“World Declaration on Higher Education in the XXI Century” states the necessity to develop transdisciplinary nature of educational programs, which implies functional synthesis of methodologies and elaboration of absolutely new research concepts.
Medicine is a great example of science classification relativity as a discipline at the confluence of natural and social knowledge areas.
The transdisciplinary approach will underpin the modernization of the educational activities of StrAU and will be implemented within the framework of educational programs for the training of doctors and other professionals for the industry ” Public Health Care “, and thus, meet challenges of translational medicine.
Completion of the “Human Genome” project opened a new era, and it became apparent that all the diseases in one way or another have a genetic basis. One of the leaders of the genome project, Francis Collins spoke on this subject quite categorically: “There is no disease, except in certain cases of injuries that would not have hereditary contributions. I do not know of a single example.” The overriding principle of medicine – “treat not a disease, but a patient”, which was formulated by Hippocrates and widely promoted by Russian therapist M.Ya.Mudrov, has become even more relevant.
In current medicine, this has become even more urgent. In essence, this principle was laid out by Leroy Hood in the concept of a new medicine of the XXI century and formulated as 4P Medicine (Personalized, Predictive, Preventive, Participative). The concept of 4P medicine is to provide all benefits of fundamental science to a particular patient (Hood L. Systems biology and p4 medicine: the past, present, and future // Rambam Maimonides Med. J. 2013. Vol. 4 (2). Р. e0012. doi: 10.5041/RMMJ.10112). US National Institutes of Health included the 4P-medicine in five priority areas of development of medicine in the XXI century. Decree of the Russian Federation № 2580-r from 28.12.2012 ordered inclusion of the principle of personalized medicine in the Strategy of Development of Medical Science in the Russian Federation for the period up to 2025 and Forecast of Russian Federation research and technological development up to 2030 .
4P medicine is the idealistic medicine of the future, which cannot become a reality without 3 additional Ps. The first P is “Providing”, that is training of appropriate medical staff and paradigm shift of the medical education. The second P is “Preemptive”. 4P medicine can not only develop on already existing knowledge and technology, new fundamental and applied research in the field of translational medicine and socio-humanitarian fields are needed. And finally, the third P is “Point of care”, that is providing medical services not only at the patient bedside but also using the advanced distance diagnostics and treatment technologies and in this case a person becomes a focus point of medical services regardless of his/her physical location. With a unique among universities infrastructure, material and technical resources and human capital accumulated in the course of implementation of the improve competitiveness “road map”, allow us to put high goals and objectives.
All activities of modernization and updating of academic programs will be focused on the implementation of the block “Providing“ in a general StrAU program “Translational 7P Medicine“. In addition, the mandatory implementation of research projects by students/trainees as part, of course, papers, capstone projects, and master’s and doctoral thesis, as well as work at the bedside of patients will contribute to the development of all other Ps of “Translational 7P Medicine” Project. The modern project and problem-based learning (PBL) approaches will be used as essential elements of the education process.
Money allocated to StrAU (240 million Rubles) will be used to modernize educational activities, including development of new academic programs, introduction of innovative educational technologies, reduced teaching load for employees, integration of educational and clinical processes in medical doctors training, development and implementation of distance learning programs, etc. (about 40% budget); internship and educational programs for teaching and administrative staff of StrAU in the leading world universities (15%); attract leading professors from leading Russian and foreign universities (7%); full implementation of the programs of academic mobility for teachers and students of StrAU (15%); organizing international scientific and educational conferences starting Spring 2016 (8%). The goal is also to develop the infrastructure of simulation center (including the creation of Wet Lab) to prepare it for initial accreditation of medical program graduates and doctors of the Volga Region federal district (15%).
The total volume of funds allocated for research is 410 mln. rub. Scientific research in the framework of StrAU will be concentrated in five interrelated research areas: 1) Neurotechnology (27%); 2) Personalized medicine (20%); 3) Regenerative medicine (20%); 4) Chemistry of Living Systems (17%); 5) Biomedical Physics (16%). In each research direction will be carried out both fundamental phase T0 of translational research and applied translational research of the T1 phase.
Total planned funding for StrAU in 2016 is 1 429,3 million Rubles, including 643,18 million Rubles – extra-budgetary funds (45%), 136,12 million Rubles – the budget for the implementation of government contracts, 650 million Rubles – budget of improvement program of competitiveness.
In 2020, StrAU budget will reach 3 241,22 million Rubles, including 1 944,73 million Rubles (60%) – extra-budgetary funds, 156 million Rubles (4.8%) – Program for competitive growth (5/100) budget.