According to a survey of the Federal Service on Surveillance in Health Care and Social Development, three quarters of doctors found no sense in introducing such systems. More generally, the medical education system may not have fully embraced the international trend towards “evidence-based” medicine (EBM). Courses on international experience of EBM and the ways of organisation and management of health care provision are very seldom covered in the university medical programmes. But it is difficult to know to what degree the measures have been implemented.