# Translation from Russian to English
The main thing patients need to understand is this: when a nurse or paramedic moves into a new position, it might mean a specialist who was previously unavailable at your clinic - or you had to wait forever to see - is now available. For example, if a position for an obstetric paramedic or preventive care nurse opens up, it's not just a career move for them - it actually makes life easier for patients because you get an additional specialist with specialized training.
On your end, it makes sense to check with your clinic or hospital and find out which specific positions have been expanded and who's now seeing patients. Sometimes it happens that responsibilities just get shuffled around among staff, and nothing really changes on the surface, but other times new specialists or departments genuinely do appear. It's best to just call the information desk and ask if there's now a disability care nurse or a cardiology paramedic - depending on what you might need.
For the medical staff themselves, here's how it works: they used to get stuck in one position, now they can move up without having to go to medical school. That's good - less staff turnover, a more stable team. For patients, a stable team is also a win: doctors and nurses stay in place, they know the ins and outs of your clinic, and you don't have to explain your medical history to someone new every time.