In the similar way two important for the Academy programs were created which allowed to introduce methods of laparoscopic and endoscopic surgery (the partner is "Jonson & Jonson" company) and to create the Center of Neurophysiological Diagnostic in cooperation with the Austrian firm "EMC Handel" (the supervisor of projects O.G. Khurzilava, Ph.D.)

The work, directed on search of grants, began in 1995 together with the Universities of USA. The largest project was the grant received by the Academy together with the University of Iowa from the Agency of International Development of the USA in 1995 (the supervisor - Professor A.P. Tcherbo). This organization was created by the government of the USA to support the democratic reforms in countries of the Newly Independent States. The projects can be dedicated to different aims, including changes in the field of Public Health. An essential feature of this fund is that grants are given to partners, which should represent noncommercial organizations both American party and one of the CIS countries. The control of programs performance is assigned to Agency of International Development and Exchanges (IREX), the employees of which permanently supervise the project processing and financial accounting.

The total sum of the grant received by the Academy together with the University of State Iowa is 1 million dollars. The main purpose of this program was the development of family medicine in St.-Petersburg. The duration is two years. For realization of this project the participants should work on series of problems: first of all, they have to train in the University of Iowa 5 young teachers of family medicine; to equip the Center of Family Medicine, in which the patients could receive help and to drive the training both for city's physicians and physicians from other regions of Russia. Besides, the major attention was given to the information support of the program. On the grant's money the library, containing both periodicals and monographs, dedicated to different sections of medicine, medline on compact disks, containing medical information for five years, were purchased. It is necessary to mention, that the Academy already has the experience of teaching family medicine. There was the Department of General Practice and the College of Internal Medicine, however the absence of the own out-patient department and teachers, which simultaneously represent a new speciality, couldn't allow to develop training of emergency aid doctors according to modern demands. In this connection simultaneously with the foundation of the Center of Family Medicine of MAPS the new Department of Family Medicine (the Head of the Department is Professor O.Y. Kuznetzova) was organized, in the structure of which both young teachers trained in the USA and the experienced experts familiar with principles of teaching of family medicine are present.

Next year on the basis of already existed cooperation with the University of Iowa, three grants related to development of emergency aid were received. In this case the Academy represented itself as the main grant holder, which was imposed the responsibility in processing of the documentation, including financiing the participants of the program from the Russian side. The first grant was completed successfully, despite many difficulties in their realization bearing both subjective and objective character. They were connected with non-confidence of partners to each other at the first stages of communication, low level of proficiency in English of the Russian participants, difficulty of realization of the reform of emergency medical care in St.-Petersburg, which was just started in that time. According to the results this program has been considered the best by the Congress of the USA, where reports of the Agency of International Development after summarizing the performance of each program were submitted. Such project considerably strengthened positions of the Academy in the field of teaching of family medicine. On the basis of the Department and the Center of Family Medicine not only doctors and clinical interns both of the city and region, but also young doctors from the University of Iowa and Great Britain were trained. Further on the basis of the Department of Family Medicine doctors of Petrogradsky district of St.-Petersburg have passed the training. It seems that there was nothing special. However, it was the special course of training, because not only members of the Academy participated in it, but also the doctors and teachers of family medicine from Sweden, who within the arranged program during one month were training the Academy's doctors in Stockholm. Thus, for the first time the Russian teachers worked together with the foreign teachers as the united team participating in realization of educational part of reform of emergency medico-social help in St.-Petersburg. The financial aid for this project was given by the Agency of International Development of Sweden.