The passage discusses the efficient and organized medical services in the Soviet Union, particularly focusing on the accident and emergency services. Key features include: 1. **Polyclinics**: These are adjacent to district hospitals and handle non-emergency cases, with a focus on specialization and a large ancillary staff. The chief doctor is a consultant, and the service is supported by a high number of medical personnel (35 doctors per 10,000 people). 2. **Accident and Emergency Services**: These are large and efficient, with all staff feeling a sense of importance in accident prevention. Casualty cases are handled in polyclinics, and emergency duties are rotatable among general practitioners. 3. ** Lessons for Britain**: The British Council organized a visit to learn from these services. Key lessons include the need for more medical personnel, the effectiveness of polyclinics in large urban areas, and the importance of a structured clinical examination to assess clinical competence. 4. **Structured Clinical Examination**: This method involves students rotating through stations where they perform procedures and answer questions. It aims to avoid the disadvantages of traditional clinical examinations, such as subjective marking and lack of objectivity. The examination is more controlled, objective, and can provide better feedback to students and staff. 5. **Scoring and Analysis**: The final score is based on correct answers and examiner scores, with a detailed analysis of performance at each station. This allows for better feedback and targeted improvement. 6. **Conclusion**: The structured clinical examination is more repeatable, comparable, and comprehensive, covering a wider range of skills and knowledge. However, it requires more preparation and careful patient selection to ensure minimal disturbance. The passage also includes references to the benefits and potential drawbacks of the structured clinical examination, emphasizing its potential to enhance medical education and patient care.The passage discusses the efficient and organized medical services in the Soviet Union, particularly focusing on the accident and emergency services. Key features include: 1. **Polyclinics**: These are adjacent to district hospitals and handle non-emergency cases, with a focus on specialization and a large ancillary staff. The chief doctor is a consultant, and the service is supported by a high number of medical personnel (35 doctors per 10,000 people). 2. **Accident and Emergency Services**: These are large and efficient, with all staff feeling a sense of importance in accident prevention. Casualty cases are handled in polyclinics, and emergency duties are rotatable among general practitioners. 3. ** Lessons for Britain**: The British Council organized a visit to learn from these services. Key lessons include the need for more medical personnel, the effectiveness of polyclinics in large urban areas, and the importance of a structured clinical examination to assess clinical competence. 4. **Structured Clinical Examination**: This method involves students rotating through stations where they perform procedures and answer questions. It aims to avoid the disadvantages of traditional clinical examinations, such as subjective marking and lack of objectivity. The examination is more controlled, objective, and can provide better feedback to students and staff. 5. **Scoring and Analysis**: The final score is based on correct answers and examiner scores, with a detailed analysis of performance at each station. This allows for better feedback and targeted improvement. 6. **Conclusion**: The structured clinical examination is more repeatable, comparable, and comprehensive, covering a wider range of skills and knowledge. However, it requires more preparation and careful patient selection to ensure minimal disturbance. The passage also includes references to the benefits and potential drawbacks of the structured clinical examination, emphasizing its potential to enhance medical education and patient care.