Addressing emerging chemical safety issues requires the presence of qualified professionals in the country. Currently, a speciality «toxicology» is included in the range of medical disciplines but it only applies to clinical toxicologists. Physicians of preventive health profile, who are actually involved in toxicity and hazards assessment of chemicals, prevention and risk assessment of their impact on human health and human environment are not thought of as toxicologists in accordance with the existing legal and regulatory framework. The article also raises questions about the necessity of teaching preventive toxicology at the various stages of continuous medical education.
Aim. This study describes the development features of telemedicine technologies in Moscow. For this purpose, authors analyzed publications, regulatory acts, and experience of the Telemedicine Center of Center of Medical Prevention of Moscow Healthcare Department, including its work during the COVID-19 pandemic.
Results. With the onset of the COVID-19 pandemic, Telemedicine Service for Patients with Coronavirus Infection (the Telemedicine Center of Moscow Healthcare Department) began operating in Moscow. The service provides telemedicine doctor-patient consultations in the following areas: management of patients with coronavirus infection, participants in a clinical trial of Gam-COVID-Vak vaccine, and visitors of Moscow Health pavilions. Doctors and patients communicate via the Telemedicine Information System that is accessible either through a mobile app or a browser. To access patient medical records, doctors use the Unified Medical Information and Analytical System of Moscow. To develop the specialized skills necessary to provide remote medical consultations to Moscow residents, a doctor of the Telemedicine Center receives further training, including workplace internships.
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