The Department of Pulmonology of the FPC and the Faculty was established in 2013. The Department of Pulmonology of the FPC and the Faculty was founded in September 2013. The need to create a new department was the need to increase the level of training of pulmonologists due to the increase in morbidity and mortality from respiratory diseases both in the Russian Federation and in the Krasnodar Territory over the past 10 years, as well as the motivation for the creation of the department were the existing organizational and methodological problems of prevention and follow-up of patients, suffering from lung diseases in the Krasnodar Territory. The department has 3 main areas – pulmonology, phthisiology and dietetics. The prerequisites for the emergence of an urgent need were the mid-80s in Russia, which was characterized by the rapid development of pulmonology, which led to the organization of the Russian Society of Pulmonologists, whose founding conference was held in 1986 in Ryazan. Until that time, all issues of the so-called “non-specific” (i.e. non-tuberculous) lung diseases were solved by therapists. Now there is an opportunity for deep learning about specialized medical care for patients with acute and chronic lung diseases, congenital respiratory diseases, and hereditary respiratory diseases. This decision gave a tremendous impetus to a new round of development of pulmonological science in our region. The Pulmonology Department is based on the Pulmonology department of the KKB No. 1, established in 1973. The head of the department is L.V. Shulzhenko. – Chief freelance therapist, Chief freelance pulmonologist of the Ministry of Health of the Russian Federation, Doctor of Medical Sciences, Professor of the Department of Pulmonology of the FPC and Faculty of the Federal State Budgetary Educational Institution of Higher Medical Education of the Ministry of Health of the Russian Federation. The department employs: teaching staff – 6 people (3 rates including 0.5 rates of the head of the department), of which – 2 doctors of medical sciences, 1 associate professor. The department employs Doctor of Medical Sciences, Professor Elena Valentinovna Bolotova, Associate Professor – Candidate of Medical Sciences – phthisiologist Shapovalova Tatyana Vladimirovna, assistants: Kadyrova L.M. – chief freelance nutritionist of the Ministry of Health of the CC, Antinyan A.E., Bozhko O.V. – doctors of the Department of Pulmonology, Bosak N.V. – chief physician of MBUZ KGK BSMP Krasnodar. The average age of employees is 43 years. All doctors of medical sciences, associate professor and assistants of the department have a certificate in pedagogy. The range of scientific interests of the department under the leadership of MD Shulzhenko L.V. is wide and includes problems of interstitial lung diseases, pulmonary vasculitis, lung lesions in DBST, granulomatous lung diseases, sarcoidosis, obstructive pulmonary diseases, infectious lung diseases, as well as the development of new methodological approaches to the treatment of respiratory diseases. Since its foundation, the Department has been actively involved in maintaining online registries of patients with idiopathic pulmonary fibrosis and patients with severe asthma. The results of the conducted research are regularly reported at conferences, congresses of the Russian Respiratory Society and the European Respiratory Society, as well as in the periodical press. The scientific and pedagogical reserve of the department is a young specialist studying in graduate school – M.V. Kolpakov. The department trains pulmonologists, phthisiologists, nutritionists, internists on advanced training cycles, as well as doctors admitted to professional retraining in the specialties “pulmonology”, “phthisiology”, “dietetics”. Cadets have been trained at the department since 2014 according to the educational standard FGOS – 3 in the disciplines of “pulmonology”, “phthisiology”, “dietetics”. According to the new educational standard FGOS – 3, work programs and curriculum have been developed in disciplines that meet regulatory requirements. Each topic of the studied disciplines is provided with methodological recommendations for cadets, teachers and independent work, multimedia lectures and presentations prepared by the staff of the department, literature from the library of the Federal State Budgetary Educational Institution of Higher Education of the Ministry of Health of the Russian Federation, as well as information accumulated on a local computer network server. For 5 years Since the establishment of the department, a database of visual materials has been created and is constantly being updated, used to develop practical skills for cadets according to the “Know. Be able to. Own it.” The department has created a video archive that allows cadets to master practical skills in image diagnostics necessary for the work of a pulmonologist and a phthisiologist (more than 100 cases).
A database of laboratory and paraclinical research results in patients with various respiratory pathologies has been prepared, which helps students develop basic practical skills as part of a professional retraining and advanced training program in the specialty “pulmonology” (the “library” of paraclinical analyses currently includes 110 examples and is constantly being updated). The existence of such a database makes it possible to prepare cadets for the accreditation exam in the specialty “pulmonology”. In 2013, the staff of the Department of Pulmonology of the FPC and the Faculty compiled test assignments for pulmonologists applying for a qualification category in the specialty “pulmonology”, who are employees of medical universities in the Southern Federal District. In total, 3 sets of test questions have been created, ranked by degree of difficulty and intended for passing the qualification exam for assignment of II, III and higher categories, these test questions are included in the educational process in the discipline “Pulmonology”. Much attention is paid at the department to the training of clinical residents: from the first days of their stay at the clinic, young doctors are immersed in real practical work with the most difficult contingent of patients. Every year, the department graduates 20-30 graduates who have completed primary specialization in the fields of therapy, pulmonology, phthisiology, dietetics, 120-150 district therapists who improve their skills within the framework of the national Health project, 50-80 internists working in hospitals. The staff of the department also conducts extensive pedagogical work with pulmonologists and therapists from many territories of the region in the form of field seminars and clinical reviews devoted to relevant sections of modern pulmonology. Since 2014, GBUZ KKB No. 1 has been holding the title of a scientific research institute. In 2015, the Institute established a scientific and organizational department, organized the work of 14 scientific departments in the main specialized areas of medicine. Professor L.V. Shulzhenko, MD, is the head of the Department of Therapy. Realizing the importance of the development of pulmonology, due to the sharp increase in acute cases of pulmonological diseases with an unfavorable outcome, the leadership of the Research Institute has taken enormous steps to equip the department of pulmonology, to develop a diagnostic unit, the level of training of doctors and the development of new, comprehensive and treatment methods. The staff of the department carry out extensive medical work in the new conditions at KKB No. 1: rounds in the basic departments, interdepartmental and inter-hospital consultations; participation in the work of the mortality commission, reviewing medical records of patients, including at the request of the regional forensic and medical-social expertise. The most unique difference of the department, which is based on the territory of a successfully developing department, is full-fledged cooperation with all departments of a multidisciplinary research institute, because often the roots of one disease lie in completely different organs and systems. Therefore, successful treatment requires a comprehensive examination of the patient, starting with his lifestyle, habits, daily routine, nutrition, and so on.