The article is devoted to the analysis of the modern process of reorganization of healthcare institutions of the united territorial community (OTG) and the algorithm for creating a center of primary medical and sanitary care. The legal framework of medical reform and aspects of the activity of the primary medical care system of the OTG were studied. Modern approaches to the organization of a patientoriented model of primary care and the implementation of measures to improve medical and technical equipment and the financial distribution of funds are highlighted. It has been established that the creation of a primary health care center in financially independent communities will make it possible to fully embody a patient-oriented model in compliance with the development directions and principles of primary care in rural areas. The best is a clear division of labor between the economic part and the medical work. Promising is the conclusion of contracts in the framework of inter-municipal cooperation and civil-law relations with general practitioners-family medicine, who work as individual entrepreneurs.

The article emphasizes the priority of continuing education in a family doctor’s professional development and training. Current issues of  continuing education as a strategic and prospective direction in postgraduate education development are indicated. The attention is paid to the impact of continuing education on doctor’s professional development in terms of World Federation of Medical Education. The development of postgraduate education according to the concept of higher medical education in Ukraine and the National Doctrine is also determined. The basic trends of study in Europe and Ukraine, major development directions, prospects and problems of professional education for family doctors are presented. Characteristic features of continuing education, major means and ways of implementation within postgraduate education are indicated. The attention of the medical community is drawn to the issues of continuing education in Ukraine. The existing system of family doctor’s training at the Department of  Therapy and Family Medicine of Postgraduate Education as well as stages of organizational approach to the study of family doctors in the Carpathian region is analyzed.Ways to overcome the problems and the approach of continuing education to international standards are determined. It has been concluded that knowledge gained during continuous postgraduate education and medical practice as well as increase in motivation for continuous renewal and mastering practical skills obtained with experience will be the foundation of successful family doctor’s practice and decisive fac tor in the development of family medicine in general. There are many unsolved issues on the way to improve the system of postgraduate professional education in Ukraine and the Department of Therapy and Family Medicine. Therefore, permanent search for new advanced methods of family doctors’ professional development with the involve  ment of the latest teaching methods and advanced technologies taking into account healthcare system features in the country in general and in the Carpathian region in particular in the period of its reforming is necessary.

No abstract