Current State, Regional Specifics, and Legal Regulation of Training and Employment of Mid-Level Medical Personnel

Introduction. The article presents a comprehensive analysis of the systemic and persistent shortage of mid-level medical personnel in the context of the implementation of the National Project “Long and Active Life,” which began on January 1, 2025. Special attention is paid to the analysis of statistical data on new medical graduates, the actual and regulatory staffing ratio, and its regional differentiation with a primary focus on the Moscow Region. The article provides an analytical assessment of the current system of employer-sponsored training for mid-level medical personnel, as well as the processes of employment and retention of young specialists in medical organizations. The purpose of the study was to analyze the current training, education, and employment of mid-level medical specialists to compare the dynamics of graduation from educational organizations and staffing shortages in public healthcare institutions. Materials and methods. The study used data from the Federal State Statistics Service in the field of healthcare, federal and regional legislation, forms of federal statistical observation No. 30 “Information about a medical organization” by subjects of the Russian Federation, and data from organizations providing professional education. Results. A comprehensive analysis, including the data on the Moscow Region, revealed territorial disparities in the distribution of mid-level medical personnel with insufficient financial, social, and housing support for students enrolled under employer-sponsored contracts, as well as for young professionals. Given the overall shortage of mid-level medical professionals in the Russian regions, there is a need to develop an innovative program for training, education, and retention of mid-level medical personnel, which includes the modernization of professional education with the participation of public healthcare organizations, the development of employer-sponsored training, and long-term measures to retain personnel in the public healthcare system.

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