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Medium of Instruction & other problems

There is publicity in India about English medium courses in medical studies in the Russian federation.  This is not correct.  Medium of education in Russian institutions is mostly the local language.  A special license is required by institutions to teach in English.  In practice, most institutions try to teach first three years in English medium while simultaneously teaching Russian language.  From the fourth year, students are expected to study in the Russian language.  Students must be prepared for this dual medium of instruction.  Some institutions which claim to have dual medium courses do not even have requisite faculty to teach in English even for the first three years.  Please note no books on medicine in English are available in Russia and in some cases education contractors were providing the same.  Some students have also complained about unfair practices with teachers demanding money for clearing exams.