Yulia Viktorovna's husband ticks. Palliative medicine, between life and death
S. SOROKINA - Hello. This is the “In the Circle of Light” program. Here is Yuri Kobaladze.
Y. KOBALADZE - Hello.
S. SOROKINA – And Svetlana Sorokina. And our topic today is something that may not be clear to everyone. On first hearing: palliative medicine, between life and death. Now I’ll explain with the help of the guests. This is Yulia Chechet - founder and president of the Charitable Foundation for the Development of Palliative Care for Children and Natalya Savva - deputy. Director and doctor of the mobile palliative care service for children and young adults of the Charitable Foundation, pediatrician, oncologist, hematologist, international expert on palliative care for children. We probably need to explain right away what palliative medicine is.
Y. KOBALADZE - Don’t look at me, I don’t really understand. Why is she a child and an adult?
S. SOROKINA - We can probably explain this too. Palliative care is care for those who are terminally ill and have a limited life expectancy. And the help that, after what I was able to do official medicine, and then refuses such people. Palliative care is also available for adults. Of course. Why are we still taking up this topic today? Because in a few days October 12th is World Hospice and Palliative Care Day.
Y. KOBALADZE - What's the difference?
S. SOROKINA – And in my opinion, all this is included there.
N. SAVVA - Hospice is part of palliative care. Palliative care is broader. Hospice is, as a rule, the very end of life itself, the last weeks.
S. SOROKINA – Hospital.
N. SAVVA - Not necessarily. But hospice is more of a philosophical concept. Hospice care is at the end of life. And palliative care from the moment the diagnosis of an incurable disease is established. Some children are born with a terminal illness and need immediate palliative care, but do not need hospice.
S. SOROKINA - And let’s immediately clarify that your fund is specifically for helping children. What is the significant difference between palliative care for adults and for children?
N. SAVVA - Everything is connected with the fact that a child’s body is not an adult organism. And the child is born completely different and then, as he grows up, he only becomes an adult at 20-25. Going through the transition from childhood to adulthood. Moreover, we are talking not only about the body, but we are talking about the psychology of the child. Because it’s one thing for a child to understand some life processes at two years old, at three years old, in adolescence, and how we adults relate to everything. And therefore, of course, help should be adapted to the age of the child. That is, if a child is two years old, he has certain physical characteristics, certain medications, certain psychologists must work and know these characteristics.
S. SOROKINA - At every stage of his growing up. I wanted to turn to Yulia now. She is the founder and president of the foundation. I read the fund's report. He is still very young.
Y. CHECHET - The fund was founded in 2011. Since 2009, we have worked as a volunteer group together with the Gift of Life foundation. Then they decided that it was still necessary to create a separate structure that would deal only with palliative care for children, and this is how the foundation came into being. We will be two years old in December.
Y. KOBALADZE - That is, you are independent.
S. SOROKINA - In close cooperation with the Vera Foundation, which deals more with adults.
Y. CHECHET - Yes, but they, together with the Gift of Life foundation, are now starting a big project to build a children's hospice. It will be private.
Y. KOBALADZE - The first and only.
Y. CHECHET - The first in Moscow. There is one in St. Petersburg and in Kazan. There is a mobile service there and a new building is currently being built.
S. SOROKINA - Yulia, I read in this report that you made this year, your opening statement, where you say that for you, participation in the creation of this fund was largely an emotional decision. What prompted it, what is the story.
Y. CHECHET - It was completely unexpected. Because I worked for Deutsche Bank for 10 years, then went on maternity leave to look after my child. And my husband and I flew to Paris for an exhibition, he bought Exquire magazine, in principle, the magazine probably didn’t mean that bam. The magazine contained an article by Sveta Reiter and Galya Chalikova, director of Give Life, may she rest in heaven. About how children die. And so I flew on the plane for three hours and cried. Because it was such a shocking discovery for me. The story was that, due to an imperfect system, the child was cleaning in agony, without pain relief. And then I talked to Galya, Galya said, yes, we called this child. We tried to help him. And she says, I heard the child screaming into the phone: mom, help. For me nothing is worse...
Y. KOBALADZE - What does this mean in the carriage. Why?
S. SOROKINA - In agony.
Y. CHECHET - Because he was not anesthetized. Did not have time. There was no mobile service that came to him. There was no hospice. There was no infrastructure and professionals who would take responsibility and say: it shouldn’t be this way.
S. SOROKINA - But as usual, if it is hopeless, they are discharged home. And then spin as you want. I imagine the horror of this mother, whose child was screaming.
Y. CHECHET - What prompted me, I emotionally tried to imagine myself in this situation. It seems to me that a lot can be experienced. But when your child dies in agony, you, as a mother, have actually failed him. You, as a mother, did not provide, as a father, as the closest people did not provide him with decent conditions. And it seems to me that there is a lot to come to our senses from. But this is a trauma from which it is simply impossible for me to recover.
S. SOROKINA – Let me remind you that we are talking about palliative medicine. For many this is an unfamiliar word. In fact, this is help and support. Not only physical, but also moral. For those from whom traditional medicine has already turned its back. And the one who is already between life and death. The foundation where Yulia and Natalya work is engaged in palliative care for children. And families. Before we talk about the fund, I have a feeling that the palliative itself is connected with some kind of history of the humanistic development of society. Because such help did not always come to mind. They only cared about their loved ones and relatives. If there were decent children and surroundings. Tell me a few words about when all this appeared and how it came about. today has developed.
N. SAVVA - The palliative itself consists of several parts. As for psychological help, social, probably in normal, how to say normal, this has always existed, in any society, because when a person is sick and dies, then everyone tries to help him as best they can, either psychologically or the family is trying something, friends, relatives. This is one type of initial support. But in general, the direction of palliative care itself was formed when incurable diseases began to be cured. Our first breakthrough was antibiotics; infectious diseases began to be cured, and many people live. After this, for example, malignant tumors appeared. They also began to be cured. IN childhood In seven out of 10 children, a cure is possible. And therefore it became clear that there are... that are truly incurable, but this does not mean that we cannot help him. We can make sure that he lives through these days, as a rule, we are talking about 3-6 months after they say that the tumor is progressing and nothing can be done. So that he lives without suffering from pain or other side effects. So that he leaves in peace, with his mother, at home in toys, and so that the mother can really say goodbye to the child. And palliative care still takes place after the child has left. That is, this is the so-called period of grief, when professionals help parents, as far as one can say, adapt to life without a child. Don’t separate, don’t blame each other, and socialize back into society. Because during a long-term chronic illness, many mothers lose their jobs, many relatives try not to bother, and this results in such social isolation even within their loved ones. And to restore it back, to start living, this is also the task of palliative care. And, probably, the first official meeting of palliative specialists was in the 70s and early 80s, when palliative communities began to appear. And in 1974, the term palliative care first appeared.
Y. KOBALADZE - Is it here or in general?
S. SOROKINA - In the world.
N. SAVVA - That is, the first hospice for adults was created and it was created by lady Cecilia Sanders, who was first a nurse by profession, then she realized that she was missing this, she received an education as a social worker and psychologist. And then another doctor’s diploma. And she built the first hospice building. It was 1967, and the first children's hospice appeared in 1982.
S. SOROKINA - Recently. Where's the first one?
N. SAVVA - Also in England.
Y. KOBALADZE - This is the woman who wrote the book.
N. SAVVA - Yes, she is considered a guru in palliative care. In adults and children.
S. SOROKINA - In my opinion, she experienced some kind of tragedy.
Y. KOBALADZE - Her child died.
N. SAVVA - She had many problems, her two husbands died of cancer, and in Poland the first hospice was built thanks to the fact, so to speak, that her husband was Pole. After the English hospice next country Poland. Thanks to the fact that there...
S. SOROKINA - Cecilia. Please tell us, when did any movement on this matter begin in our country? Because this is always a tragedy and a very common situation when children whom official medicine can no longer help and does not want to, refuses and so on. They are simply left at home and there are countless examples of this, when a family or a single mother is left alone with a child, with virtually no means of support. Without help. When did any movement begin to change this situation?
Y. CHECHET - Children's room. The first service that opened in Moscow was the scientific and practical center "Solntsevo", NPC "Solntsevo", first a visiting service was opened there, and then in 2009, I just arrived, I came in September, in October we started writing a letter Luzhkov, please give me land for a children's hospice. They didn’t give us land, but they opened an inpatient department with 10 beds, and accordingly, we probably supported it for about a year and a half or two. Accordingly, it was probably in Moscow...
S. SOROKINA – Only 2009.
Y. CHECHET - In St. Petersburg earlier.
N. SAVVA - Izhevsk - 1998, a non-state hospice was opened. The first one is for children. It turns out it was spot on. There is a very good hospice in St. Petersburg. And they take Peter and Leningrad region. But to say that there really is some system help, this is not the case.
Y. KOBALADZE - How many of them are needed in Moscow?
S. SOROKINA – I read that it’s about 60 thousand.
Y. CHECHET - From 40 to 80 thousand. But we take English numbers. These are not beds, these are children in need of palliative care. Because the British first counted 16 children per 10 thousand child population, and two years ago they recalculated and said that it was 32. That’s why we give such a fork. On initial stage they believed that, based on our figures, this was 40 thousand children. If you look at what we need to strive for, as the most advanced country in palliative care. That's 80 thousand. This does not mean that 80 thousand beds are needed, firstly, because, probably, the most popular model in the world right now is the model of palliative care at home. There must be the possibility of hospitalization to select pain relief and control symptoms. And in England there is such a term - social respite. This is when the family is given the opportunity to place the child in hospice and rest. Because caring for these children, especially when there is 24-hour care, is quite a feat.
S. SOROKINA - It's true.
N. SAVVA - I can give an example, our nurse changes every 12 hours, for example, and then has a 24-hour shift and then three days off. Our children are mostly not just children, the majority of us are not cancer patients, they have ventilators, intensive care units, nurses have 24-hour rest and change.
S. SOROKINA – Ventilation of the lungs. For cystic fibrosis, yes?
N. SAVVA - There are various so-called muscle weaknesses. Myopathies. These are genetic diseases that are accompanied by the fact that the child gradually stops breathing on his own. He needs a device to help him. And if previously these children left at the age of 6-9 years, when they stopped breathing rib cage, then now, with the help of this equipment, these talented children, whose IQ is higher than you and I combined, can live up to 30 years. This is an observation when the first children are placed on a ventilator. Perhaps it will be more. It’s not just children hanging on a ventilator and that’s it. These are children who communicate, they can be socially active and useful to society. They write poetry. As a rule, they are all multi-talented. And for example, we have a child who is already 23 years old, we call it conditional, because we help children and young adults. He writes poems such that your soul really sings when you read them. Great philosophy and meaning of life. Therefore, these children, caring for them is very difficult. But it’s worth it, because we give these people the opportunity to live a full, full-blooded life. And if there is a social respite in the family, then we give the parents the opportunity to take a break from this round-the-clock care as a nurse in order not to get sick themselves, in order to communicate.
S. SOROKINA - Recover. By the way, no one is taking away this hope that suddenly there will be some kind of breakthrough like penicillin. How do we know? Suddenly something happens, and the person can be cured.
Y. CHECHET - To show the contrast, these children most often are in intensive care, because the state does not provide them with artificial lung ventilation devices. That is, they are discharged only if the parents find money or charitable foundations help.
S. SOROKINA - This is a whole story.
Y. CHECHET - And in England these children go to school. Can you imagine the contrast?
N. SAVVA - They travel by plane.
Y. KOBALADZE - That is, the device should always be with you.
S. SOROKINA – Is this something portable?
Y. CHECHET - Yes.
Y. KOBALADZE - It’s actually strange, it seemed to me that you would name the number one disease as cancer, but in fact, no.
N. SAVVA - This is another difference from adults. Very important principle. In pediatrics up to 30%, for example in our fund there are 5% of children, in Moscow 15%...
S. SOROKINA - Cancers.
N. SAVVA - Yes. The rest are not oncology.
S. SOROKINA - Indeed, fortunately, cancer in children, especially if caught in time, is much more often curable than in adults. And everything is not so hopeless there. It’s sad and scary to see these children sick, but it’s not hopeless. In children, miracles are generally possible. But what are your main diseases? What are they?
N. SAVVA - Genetics comes first. Congenital malformations, and most of them occur in newborns. There are, for example, babies who are born premature and small. Now there are very good technologies that are being nurtured. They used to say that a one-kilogram child would go away, but now it’s 500 grams and he will live. Because he is being nursed.
Y. KOBALADZE - But it also falls under the palliative category.
N. SAVVA - Not all, but a certain part gets in. Because the technology is still imperfect. They do not make it possible to ensure that one hundred percent of children do not remain disabled. And the more children we care for, the more disabled people there are, that is, they do not die, they seem to move into the category of disabled people who need palliative care. And some of these children may even be removed from the register over time, so to speak. Leave palliative care. But we never know whether this will happen to this child or not, we take him in and nurse him. And then if all is well...
S. SOROKINA – One thing is not clear to me. It seems that everything that concerns children should be one hundred percent concern of the state, from the first breath to the last. These are children. How can you refuse anyone because they are hopeless? It seems to me that it should be for children, I understand that old people are forgotten. Why is this the case with children?
N. SAVVA - You know, the desire to help is always not enough. When a person just wants to help, as a rule, this is not enough, especially when it comes to...
S. SOROKINA - I'm talking about the state.
N. SAVVA - I’m talking about the state. If you take our device, this does not mean that they do not want to help. The question is how to help and what to do, a question of professionalism. That is, when there are no people in the country who are educated in this, this is not taught in universities, psychological institutes, and so on.
S. SOROKINA - Natasha, my feeling is that the state is not even designated as palliative medicine.
N. SAVVA - Fortunately, the law has already outlined why. In 2011.
S. SOROKINA – But there is no activity as such yet.
N. SAVVA - Now we are talking about order. That is, in order for the state to somehow move this whole machine, it is necessary to adopt a regulatory document that would tell doctors who palliative children are and how to transfer them to palliative care. And he said what these palliative services actually are. And he issued standards on how to treat these children. And plus they made a list of medications that are necessary for palliative care and the forms that are necessary.
Y. KOBALADZE - And it’s written in the law in one line.
S. SOROKINA - That there is such a thing... But you know, I still don’t understand, it seems to me that if we are talking about a child, then even if there is no palliative care, then a doctor should come to the house and send a visiting nurse. It seems that these tools are available in children's clinics and hospitals.
N. SAVVA - They are walking. But they don’t know what to do. The problem is this.
S. SOROKINA - After all, in theory, well, here’s a child. You need to come to him and help. Why not do this within the framework of an already existing structure. How can this be?
N. SAVVA - I think this will be done. Now we have actively turned to this.
S. SOROKINA - Whatever you call it, it’s impossible. Question with sms: how do you feel about euthanasia? The question seems to be on the side, but close.
Y. CHECHET - In a country where there is no palliative care, it seems to me premature to talk about euthanasia. First we need to create a professional palliative care system.
N. SAVVA - And in general there is a postulate that palliative care does not support euthanasia. That is, we can use our palliative methods to ensure that the patient leaves peacefully. Having a good quality of life, and had decent care. And he didn’t ask for death. Because usually the patient asks for euthanasia in order to be spared from suffering.
S. SOROKINA - Now we will take a break for news. Stay with us, we will continue our conversation right after the news.
NEWS S. SOROKINA - Hello again. While we were listening to the news, I looked at the sms, Lisa writes from Kazan: I want to work as a volunteer in an adult hospice. I can’t find where to turn in Kazan. Lisa, if the hospice doesn’t have a website, maybe turn your attention to the children’s hospice. Which is in Kazan, it definitely has a website, as my interlocutors assure. Therefore, go there, you will probably be very useful there. By the way, how are your volunteers doing?
N. SAVVA - They are coming.
S. SOROKINA - But less than we would like for sure.
Y. CHECHET - I wouldn’t say so.
S. SOROKINA – It’s just a difficult topic.
YU. CHECHET - They also tell me how you can do this. It's depressing, it's difficult, I always say I'm past that stage emotional burnout, because it seemed to me that doctors and nurses would burn out emotionally, but I wouldn’t burn out. This was my big mistake. I got it for this. Accordingly, I came to my senses and moved on. And palliative care should be viewed not as some kind of terrible horror, but as an opportunity to ensure quality of life. We are not the Lord God, we cannot prolong or shorten this child’s life. But we can definitely improve the quality of life. And if you look at palliative care through this prism, it gives a lot of energy to help these children.
S. SOROKINA - Natasha, Yulia, where to go if people want to come as volunteers, for example, as assistants. I read in your report that anyone who knows how to take photographs can write stories for the site.
N. SAVVA - It is not necessary to work with children. If a person is not ready to work with a sick child, and there are a lot of such people, you can still bring help and your invaluable contribution to the work of the service and the life of the child. Even if you help the foundation, yes, by taking some photographs, helping to translate something, organizing some kind of holiday.
S. SOROKINA – Write a story for the site.
N. SAVVA - Do you feel some kind of talent in yourself, share it with us, we will be very happy.
Y. CHECHET - We have a volunteer coordinator, all the data is on the website. She deals with these issues.
S. SOROKINA – Let me remind you once again, this is the Charitable Foundation for the Development of Palliative Care for Children.
Y. KOBALADZE - There was a question about payment.
S. SOROKINA - Yes. Regarding the fact that hospice, at least for adults, is expensive pleasure. Is this really a paid thing for adults now?
YU. CHECHET - To be honest, I can’t say anything about adults, but children’s help should always be free.
S. SOROKINA – Should it or is it?
YU. CHECHET - She is.
N. SAVVA - Even if, as part of the development of paid services, sometimes clinics are placed in such a framework that they must develop paid services, palliative care should not be included. That is, we advocate that it be free, that all children receive it, regardless of whether they have money or not, have parents or not, or live in a village or city. So that it is accessible to absolutely everyone.
S. SOROKINA - Of course, it seems to me that as far as adults are concerned, it should be different. There may be paid or free ones. Depending on who can do what. It's another matter for everything to be decent. Another question: I’ve seen stories many times, Anya writes, of people with cancer screaming in pain because it’s very difficult to get narcotic analgesics because of the bureaucracy. Why is no one shouting that the laws need to be changed? When the fee for donated blood was abolished, Dr. Roshal turned to Putin and the problem was solved. And here. Here's about pain relief. About drugs that really, well, first of all, how do you solve this issue. When you come to help a child, you do not have the right to work with narcotic substances.
N. SAVVA - We work through clinics, through local doctors. Who have the right to prescribe painkillers. But of course, today there is basically nothing to work with. A pediatrician has nothing to work with, unlike adults. It turns out that the drugs that are needed are not registered. That is, there is one drug that is recommended by WHO, which has been tested in many countries as a very effective and safe medicine. This is Morphine sulfate tablets. This drug is very important for children, because any injection for a child always means additional pain and suffering. If we want to relieve pain in a child, we must give the drug regularly before pain occurs. This is most often 4 or 6 times a day. That is, if we inject a child 4 times a day, then what kind of help is there for what kind of pain relief? we're talking about, if we cause this pain with our manipulations.
S. SOROKINA - Why are these tablets not registered with us yet?
N. SAVVA - I don’t know.
S. SOROKINA - What are you talking about? Why, if it is used in Europe, the WHO recommended.
N. SAVVA - I think that the problem is probably morphinophobia, which exists everywhere among parents and professionals and is probably a legacy of our entire Soviet era and drug addiction and the fight against drug addiction.
S. SOROKINA - It is clear that the fight against drug addiction also affected pain management for children. “I love the country of Great Britain and am proud of it, that’s why we cried when we watched the opening of the Olympics. It’s not ostentatious.” I don't know what he means...
N. SAVVA - There were a lot of disabled people there.
S. SOROKINA - About caring for these people.
N. SAVVA - They are full members of society.
S. SOROKINA – “How volunteers work, who they accept.” I think Natasha already said about this. What is your help? You have a mobile service. As I read, you have about 50 families.
N. SAVVA - Already more.
S. SOROKINA - Which you keep in your field of attention. What is the help?
Y. KOBALADZE - And how many of you are there in principle?
N. SAVVA - As of today, 65. We also received a grant from the Moscow government and a presidential grant in order to expand and probably in next year there will be a hundred children. While 65 and help is to first remove all symptoms, this health care doctor and nurses. The second part is psychological help. We have two psychologists working for us. One works with children, the second with parents. There is a very good team of social workers. Which is engaged in advocating the interests of the child and parents.
S. SOROKINA - That is, they help with documents.
N. SAVVA - They run around the authorities and also organize children's parties. They work with them at home and simply play.
YU. CHECHET - And there is another important type of help, this is work with siblings. With siblings. Because in this family they also suffer.
S. SOROKINA – Also victims, of course. And by the way, it is natural to appeal not only to those who can help with something as a volunteer, but to those who want to transfer some funds. Because as you understand, this is a charitable foundation and there are grants. But of course, any help is welcome. Now New Year soon, in the end, if you come up with some gifts, an opportunity to help. By the way, not all of your children lie down. Some travel, and may come for some holidays. Therefore, invite and accordingly you will be honored. What else did I want to ask? How many children are there in Moscow? You say that it would be good to take a hundred people, but how many children, who in principle need Moscow, need such help?
YU. CHECHET - No one can say for sure, because no one counted them. One of our very important projects is advocating for the emergence of a register as a tool that will allow us to estimate how many of these children there are, what diagnoses they have and what types of help are needed.
N. SAVVA - Today’s incarnation is not just a team and not just a wallet that collects money and shares it with families, it is also such a think tank, and I like that Yulia is making a scientific and practical center out of it. It sounds loud, but that's how it is. Because they set their sights on the palliative care register. We have the opportunity to do it. We can also make software, there is good experience, there are people who know how to do it, and we can make the product itself and then offer it to the state so that it can be used to count these children. Because before opening beds or building hospices, you need to understand what kind of children these are, how many there are.
S. SOROKINA – And how do these families approach you, how do you find them.
N. SAVVA - In different ways.
Y. CHECHET - At first it was word of mouth. Because the need is such that it is clear that now we have children in line, because we need to expand the team, it is not very easy to find staff. That is, this is a separate topic.
S. SOROKINA – This is not what they teach.
YU. CHECHET - We are ready to teach, train. We have no problems with this, but these must be certain people with the right motivation, approach, and the right set of human qualities.
N. SAVVA - Now I’m still glad that doctors call our director Yulia Vyacheslavovna, she is an oncologist herself, works at the Federal Scientific Research Center, Center for Oncology and Hematology named after Dmitry Rogachev. And people make this request, the doctors themselves, I have a difficult child, you can take it.
S. SOROKINA – The doctors themselves are calling.
N. SAVVA - We began to organize our work in such a way that we do not wait until the child appears at home, we already want to go to the clinic and conduct a dialogue with the clinic, for example, the attending physician. We purchase equipment, the child needs the same oxygen concentrator, he needs, for example, an electric suction device that sucks out mucus, and so on. There are still a lot of devices, for this you need to train your mother. If we make sure that the mother is discharged home, then come there, it’s more difficult than coming with the equipment ourselves, teaching within the clinic and then transferring everything together. We started such activities and we already have several families who have been transferred in this way and it is easier, of course, then to conduct them at home.
Y. CHECHET - We cooperate with the Scientific Center for Human Health - Scientific Center for Human Health. Accordingly, they are glad that we exist, because we actually allow them to transfer the child to home care and free up a bed for another child.
S. SOROKINA - That is, with medical institutions you find mutual language. Please tell me, in general, you mentioned that even social workers who help sort out all the bureaucratic stories, in your experience, it is really very difficult to go through all this and receive the necessary benefits, to resolve some paper issues.
N. SAVVA - Sometimes it’s very difficult.
YU. CHECHET - It’s easier in Moscow. Because we serve children in the Moscow region. It's harder there. But in principle this is not an easy path.
N. SAVVA - And when a mother’s time is occupied with a child, she has to find time for bureaucracy.
YU. CHECHET - But there must be professional support for this family.
S. SOROKINA - And finally, we got to the important thing. The fact is that now the Ministry of Health, since 2011, has a certain prescription regarding palliative care. But how does it move on? When will it become more specific, when will something be more precisely spelled out in all our legal and by-laws?
N. SAVVA - We really ask the Ministry of Health to make this faster. But at least we already see the light in the window, because today there is a proposal from the Ministry of Health, from public organizations and from the council, which was created under the Ministry of Health and consists of commercial organizations, who also provided their suggestions. To formulate an order, at least for the provision of palliative care. And by October 15, we hope that these proposals will be considered and a discussion will take place.
S. SOROKINA - That is, you hope so.
N. SAVVA - Yes.
S. SOROKINA - Because it often happens that they announce that we are conducting a dialogue with non-governmental organizations, and then this is forgotten and what is accepted is accepted. Well, let's hope that you are heard. Because I have a feeling that your experience is unique and it is not necessary to invent something that has already been invented. In your opinion, today the country where palliative care is best developed is still Great Britain.
N. SAVVA - Children's - yes. Have a take post-Soviet space Poland is a country where the state is very actively involved in financing and they even made one percent of the tax, which a person, any resident has the right to decide where he will give it. And a lot of people give to support palliative care. A lot of money comes from there.
Y. KOBALADZE - Sometimes you still hear this argument as to why sick children and adults turn to charitable foundations. When the state has money budgeted. And we are ready for the state to take over the treatment.
S. SOROKINA - Who is ready?
Y. KOBALADZE - State. Why do we need charitable foundations when the budget contains money that supposedly no one is asking for?
S. SOROKINA – As for the palliative, I don’t see the state rushing. The point is, Jur, what is specific about non-profit organizations is that, unlike the state, they act specifically in a targeted manner. For now, the state will turn around in all its might, it will miss a bunch of people who need to turn around and take their particular case into their own hands.
N. SAVVA - Everywhere public-private partnership is very good because the state takes on some basic guarantees. And education. That is, the state takes upon itself the standards, education of specialists, and some basic provision of drugs and services. And the rest can be taken care of by charitable organizations. Because they are more flexible. That is, for example, those specialists who participate in the form social work for social and psychological work, a psychologist must come at such and such intervals, it is very difficult to work, because each time we are dealing with some unique case. Since the state is a machine and it is a very slow machine, it is of course easier to perform these functions by non-state structures that are more flexible. They can flex this money from one wallet to another, in in a good way. To finance. Therefore, of course, there must be a public-private partnership. In England, for example, hospices are funded by 30% from the state, and they say, we no longer want the state to dictate some super conditions to us that would not allow us to be flexible.
Y. CHECHET - They still have a very developed health care system; accordingly, a lot of services for palliative patients are provided not through palliative services, but within the framework of the main health care system.
Y. KOBALADZE - Let the state at least provide medicines.
N. SAVVA - Yes, at least to get some basic things first.
S. SOROKINA - And besides medicines, what else is this?
Y. CHECHET - Availability of some basic services.
N. SAVVA - This should not, of course, be beds and hospices. This is not necessary, that is, there should be services that are outpatient at home, local ones. That is, they need to be organized. And we need to train specialists. That is, the state must develop training programs for doctors, psychologists, and social workers. Because we, having medicines and services, will still not help in any way if there is no one to help.
Y. KOBALADZE - And you are attracted, you read lectures. You educate.
N. SAVVA - Yes. The fact is that I myself am from Belarus and we have had a palliative medicine course since 2000...
S. SOROKINA - That is, it has been in Belarus for 13 years. And we have?
N. SAVVA - There is no child, there is an adult. And we are now preparing a program, we have an agreement with the institute, the Pirogov Medical University with the department of oncology and hematology. Head Department Rumyantsev Sergey Aleksandrovich. Professor. Who came into our situation, agreed to make this course, specifically in palliative medicine, thematic improvement for doctors for now only.
Y. KOBALADZE - That is, through your efforts, there are no other specialists.
N. SAVVA - Yes, we will help make the program. We will take an already tested program that was in Belarus, adapt it, and there are also requirements for the program that are imposed by international training institutes. We will also take into account, so that education is at international level straightaway.
Y. KOBALADZE - To give some diplomas.
N. SAVVA - Certificates will be given.
S. SOROKINA - Naturally. Have you considered the possibility, you are asked, of conducting clinical trials of palliative drugs that are not approved in the Russian Federation?
N. SAVVA - No, we will not do this.
Y. KOBALADZE - They will beat you down.
Y. CHECHET - You cannot embrace the immensity.
N. SAVVA - In fact, this is a very important question, because in children's palliative care a lot of drugs are used so-called off label, this is all over the world. Because conduct clinical trials on a child, who will give their child for clinical trials. And even more so on a dying child. And therefore it turns out that everything is transferred from adults, and even the same painkillers that are now used hydromorphone and so on, they were invented for adults and prescribed for adults over 18 years of age. But we still use the fentanyl patch that is used in children, but then how does it even work? That is, these are no longer clinical trials. Such despair. Or you don't help at all.
S. SOROKINA – Or you help in some way. Tell me, is severe cerebral palsy included in your...
N. SAVVA - Yes.
S. SOROKINA - We are not talking about some momentary threat of death here. It’s just a long-term hopeless situation.
N. SAVVA - There are two large groups in children's palliative care. These are children who will pass away in the near future, just like children with cancer. And there are children who live for years, and we say that they most likely will not live to adulthood. But this means both 5 years and 10 years. And he deals with children’s palliative care for such children. And he spends these years of service, providing palliative care.
S. SOROKINA - I see. Please tell me, during the time you have been working, it will be two years in December, you probably have some examples of your work. I understand that you have little joy, but still, there really are children who live for years, and there are certainly those who have passed away. And you once explained to your parents what your parents tell you, maybe after the child leaves. They want to forget about you right away or thank you anyway. What is some positive emotional effect of the service?
N. SAVVA - From experience of more than one year, I can say that when a child is cured, the doctor is very often forgotten. Not because everyone is so forgettable. They want to forget that situation. When the child leaves, it's the other way around. They want to talk to the person who remembered this child. He was there and helped. And, probably, the palliative service is that family, it is not just support. And that family where you can come and talk about the one you once loved. And the palliative service creates such parent clubs after the children leave.
S. SOROKINA – Are you creating such a club?
N. SAVVA - We are just getting started, this is just the beginning, we already have thoughts.
S. SOROKINA - That is, you understand that there is such a need. So that people have a place to gather and talk about their loved ones who have passed on.
N. SAVVA - And when the child leaves, as a rule, everyone is afraid to bother, everyone is afraid to ask, afraid to open the wound. In fact, this is absolutely wrong, these people are waiting for their loved one to be remembered with them. And they very readily remember what he was like, how he grew up, went to school, what he loved. So, of course, if there is a place to return to later, that’s very good. And palliative care gives this place. We even have a case where one woman left in the adult service, and she said that it was the first time she received such love, such participation in her entire life. No one loved me so much, they say, no one pitied me, as in this palliative team. What you gave me, no one could give me during my life.
S. SOROKINA - Okay, I understood about the register, about the education that we should have, I understood about hospices, even about the club. What else do you have in your creative plans?
Y. CHECHET - Strategy.
N. SAVVA - Palliative rehabilitation.
Y. CHECHET - We have a draft strategy, we have a project of an information and educational portal, yes, it’s great that the state will teach, but the state will teach for a very limited number of hours, and medicine does not stand still. In general, palliative care should always be learned. Therefore, we want to create an educational portal that will always provide an opportunity to educate ourselves and improve the quality of assistance.
S. SOROKINA - Everything is clear. We need to finish. Our hour has flown by. They are already giving us signals that everything is over. Let me remind you that we talked about palliative medicine. Yulia Chechet and Natalya Savva visited us. Yulia is the founder and president of the Charitable Foundation for the Development of Palliative Care for Children, Natalya is the deputy. director and doctor of the foundation's mobile service. Thank you, thank you for your work, for your strategy. For all your ideas, for all your plans. Thank you. God bless you.
N. SAVVA - Thank you.
S. SOROKINA - All the best.
Marina Mikhailova
Chairman of the board
Program Director of the Sberbank Charitable Foundation “Investment in the Future”. Responsible for coordinating the work of the fund, forming its program portfolio, implementing partner projects (All-Russian competition of educational initiatives “School of 21st Century Skills”, Competition of Innovations in Education, etc.). professional activity specializes in projects for the development of corporate culture, interaction with stakeholders, formation of the socio-cultural environment of the territories where companies operate, social investment and charity programs. Over the years, she worked at the Renova Group of Companies, at Metalloinvest, the Skolkovo Foundation, and the L.N. Museum-Estate. Tolstoy "Yasnaya Polyana". By education - a teacher of history and law, has a Master of Art Cultural management degree, a graduate of the Moscow Higher School of Social and Economic Sciences (Shaninki).
Igor Remorenko
Rector of the Moscow City pedagogical university(since 2013), held positions from deputy director of the department to deputy minister in the Ministry of Education and Science (2004–2013), candidate of pedagogical sciences, active state adviser of the Russian Federation, II class. From 1991 to 1997 he worked as a mathematics teacher, deputy director for educational work in high school No. 52 of the city of Krasnoyarsk. I. M. Remorenko is the author of dozens of articles, two monographs, and participates in research on educational policy and management development in education. Awarded a medal and order in connection with his participation in organizing humanitarian and military assistance to the Republic of South Ossetia.
Fedor Sheberstov
Co-founder of the “Teacher for Russia” program. Studied at Moscow Institute of Physics and Technology, completed a number of short-term training programs at business schools INSEAD, Stanford GSB and Wharton School of Business. Expert in the selection of senior executives and members of boards of directors for companies in the financial, oil, infrastructure sectors of the economy, private equity funds and venture capital. Has extensive experience in project management in the field of assessment and development of leadership potential. In 2001 he founded the company Pynes & Moerner (since 2009 Odgers Berndtson), which six years later became one of the top five Russian market Executive Search. Since 2006, he has held the position of managing partner of Pynes Group, a company offering services in the field of Executive Search, development of leadership potential and consulting in the field of building compensation and reward systems. Until April 2014, he served as managing partner of the Moscow office of Odgers Berndtson. Since 2015, he has been a member of the Board of the New Teacher Foundation. In 2018 he won the “Leaders of Russia” competition.
Mikhail Mokrinsky
Director of the Letovo school, advisor to the head of the Moscow Department of Education on issues of innovative development of educational systems and organizations. Mikhail Mokrinsky has led the Moscow Lyceum No. 1535 since its founding and brought it to the top of the ranking of the best schools in Russia. Later he headed the Central District Education Department, taking part in many educational projects and reforms at both the regional and federal levels.
Yulia Chupina
Deputy Chairman of the Board of Sberbank of Russia. From 1998 to 2003 she worked in the Moscow office of McKinsey & Company. From 2004 to 2009, she worked at VTB, including responsibility for corporate governance. In 2009, she left the bank with the status of deputy chairman of the board. During four years Yulia Chupina was engaged in independent consulting. In 2013, she accepted the offer of the head of VTB Andrey Kostin to return to VTB, joined the board of the bank and oversaw the development of the group’s development strategy until 2017. She finally left VTB in July 2014. In the fall of 2014, she came to Sberbank as an advisor to Sberbank President German Gref, and since July 2016, she has been a member of the Management Board and Deputy Chairman of the Management Board of Sberbank. Head of the Strategy and Development, HR blocks.
Elena Chernyshkova
Chairman of the Board of Trustees of the European University in St. Petersburg, ex-president of the Sistema charitable foundation. Founder and first head of practice for working with educational and non-profit organizations in the Moscow office of Odgers Berndtson. She worked as the director of strategic projects at the Moscow School of Management Skolkovo, where she was responsible for forming strategic alliances, developing new projects, attracting donations for the school and maintaining relationships with donors and partners of the school. She held the position of advisor to the honorary president of VimpelCom OJSC Dmitry Zimin, headed the Zimin family office, and was also a co-author and director of Dmitry Zimin’s Dynasty Charitable Foundation, which remains the largest private donor in the field of science, education and enlightenment. Actively participates in the work of public organizations and projects.
Dmitry Fishbein
Director of the Lyceum of the National Research University Higher School of Economics, Chief Editor"Journal of the Director of Educational Management", director of the autonomous non-profit organization "Educational Quarter". He is a member of the organizing committee and jury of the All-Russian competition “School Principal”. As a teacher, he collaborates with leading scientific organizations of the Russian Federation - Russian Academy National economy And civil service under the President of the Russian Federation (program “Training of management personnel in the field of healthcare, education and culture (2011–2014)”), National Research University Higher School of Economics (master’s program “Education Management”). Candidate of Pedagogical Sciences.
On June 30, the MIA Rossiya Segodnya hosted an award ceremony for the winners and prize-winners of the All-Russian competition “School of 21st Century Skills.” The organizers of the Competition are the Sberbank Charitable Foundation “Investment in the Future” and the Institute of Education of the National Research University “Higher School of Economics”.
The competition is aimed at identifying and supporting the best ideas and practices of educational programs, models of organizations focused on developing 21st century skills in students. The winners will receive the opportunity to undergo internships abroad, grants for the implementation of their projects (up to 5 million rubles), the opportunity to study as part of project seminars, as well as other prizes from the competition partners.
More than 200 teams of teachers from 39 regions of Russia offered their vision of new models of education and educational programs for children in the 21st century.
12 projects-winners of the correspondence round reached the finals of the competition, which was held in Moscow on June 27-29 (winners’ geography: Moscow, St. Petersburg, Primorsky Territory, Karelia, Tomsk Region, Perm region, Novosibirsk region).
On the first day of the in-person tour, the participants presented their projects in TED style (15-minute presentation and answering questions for 5 minutes), as a result, 8 teams continued to fight for victory in the competition (two in each category).
The second day of the competition was held in the format of duels.
The winners of the first stage had to prove the need or lack thereof (“FOR” and “AGAINST”) mastery of 21st century skills “4K” - creative and critical thinking, communication, cooperation.
A distinctive feature of summing up the results of the Competition was that the impact on final result provided by experts and a public jury consisting of teachers, parents, and teenagers equally. To count the votes, a specially developed for the competition was used. mobile app. Openness to society is the fundamental principle of the competition.
The following took part in the award ceremony for the winners of the All-Russian competition “School of 21st Century Skills”:
- German Gref, President and Chairman of the Board of PJSC Sberbank of Russia,
- Yaroslav Kuzminov, Rector of the National Research University Higher School of Economics,
- Svetlana Chupsheva, General Director of the Agency for Strategic Initiatives,
- Yulia Chechet, Executive Director of the Sberbank Charitable Foundation “Investment in the Future”.
Rewarding the winners German Gref noted: “21st century skills are now in the spotlight all over the world, although a unified educational model has not yet emerged that meets all the requirements of the new time. One of the key missions of Sberbank is to promote the development of education in Russia, this is one of the most important processes for the future of our country. This year we received more than 200 applications for participation in the “School of 21st Century Skills” competition, most of them came from Moscow, St. Petersburg and Yekaterinburg. Therefore, our task next year is to make the competition more widespread; we will strengthen material and non-material motivation for winners and participants. This is very important, because such competitions stimulate the development of innovative educational thought not only in Russia, but also abroad.”
In its turn Yaroslav Kuzminov drew attention to the fact that “the school has always been one of the most conservative institutions in the history of mankind, no matter how paradoxical it may sound. The scale of human culture is constantly increasing, and the task of the school is to prevent it from being lost. But today we face the prospect of a global revolution in education comparable to what the printed book once brought. This is not just informatization, which is so often talked about, it is inclusion in the global information environment every minute and this is artificial intelligence.
Artificial intelligence is the automatic solution of not just multimedia problems, it is the automatic making of routine decisions without human intervention. In the near future, we will see that 2/3 of our school methods will simply go to waste. No one will be able to distinguish whether the child did the task himself or whether artificial intelligence did the work for him. Therefore, the school must fight very hard for its existence, it must offer something that artificial intelligence cannot replace - this is real creativity, this is the formation of design thinking, this is teaching people how to make choices, this is teaching people how to form teams. Also included here are applied skills, which, perhaps, rely to a lesser extent on global knowledge and global computing, but are absolutely necessary in a new society where every person has become economically active.”
According to Svetlana Chupsheva: “Forming children with skills that will allow them to feel comfortable in the modern world, adequately respond to the challenges of the digital economy era, and adapt to the accelerating pace of life is one of the main topics and tasks for ASI. Projects supported by the Agency, such as the development of a network of children's technology parks "Quantorium" and "Our New School", are aimed at achieving these goals. An important link in the necessary chain of changes is the “School of 21st Century Skills” competition, which allows us to identify and support the best educational practices. I am confident that all the projects and initiatives that we are discussing today are the basis for systemic changes in the educational system.”
In her speech she emphasized the value of the competition for all participants, and not just the winners Yulia Chechet: “Based on the results of the finals, we saw like-minded people in the competition participants, projects that are in solidarity with the mission of the Fund “Investment in the Future.” Association of professionals from different regions Russia on the basis of common goals, the formation of a community of those who think about the school of the future - this is another particularly valuable result of the “School of 21st Century Skills” competition. These are new resources for expanding experience, exchanging practices, and supporting teachers.”
Winners of the All-Russian competition “School of 21st Century Skills”:
1. Nomination “Educational program (idea/project)”:
"Life Design Technology"
Moscow
Chibisova Marina Yurievna and the team of authors (Smart School LLC)
2. Nomination “Educational program (implemented project)”:
"Technology session"
Perm region, Perm
Ikonnikova Elena Evgenievna and the team of authors (Municipal Autonomous Educational Institution “Gymnasium 5”)
3. Nomination “Model of organization (idea/project)”:
"Petersburg School-Park"
Saint Petersburg
Kuchuk Varvara Dmitrievna and the team of authors (ANO “Park of Open Studios”)
4. Nomination “Model of organization (implemented project)”:
“Comprehensive education quality management system “Mobile Electronic School”
Moscow
Kondakov Alexander Mikhailovich and the team of authors (Limited Liability Company "Mobile Electronic Education")
Part-time master's programs for teachers history, social studies, Russian language and literature, directors and head teachers of schools, specialists from educational authorities.
Budget places. When applying for paid places, employees of the public sector receive discounts of up to 50%. Read more.
Full-time master's programs for future researchers, analysts, developers "Evidence-based educational policy" and "Measurement in psychology and education".
Acceptance of documents from June 1 to July 20, 2017.
Budget places. Nonresident students are provided with a dormitory. Already this fall, every student will have the opportunity to get a job in one of the Institute’s departments.
"Management in Higher Education" - part-time master's program for managers and expert analysts higher education
capable of developing and implementing development plans for universities and their departments.
Budget places. When applying for paid places, employees of the public sector receive discounts of up to 50%.
Acceptance of documents from June 1 to September 13, 2017.
The head of the Sberbank charitable foundation "Investment in the Future" Yulia Chechet spoke in an interview with TASS about the challenges of the 21st century, automation of processes in the workplace, as well as what qualities a professional must have today in order to be in demand tomorrow.
- To what do you attribute the emergence of new requirements for people in the 21st century?
The labor market around the world is transforming: the population is aging, a new generation that grew up on the Internet is entering the market, and the material, intellectual and technological gap between groups of people, employers and entire countries is increasing.
The most significant changes are currently taking place in the technological sphere. For example, the trend of job automation based on algorithms and artificial intelligence has already begun to displace white-collar jobs - lawyers, auditors, recruiters.
There are no unified approaches to predicting the prospects for automation and robotization yet: various studies predict that from 9% to 50% of all jobs can be automated. This entails the prospect of the emergence of a layer of “extra people.” At the same time, the labor market will grow in demand for what cannot be automated, for universal skills that distinguish a person from a machine.
Of particular importance are competencies at the intersection with personality traits and values, such as adaptability to change, the ability to learn and relearn
Regardless of the industry, universal competencies, or “21st century skills,” will be in demand, which can be divided into cognitive, non-cognitive (including social-emotional) and digital. Of particular importance are competencies at the intersection with personality traits and values, such as adaptability to change, the ability to learn and relearn.
I am sure that a person must become “more complex in order not to become “superfluous” in this new reality and successfully adapt to changes.
- Why now about “skills”XXIcentury" has the world community spoken up?
The world has been talking about this topic for a long time. The DeSeCo program started more than ten years ago (an international interdisciplinary program “Identification and selection of competencies: theoretical and conceptual foundations” under the auspices of the Organization for Economic Co-operation and Development).
Companies began to pay attention to the development of universal competencies in business, including Russian, at the beginning of the century. But it is obvious that universal competencies (or “21st century skills”) are laid down long before a person enters the labor market - they need to be developed from an early age.
And educational organizations are faced with a dilemma: on the one hand, the public expects their graduates to be prepared for life, work and self-realization in the 21st century; on the other hand, the skills and competencies necessary for this have not yet been clearly defined by educational science, just as the methods for their formation and assessment have not been defined.
Sufficient scientific study key concepts, evidence-based methods for developing these competencies, well-established models for transforming education systems - all this is still missing both in Russia and abroad.
How relevant do you think these skills are for the regions of Russia, since the standard of living and education in the regions is uneven?
The need to develop “21st century skills” does not depend on the region and standard of living; on the contrary, it is a chance for less “advanced” regions to get ahead and accelerate their development. But it is also important to work to ensure that the labor market in these regions develops so that holders of universal competencies can find worthy use for themselves.
- Which of the projects of the competition “School of Skills XXIcentury" struck you personally?
What struck me most was the attention to the competition. We received 208 applications from 39 regions of Russia in a very short time. These are applications from individual authors and teams, governmental and non-governmental, commercial and non-profit organizations, from the system of both general and additional education.
12 teams were selected for the finals. Very interesting projects were presented by teams from Perm, Novosibirsk, Tomsk, and St. Petersburg. Each of these projects has its own value, uniqueness, and importance for the development of new approaches in education. Therefore, I will not single out any one project.
- The winner receives a grant of up to 5 million rubles. Who became its owner?
We have set a focus for ourselves that reflects the values of the "Investment in the Future" charitable foundation - this is compliance with the challenges of the 21st century that participants face today educational process; the potential of projects in terms of their real practical benefit for mass education and the ability to measure the result.
The winners were determined by an expert competition commission and the votes of a public jury, taking into account these focuses. Grants in the amount of up to 5 million rubles are provided by the Sberbank charitable foundation “Investment in the Future” to ideas/projects of educational programs and organizational models (the final grant amounts are determined based on the budgets secured by the winners).
In the nomination “Educational programs (idea / project)” the grant will be received by Marina Chibisova’s team “Smart School” from Moscow with the project “Life Design Technology”. In the category “Model of organization (idea / project)” - St. Petersburg School-Park, presented by the team of Varvara Kuchuk from St. Petersburg.
- Tell us about the foreign internship for the winner.
Foreign internships become a prize for the winners in two categories who submitted already completed projects to the competition.
In the “Model of Organization” category, the winning project was presented by the team of Alexander Kondakov from Moscow. This is the Integrated Education Quality Management System "Mobile" e-school". Among the implemented educational programs, the winner was the project "Technological Session" of the team of Elena Ikonnikova from Perm.
The winning teams will be able to undergo an internship at a foreign school. Where exactly - in what country, city, school - will be recommended by the expert council and the competition commission, taking into account the specifics of each of the winning projects. The internship is planned for the fall.
- Why does Sberbank need this competition?
Sberbank pays great attention to the development of 21st century skills. And we’re not just talking about our 300 thousand employees. We are trying to develop the entire ecosystem associated with the bank, and our clients are the whole country. Therefore, Sberbank initiates projects that cover not only the bank, but also the Russian economy and society as a whole. For this purpose, the Sberbank charitable foundation “Investment in the Future”, which I represent, was created.
Our programs are addressed to both teachers, educators, administrators of the general education system, as well as parents and children. Among them are “Teacher for Russia”, “Social and emotional intelligence”, “4K: developing competencies of the 21st century and assessing individual progress in their development”, “Teaching to learn” and others.
In addition, we are developing an inclusive environment that provides people with equal opportunities for self-realization, regardless of their developmental characteristics and health.
The "21st Century Skills" competition is one of the components of the work of the "Contribution to the Future" foundation as part of the development of modern education. With the help of the competition, we wanted to find and support ideas and solutions in the current education system to acquire skills relevant to the 21st century, contributing to the implementation of current education standards (FSES).
Based on the results of the competition, we understand that its participants are our like-minded people, whose projects are in solidarity with the mission of the foundation. And this is another particularly valuable result of the competition: the unification of professionals from different regions of Russia based on common goals. This gives our teaching community new resources for expanding experience, sharing practices and mutual support.
- Will there be skills?XXI century to integrate into other Sberbank projects, for example “Teacher for Russia”? Will teacher training be adapted to new skills?
Undoubtedly. We decided that all finalist teams should be invited to work in our Educational Products Laboratory, where they will be able to develop modules for the development of emotional and social intelligence and 4K (critical and creative thinking skills, communication, cooperation) for their sites based on development methodologies skills developed by the foundation and its partners.
Now there are already more than 20 partner organizations working in the laboratory, including “Teacher for Russia”, the Rusnano school League, the New Generation School, English First, the NTI Olympiad, the Sirius educational center and others. It is very important that everyone best ideas found application in practice. Therefore, we will carefully monitor the fate of projects and maintain contact with their authors. We strive to form a community of methodologists, teachers, and parents interested in developing “21st century skills.”
- We know that you are doing a lot of research on XXI skills century together with the International Institute of Education and a number of international universities. Are there any first results? And how long will it take?
Our strategic partner - Institute of Education High school economy, closely interacting with the most progressive representatives of both domestic and global educational science. Together we are implementing an ambitious project - a study in which not only the best Russian scientists, but also leading scientific schools education of China, South Korea, Finland, Canada, USA, Great Britain. Together we are looking for answers to pressing questions: how the education system responds to the changing demands of the labor market, what educational systems exist, what skills are needed, how to develop and evaluate these skills, who should develop them and what should be the role of the teacher in the new reality.
Together we are looking for answers to pressing questions: how the education system responds to the changing demands of the labor market, what educational systems exist, what skills are needed, how to develop and evaluate these skills, who should develop them and what should be the role of the teacher in the new reality
Successful implementation of the project will not only help develop 21st century skills in Russian system general education, but also improving the international reputation of our country as a world center for the development of modern education and creating competitive national potential for the further development of this topic. It is important that the project is implemented in synergy with similar programs of the Organization for Economic Co-operation and Development (OECD / OECD) and UNESCO, and the results will be useful for all parties.
How are you collaborating with the Ministry of Education on this project? Will the school education system be changed in connection with the requirements of new times?
On the one hand, in our initiative we proceeded from the world practice of successfully integrating 21st century skills into school education. All over the world, similar projects were initiated by leading educational organizations with financial support largest companies. And only then, after testing, were they proposed at the state level. On the other hand, naturally, we strive to act in synergy with state educational policy. The working materials of the project will be discussed with a wide range of experts, including, of course, the Ministry of Education, whose opinions and comments are very important.
We are using the project’s developments as part of the work on the Development Strategy of the Russian Federation for 2018–2024 and for the future until 2035 (instruction of the President of Russia dated May 18, 2016 No. Pr-972). In particular, this is a section of the “Education of the 21st Century” strategy, which contains proposals to increase the contribution of the country’s education system to economic growth.
Results of international studies (PIAAC, PISA, research World Bank and National Research University Higher School of Economics) confirm that the general education system both in Russia and in other countries of the world does not meet the changing needs of the economy and labor market.
I believe that it will be inevitable to transform the educational system. And neither the state, nor business, nor science alone can cope with such a transformation. Teachers, children, parents, organizations non-formal education also have their own understanding of the situation, which must be taken into account. Only together and taking into account the best Russian experience, global practices and positions of all parties involved, we will be able to create modern system training "the man of tomorrow".
Interviewed Tatiana Vinogradova
