Personnel management isn‘t organized in medical institutions. The aim was: to discuss the possibilities of personnel management development. Goals were: to describe the impact of internal and external environment to personnel management ; To discuss the problematical aspects of personnel management in Vilnius University Emergency hospital; To explore the process of personnel management in Vilnius University Emergency hospital; To suggest how to solve problems of personnel management more effectively.

Used methods of research: comparative analysis of scientific literature, statistical analysis, quantitative method of research, questionnaire. The research estimated problematical areas of personnel management: communication, methods of management, motivation, conflict, team work. There are defaults in all stages of personnel management process, except recruitment. Suggestions are related to solution of personnel management problems and correction of personnel management process.

Raktažodžiai: probleminiai aspektai, hospital, personalo valdymo aplinka., ligoninė, personalo valdymo procesas, management opportunities, inovacijos