Resumen
This paper examines the process specifics that affects study environment at Medical College during a period of rapid changes. It describes the requirements of the environment and return on preparing professionals for regulated professions. These factors determine a dynamic activity optimization of a first level professional higher education institution by providing innovative solutions for the achievement of its mission, vision and goals. The results achieved allow planning viable development, new core programs that mark early clinical experience, the monitoring of individual skills (for all process participants), the elasticity of studies with high average level of graduates reaching the adequacy of the proposed goal, professions standard and societys good understanding of resource allocation topics.Special attention was paid to the development of gradual comprehension process where one moves from simple to more complex process understanding by developing critical thinking skills, scientific research and other skills. For every years study process assessment, there are indicators identified, the analysis of which show the results, the process correspondence with the industry politics, and expected development. The circulation of this process is discussed via student individual and practical work percentage increase at the study program. The cooperation degree among process participants and the tendencies, coefficient and obstructive factors in different aspects were also analyzed.This work has been supported by the European Social Fund within the project Support for Doctoral Studies at University of Latvia.