The submitted review is devoted to changes in undergraduate medical education in the USSR. In the first part the author discuss seven important problems faced so far by medical faculties: extensive approach to medical training, little effective organization and management of education, hitherto existing goals of undergraduate education, hitherto valid concepts of its contents, inadequate material conditions for training, declining quality of teachers and students. The mentioned problems still partly exist and make the efforts regarding reconstruction of education difficult. In the second part of the paper for each of the quoted problems changes are described which were already achieved or will be implemented in the near future. The author mentions also some controversial suggestions. Positive and negative experience with the reconstruction of the medical course are compared and weighted, incl. changes in the admission of students.

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