Fourth-year medical student Alexandra says she wants to become an infections specialist, but when her school said students must do their required training in a coronavirus ward, she baulked.
“This is not volunteering by choice. Coronavirus is dangerous, and they should give people a choice,” said Alexandra, who studies at Moscow’s top Sechenov medical university.
Daunted by the prospect of contracting the virus in the clinics and infecting family members, or facing expulsion, aspiring medics have protested against the decision to send students in their fourth, fifth and sixth years – who can be as young as 21 – to complete their medical training in coronavirus clinics.
The Ministry of Health announced on April 27 that the measure would go into effect starting May 1, and only students with “medical contraindications” can refuse.
Students of all medical fields, including dentistry and paediatrics, are affected, according to the decree.
“Those who refuse to go will not get their qualification and can face expulsion,” said Svetlana, a sixth-year student.
Confronted with a relentless daily increase of confirmed cases, which on Sunday pushed its total number over 200,000, Russia is taking measures to staff its hospitals as it expands the number of beds by 100,000 across the country.
But many students say they do not want to be put in such conditions without allocated housing and assurances that full protection will be issued.
Svetlana, Alexandra and other students spoke to AFP news agency on the condition of anonymity due to fears of being expelled or other reprisals.
“We’re not doctors yet, our task is to get an education,” said Alexandra. “There are fears that we will be of no use and spread the infection instead.”
She said students are offered training in regular hospitals, or coronavirus hospitals, including “red zones” where patients are treated for COVID-19.
“There is no adequate protection, and it’s difficult to believe that if the doctors don’t have enough, they would find it for us,” she said.
In an anonymous appeal circulated on social networking sites, students at the Pirogov medical university in Moscow have asked rector Sergei Lukyanov to make the coronavirus mobilisation “voluntary”.
Pirogov and the department of health in the Moscow government did not respond to a request for comment.
At the Sechenov university, vice-rector Tatyana Litvinova said that working with coronavirus patients would not be obligatory and the school would not punish anyone who declines.
“If a student does not want to do it, they can do their practice in a different establishment, nobody is going to force them,” she told AFP, contradicting the text of the health ministry decree.
She further promised that students in Moscow would be paid a salary of 100,000 rubles ($1,360) and given personal protective equipment.
Ivan Konovalov, spokesman for the Alliance of Doctors, a union associated with opposition politician Alexei Navalny, said the authorities have turned to students because of medical staff shortages.
“Healthcare reforms of the past years have led to the departure of many doctors” from the profession, he said.
This problem was even flagged by some government institutions like the Audit Chamber, which stated that “optimisation” of the sector – a euphemism for cuts – had left Russian healthcare weakened during the epidemic.
Russia needs more doctors at various temporary facilities set up in the past weeks for light coronavirus cases, as the number of people testing positive has grown by more than 10,000 daily for over a week.
More than 100 doctors have died treating the infection, according to a list of names kept by people in the profession.
Konovalov said that, despite these difficulties, reaching out to students is not the solution.
“Even those in their last year don’t have experience to work in these conditions,” he said.
Students have also launched an online petition, demanding that the ministry decree is revoked. An Instagram campaign against “forced labour” is ongoing.
Not all Russians are sympathetic.
“Why did you choose this profession? To save lives!” Marina Goncharova, a user of the VK social media network, commented in a group dedicated to the subject. “If war breaks out, are you also going to hide behind your mother’s skirts?”