[The comparative analysis of professional standards of specialists with higher and secondary medical professional education].

In 2020, the Mintrud of Russia approved a number of professional standards for specialists with secondary professional medical education. The implementation of professional standards is called to actualize outdated normative base concerning functions of medical workers, including assurance of separation of labor functions and actions of physicians and medical nurses, facilitation of development of job descriptions, and minimizing number of conflicts that occur during process of work activities at personnel functions crossing. The medical organization, focusing on requirements established by professional standards, can more competently develop personnel policy, make timely changes in staff list, establish progressive remuneration system. In this regard, it is useful to learn to what extent approved professional standards facilitate solution of practical problems of medical organizations.The article presents results of comparative analysis of three pairs of professional standards for paramedical personnel and specialists with higher education in comparable specialties. Certain contradictions and inaccuracies were esnablished too.

[The problems of physicians-paramedical personnel interaction].

The problem of physicians-paramedical personnel interaction has long history. There are such reasons for misunderstanding as: actual stereotypes and arrogant attitude on the part of physicians, low assessment of medical nurse professional activities, gender inequality. The system of medical care becomes more complicated depending on advanced technologies, sophisticated specialization and disregard to human personality relations that complicates adaptation of specialists and team relationships. Therefore, it is important that all participants in patient medical care understand their individual roles and responsibilities, and realize their functions and actions affect all team members. The increasing tension within team results in decreasing in medical care quality and undermines confidence of patients to medical and paramedical personnel. These misunderstandings contribute to current shortage of nursing staff in Russia. The ways of resolving the "eternal conflict" based on national and international researchers experience are proposed.