Strategic task of healthcare system is decreasing of lethality among children. High level of skills of emergency care to children is improve of treatment outcomes. Supporting of high level of skills is actually. The skills can high level support by regular simulation education of pediatricians in condition of low quantity of patients in low level hospitals. System of control of the skills’ level is imperfect and requires of optimizing. Purpose. To estimate of the skills’ level of emergency care to children among in-hospital pediatricians by anonym questioning. Methods. It was prepared anonym questioning on in-hospital emergency care to children of 103 in-hospital pediatricians from 10 Rostov-on-Don and Rostov region hospitals. It was suggested to answer on 1 of 3 variants of tests, which consists of 50 questions: 30 of them (60%) – were the first level questions (one correct answer), 12 (24%) – the second level (some correct answers), 8 (16%) – the third level (need formulating of correct answer). One of 15 situation tasks was included in test-sheet. The solution of the problem involves to make a diagnose, to plan of paraclinic diagnostics and to formulate of results, to provide emergency care, to make a plan of patient’s treatment. Testing was prepared after 6 months from finishing of training. Results. More of incorrect answer had questions dedicated to issues of infusion 40% (150 of 375 asked questions), acute respiratory insufficiency – 39.7% (282 of 711), cardio-pulmonary resuscitation – 38.1% (121 of 318). More incorrect answers had tasks dedicated to emergency care – 17.2% (from 103 tasks), diagnostics – 14.6%, objective examination – 10.3% and treatment – 7.7%. Conclusion. Low level of skills on separate directions of emergency care require additional monothematical trainings. Exam on practical skills in attestation of pediatricians is need.