The paper focuses on professional communication issues which are directly linked to training international students, who are prospective medical residents, in Russian for medical professionals, at the pre-University stage. The authors describe the training process organization as a system. They suggest the system structure and analyze its constituent elements and inter-connection between them. The researchers define the skills and abilities necessary for communication in a professional environment and reveal difficulties which may arise when professional communication takes place in a foreign language. The paper analyzes the specifics of building professional speech competencies in international students in compliance with their future profession. It enables the authors to define the main methodological principles of training international students in specialized Russian. All the ideas suggested by the researchers are exemplified with medical contexts.

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