scholarly journals Medical and psychological paradigm supervision somatic patients with comorbid mental disorders

Author(s):  
I. Koval

The thesis is devoted to the research of medical and psychological paradigm Supervision of patients. Studies performed on clinical material of patients with a wide range of somatic disorders. This reveals the conceptual foundations of medical activities as a complex medical and psycho-pedagogical process, which not only improves the efficiency of the professional activities of doctors, but also the formation of individual image of the world of patients achieving this level of personal development where disease and related restrictions do not interfere with their self-development based on the existing system of values and meanings. The paper provides a detailed analysis of the interaction of the three components of medical and psychological care to patients and their families: psychodiagnosis psyhoeducation and correction (psychotherapy). Presents a program of psychological diagnosis of somatic patients, including a study of the characteristics of emotional state and distress intrapsychological and behavioral patterns, strategies for overcoming stress behavior and family functioning determine the influence of psychic correction targets formulated the task of medical and psychological assistance and the amount psyhoeducation classes. Concepts and practical application of medical and psychological training of general practitioners and medical internist at the stages of pre-tested and post-graduate training in preparation of interns, and the pre-cycles thematic improvement of doctors. Determined, medical, psychological and educational determinants doctor's practice, positive motivation of their activities; preparedness to common therapeutic activities; focus on subject-subject interaction; mastering the techniques of effective communication and more.

2018 ◽  
Vol 1 (1) ◽  
Author(s):  
Steven Craig ◽  
Hayden Smith ◽  
Julie L. Anderson-Suddarth ◽  
Nicholas J. Galioto ◽  
Corrine M. Ganske ◽  
...  

Background: Entrustable Professional Activities (EPAs) for medical students were designed to help prepare students for the clinical roles of residency training. To date, there have been no published studies examining resident confidence performing the EPAs across the first year of post-graduate training. Objective: To examine self-reported confidence levels of first-year residents performing the 13 activities included in the Core Entrustable Professional Activities for Entering Residency. Methods: Entering allopathic and osteopathic residents from seven residency programs were contacted at the start, and after 3, 6, and 12 months of training to complete an electronic survey self-assessing confidence performing EPAs. Results: All 46 (100%) eligible residents completed surveys at the four study time points for the 13 EPAs, which resulted in 2,392 data points. Residents reported a high level of confidence performing four EPAs (i.e., 1, 5, 6, and 9) at baseline. Conversely, more than two-thirds of residents reported a lack of confidence performing four EPAs (i.e., 4, 8, 12, and 13) at baseline. A significant positive trend in confidence from baseline to 12 months was seen in almost all EPAs. However, more than 10% of residents reported not being confident performing EPAs 12 and 13 at twelve months. Conclusions: Results revealed not all residents reported being confident performing EPAs at the beginning and end of the first year of training. Medical schools need to examine preparation of graduating students in the EPA areas. Residency programs need to assess entering resident competency to determine the need for increased initial supervision and remediation.   Funding/Support: None Ethical approval: The study received approval from the Human Subjects Committee of UnityPoint Health – Des Moines. Conflict of Interest: The authors declare they have no competing interests.


2019 ◽  
Vol 4 (1) ◽  
pp. 57-64
Author(s):  
Андрей Рогожин ◽  
Andrei Rogozhin

The article analyzes the peculiarities of the problem of the states of human life: functional, mental and psycho-physiological. The question of the characteristics of the professional activities of civil servants and the level of stressful influences in it are discussed. Consider methods of optimizing functional states, both medical and psychological. Special attention is paid to the practices of self-regulation from transpersonal psychology, which are non-traditional for practical psychology, which, on the one hand, offer a wide range of opportunities to overcome stressful influences, and on the other, it is a potential reserve for spiritual and personal development, expansion of world view, development of creativity and internal integrity.


Author(s):  
William M. Jamieson

SynopsisThe speed and frequency of modern travel has brought problems to the traveller that were less obvious in more leisurely days; these are both of an infectious and non-infectious nature and especially relevant to travel in tropical and subtropical areas.Not everyone is at ease with air travel and travel sickness, anxiety, fatigue, and jet lag are experienced by many; sudden arrival in a new environment means adjustment to differences in heat, humidity and diet.Infectious diseases are more prevalent in many hot countries and fall into three broad groups: (a) those where fever predominates, (b) where diarrhoea is the main feature, and (c) a miscellaneous group.(a) Malaria, enteric fever, trypanosomiasis, leishmaniasis, typhus fever, brucellosis and a wide range of viral infections.(b) Diarrhoea may vary from relatively mild travellers' diarrhoea to more serious dysentery. Other infections include cholera, salmonellosis, schistosomiasis and infections due to vibrios, protozoa and helminths.(c) Miscellaneous infections include rabies, poliomyelitis, hepatitis and the sexually transmitted diseases.To fully appreciate overseas travel the traveller must adopt sensible precautions before, during and after his journey. Practitioners must become familiar with the possibility of exotic illness and both under-graduate and post-graduate training take them into account.


2015 ◽  
Vol 12 (01) ◽  
pp. 5-11
Author(s):  
I. Großimlinghaus ◽  
J. Zielasek ◽  
W. Gaebel

Summary Background: The development of guidelines is an important and common method to assure and improve quality in mental healthcare in European countries. While guidelines have to fulfill predefined criteria such as methodological accuracy of evidence retrieval and assessment, and stakeholder involvement, the development of guidance was not standardized yet. Aim: In 2008, the European Psychiatric Association (EPA) initiated the EPA Guidance project in order to provide guidance in the field of European psychiatry and related fields for topics that are not dealt with by guideline developers – for instance due to lack of evidence or lack of funding. The first three series of EPA Guidance deal with diverse topics that are relevant to European mental healthcare, such as quality assurance for mental health services, post-graduate training in mental healthcare, trust in mental health services and mental health promotion. Results: EPA Guidance recommendations address current and future challenges for European psychiatry. They are developed in accordance with the World Health Organization (WHO) European Mental Health Action Plan.


Author(s):  
O.P. Kovtun ◽  
S.V. Kuzmin ◽  
O.V. Dikonskaya ◽  
B.I. Nikonov ◽  
V.B. Gurvich ◽  
...  

The paper presents long-term experience of interaction between practitioners of the State Sanitary and Epidemiological Service (until 2005) and Rospotrebnadzor (since 2005), the institutions of science for Rospotrebnadzor, Ural State Medical University in preparing graduates of a medical-preventive profile, starting from pre-university work with schoolchildren to the introduction of modern technologies of practice-oriented training of students, specialists post-graduate training of the State Sanitary and Epidemiological Service and Rospotrebnadzor.


Author(s):  
Zlata Vasileva

The relevance of the topic is related to the importance of humanitarian education for the formation of worldview and spiritual and moral foundations of the personality. The need for humanistic and humanitarian orientation of University education is justified by many pedagogues. Universities of the MIA of Russia provide students with the opportunity to master a wide range of Humanities. The article presents the results of a study that developed a system of Humanities that affect the spiritual and moral development of students. In the course of the analysis, the worldview and psychological and pedagogical blocks of Humanities were identified, and the number of hours for each course of study was indicated. In addition, the article shows the interdisciplinary connections of Humanities that integrate knowledge on the spiritual and moral sphere of personal development. There are four thematic modules of Humanities: “Man”, “Society”, “Activity”, “Universe”. The analysis of the interdisciplinary interaction of the selected thirteen Humanities is carried out. Examples of forms and methods of formative work are shown, according to the curricula for the mastering these disciplines. The topics, their content, forming competencies, forms and methods of experimental work are correlated, which allows us to clearly trace the interdisciplinary connections.


CJEM ◽  
2017 ◽  
Vol 19 (S1) ◽  
pp. S86
Author(s):  
J. Bryan ◽  
F. Al Rawi ◽  
T. Bhandari ◽  
J. Chu ◽  
S. Hansen ◽  
...  

Introduction: Emergency medicine physicians in our urban/suburban area have a range of training in medical education; some have no formal training in medical education, whereas others have completed Master’s level training in adult education. Not all staff have a university appointment; of those who are affiliated with our university, 87 have appointments through the Department of Medicine, 21 through the Department of Pediatrics, and 117 through the Department of Family Medicine. Emergency physicians in our area are a diverse group of physicians in terms of both formal training in adult education and in the variety of settings in which we work. The purpose of this study was to gauge interest in formal training in adult education among emergency medicine physicians. Methods: With research ethics board approval, we created and sent a 10-item electronic questionnaire to emergency medicine staff in our area. The questionnaire included items on demographics, experience in emergency medicine, additional post-graduate training, current teaching activities and interest in short (30-60 minute) adult education sessions. Results: Of a potential 360 active emergency physicians in our area, 120 responded to the questionnaire (33.3%), representing 12 area hospitals. Nearly half of respondents had been in practice over 10 years (48.44%). Respondents were mainly FRCP (50%) or CCFP-EM (47.50%) trained. 33.3% of respondents had masters degrees, of which 15% were MEd. Most physicians were involved in teaching medical students (98.33%), FRCP residents (80%) and family medicine residents (88.3%), though many were also teaching off-service residents, and allied health professionals. More than half of respondents (60%) were interested in attending short sessions to improve their skills as adult educators. The topics of most interest were feedback and evaluation, time-efficient teaching, the learner in difficulty, case-based teaching and bedside teaching. Conclusion: Emergency physicians in our area have a wide variety of experience and training in medical education. They are involved in teaching learners from a range of training levels and backgrounds. Physicians who responded to our survey expressed an interest in additional formal teaching on adult education topics geared toward emergency medicine.


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