One of the success criteria of the university is the presence of foreign students. Their number in Russian higher educational establishments is increasing constantly. What often attracts foreign students is a possibility of getting education in English that is offered by some Russian universities. It greatly facilitates the learning process for foreigners and at the same time causes lots of problems for the faculty members teaching their disciplines in English. The manuscript objective is to generalize the experience of teaching clinical and theoretical disciplines to foreign students at the Northern State Medical University (NSMU). Results. Some basic problems the faculty members face in the learning process have been revealed and analyzed. Practical implications. Characteristic features of foreign students and problems occurring in the process of their education should be considered in the organization of academic activity and recommendations development for optimization of the adaptation process in the conditions of educational environment.