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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">zdme</journal-id><journal-title-group><journal-title xml:lang="ru">Здоровье мегаполиса</journal-title><trans-title-group xml:lang="en"><trans-title>City Healthcare</trans-title></trans-title-group></journal-title-group><issn pub-type="epub">2713-2617</issn><publisher><publisher-name>ГБУ «НИИОЗММ ДЗМ»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.47619/2713-2617.zm.2023.v.4i1;22-37</article-id><article-id custom-type="elpub" pub-id-type="custom">zdme-91</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>ORIGINAL RESEARCHES</subject></subj-group></article-categories><title-group><article-title>Возрастная динамика профессиональных компетенций врача</article-title><trans-title-group xml:lang="en"><trans-title>Age dynamics of doctor's professional competencies</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1198-1644</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Якушин</surname><given-names>М. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Yakushin</surname><given-names>M. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Якушин Михаил Александрович – доктор медицинских наук, доцент, главный специалист по гериатрии Минздрава Московской области, зав. курcом гериатрии, профессор кафедры ОВП (семейной медицины) ГБУЗ МО «МОНИКИ» им. М. Ф. Владимирского;</p><p>ведущий научный сотрудник</p><p>105064, г. Москва, ул. Воронцово Поле, д. 12, стр. 1;</p><p>129110, г. Москва, ул. Щепкина, д. 61/2</p></bio><bio xml:lang="en"><p>Yakushin Mikhail Alexandrovich – Doctor of Medical Sciences, Associate Professor, Chief Specialist in Geriatrics of the Ministry of Health of the Moscow Region, Head of the Geriatrics Course, professor of the Department of General Medical Practice (Family Medicine) of Moscow Regional Research and Clinical Institute (“MONIKI”);</p><p>Leading Researcher</p><p>105064, 12–1, Vorontsovo Pole st., Moscow;</p><p>129110, 61/2, Shchepkina str., Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4609-5343</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Воробьева</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Vorobeva</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Воробьева Анна Владимировна – аспирант</p><p>105064, г. Москва, ул. Воронцово Поле, д. 12, стр. 1</p></bio><bio xml:lang="en"><p>Vorobeva Anna Vladimirovna – graduate student</p><p>105064, 12–1, Vorontsovo Pole st., Moscow</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8880-1771</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Яроцкий</surname><given-names>С. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Yarotsky</surname><given-names>S. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Яроцкий Сергей Юрьевич – научный сотрудник;</p><p>Начальник</p><p>105064, г. Москва, ул. Воронцово Поле, д. 12, стр. 1</p></bio><bio xml:lang="en"><p>Yarotsky Sergey Yuryevich – researcher</p><p>105064, 12–1, Vorontsovo Pole st., Moscow</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1646-7345</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Васильев</surname><given-names>М. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Vasiliev</surname><given-names>M. D.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Васильев Михаил Дмитриевич – кандидат медицинских наук, научный сотрудник</p><p>AuthorID: 1079906</p><p>105064, г. Москва, ул. Воронцово Поле, д. 12, стр. 1</p></bio><bio xml:lang="en"><p>Vasiliev Mikhail Dmitrievich – Cand. Sci. (Med.), Researcher</p><p>AuthorID: 1079906</p><p>105064, 12–1, Vorontsovo Pole st., Moscow</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1440-524X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Арсеенкова</surname><given-names>О. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Arseenkova</surname><given-names>O. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Арсеенкова Ольга Юрьевна – кандидат медицинских наук, старший научный сотрудник</p><p>105064, г. Москва, ул. Воронцово Поле, д. 12, стр. 1</p></bio><bio xml:lang="en"><p>Olga Yu. Arseenkova – Candidate of Medical Sciences, Senior Researcher</p><p>105064, 12–1, Vorontsovo Pole st., Moscow</p></bio><email xlink:type="simple">omasik@gmail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Якушина</surname><given-names>Т. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Yakushina</surname><given-names>T. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Якушина Татьяна Игоревна – доктор медицинских наук, старший научный сотрудник неврологического отделения, профессор кафедры неврологии</p><p>129110, г. Москва, ул. Щепкина, д. 61/2</p></bio><bio xml:lang="en"><p>Yakushina Tatiana Igorevna – Doctor of Medical Sciences, Senior Researcher of the Neurological Department, Professor of the Department of Neurology</p><p>129110, 61/2, Shchepkina str., Moscow</p></bio><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБНУ «Национальный НИИ общественного здоровья им. Н. А. Семашко»;&#13;
ГБУЗ МО «Московский областной научно-исследовательский клинический институт им. М. Ф. Владимирского»</institution></aff><aff xml:lang="en"><institution>FSSBI “N.A. Semashko National Research Institute of Public Health”;&#13;
GBUZ MO “Moscow Regional Research Clinical Institute named after M.F. Vladimirsky” (MONIKI)</institution></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБНУ «Национальный НИИ общественного здоровья им. Н. А. Семашко»</institution></aff><aff xml:lang="en"><institution>FSSBI “N.A. Semashko National Research Institute of Public Health”</institution></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ГБУЗ МО «Московский областной научно-исследовательский клинический институт им. М. Ф. Владимирского»</institution></aff><aff xml:lang="en"><institution>GBUZ MO “Moscow Regional Research Clinical Institute named after M.F. Vladimirsky” (MONIKI)</institution></aff></aff-alternatives><pub-date pub-type="collection"><year>2023</year></pub-date><pub-date pub-type="epub"><day>25</day><month>03</month><year>2023</year></pub-date><volume>4</volume><issue>1</issue><fpage>22</fpage><lpage>37</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Якушин М.А., Воробьева А.В., Яроцкий С.Ю., Васильев М.Д., Арсеенкова О.Ю., Якушина Т.И., 2023</copyright-statement><copyright-year>2023</copyright-year><copyright-holder xml:lang="ru">Якушин М.А., Воробьева А.В., Яроцкий С.Ю., Васильев М.Д., Арсеенкова О.Ю., Якушина Т.И.</copyright-holder><copyright-holder xml:lang="en">Yakushin M.A., Vorobeva A.V., Yarotsky S.Y., Vasiliev M.D., Arseenkova O.Y., Yakushina T.I.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.city-healthcare.com/jour/article/view/91">https://www.city-healthcare.com/jour/article/view/91</self-uri><abstract><p>В статье отражены результаты исследования 288 врачей различных возрастных групп и специальностей на предмет определения уровня и динамики профессиональных компетенций. В работе применялись социологический, аналитический, статистический методы, а также метод организационного моделирования. По итогам работы дано обоснование необходимости поиска эффективных решений поддержки профессиональной грамотности врачей старших возрастных групп. Предложены организационные решения данной проблемы, в том числе оригинальные технологии здоровьесбережения и повышения квалификации (лечебная учеба), трансформация методического обеспечения врачебной деятельности на основе внедрения экспертных систем, а также снижение когнитивной нагрузки на врачей пенсионного и предпенсионного возраста путем монопрофильной переквалификации.</p></abstract><trans-abstract xml:lang="en"><p>The article presents the results of a study with 288 doctors of various age groups and specialties aimed at determining the level of professional competencies and its changes. To conduct this study, sociological, analytical, and statistical methods, as well as organizational modeling were used. Based on the results, grounds for the need to find effective solutions in order to support the professional literacy of doctors of older age groups were given. Organizational solutions to this problem were given, including unique healthsaving and advanced training (treatment in training) technologies, transformation of the methodological support of medical activity based on the implementation of expert systems, as well as reduction of cognitive load on doctors of nearing-retirement and retirement age through professional retraining in one narrow specialty.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>врачебные компетенции</kwd><kwd>профессиональное эффективное долголетие</kwd><kwd>когнитивные способности</kwd><kwd>качество жизни</kwd></kwd-group><kwd-group xml:lang="en"><kwd>medical competencies</kwd><kwd>professional effective longevity</kwd><kwd>cognitive abilities</kwd><kwd>quality of life</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Гонтмахер Е. 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