
The scientific and practical journal on virtual and simulation technologies in medical education and clinical practice – the only Russian-language journal in the world specializing in this field-was established in 2008.
This peer-reviewed medical journal is published quarterly by the all-Russian public organization "Russian Society for Simulation Education in Medicine", ROSOMED.
The main topics discussed in this publication are: principles, classification, didactic features of simulation methods in health care training, their assessment, testing, examinations, and OSCE during primary and primary specialized accreditation; problems of distance and virtual learning; development of the concept, design, equipment, and management of simulation and accreditation training centers; the use of simulation techniques in testing of medical equipment and pharmaceuticals, hospital logistics, clinical protocols and other clinical processes; in recruiting and periodic certification of personnel. Applied issues of creating, validating and implementing phantoms, dummies, patient simulators, and virtual simulators are widely covered in the publication as well.
The journal publishes proceedings of international ROSMEDOBR Conference, ROSOMED Congress and regional events devoted to the issues of simulation education in medicine.
Current issue
ORIGINAL ARTICLES
The article discusses the use of virtual technologies in educating students from Commonwealth of Independent States at Russian medical universities. It highlights the effectiveness of virtual simulators and augmented reality platforms in enhancing practical skills and adapting to international standards. Research results show improved academic performance and motivation. Challenges of implementation and future digital learning prospects are also addressed.
The article analyzes the composition of persons who have completed the stations “Collection of complaints and medical history” and “Counseling” in the framework of primary and primary specialized accreditation for the second half of 2023 and the whole of 2024 on the basis of the Khanty-Mansiysk State Medical Academy. The gender of the accredited persons was taken into account. The relevant stations› checklists were sorted and processed. The results have been obtained — significantly more difficulties arise at the “Consulting” station almost throughout its entire length. The methods of communication at the Complaints and Medical History Collection station differ between graduates of the specialty and specialists with clinical experience. Some patterns in communication have been identified depending on the gender of the accredited persons.
ТЕЗИСЫ
This article discusses the issues of training in peripheral nervous system surgery. During training, doctors paid special attention to simulation training, represented by various master classes, cadaver courses and internships. The process of training doctors of the neurosurgical department No. 2 of Nizhny Novgorod Medical Center is analyzed in direct connection with the results of surgical and interventional treatment of peripheral nervous system pathology. The article emphasizes the importance of close cooperation and continuous exchange of information between doctors of various specialties.
The paper presents data from the analysis of the survival rate of knowledge of 4 stages of electrocardiogram registration in fourth-year students of the medical faculty of the Institute of Medical Education of "V. A. Almazov National Medical Research Center" when studying the discipline "Educational Simulation Course".
The analysis of the results of training 60 doctors in ultrasound diagnostics on a cycle of professional retraining using simulation technologies was carried out, which made it possible to form an algorithm for performing the study without involving real patients. The time to acquire a primary skill has been reduced by 45%.
The analysis of the results of general ultrasound training for 60 ultrasound diagnostics doctors during the primary retraining cycle was carried out. Simulator testing in a group of doctors who used simulators and manikins for ultrasound scanning, the number of points for the pathologies studied increased from 30-40 to 85-95 after training.
The article discusses the possibilities of using simulation technologies in the retraining of doctors in the specialty "anesthesiology-intensive care". Special simulation models were used to master the fundamental practical skills of an anesthesiologist-resuscitator. The advantages and limitations of simulation training in comparison with internship at clinical bases are shown. The study showed that the use of simulation training can improve the quality of professional retraining.
Effective resuscitation measures are an important area for reducing neonatal mortality. Traditional methods of teaching specialist doctors, combining theory with multimedia demonstration, can lead to an insufficient level of practical skills in providing resuscitation care to newborns in real conditions. The use of simulation technologies increases the level of professional competencies of a specialist doctor, which is safe for the patient, and also allows identifying problematic issues in the provision of medical care.
The experience of creating simulation models and using them to teach ultrasound diagnostics to students of the pediatric faculty and residents studying in the specialty "Pediatric Surgery" is presented.
This review discusses the significance and current state of the problem of developing artificial intelligence capabilities in healthcare using the example of a system for diagnosing pathological changes in cervical tissues by analyzing digital images of histological samples, developed within the framework of a joint project by scientists from Pskov State University and P. M. Masherov Vitebsk State University (Republic of Belarus).
It is noted that a significant part of nosocomial infections are urinary tract infections associated with bladder catheterization. The paper analyzes scientific publications and methodological recommendations on manipulation techniques and indicates that when performed by one medical worker, it is possible to violate the sterility of gloves, infection of the periurethral zone, and the spread of infection through the urinary tract. The authors propose that two medical professionals (a doctor and an assistant) perform the manipulation and provide its algorithm. This will eliminate the violation of asepsis.
Interaction of residents in the specialty "Anesthesiology-resuscitation", studying at I. I. Mechnikov North-West State Medical University and students of St. Petersburg V. M. Bekhterev Medical College, studying in the specialty "Nursing", specialization "Anesthesiology-resuscitation" within the framework of multi-team classes on advanced cardiopulmonary resuscitation based on the simulation center.
This article examines the main aspects of the implementation of simulation training in the process of medical education. Identification of the positive aspects of the creation of simulation centers, direct use of innovative technologies, as well as the role and influence in the acquisition of practice-oriented skills of medical students.
Training in higher education pedagogy is widely discussed and recognized as an effective method of transferring relevant knowledge and developing required skills in a short time. The article presents the experience of using training on the rules of writing prescriptions based on the 5 "O" training system in practical classes with students. The elements of training and its capabilities are described. Five consistent principles of training allow students to rationally write prescriptions. Pedagogical techniques in the form of training, which form the basis of professional competence, must be included in the educational process.
The article is devoted to the study of the influence of simulation methods of teaching therapeutic disciplines at Grodno State Medical University on practical application in future work. An anonymous survey was used to study the role of simulation training in practical activities.
Simulation training effectively develops team skills in emergency medical care, where the cost of mistakes is particularly high. Interprofessional training improved communication by 36%, as well as leadership, decision-making, and situational awareness. There was a decrease in the number of errors and an increase in patient safety. It is recommended that such programs be integrated into continuing medical education and the practice of emergency services.
The article is devoted to the urgent problem of increasing the efficiency of training medical students through active learning methods using the Internet platforms AMRmap (https://amrmap.ru) and AMRbook (https://amrbook.ru), developed by leading experts in the field of antimicrobial therapy. The use of online platforms in the educational process effectively solves the problems of teaching rational antimicrobial therapy, taking into account the suspected pathogens and resistance data. In conclusion, the need to improve teaching technologies for effective training of medical students is emphasized.
First aid is an essential skill for all healthcare professionals. Traditional training methods often do not fully allow for the development of practical skills in conditions that closely resemble real-life situations. As a result, simulation technologies are becoming increasingly widespread, as they offer a safe and controlled environment for practicing various clinical scenarios. The findings obtained can be utilized by other medical universities in the development of first aid and tactical medicine training programs.
In the context of rapid development of medicine, introduction of continuous professional education – ensuring patient safety and increasing the effectiveness of treatment is becoming a key factor in the professional activity of a modern doctor. Standards of medical care, including within the framework of perioperative management and intensive care of patients, require specialists to constantly update their knowledge and improve their practical skills, which makes simulation training a necessary condition in the education of specialists in the field of healthcare.
This paper presents an analysis of the experience of joint first aid and emergency medical care training for students of N. N. Burdenko Voronezh State Medical University and cadets of the Military Training and the Research Center of the «Professor N. E. Zhukovsky and Yuri Gagarin Air Force Academy».
The experience of analyzing the readiness of emergency medical specialists for the situation of out-of-hospital cardiac arrest using simulation technologies is presented.
The experience is reviewed and the importance of holding regular mass first aid competitions among citizens without medical education is analyzed.
The relevance of introducing classes in the format of business games using simulated "difficult" patients into the simulation course of residents of various specialties is considered. The primary specialized accreditation includes a targeted demonstration of the doctor's professional communication skills during the "Complaints and medical history collection" and "Counseling" stations. However, the scenarios of the stations assume only standard and ideal situations: a contact, calm, understanding, obedient and attentive patient, communication with whom does not cause any difficulties.
Artificial intelligence (AI) is transforming medical simulation learning by offering adaptive scenarios, personalized learning, and data analysis. However, its use comes with risks: algorithm bias, data leakage, threats to psychological security, and lack of transparency in decisions. The report analyzes the capabilities of AI in creating realistic simulations and identifies safety issues, emphasizing the need for transparency, ethics, and human oversight to ensure quality and trust in medical education.
The article describes the role of simulation education in the creation and functioning of the city pain treatment center organized in the "City Clinical Hospital No. 33" (Nizhny Novgorod) since 2025. The relevance of the problem of chronic pain, especially among elderly patients, is substantiated and the lack of specialized centers in the Russian Federation is indicated. The training of doctors for the pain treatment center took place in leading medical organizations and educational centers of the Russian Federation, with an emphasis on simulation education: cadaver courses, work with moulages, master classes, theoretical training.
Communication skills are a professional competence of a doctor. The aim of the work was to introduce communication skills into the educational program of residents. A questionnaire was used to identify a deficit in mastering communication skills. A work program was developed, according to which training was conducted to compensate for the identified deficit.
Outpatient surgery is a type of surgical care that does not require significant intervention and long-term rehabilitation. It is based on minimally invasive modern methods that do not require long-term patient preparation. The training of outpatient surgeons corresponds to the professional standard "Surgeon". Their main functions include: providing primary health care in outpatient settings in the field of "surgery", conducting examinations to identify and diagnose surgical diseases, and providing emergency medical care.
Reducing mortality requires that doctors have emergency care skills and continuous professional development. A model of practical training in a simulation center for functional diagnostics specialists is proposed, aimed at practicing clinical skills and improving qualifications. Results: increased confidence in resuscitation measures and ECG recording, interest in mastering complex techniques. Simulation training is effective for improving qualifications, developing skills, applicable to a wide range of diseases and medical specialties, ensuring continuous professional development.
The effect of time after simulation training on confidence and performance of the BLS and ABCDE protocols was assessed. ABCDE skills declined after 19 months, while BLS skills were maintained up to 31 months. However, in both cases, subjective confidence declined, which may require a differentiated approach to the frequency of repeated training.
This paper examines the potential of artificial intelligence (AI) to improve the effectiveness of medical education in secondary vocational education. It analyzes the prospects for the implementation of adaptive platforms, virtual simulators, and data analytics, as well as their impact on the quality of specialist training. It also highlights challenges related to infrastructure, ethical aspects, and personnel training. The article emphasizes the importance of a systematic approach to integrating AI into the educational process.
Simulation trainings of a wide range of practical skills were used to prepare surgeons. As a result, it was revealed that practicing isolated practical skills is insufficient for developing high-range professional competence. Only trainings of a full clinical situation allow forming real professional competences, adjusting and consolidating technical and non-technical skills. A full clinical situation in a simulation environment can be implemented, as a rule, only using a hybrid form of simulation training.
This paper presents the experience of holding the School of Young Scientists "Laboratory of Medical Simulation" for 4th-6th year students within the framework of the XI All-Russian Forum of Young Researchers "ChemBioSeasons 2025".
The thesis presents the first experience of organizing a field trip and tactical-special training "Help-2025" with the combined efforts of the Ministry of Defense, the Ministry of Health and the public association "BOSOM" in the training center "Belaya Luzha" of the educational institution "Military Academy of the Republic of Belarus". The exercises allowed to practice the procedure for providing first aid to the "wounded" in the "red zone", evacuation from the battlefield, issues of medical sorting of the "wounded", to conduct a number of medical activities using simulators and real medical equipment.
To demonstrate the processes of sorting and providing assistance, a business game has been developed taking into account the general level of medical knowledge of 2nd-year students of the Faculty of Medicine, which allows them to visually and actively teach them non-obvious things. Everything follows the principle of "story-show-division training", when the study of the theoretical foundations and the procedure for performing individual manipulations and standard operating procedures ends with a kind of "tactical and special training in miniature" during a practical classroom lesson.
Training of the 7th-year interns in diagnostics according to the FAST protocol based on the simulation center using the virtual ultrasound simulator Vimedix is aimed at developing key skills of rapid ultrasound assessment in trauma. This approach allows practicing the algorithm for detecting free fluid in the abdominal, pleural and pericardial cavities in conditions as close as possible to clinical ones, without risk to the patient. The use of simulation technologies ensures safety, repeatability and high efficiency of training future primary care and general practitioners.
The aim of the work was to evaluate the effectiveness of training 7th-year interns in laparoscopy skills using the BESTA.Guru simulator at the simulation center. The program included practicing basic manipulations: coordination of movements, working with instruments and elements of surgical interventions. The results showed a significant improvement in motor skills and a reduction in the time it took to complete tasks. The simulation format provided safe conditions for developing the competencies required to provide emergency surgical care.
Effective first aid for sudden cardiac arrest requires both extensive theoretical knowledge and stable practical skills, which significantly increases survival. This material examines the experience of a simulation center in organizing master classes on teaching the skills of using an automatic external defibrillator among students with different levels of training.
High competition in the global market of educational services in the field of healthcare dictates constant improvement of the educational process in medical universities. Assessment allows confirming the achievement of the stated learning outcomes. Professional competence of students and graduates cannot be assessed by one method. A multi-component assessment system based on learning outcomes and including various methods, with feedback and comprehensive analysis of results, can significantly increase the effectiveness of the educational process.
Communication is a key condition for high-quality dental care: it increases patient satisfaction, reduces the risk of errors and complaints, ensures accurate diagnosis and optimal treatment. In many degree-level educational programs, there is a gap between the declaration of the importance of communication skills and their actual development and assessment. Integrating comprehensive approaches in accordance with institutional standards and qualification frameworks will ensure graduates are ready for practice and improve the quality of dental care.
The results of a highly realistic simulation in a digital educational space are presented. Students created an online club for patients with chronic respiratory failure for the purpose of continuous dynamic monitoring, making a quick decision in case of emergency. The considered nosological forms, requiring long-term or constant respiratory support, create a serious problem for the local therapist, since he is obliged to take part in their treatment. The results showed that students are able to create effective digital resources.
Modern medical education is undergoing significant changes in the context of digitalization and the need to improve the quality of training of future doctors. One of the most effective tools is the use of virtual patients and a virtual clinic. These technologies allow simulating clinical situations of any complexity, providing students with the opportunity for safe, repeated and individualized training.
Modeling professional activity in the system of additional professional education and the use of new pedagogical technologies — clinical case simulation based training helps to improve the quality of care. This is facilitated by acquiring or improving the skills necessary for the professional activity of specialists at all levels of education.
The aim of the study is to develop a simulation training "Anaphylactic shock, emergency medical care", to share the obtained pedagogical experience of implementation. The training is aimed at demonstrating the transfer of theory to practice. The location of the simulation is the pulmonology department. Participants are a nurse and a doctor. The scenario begins with the supervision of a stable patient, but on the 5th minute the patient's condition worsens due to the development of anaphylactic shock to the intramuscular injection of the antibiotic prescribed upon admission. The student is immersed in a critical situation that requires him to activate his brain.
The research is devoted to the study of the feasibility of using simulation equipment “PelvikMentor”, consisting of a physical mannequin and a computerized virtual 3D system in the cycle "obstetrics and gynecology" for the 4th-year students of the Faculty of Medicine, who, as part of their summer industrial practice, need to demonstrate the skill of gynecological examination on real patients. The results obtained emphasized the high importance of using modern simulators during classes at the clinical department.
Professional communication is an important component of clinical competence and an integral element of professionalism of a doctor of any specialty. The paper presents the results of using a specially developed business game aimed at developing communication skills among 6th-year students and residents. Based on the analysis of questionnaires and checklists, it is shown that the game creates conditions for developing communication skills, increases motivation to acquire them and promotes the formation of patient-oriented thinking.
Modern practice-oriented medical education is aimed at the formation of competencies for the training of qualified specialists who are ready to start professional activities after graduation. Based on the analysis of the results of the practical and theoretical stages of the state examinations of students who studied at the Belarusian State Medical University in the specialty "Medical Science", the interrelationships and reproducibility of marks at the stages of an objective structured clinical exam and a traditional oral exam were established.
The increase in life expectancy in Russia has increased the proportion of elderly and senile people. They require different approaches to the provision of medical, social assistance and care. It is possible to solve this problem by involving bachelors in nursing. For high-quality of bachelors’ training in nursing it is necessary to create an educational space that allows you to train a highly qualified specialist with key competencies. A special role in modeling the educational environment for bachelor's degree preparation is played by the application of individual educational trajectories.
Early education of children in first aid skills is an important prerequisite for the formation of a safety culture. The master classes and trainings conducted showed the high involvement of schoolchildren and the effectiveness of practical exercises. The results obtained confirm the need to introduce systematic first aid training into educational programs.
An objective structured clinical examination implies a systematic approach to the management of the simulation and certification center, from preparation and planning to implementation and final result. We offer you to get acquainted with our own experience of conducting the OSCE on the basis of the simulation and certification center of the Belarusian State Medical University in the 2024/2025 academic year.
Reconstructive operations performed for various pathologies of the main arteries of the brain, leading to the development of cancer, require targeted training of qualified neurosurgical personnel. This paper provides an assessment of the implementation of simulation training for neurosurgeons with subsequent implementation in clinical practice. The article presents the experience of the neurosurgical clinic of the Volga District Medical Center of the Federal Medical and Biological Agency of Russia, whose specialists were trained in leading federal centers.
With the widespread introduction of minimally invasive endoscopic treatment methods into the surgical practice of rhinologists, conditions are created that dictate the formation of education programs for training specialists. At the L. I. Sverzhevsky Research Institute of Oncology and Orthopedics of the Health Department of the City of Moscow, a basic training program for endoscopic endonasal surgery was developed and tested in the conditions of the simulation center of the Botkin Hospital. The conducted testing of the basic program showed that for its mastering, students needed an average of 7 approaches, regardless of the previous level of training of an otolaryngologist.
In higher nursing education today two trends are being implemented: the first is the unification of methodological support of the educational program and the second is the individualization of training through individual educational trajectories. For discussion, we publish a number of proposals for the unification of methodological support of the educational program of the bachelor's and master's degree in nursing.
The article presents the results of simulation training using a hardware and software complex for removing corneal foreign bodies, the methodology for creating a simulation course, a description of the Hardware and Software Complex components, and the results of testing the training module in a simulation center. The article proposes an algorithm for organizing simulation education, simulation scenarios, control of manipulation skills, and final certification. The obtained data confirm the high clinical and educational significance of using simulation technologies in the system of continuous medical education.
Emergency situations require doctors to be prepared to act under stress. Simulations allow for the reproduction of disaster zones and the objective assessment of residents. This article explores the effectiveness of simulation methods as a tool for developing clinical and interprofessional skills.
Testological methods allow for an objective measurement of the level of assimilation of theoretical knowledge and its practical application in a simulation environment. This study aims to analyze the effectiveness of various forms of testing in assessing educational outcomes in simulation education. A comparative analysis of three groups of students has shown the advantages of a comprehensive approach to knowledge assessment.
This study is devoted to evaluating the effectiveness of using screen simulators with bilingual clinical cases in teaching pediatric students. A comparative analysis of the two groups of students showed significant advantages of the combined approach, which includes both physical and virtual simulation technologies. The results of the study demonstrate an improvement in the quality of clinical thinking and students' readiness for practical activities.
An overview of the qualitative and quantitative characteristics of the Methodological Accreditation and Simulation Center of the National Medical Research Center of Hematology for the period 2021-2025 is presented.
The importance of simulation training in additional professional education is increasing to meet the educational and professional needs of healthcare professionals, and it is necessary to constantly develop educational technologies and improve the skills of teachers and methodologists at simulation centers. The article analyzes the areas of competence caused by the change in medical educational technologies and the adaptation of employees to new forms of work. The key factors of requirements formation are identified and measures are proposed to improve the personnel training system.
The purpose of the study is to design models and simulators for various otosurgical interventions. Results. A training model has been created for teaching basic microsurgical skills in stapedoplasty. Due to 3D printing technologies, it is easy to manufacture and affordable to use, ensuring its mass use. The simulator has shown its effectiveness due to the ability to perform an unlimited number of repetitions, bringing them to automatism, understanding the size of the surgical field and the ability to manipulate tools in it.
A methodologist in simulation training performs various types of activities: expert, managerial, pedagogical and innovative. He works with simulation equipment and teachers, and is an intermediary between practice and science.
The development of artificial intelligence (AI) technologies has a significant impact on education and medicine. For students of medical universities, the possession of digital tools is becoming an important part of professional training. AI provides fast information retrieval, individualization of learning, and support in mastering complex disciplines and scientific activities. However, its use is associated with risks: decreased critical thinking, academic dishonesty, etc. Studying students' attitudes towards AI allows them to take into account their expectations and concerns when shaping educational policy.
The primary accreditation of graduates of medical universities is a key stage determining their readiness for independent professional activity. Periodic analysis of the accreditation results makes it possible to evaluate the effectiveness of educational programs, identify the dynamics of specialist training and timely make the necessary adjustments to the educational process.
The formation of practical skills in emergency care is a priority task of medical education, since the patient's life depends on the competent actions of a doctor in critical situations. A study conducted with the participation of 686 students showed that simulation training significantly increases the success of exam control (up to 91%) and promotes the development of clinical thinking and confidence. The practice-oriented approach has proven its effectiveness and requires further improvement through the integration of additional theoretical and multidisciplinary modules.
An analysis of the work of the multifunctional simulation and training accreditation Center of N. N. Blokhin National Research Medical Center of Oncology for the period 2019-2025 is presented.
The course "Patient Communication Skills" has proven to be highly effective, significantly increasing the value of doctors' skills. It successfully fills the knowledge gap — almost half of the participants had not previously been familiar with the Calgary-Cambridge model. The vast majority (97%) noted the practical significance of the course and the comfortable learning environment. The skills are being actively put into practice: most of the course students have started using them in their work, and 90.5% state changes in their reception. Exceptional loyalty is demonstrated by the willingness of 95.4% of respondents to recommend the course to their colleagues.
The globalization of modern higher education is accompanied by an increase in the number of international students. The creation of favorable conditions for the education of international students helps to increase the effectiveness of a specialist with higher medical education after graduation. The successful adaptation of international students is influenced by the new socio-cultural environment. A playful form of learning helps to interest a foreign student in close contact with a teacher in studying the subject through the use of simulators and the analysis of various scenarios for performing manipulations.
The simulation game is an educational and practical program for beginners and practicing psychotherapists with the participation of a professional actor in the role of a patient. The scenario "The first meeting with a psychotherapeutic patient" is being worked out and analyzed. Unlike standard supervision, the emphasis is not on retelling the therapeutic case, but on its sensory experience followed by discussion.
Large-scale changes in healthcare technologies today dictate the need for educational organizations to introduce the most effective technologies and modern forms of education. The article presents the experience of the MSC Botkin Hospital in the organization and implementation of continuous training of surgical nurses in the field of electrosurgery, surgical suturing devices and suture material to ensure surgical safety with maximum immersion of specialists in the professional environment by integrating training directly into the workflow of the operating room of the Moscow Multidisciplinary Scientific and Clinical Center named after S. P. Botkin.
In our modern high-tech society, the demands on the quality of medical services have increased justifiably. Modern graduates with excellent theoretical training turn out to be completely unprepared for emergency care in real conditions. Pathological obstetrics requires the ability to think systematically and logically, as well as to respond quickly and adequately to situations. Simulation training plays an important role in improving these skills.
In our modern high-tech society, the demands on the quality of medical services have increased justifiably. Modern graduates with excellent theoretical training turn out to be completely unprepared for emergency care in real conditions. Pathological obstetrics requires the ability to think systematically and logically, as well as to respond quickly and adequately to situations. Simulation training plays an important role in improving these skills.
The research is aimed at studying the effectiveness of the "standardized patient" technique in mastering medical skills. The authors combined working with an actor patient and game training using a training computer program. The main goal was to identify early signs of cardiac diseases in patients with somatic diseases. For the realism of the situation, actors with a history of cardiological diseases and being monitored by a cardiologist have been selected. A 36-hour training course has been developed for 5th year students.
The medical consultation includes 2 scenarios: "Collection of complaints and medical history" and "Counseling". The first one focuses on establishing contact and gathering information, which is important for trust. Open questions and the absence of interruptions contribute to the disclosure of problems. Effective interaction helps the doctor identify complaints and formulate a preliminary diagnosis. At the counseling stage, it is important to identify the patient's position and level of awareness in order to correlate his perception with the doctor's opinion. Understanding the patient's experiences and providing support in times of anxiety are also important aspects of the interaction.
Modern surgery places high demands on the level of practical training of surgical doctors. Simulation training has become a new standard of medical education, allowing you to practice skills safely for the patient's health.
In this paper, the experience of using elements of organizing work with small groups of students in the discipline "Medical care and manipulation techniques" is analyzed. Recommendations are given to improve the effectiveness of the educational process.
One of the national development goals of the Russian Federation for the period up to 2030 and beyond 2036 is to increase the total fertility rate to 1.6 by 2030 and to 1.8 by 2036. The national project "Long and Active Life" (2025-2030) places great emphasis on providing medical organizations with qualified personnel. It is important not only to reduce the shortage of doctors but also to improve the qualifications of medical professionals. Currently, there are simulation centers for professional development, where you can hone your skills.
The relevance of the implementation of advanced training programs for managers and specialists in "Retinal Diseases" and "Laser Microsurgery of the Eye" on the basis of the educational center is related to the reform and modernization of healthcare in the context of the intensive development of medical and biological sciences, the introduction of new high-tech methods of diagnosis and treatment. Every year, 15-20 people are trained in the advanced training programs for managers and specialists in "Retinal Diseases" and "Laser Microsurgery of the Eye".
The modern requirements for a medical university graduate include a clear and competent mastery of practical skills, which will be in demand in future medical practice, as well as the improvement of final certification, as this is the stage where the university's performance is evaluated. The authors offer their own experience in conducting OSCE at the Simulation and Certification Center of the Gomel State Medical University using the Argus system.
The quality of medical care depends not only on professional knowledge, but also on the work of interprofessional teams. Cognitive, communication, and organizational barriers reduce the effectiveness of teamwork. Simulation techniques, such as integrated scenario-based team training (ISBTT), EDR debriefing, role-playing, video analysis, and discussions, are used to develop competencies. These techniques help identify risks, develop strategies for overcoming them, and enable the approach to be scaled up to the NMC system and training for professionals at all levels.
This article describes the workflow of a training pharmacy and proposes a method for teaching a practical course on establishing a pharmacy facility, including simulation training.
The article discusses the relevance and importance of developing communication skills among medical students in the course of practical training using simulation technologies. Based on the analysis of literature on the issue of communication competencies of medical professionals with patients, it can be concluded that communication skills with patients are an important factor in the occurrence of medical errors, in the violation of patients' adherence to treatment, and in the decrease of trust in the healthcare system as a whole.
In the context of the introduction of primary accreditation, the formation of communication skills among dental students is of particular importance. The study evaluated the preparation of the 5th-year students at the Institute of Dentistry of N. N. Burdenko Voronezh State Medical University for the OSCE station "Consultation" based on the requirements of the official station passport. An analysis of the simulation approach to training was conducted. The results showed that training using standardized patients and structured scenarios significantly increases the level of students' readiness.
The accreditation procedure for medical psychologists can serve as a qualification guideline for psychologists in other fields, such as education, social protection, and professional activities.
Improving the quality of professional interaction between medical staff and patients and their relatives is an important aspect of the transition to human-centered management of medical organizations. According to statistics, the total number of patient complaints is increasing every year. The level of communication skills among medical professionals in primary healthcare settings does not meet the requirements of the partnership model for most of its elements. Training in professional communication skills enhances their application by doctors in various specialties.
The presented thesis examines the role of the discipline "Simulation Medicine" in preparing Ryazan State Medical University graduates for the second stage of primary specialist accreditation. An anonymous survey of 186 graduates (2025) proved the high effectiveness of the discipline. 99.2% of respondents confirmed its benefits, and 88.9% reported significant assistance. The demand for educational videos on Rutube (87.1%) and the need to increase hours and practice exams (91.5%) was also confirmed. Discipline is an indispensable tool for developing practical skills and clinical thinking.
With ROSOMED grant, the development and testing of the technology of using artificial intelligence in the educational process of higher medical education was carried out. The study showed that the use of artificial intelligence in teaching clinical disciplines is effective for the formation and development of communication skills in the doctor-patient system in a simulated environment, and students have better training than students who study traditionally. Students with weaker basic training were able to improve their level to that of successful students.
A study on the use of artificial intelligence in the educational process of a medical university was conducted under the ROSOMED grant. The paper presents the results of an anonymous questionnaire survey of a group of 3rd-year medical students who had completed one of the sections of the discipline "Propaedeutics of Internal Diseases" using artificial intelligence in the educational process.
The article provides an overview of the primary accreditation data of graduates of the Medical and Pharmaceutical College of the Far Eastern State Medical University in terms of assessing the quality of education and developing professional skills.
The article presents an analysis of the effectiveness of work and defects in the organization of "simulation rooms" at medical institutions in Khabarovsk and the Khabarovsk Territory.
Today, simulation education is no longer a novelty or a discovery; it has become a routine part of the educational process. However, it is an opportunity to continue developing the field based on practical experience and needs. The question, "What should medical education be like today?" should always be followed by the question, "What will be needed in practice tomorrow?"
The health and well-being of children require improving the quality and accessibility of medical care and medical education for specialists. According to the experts, the basic level was successfully mastered by the young specialists, and there were no failures in the algorithm of actions during the entire project. By the final stage, there were no inaccuracies or gross errors. Based on the results obtained during the project, the department plans to publish scientific articles in specialized journals to provide a more comprehensive understanding of the dynamics of the changes that have occurred.
Neonatal resuscitation is a systematic approach to providing emergency care to newborns with critical conditions at birth, which is fundamental for improving the survival rate and health prognosis of newborns. Today, neonatal resuscitation training is not only a hands-on process, but also a fully hands-on, dynamic, and competency-based educational process.
The article presents the use of simulation educational activities as a diagnostic audit in providing medical care for patients with conditions that are not typical for the daily routine practice of specialists.
There is no doubt that the issue of teaching bleeding control skills is relevant in today's world. The creation of an innovative modular simulation system for teaching bleeding control skills at the pre-hospital stage will improve the learning process and increase the effectiveness of first aid and emergency medical care.
The concept of competence in medical education is usually associated with students or teachers. Currently, there is still insufficient attention paid to the competencies of management and support staff in education. In organizing simulation education in medicine, close attention should be paid to this group of participants in the educational process, since Russia has not formed a single staffing table for simulation centers of educational organizations. We are considering this issue based on the evolution of the competencies of the staff of the Federal Accreditation Center of Perm State Medical University.
A program has been developed for simulation training of surgical care for non-gunshot soft tissue wounds in military personnel at the advanced stages of medical evacuation. 316 military personnel participated in the study, divided into experimental (n=150) and control (n=166) groups. The results showed a statistically significant improvement in the skill level of the experimental group's military personnel in all key parameters. The developed program has demonstrated high efficiency and can be recommended for implementation in the system of training military medical specialists.
Since 2023, a regular cycle of classes for teaching staff using the "standardized student" methodology has been implemented on the basis of the Federal Accreditation Center of Perm State Medical University. The training combines the development of simulation learning technologies and the development of teachers' communication skills, allowing them to effectively cope with difficult pedagogical situations. Individualization is achieved through adaptive scenarios developed on the basis of questionnaires.
Training in emergency care skills is essential in the training of a pediatrician. We have developed a simulation course for students of the 2-6 courses of the pediatric faculty. The course is designed taking into account the level of theoretical knowledge among students of different courses, the main principles are continuity and gradual complication. The optional simulation course was tested when teaching students of the innovative medical training groups of the Volga Region Research Medical University. In the future, it is planned to introduce the elements of the course into the core curriculum.
The change in the social profile of students determines the need to reassess the educational technologies currently used. The introduction of practice-oriented learning is a prerequisite for high-quality theoretical and practical training with proper methodological organization.
Academician E. A. Wagner Moscow State Medical University has developed its own approach to improving the effectiveness of a combination of simulation and clinical education in the training of future surgeons, which is most clearly manifested in working with the university's Olympic surgical team. After completing basic training, specialized skills are taught, at the same time students are sent for internships at clinics in their chosen field. Graduates who have been trained according to the developed methodology receive excellent marks from practical healthcare professionals upon graduation.
The article is devoted to the experience of conducting a project seminar "Competencies of a doctor of the future" for schoolchildren of medical classes in Perm Region. The seminar is aimed at improving career guidance, developing creative and research skills, as well as the formation of "soft skills" that are important for future doctors. Through the passage of thematic stations, students gained knowledge and skills close to the reality of medical activity. The experience gained is recommended to be used for further improvement of career guidance measures.
The primary accreditation of specialists is a mandatory stage for admission of graduates of medical universities. The purpose of the study is to assess its perception by students of the Pediatric Faculty of Bashkir State Medical University. 200 respondents were surveyed. Awareness was 86%, overload was noted by 72%, stress — 58%. Testing was recognized as the most difficult stage (54%), difficulties were caused by the stations "Emergency care" (47%) and "Physical examination of the child" (39%). Most of them prepared 1-3 hours/day, 42% started in just a month.
The article is devoted to the training of lean technologies directly in medical organizations ("in situ"). A training model is proposed, combining simulation training and real projects implemented on the basis of medical organizations themselves. The main focus is on increasing employee engagement, improving the processes of medical services provision, and reducing bureaucratic burdens. The model has shown high efficiency, contributing to the rapid implementation of acquired knowledge and changing the negative perception of lean technologies.
Date of the event: November 12-14, 2024. Venue: Regional Resource Center for Simulation Training and Accreditation in Medicine, Emergency Medical Care Hospital, Aviation Training Center. Organizer: Regional Resource Center for Simulation Education and Accreditation in Medicine (далее – Simulation Center), Rosomed (A. E. Verevkin). Participants: 1st and 2nd year residents, specialist doctors (specialties: anesthesiology-resuscitation, therapy, cardiology, surgery, emergency medical care). The total number is 80 people.
The author's training method "Doctors Speak Clearly" is aimed at improving the speech skills of medical professionals, especially students, residents, and novice doctors. The training includes original exercises for correcting articulation, tempo, and voice timbre. Medical tongue twisters designed specifically for the medical community are used, making the learning process interesting and memorable. The method combines active movements with speech exercises, stimulating brain neuroplasticity and improving communication skills.
The professional standard of an anesthesiologist-resuscitator includes the ability to perform efferent methods of detoxification, including prolonged venovenous hemodiafiltration. However, during the clinical residency program in anesthesiology-resuscitology, mastering the methods of efferent detoxification at the bedside of a critically ill patient presents certain challenges. We have found a solution that allows for practical training in simulated conditions
The article presents the results of the first stage of the implementation of the first domestic protocol for communicating bad news, "ATTENTION", developed by a team of employees of the Volga Research Medical University, as well as its relevance and practical applicability, based on a survey of 220 practicing doctors in the Nizhny Novgorod region. The developed protocol was highly appreciated by the respondents, and its advantages over foreign counterparts were highlighted, including ensuring safety and taking care of the doctor's emotional state. The article emphasizes the need for targeted work with practicing doctors in this area.
For the fifth year, the authors use TOPSET "TutorMAN" on a systematic basis for practical training from the first-year students, and conduct surveys of students and teachers.
Simulation education is an effective method of training medical professionals, including urologists. It allows for the creation of realistic conditions for practicing skills, which contributes to improving the quality of medical care provided to the population. Evaluating the effectiveness of education plays a crucial role in determining how well participants have mastered the material and are ready to apply their knowledge in practice. Various methods can be used for this purpose, including anonymous questionnaires after the completion of training.
The simulation team training "nurse – therapist – profile specialist" allows to improve the quality of dispensary supervision of chronic patients. The nurse conducts an independent reception, identifies warning signs and forms a route, the therapist corrects the treatment, the specialist completes the case. This approach increased the accuracy of identifying signs by 25%, the team's consistency by 30%, improved routing in 85% of scenarios. The technique reduces the load on doctors, prevents an unjustified queue and strengthens the nurse's role in the polyclinic.
Simulation education is an effective tool for preparing dispensary nurses for advanced clinical practice. A study conducted at Viamedis clinics showed that knowledge levels remained stable for up to 12 months, and skills for early diagnosis of chronic disease complications (diabetic foot, CKD) improved, as well as patient adherence to therapy and the quality of outpatient visits. The implementation of simulation technologies contributes to improving the quality of medical examinations and reducing the workload on doctors, which is crucial for the healthcare system in Kazakhstan.Начало формы
Having theoretical knowledge is the basis for practicing practical skills. If there is insufficient theoretical preparation for the lesson, simulation training will be ineffective. The paper presents the experience of introducing an active learning method at the stage of input knowledge control to assess the level of theoretical knowledge of students before beginning to practice practical skills on dummies and simulators.Начало формы
The article is devoted to the management of a modern medical simulation center, including organizational structures, training technologies, and methods of evaluating efficiency. The article discusses the problems that arise during the functioning of the centers and suggests ways to solve them and optimize their activities.
The results of the analysis of the effectiveness of neural networks for automatic classification of the quality of surgical sutures based on photographs are presented. High accuracy (F1-measure > 0.90) was achieved for nodular, vascular, and laparoscopic sutures on small datasets (100-190 images). The technology is promising for an objective assessment of surgical skills.
The experience of using simulation technologies in career guidance among schoolchildren at Bashkir State Medical University is considered. A comparative analysis of two groups was carried out — without and using simulation methods. A questionnaire was used to assess the awareness of the choice of profession, awareness and motivation. The results demonstrate a significant increase in these indicators in the experimental group, confirming the high effectiveness of simulations in the formation of professional self-determination.
The article discusses the impact of interactive technologies on the development of practical skills by medical university students.
A distinctive feature of the training in the Medical Simulation Center is the clinical base. The organization of the training process provides for full-time classes, interactive lectures, with the involvement of leading experienced practicing surgeons. The quality control of mastering the material is carried out by conducting final certification tests in the form of exams, tests and practical assignments. Completion of the course is accompanied by the issuance of standard documents.
The article presents the experience of training specialists with secondary medical education (specialties: medical treatment, ambulance and emergency care, nursing, pediatrics) in emergency medical care skills within the framework of the state project on the advanced training program "Provision of emergency medical care by specialists with secondary medical education" (72 hours, full-time and part-time) with using simulation technologies. The problems and prospects of training paramedics (including ambulance and emergency care), nurses (including pediatrics) have been identified.
The standard forms of checklists currently used in the Standardized Patient methodology are often arbitrary. This implies the adaptation of existing criteria developed to assess the quality of medical records management in order to assess students' skills and competencies in conditions as close as possible to real clinical practice. As a result, an objective assessment of students' practical skills is achieved.
Taking into account the development of technic and technology, the transformation of both medical and non-medical activities in healthcare institutions, as well as the processes of training medical personnel, is essentially inevitable. And it is inevitable not only in the application of certain new tools, but also in the approach, algorithms and goal-setting of both the training process itself and the paradigms that form the conceptual knowledge in the field of mastering, adapting and applying these very new tools.
The results of an anonymous survey of sixth-year students of the pediatric faculty in 2021-2024 are analyzed. The main directions of improving the practical orientation of classes in the simulation and certification center for emergency care in pediatrics are highlighted.
The method of simulation training is the most important basis for advanced training of teachers of secondary professional educational institutions of a medical profile. The increased level of quality of simulation classes filled with simulation equipment from the I-VI level of realism indicates the need for competent teaching. The development of clinical thinking among students of the specialty "Medical practice" (paramedic) is the basis for the implementation of the professional standard. In this regard, there is a need for teaching methodological teaching in a simulation classroom.
This paper presents the results of simulation training for 1st-year residents of the specialty "Anesthesiology-resuscitation" technology of mask ventilation using a self-expanding bag. Attention is focused on the activation of muscle memory and the learning curve is analyzed. The study found that the rate of skill acquisition is individual and depends on many physical and psychological factors. To increase the effectiveness of training, it is necessary to personalize the educational process, optimize the frequency and format of trainings.
The teaching of emergency conditions in dental practice begins from the student's bench. Often, doctors and nursing staff do not pay due attention to updating knowledge on providing emergency care to patients. Continuing medical education as part of the advanced training cycle "Emergency conditions in dental practice" is an essential part of the quality work of specialists.
The main objective of continuous higher medical education is to train highly qualified general practitioners with the necessary professional competencies. The most challenging task is teaching students of all educational areas methods of providing emergency care during "Emergency Medical Care" classes, and this particular section of education is problematic.
Currently, minimally invasive surgical procedures, including endoscopic ones, are increasingly being performed in surgery. Graduates of medical universities should carefully master the basic skills of endoscopic surgery even before using them in practice on a specific patient. Thus, simulation training in laparoscopic surgery is an important part of the training of future surgeons, which will help future doctors develop basic and clinical skills that allow students to master the basics of manual techniques in laparoscopic surgery.
In order to develop communication skills within the framework of interdisciplinary cooperation, a "Laboratory of professional Communications" has been organized. The classes were conducted using interactive teaching methods: role-playing games, working with standardized patients. The participants mastered the skills of active listening, adaptive communication, and conflict de-escalation techniques. “The Laboratory of Professional Communications” demonstrates the high effectiveness of an interdisciplinary approach to the development of communicative competencies among future doctors.
The multifunctional simulation center is organized on the basis of the Republican Clinical Hospital (hereinafter MSC). At the MSC, medical college students practice their skills on simulation equipment in a virtual hospital. "Seamless" training is conducted here. Training events for the average medical professional contributed to the prevention of undesirable events, reduction of financial costs for treatment and patient stay in the hospital, organization of continuous training of medical personnel, increase in the quality and safety of medical care.
The practical orientation of student training is a priority in medical educational institutions. VR technologies provide for multiple repetition of the manipulation algorithm without the presence of a mentor in conditions as close to real as possible, and allow the use of several modes of training: lesson, performance, and exam, regardless of the location of the student and the availability of simulation equipment. We have evaluated the effectiveness of the implementation of RUMEDIUS digital medical educational system in the educational process of RUDN Medical Institute students.
The study raises the questions of the role of large language models (LLM) in medical education and their impact on students.
The presented study examines the urgent issue of improving medical education through the introduction of an innovative three-stage learning model. This model is designed to solve the problem of a large amount of information faced by students of medical universities, and to ensure the qualitative assimilation of knowledge and the formation of practical skills necessary for future professional activity.
In the context of a shortage of teachers who use modern simulation technologies, the authors describe the experience of implementing a project to train teaching staff at a medical university. The project is dedicated to the development and implementation of a model for training future teachers of higher medical school through the active involvement of students and residents as tutors at the Simulation Educational Center of the Russian University of Medicine.
ISSN 2687-0037 (Online)