high importance of the sector for the country’s national security, that necessitated serious changes to the Criminal Code of the Russian Federation. The Ministry of Health supported this initiative of the professional community. The proposed penalties for causing harm to medical workers were very severe. Thus, for using violence dangerous to the life or health of medical workers, it was proposed to punish by imprisonment for up to ten years. And for encroachment on the life of a medical worker in connection with the performance of professional duties in providing medical care, it was proposed to punish by imprisonment for a term of twelve to twenty years with restriction of liberty for up to two years, or life imprisonment. You can ознакомиться with the NMP draft law at the link.
Such an approach was not accepted by lawmakers. On June 16, 2017, the variant of the draft law prepared by Deputy Speaker of the State Duma Irina Yarovaya and Chairman of the State Duma Committee on Health Protection Dmitry Morozov was adopted in the first reading . In it, the deputies propose to include in the Criminal Code of the Russian Federation a provision on the criminal liability of persons who obstruct medical workers from providing assistance to patients — Article 124-1.
To form the position of the medical community on this draft law, we ask you to review it and give your assessment.
You may also ознакомиться with the objections and proposals of the NMP experts.

Your opinion is very important!

Sincerely,
NMP Information Service

P.S. You can opt out of receiving this mailing in your personal account on the NMP website http://www.nacmedpalata.ru or simply by writing to us about it.

In Saint Petersburg, at the initiative of the Association of Honored Doctors of Russia, the Social Platform of the United Russia Party, and the office of the Plenipotentiary Representative of the President of Russia in the Northwestern Federal District (NWFD), a strategic project session of Honored Doctors of the Russian Federation was held in the Northwestern Federal District.

About 200 Honored Doctors of Russia from 11 constituent entities of the Russian Federation included in the NWFD took part in the session. This event is a continuation of the session for the Central Federal District, held in November 2016 in Moscow, and a stage of preparation for the All-Russian Congress of Honored Doctors of the Russian Federation in February 2018.

Valery Buzin, Deputy Director of the Department of Public Health and Communications, addressed the participants with a welcoming speech. He noted the enormous contribution of honored doctors to the development of modern healthcare. “Health is the greatest treasure, without which a happy and fulfilling life is impossible, which is why your work has always been and remains in demand and respected. A person has nothing more valuable than life and health, and all healthcare workers bear enormous responsibility for every resident of the country,” he said.

The event was attended by the Rector of the First St. Petersburg State Medical University named after Academician I.P. Pavlov, S.F. Bagnenko, and the President of the Research Institute of Emergency Pediatric Surgery and Traumatology, L.M. Roshal, as well as O.A. Romanova, Deputy Chair of the Coordinating Council of the Social Platform of the United Russia Party and Chair of the Commission on Quality of Life and Health Protection of the Social Platform of the United Russia Party.

http://www.rehabcongress.ru

 

 

DEAR COLLEAGUES!

We invite you to take part in the III International Congress and Exhibition “Physiotherapy. Therapeutic Exercise. Rehabilitation. Sports Medicine”, which will be held on October 23-24, 2017 at the ZIL Cultural Center (Moscow, 4k1 Vostochnaya St.).

We invite specialists in the fields of physiotherapy, therapeutic exercise, manual therapy, pediatrics, traumatology, orthopedics, surgery, rheumatology, balneology, medical rehabilitation, and sports medicine to participate.

CONGRESS ORGANIZERS:

– All-Russian Public Organization “Russian Society of Physicians of Restorative Medicine, Medical Rehabilitation, Balneologists and Physiotherapists”

– Autonomous Non-Profit Organization International University of Restorative Medicine

– State Autonomous Healthcare Institution Moscow Scientific and Practical Center for Medical Rehabilitation, Restorative and Sports Medicine of the Moscow Health Department.

AMONG THE KEY SPEAKERS OF THE CONGRESS:

Razumov Alexander Nikolayevich – Academician of the Russian Academy of Sciences, President of the All-Russian Public Organization “Russian Society of Physicians of Restorative Medicine, Medical Rehabilitation, Balneologists and Physiotherapists,” Honored Scientist of the Russian Federation, Laureate of the Russian Federation Government Prize, Professor.

Ponomarenko Gennady Nikolayevich – Chief Physiotherapist of the Ministry of Defense of the Russian Federation, Head of the Department of Balneology and Physiotherapy (with a course in Medical Rehabilitation) at the S.M. Kirov Military Medical Academy, Professor.

Turova Elena Arnoldovna – Chair of the Board of the All-Russian Public Organization “Russian Society of Physicians of Restorative Medicine, Medical Rehabilitation, Balneologists and Physiotherapists,” Professor.

Kulikov Alexander Gennadyevich – Vice President of the All-Russian Public Organization “Russian Society of Physicians of Restorative Medicine, Medical Rehabilitation, Balneologists and Physiotherapists,” Vice-Rector for Research, Head of the Department of Physical Therapy, Sports Medicine and Medical Rehabilitation of the Russian Medical Academy of Postgraduate Education of the Ministry of Health of the Russian Federation, Professor.

Kochetkov Andrey Vasilyevich – Chief Freelance Specialist-Expert in Medical Rehabilitation of the Federal Medical-Biological Agency of Russia, Deputy Chief Physician of the Federal State Budgetary Healthcare Institution “Central Clinical Hospital for Restorative Treatment of the Federal Medical-Biological Agency” of Russia for Science and New Medical Technologies, Professor.

As part of the Congress, an exhibition will be held, where the latest achievements in the field of physio-balneotherapy, therapeutic exercise, restorative and sports medicine, rehabilitation, and new professional literature will be presented.

The Congress will be accredited in the continuing medical education system with the awarding of credit points.

Technical organizer of the congress – MBS Agency.

 For questions regarding participation in the congress, please contact the organizing committee:

Natalia Lomonosova| n.lomonosova@mb–solutions.ru | 8 499 500 9396 | 8 926 696 8860 | www.event-mbs