According to the current legislation medical institutions of any specialization and form of ownership are obliged to provide emergency medical care without delay and free of charge. Emergency medical care is not a profile one for many specialists and, within the framework of the current law, it is necessary to introduce an emergency medical care course into the CME system for all medical specialties at least once every five years, which will correspond to both the previously adopted system of postgraduate education and the existing standards of work of medical facilities.
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 the implementation of digital teaching methods for students of medical universities is carried out. The main directions of digitalization are revealed: electronic document management and storage of information, means of personal and professional communication, the "brain" of equipment for the acquisition of professional skills. The author presents his own development of a method for mastering the practical skills of a doctor as a transmissible situational task that combines such techniques as a "standardized patient", a training computer program and a computer game "virtual patient".
A study was carried out among 76 students who took part in the Olympiad contests in practical medical skills in an innovative distance format. The data obtained testify to the effectiveness of distance simulation training, the assessment of which was carried out by students answering test questions before and after passing the test task, as well as by assessing the students' actions during the remote passage of the simulation scenario by experts.
Teaching and assessing communication skills requires different approaches from clinical teaching. The challenge is to transform formal training in these skills into a systematic and purposefully organized, organically integrate communication skills training with clinical training. The article discusses barriers to teaching communication skills and ways to overcome them. Possible ways to standardize training and assessment of communication skills and their integration into existing curricula are shown.
Currently, within the framework of vocational guidance for schoolchildren, quite active work is underway; since 2018, a pre-professional exam has been introduced, including in the theoretical part of the program in biology, chemistry, the basics of medical knowledge and other natural science subjects, in the practical part, first aid skills are assessed. However, until now there is no single strategy for preparing students for the first aid program. In order to unify the training of students in medical classes, a work program and a textbook for medical classes have been developed.
The use of highly realistic simulators and phantoms, various forms of training (simulation scenarios with debriefing, interactive trainings, hands-on trainings, lectures), distance technologies and the possibilities of social networks can improve the quality of training for doctors of different specialties.
The hybrid training format and the development of consulting with the use of telecommunication networks determine the relevance of training in this area. Training in a hybrid format allows you to assess the technical and non-technical skills of students and significantly expand the possibilities of the educational process, involving in the training of persons who are on distance learning. At the same time, it is possible to analyze systemic inconsistencies and to correct educational measures to eliminate them. The format of the implemented trainings allows students, working in a team, to improve the skills of analytical thinking, decision-making and communication when conducting diagnostic and treatment activities at various levels.
The aim of the study is to assess the effectiveness of the development of communicative competence among residents of the Department of Obstetrics, Gynecology and Perinatology using a series of psychological trainings. According to the results of post-tests, there was an increase in reflexivity in 50% of respondents, as well as a change in the level of empathy. There was a transition from the subject-object relationship with the patient to the subject-subject relationship, which made it possible to hold patients more accountable for their own health and the health of their future children. The developed training will be used in the work with young specialists.
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.
Features of Simulation Training of Emergency Medical Care for Doctors of Nonurgent Specialties in the Framework of Continuing Medical Education
