New staffing and labor norms for Dermatovenereology: implementation potential.

Background. In 2025, new regulatory documents governing staffing in medical organizations providing dermatovenereological care came into force. The key regulatory act is Order No. 582n of the Ministry of Health of the Russian Federation, which revised the structure of medical units and introduced additional medical positions. The feasibility of implementing these changes depends on the actual availability of specialists. Aim: to assess the scale of changes in staffing norms for dermatovenereology and compare the normative requirements with the actual workforce availability. Methods. A comparative analysis of the previously valid and newly adopted regulatory documents was performed. The normative staffing requirement was calculated using national population data and information on hospital bed capacity. Actual workforce availability was assessed using official data on the number of physicians. Results. The updated staffing norms introduce fourteen new medical positions and revise the standards for physician availability. For the population of the Far North regions, the normative requirement was doubled. The total need amounts to 9,300 positions, whereas the current number of specialists covers only about 18% of the requirement. Conclusions. Implementation of the new regulatory framework is not feasible without a substantial expansion of workforce training. Adjustment of labor standards to regional characteristics and development of measures to attract and retain specialists are required.