The chief physician of the Sennenskaya hospital is bringing back promising staff and introducing the latest technologies into district medicine
For five years, Andrey KAKOYCHENKO has been building his life, leisure, and work in the Senno district center brick by brick. He came here as a surgeon by assignment. The leadership of the district executive committee and the central district hospital did not wait for the promising specialist to finish his term and leave for a big city. They promptly offered him to head the surgical department, and three months ago, they entrusted the health of the entire district to Andrey Alexandrovich – appointing him chief physician.
ОТВЕТСТВЕННАЯ должность добавила груз новых обязанностей, большинство из которых — организационные. Первое время практикующего хирурга,который привык чуть ли не к ежедневным операциям, это расстраивало, но вскоре руководящее право оценил. Есть возможность внедрить современные технологии, усовершенствовать подходы.
— Medicine is constantly evolving, and we are constantly learning. My mentor during my internship, the head of my practice, told me that you can only truly call yourself a surgeon after 10 years, when you have stolen a lot of experience from your colleagues. Stolen, because all these are personal developments, — the interlocutor smiles.
The Central District Hospital has received additional material and technical equipment, which has improved local diagnostics and reduced the burden on regional structures. Last year, two high-class ultrasound machines and an FGDS apparatus were purchased. In 2020, they plan to acquire anesthesia and respiratory machines, as emergency care is always given the highest priority.
— The complexity of the district level is the lack of narrow specialization. Any pathology is our domain. We receive severely injured patients after road traffic accidents with multiple traumas — you quickly examine them and provide multidisciplinary surgical care, starting from the elevator. It happened that we performed aortic prostheses at night with a cardiac surgeon for non-transportable patients, — recalls Andrey Kakoychenko.
The young doctor does not hide that he experienced difficulties at the beginning of his career. A patient dying on the operating table after a severe industrial injury — a fall from a height — comes to mind. You start the heart, and it stops again — as if everything is happening in a movie, not with you. It's easy to say that the injury is incompatible with life. But Andrey Kakoychenko is one of those who start looking for the cause of all troubles in themselves. Fortunately, senior colleagues support him.
The neighboring Orsha region and the pilot project implemented there became a role model. Colleagues interact: Orsha has taken over highly specialized care and planned high-tech surgeries, allowing Sennensk doctors to focus on interventions that are feasible within the material and technical base.
In Senno, a path towards global informatization has been outlined, an electronic polyclinic is being introduced, and bulky medical records are being phased out. Telemedicine is being developed. It does not require anything supernatural: a compact camera, a computer, and a program key that allows you to enter all examinations and remotely determine surgical risks.
He works well who withthe mind rests. Arriving in the Sennensky district, Andrey Alexandrovich and his fellow students joined the experienced team of intellectuals "What? Where? When?", and in five years in the district, they never lost first place. In summer, he goes kayaking with friends. Fortunately, Sennensky district is famous for its lakes. With a colleague, they traveled all over the district on road bikes, saw the sights — for example, the second largest boulder-stone in the country.
— Yes, sports are my thing, — asserts the chief physician. — The entire team participates in tourist rallies, competitions in the rope town, we play laser tag, volleyball, and train at the FOK. Much of this is thanks to the young trade union committee. An active lifestyle, the support of family and friends help to work hard and tune in to success. I don't count how many operations I've performed, the main thing is how many more are yet to come.
I am waiting for Doctor Kakoychenko in his office and notice the perfect order. Every item, from diplomas and historical albums, carries a semantic load. Minimalism in furniture and on the desk, where only a laptop reminded of the owner. In my thoughts, I am building an image of the chief physician. It is clear that he is young and energetic, talented and purposeful. Although they say that you can judge a person by their friends. But I am convinced: and by their office. And I will definitely find out later: the "desk concept" coincides with the policy of the Central District Hospital, which has long mastered digital technologies.
— No, I am not the first young chief physician in the region; there is the example of Alexey Korotky, who headed the Dubrovno Central District Hospital, and now the entire healthcare system of Orsha, — Andrey Alexandrovich notes. — The trend of rejuvenating staff is a way to step into the age of high technologies and standardization. For example, in mastering the latest equipment. Some innovations are studied abroad, and for this, you need at least to know a foreign language and be mobile. I judge by myself, my parents, and my colleagues: the older and more experienced you become, the less dynamism there is.The chief physician has many other acquaintances among successful peers: his classmate heads the therapy department in Senno, and a colleague, a year younger, heads the surgical department. A reliable young team is being assembled: out of 55 doctors, almost half are under 35 years old. At the same time, there are experienced colleagues with the highest category and over 20 years of experience who help and spur on future prospects.— It is encouraging that young people are staying in their local areas. If previously they preferred to gain the necessary experience and recommendations and follow the classic path to large cities, now the trend isобратная. Думают возвратиться гинеколог и хирург, которые у нас начинали, — подчеркивает Андрей Какойченко. — В этом году в Сенно приедут семеро интернов. Все по целевой подготовке — значит, как минимум на пять лет.
Андрею Александровичу как руководителю с активной гражданской позицией хочется, чтобы будущие коллеги здесь остались навсегда:
— Давайте прямо. Что мы называем домом? Место, где родились, — это родительский дом. Свой дом — это не просто строительное сооружение, это небольшой мир, построенный собственными руками, достижениями, позитивными идеями, эмоциями, взаимодействием с людьми, с которыми живешь и работаешь.
Андрей Александрович родом из Лиозно, уютного и маленького городка. Но именно Сенно для него стало домом. Легко объяснить почему. Именно местной медицине посвятил пять плодотворных лет. На приеме в поликлинике в свое время принимал около 70—80 человек в день, в месяц — больше полутора тысяч. А в районе всего 20 000 жителей. Это значит, практически с каждым знаком в лицо. Тогда как в родном городе по большому счету знаешь родственников и школьных товарищей.
— Местная инфраструктура, конечно, не сравнится со столичной или областной, но ее достаточно, чтобы заполнить 20 процентов времени. Учитывая, что 80 процентов я провожу на работе, — подмечает главврач. — Меня не прельщает ритм больших городов. Живу в 50 метрах от больницы и получаю удовольствие, выходя на балкон и наблюдая светящиеся окна своей операционной. Значит, пора одеваться и выходить.
— No, I am not the first young chief physician in the region; there is the example of Alexey Korotky, who headed the Dubrovno Central District Hospital, and now the entire healthcare system of Orsha, — Andrey Alexandrovich notes. — The trend of rejuvenating staff is a way to step into the age of high technologies and standardization. For example, in mastering the latest equipment. Some innovations are studied abroad, and for this, you need at least to know a foreign language and be mobile. I judge by myself, my parents, and my colleagues: the older and more experienced you become, the less dynamism there is.The chief physician has many other acquaintances among successful peers: his classmate heads the therapy department in Senno, and a colleague, a year younger, heads the surgical department. A reliable young team is being assembled: out of 55 doctors, almost half are under 35 years old. At the same time, there are experienced colleagues with the highest category and over 20 years of experience who help and spur on future prospects.— It is encouraging that young people are staying in their local areas. If previously they preferred to gain the necessary experience and recommendations and follow the classic path to large cities, now the trend isобратная. Думают возвратиться гинеколог и хирург, которые у нас начинали, — подчеркивает Андрей Какойченко. — В этом году в Сенно приедут семеро интернов. Все по целевой подготовке — значит, как минимум на пять лет.
Андрею Александровичу как руководителю с активной гражданской позицией хочется, чтобы будущие коллеги здесь остались навсегда:
— Давайте прямо. Что мы называем домом? Место, где родились, — это родительский дом. Свой дом — это не просто строительное сооружение, это небольшой мир, построенный собственными руками, достижениями, позитивными идеями, эмоциями, взаимодействием с людьми, с которыми живешь и работаешь.
Андрей Александрович родом из Лиозно, уютного и маленького городка. Но именно Сенно для него стало домом. Легко объяснить почему. Именно местной медицине посвятил пять плодотворных лет. На приеме в поликлинике в свое время принимал около 70—80 человек в день, в месяц — больше полутора тысяч. А в районе всего 20 000 жителей. Это значит, практически с каждым знаком в лицо. Тогда как в родном городе по большому счету знаешь родственников и школьных товарищей.
— Местная инфраструктура, конечно, не сравнится со столичной или областной, но ее достаточно, чтобы заполнить 20 процентов времени. Учитывая, что 80 процентов я провожу на работе, — подмечает главврач. — Меня не прельщает ритм больших городов. Живу в 50 метрах от больницы и получаю удовольствие, выходя на балкон и наблюдая светящиеся окна своей операционной. Значит, пора одеваться и выходить.
ОТВЕТСТВЕННАЯ должность добавила груз новых обязанностей, большинство из которых — организационные. Первое время практикующего хирурга,который привык чуть ли не к ежедневным операциям, это расстраивало, но вскоре руководящее право оценил. Есть возможность внедрить современные технологии, усовершенствовать подходы.
— Medicine is constantly evolving, and we are constantly learning. My mentor during my internship, the head of my practice, told me that you can only truly call yourself a surgeon after 10 years, when you have stolen a lot of experience from your colleagues. Stolen, because all these are personal developments, — the interlocutor smiles.
The Central District Hospital has received additional material and technical equipment, which has improved local diagnostics and reduced the burden on regional structures. Last year, two high-class ultrasound machines and an FGDS apparatus were purchased. In 2020, they plan to acquire anesthesia and respiratory machines, as emergency care is always given the highest priority.
— The complexity of the district level is the lack of narrow specialization. Any pathology is our domain. We receive severely injured patients after road traffic accidents with multiple traumas — you quickly examine them and provide multidisciplinary surgical care, starting from the elevator. It happened that we performed aortic prostheses at night with a cardiac surgeon for non-transportable patients, — recalls Andrey Kakoychenko.
The young doctor does not hide that he experienced difficulties at the beginning of his career. A patient dying on the operating table after a severe industrial injury — a fall from a height — comes to mind. You start the heart, and it stops again — as if everything is happening in a movie, not with you. It's easy to say that the injury is incompatible with life. But Andrey Kakoychenko is one of those who start looking for the cause of all troubles in themselves. Fortunately, senior colleagues support him.
The neighboring Orsha region and the pilot project implemented there became a role model. Colleagues interact: Orsha has taken over highly specialized care and planned high-tech surgeries, allowing Sennensk doctors to focus on interventions that are feasible within the material and technical base.
In Senno, a path towards global informatization has been outlined, an electronic polyclinic is being introduced, and bulky medical records are being phased out. Telemedicine is being developed. It does not require anything supernatural: a compact camera, a computer, and a program key that allows you to enter all examinations and remotely determine surgical risks.
He works well who withthe mind rests. Arriving in the Sennensky district, Andrey Alexandrovich and his fellow students joined the experienced team of intellectuals "What? Where? When?", and in five years in the district, they never lost first place. In summer, he goes kayaking with friends. Fortunately, Sennensky district is famous for its lakes. With a colleague, they traveled all over the district on road bikes, saw the sights — for example, the second largest boulder-stone in the country.
— Yes, sports are my thing, — asserts the chief physician. — The entire team participates in tourist rallies, competitions in the rope town, we play laser tag, volleyball, and train at the FOK. Much of this is thanks to the young trade union committee. An active lifestyle, the support of family and friends help to work hard and tune in to success. I don't count how many operations I've performed, the main thing is how many more are yet to come.