Alma Mater
ISSN 1026-955X
Vestnik Vysshey Shkoly (Higher School Herald)
The best way to learn all about Higher Education


Ethical traditions of domestic medical education in the time management of the healthcare system

I.E. Ditkovskaya
80,00 ₽

UDC [378:61+614.2]:17            


Innessa E. Ditkovskaia, PhD in Philosophy, Assistant Professor at Siberian Federal University, Krasnoyarsk, e-mail:


The article is devoted to the study of the ethical traditions of domestic medicine and medical education in the development of the theory and practice of time resource management in the healthcare system since the formation of domestic clinical medicine, in the conditions of zemstvo medicine, the Soviet and post-Soviet periods. On the one hand, the actively developing processes of digitalization of the domestic healthcare system open up wide opportunities in the diagnosis, treatment and prevention of diseases, on the other hand, they give rise to a number of unprecedented problems, in particular, in the field of ethics. Their solution requires trained specialists with interdisciplinary humanitarian knowledge and is associated with the need to humanize modern domestic higher medical education, one of the most important problems of which is the reduction of humanitarian training and, as a result, the loss of educational function. The wide scale of the development of technical capabilities, the variety of pharmaceuticals, experiments in the organization of health care have created a situation where, behind an array of various innovations in the pursuit of rational use of time in the time management of the health care system, a person with his unique subjective characteristics has receded into the background.

Key words: scientific organization of labor, self-management, time management, medical ethics, deontology, bioethics, digitalization of medicine, medical education, humanization of education.



1. Gastev, A.K. How to work. Moscow: Ekonomika, 1972. 487 p.

2. Kerzhentsev, P.M. Organization principles. Moscow: Ekonomika, 1986. 464 p.

3. Ernandes-Khimenes, Ye. N., Loginova, V.A. Historical essays on medical education at Moscow University. Moscow: Izd-vo Moskovskogo universiteta, 2011. 224 p.

4. Mudrov, M.Ya. Selected works. Moscow: Izd-vo AMN SSSR, 1949. P. 240.

5. Sevastopol letters of N.I. Pirogov. 1854–1855. St. Petersburg: Tip. M. Merkusheva, 1907. P. 184.

6. Autobiography / Luke (Voino-Yasenetsky), St. I loved the misery so wonderfully cleansing of the soul: collection works. L.A. Chutkova (comp.). Moscow: Sibirskaya Blagozvonnitsa. 2016. P. 9–106.

7. Ditkovskaya, I.E. Ethical principles of V.F. Voino-Yasenetsky in the aspect of philosophy of personal education. Bioetika. 2017. No. 2 (20). P. 43–46.

8. Semashko, N.A. Selected works. Moscow: Medgiz, 1954.

9. Averin, N.M. Soviet Ethics: An Ideological Phantom or a Historical Legacy? Vestnik TGU. 2000. No. 3 (19). P. 21–28.

10. Schwab, K. The Fourth Industrial Revolution. Moscow: Eksmo, 2018. 285 p.

11. Ethics and “digital” — a short summary of the main points. Robot doctor, robot teacher, robot policeman: social risks and industry ethical challenges: analytical note to volume 2 of the report “Ethics and ‘digital’: ethical problems of digital technologies”. Moscow: Russian Academy of National Economy and Public Administration, 2020. 45 p.