When organizing accreditation at the Perm State Medical University, since 2021, lean manufacturing tools have been actively used. The main stage was the organization of “Fundamentals of Lean Technologies in the conduct of primary and primary specialized accreditation of specialists. Simulation course ". The main form of lean technology teaching is the process factory. The experience of organizing the PAS and PSA procedure in the spring and summer sessions of 2021 showed an objective increase in the efficiency of both members of commission and technical and support personnel.
The analysis of 19 videotapes of laparoscopic cholecystectomy performed by accredited on the virtual simulator "LapSim" during the passage of the station "Planned Surgery" within the framework of primary specialized accreditation in the specialty "Surgery" was carried out. The mistakes made by those accredited in the application of high-energy methods at the stage of isolation of the elements of the hepatoduodenal ligament have been studied. Mistakes when using high-energy methods were made by 14 out of 19 accredited. The importance of training surgeons in the basics of electrosurgical safety is emphasized.
The methodological approaches to updating the list of the main sections of the specialty, which are the basis for the preparation of assessment materials for primary specialized accreditation, taking into account the professional competencies of specialists, are presented.
This article presents a description of the simulator of X-ray and magnetic resonance studies "RadiuM-SIM".The " RadiuM-SIM" simulator allows expanding the range of domestic educational products necessary for conducting an objective structured clinical examination (OSCE) during the primary specialized accreditation of specialists in the specialty "Radiology".
The assessment of the level of stress associated with the passage of the second stage of primary specialized accreditation for 50 residents. The role in its reduction of the adaptive additional training program with the implementation of the process factory and the use of lean manufacturing tools, which allows to minimize losses and ensure quality, is shown.
Until recently, in Russia, the training of residents in a simulation center was very limited. Since 2020, the procedure for primary specialized accreditation (PSA) has been approved with an assessment stage, which is designed to stimulate and develop this direction. Lack of detail, ignorance of possibilities, and limitation of simulation significantly reduces the potential of this costly exercise.
Practical preparation for primary specialized accreditation is not always available to the trainees of the professional retraining cycle. Most of the specialists undergo independent training using video tutorials posted on Internet resources. The analysis of the quality of the video manuals created according to the passport of the OSCE "emergency medical aid" station in the most cases showed the formality of the implementation of practical skills in the provision of emergency assistance. As a result, the accredited did not demonstrate the fulfillment of practical skills, but only indicated it, being guided by the principle "Let's consider that has been done".
This article is devoted to the organization of the work of the Accreditation and Simulation Center of the Institute of Medical Education of the Almazov National Medical Research Centre during the primary specialized accreditation in the COVID-19 pandemic. Organizational solutions, technological processes and routing of accredited (308 people), support and technical personnel (98 people) and employees of the Accreditation and Simulation Center (14 people) and members of accreditation commissions (67 people) are presented to ensure infectious safety and the effectiveness of the face-to-face practice-oriented stage of accreditation.
Simulation Training "Fundamentals of Lean Technologies When Conducting Primary and Primary Specialized Accreditation of Specialists" as a Way to Optimize the Accreditation Procedure
