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The article is devoted to the topical issues of formation and postgraduate training of senior management in Moscow healthcare. The authors conducted an expert survey based on developed research methodology, which included qualitative sociological methods. It was done in the form of a series of in-depth structured interviews with heads of Moscow healthcare medical organizations (adult and children outpatient clinics, hospitals), as well as with top executives of the institutions of postgraduate professional training. Research results allowed the authors to postulate the following key questions: 1) Who should head a medical institution - a clinician or a manager?; 2) What management skills should a top executive of a medical organization possess?; 3) What advantages and disadvantages does a postgraduate training system of senior management have?; 4) What is the procedure of a top management pool formation? Results analysis showed that the key problems are still acute. Problems revealed in 2016-2017 are still to be solved in 2019. They concern formation of manager competencies for healthcare top executives, forms and topics of postgraduate professional training. The article defines the competences which medical managers miss and possibilities of their obtaining by means of postgraduate professional training and professional requalification.
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