The experience of the Department of Phthisiology and Pulmonology in the evolutionary aspect for 50 years is presented. The periods of the formation of teaching principles (1972-1988), the period of changes associated with restructuring in the country and changes in the health care system (1990-2010), the period after 2010 as a time of high achievements both in science and epidemiology of tuberculosis, as well as the period after 2015, after the adoption of the FSES and during the 2020 pandemic of the new coronavirus infection (COVID-19), are considered. Methods and technologies are analyzed, the department's own experience in the format of distance education is presented.