Due to the spread of the COVID-19 pandemic, face-to-face educational events and classes were transferred to a distance format, so the traditional II All-Russian Olympiad with international participation in therapy was also held in absentia on April 26-28, 2021. This format provided the opportunity for 759 students and residents to participate in it from 82 educational and scientific organizations in Russia, Kazakhstan, Uzbekistan, Tajikistan and Belarus. This article analyzes the Olympiad held in order to study the possibility of assessing professional competencies using distance technologies among students of 4-6 courses and residents of a therapeutic profile. As tools for assessing the formation of competencies, we used: testing knowledge using an electronic platform for remote testing and assessing practical skills using a computer screen simulator Body Interact. The analysis of the results showed that the bank of test tasks and clinical cases is valid, reliable, and can be used to assess the professional competencies of students in specialty and residency programs of a therapeutic profile.

An analysis of the experience of using the interactive application "Academics 3D" in the context of the COVID-19 pandemic in teaching students of the medical faculty is presented. Virtual technologies make it possible to optimally distribute the time limit and stages of mastering practical skills in the professional training of doctors. The analysis showed the significance, prospects and ways of increasing the efficiency of using simulation technologies in the process of training doctors.

This paper proves the effectiveness of the resuscitation team  with  properly  structured  training  of  a  team  leader. Simulation training sessions are especially effective when a leader and members of the resuscitation team have a great base of theoretical knowledge

The article confirms the need to use simulation training when practicing skills among interns in pediatrics and neonatology.

The article proves the need to use simulation equipment when practicing the skill of obstetrics in breech presentation

More than 5 million people around the world die every year from severe injuries and their complications, among which massive blood loss is in the first place. The introduction of practical exercises for training in stopping massive bleeding using simulators and modern means will not only improve the quality of care at the prehospital and early hospital stages, but also significantly improve the process of all simulation training.

 The pandemic of the novel coronavirus infection (COVID-2019) has brought significant changes to the learning process, in particular to the process of continuing medical education. The use of distance education methods has significantly helped to reduce the growth of the incidence rate, contributed to the implementation of educational programs in full. In connection with the increase in the proportion of the vaccinated population, the process of transition of the educational process to full-time mode is possible. But in order to maintain a favorable epidemiological situation, some part of the educational process can remain in a remote form.

The article presents the results achieved in the process of training mid-level medical specialists of medical organizations of the state healthcare system of the city of Moscow under the additional training program "Organization of care for patients with COVID-19 in a hospital."

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.

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.

Botulinum toxin injections are currently the most common direction in cosmetology. The continuing frequency of medical errors during this procedure dictates the search for new methodological approaches in training specialists using interactive and highly realistic simulation equipment.

An analysis of simulation trainings in the specialty of neonatology for the period 2012-2021 is presented, including an analysis of typical mistakes during the resuscitation of newborns by specialists of the obstetric service of the Khabarovsk Territory. The data obtained make it possible to improve the systematic approach to the training of medical specialists using simulation technologies and to ensure the survival of professional competencies.

The main stages of the perioperative period in acute appendicitis were recreated in simulated conditions with 5th year students: differential diagnosis; preoperative preparation; diagnostic laparoscopy; laparoscopic appendectomy; suturing an operating wound; postoperative management. The entrance testing and the final questionnaire were carried out. The high efficiency of classes and high motivation of students to this format of training are shown, which gives grounds for a wider use of simulation classes in teaching clinical disciplines to senior students.

Professional orientation is a generalized concept of one of the components of universal human culture, manifested in the form of society's concern for the professional development of the younger generation, support and development of natural talents, as well as a set of special measures to assist a person in professional self-determination and choosing the optimal type of employment, taking into account his needs and opportunities, socio-economic situation in the labor market. Simulation training is one of the brightest forms of vocational guidance work with schoolchildren.

The high need of modern healthcare for qualified specialists and a significant level of responsibility of medical and pharmaceutical workers to an individual citizen and society as a whole now dictate the need for continuous improvement of professional knowledge and skills.

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.

The purpose of the work was: the development of a non-costly, effective method for assessing students' knowledge, which would stimulate the interest of a medical student in the educational process. The assessment method consists in the fact that in advance the teacher will date the students or residents to prepare an analysis of the standard protocol of surgery for basic surgical pathology. During the lesson, the teacher reports that there are 3 errors in the protocol of the same operation, which he will now read. The student's goal is to find them. The mistakes are made by the teacher.

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.

In the interests of preserving the psychological well-being of medical workers, a complex of self-help methods has been developed, aimed at relieving emotional stress, updating the resource state.

This paper describes the experience of teaching transthoracic echocardiography (TTE) skills on simulation equipment, accumulated over 2 years of training of residents in the direction of "Cardiology" at the Federal State Budgetary Institution "National Medical Research Center of Cardiology" of the Ministry of Health of the Russian Federation (Cardiocenter).

An important feature of the simulation training of residents-cardiologists is that students have the opportunity to hone their skills and abilities in the center as soon as possible, using modern simulators, while in practical medicine this would take a much longer time. Of course, simulation conditions within the framework of simulation training will not completely replace practical experience with real patients, but definitely, this allows you to increase the level of professional training of cardiologists.

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.

For the first time, they started talking about virtual simulation technologies in our country in 2002, when at the Institute. Vishnevsky, a virtual simulator "LapSim" was presented at the Congress of Endosurgeons. Since then, there have been great changes in the development of simulators, mannequins and simulators, teaching methods in preclinical training of students. In this regard, there is a real need to give the simulation center the status of a department and to clearly define the tasks that must be solved in the preparation of students and residents at the preclinical stage.

Simulation training is an interactive type of educational activity realized through immersion in the environment, by recreating a real clinical situation. At the same time, it is not possible to observe the maximum immersion in reality when training on the circulation of narcotic drug and psychotropic substance due to strict control measures on the part of the supervisory authorities in terms of the circulation of narcotic drugs and psychotropic substances. The article discusses options for resolving the issue of organizing simulation training on the circulation of narcotic and psychotropic substances for nurses.

Research shows that bedside communication training (in the workplace) is more effective if trainees have mastered the doctor-patient simulation cycle. The technologies are different: virtual and simulated patients, robotic patients. What learning tasks can they solved? Is it possible to effectively train doctors in professional communication with the involvement of virtual patients and robotic patients?

The assessment of communication skills in the accreditation procedure is carried out in simulated conditions with the participation of a standardized patient (SP). SP is a clinical history simulator. A standardized patient in accreditation is a standard of behavior: the same conditions for all accredited, strict adherence to the clinical scenario, a dosed story of the scenario strictly in accordance with the accredited’ communicative actions (actions according to the checklist). The preparation of a joint venture in Russia at the moment is a continuous complex process. The theses present the results of the work carried out.

Currently, the procedure for installing spinal and epidural port systems in oncological practice for the treatment of pain is very relevant.

An analysis of the data of 100 assessment checklists of the University students at the stages of preparation for primary accreditation in the specialty "Pediatrics" — the station "Emergency Medical Aid", which was carried out in practical classes within the discipline "Cycle of simulation training", is presented. The data on mistakes made by the students when working at the station are given, which must be paid attention to in order to successfully pass the second stage of accreditation and master professional competencies that correspond to the labor functions of a district pediatrician.

The purpose of this study: To assess the level of knowledge of the 6th year students of the pediatric faculty in providing basic first aid, as well as basic CPR. The results obtained show the importance of teaching first aid courses to medical students.

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".

The main goal of communication skills in medicine was considered to be the acquisition of the necessary knowledge for the diagnosis and implementation of effective treatment. This goal is still a priority. But taking into account the development of review sites, increasing the availability of awareness, a new item appeared that interested medical and educational institutions. This is the rating of the institution. The rating is built on two main points: 1) technical equipment, personnel and new technologies and 2) public opinion about the institution. Institutional opinion is based on the opinion of patients or students.

In the education of medical students, an increasing number of simulation techniques and teaching methods are being used and implemented. The technique of their work is based both on the theoretical aspect of teaching and on the development of practical skills. However, the final goal of all these techniques is to improve the quality and mastery of the methods of medical care provided in future practical activities. In this work, one of the most ancient and everywhere used methods of practical training was used to stimulate the individual interest of students of the surgical profile.

For the first time, endoscopic practice in our country began in 1976, by order of the USSR Ministry of Health No. 1164. The post of endoscopist was introduced in a polyclinic, one rate per fifty thousand patients, in general hospitals, inpatient clinics and in oncological dispensaries and oncological hospitals, one rate per hundred beds.

Modernization of outpatient and polyclinic care, including a pandemic time, supposes the involvement of each employee in the process of optimizing medical activities and maximum focus on the patient. In this regard, the training of primary care specialists must include training in the elements of lean production and mastering the skills of joint work of the doctor-nurse tandem, which will allow graduates of medical universities and colleges to be prepared for professional activities in a real polyclinic service.

The materials highlight the experience of digital transformation and educational adaptation to the conditions of the novel coronavirus infection. The report presents new formats for organizing training sessions and practical training, tested in V.A. Almazov National Medical Research Center.

The publication is devoted to the experience of organizing and applying simulation training in medicine on the basis of a multidisciplinary clinic. The authors noted modern approaches and rates of development of technologies in medicine, which require medical personnel to quickly and efficiently acquire manual skills and develop clinical thinking with minimization of diagnostic and treatment errors and safety for the patient. Simulation training is the educational stage that allows you to go through the required training path in a minimum time with maximum effect.

The publication is devoted to the experience of organizing and conducting simulation training for nurses and pharmacists on the basis of a high-tech multidisciplinary clinic. The authors provide information on training courses for nurses in the dental, procedural, endoscopic rooms, as well as for paramedics, midwives, ambulatory physician assistant and pharmacists.

The aim was to study the development of increasing the effectiveness of treatment of patients with severe and common forms of coronavirus infection, through the optimization of simulation training methods.

In recent years, there has been an acute problem of the lack of patients to demonstrate and practice the skill of determining the auscultatory syndrome. In addition, due to the pandemic, universities were forced to use distance learning technologies (DLT). The aim of this study was to assess the importance of training on the Lecturio platform in mastering the methodology of examining patients with cardiovascular diseases. The results demonstrate the effectiveness of combining the online educational platform Lecturio with simulation training, especially at the stage of active implementation of distance learning.

A study was carried out among 117 students of the medical faculty of the Amur State Medical Academy of the Ministry of Health of Russia, who were trained under the program of the discipline "Emergencies in the practice of a district therapist" within the framework of the curriculum. The data obtained indicate the effectiveness of the new remote method of preparation for the practice of CPR. The average value of the percentage of chest compressions (CHC) performed with the correct frequency in the group of students trained according to the proposed method is 34.1% more than among students preparing according to the traditional method.

The training of transosseous osteosynthesis for traumatologists-orthopedists is actual. Purpose of the research: development of OSKE stations in teaching the method of transosseous osteosynthesis. Material and methods. In the course of the simulation the technique of passing the spokes through the synthetic bone, the installation of the apparatus and the biomechanics of control are practiced. Results. The developed OSKE stations allowed us to objectively assess the level of training within a specified time frame. Conclusion: OSKE is an effective tool for the control of knowledge, including the methods of transosseous osteosynthesis. The inclusion of transosseous osteosynthesis station in the accreditation of orthopedic traumatologists is an urgent task.

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.

In the Baku Branch of the I.M. Sechenov First Moscow State Medical University in July 2021, for the first time in Azerbaijan, with the participation of members of the Accreditation Subcommittee, the second stage of the primary accreditation of graduates was implemented within the framework of OSKE — the assessment of practical skills. 87 students took part in the accreditation exam. The students' actions were monitored and assessed by members of Accreditation Subcommittee (Russia), the equipment of various classes of realism was controlled, as well as time management and coordination of the process were carried out by the staff of the Test Center of the Baku Branch of the I.M. Sechenov First Moscow State Medical University.    

Infant mortality is an important statistical indicator, and at the same time an indirect criterion of the economic, social and political component of the state. The experience of conducting simulation training "in situ" within the framework of the "Comprehensive educational program to reduce infant mortality in the Khabarovsk Territory" is presented.

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".

The widespread introduction of virtual computer simulations (VCS) in the educational process is limited by the tools’ market for their development. The created software shell consists of three functionally different modules: creating and editing video conferencing; use of videoconferencing; monitoring of the educational process. The developed software shell has remote access and can become the main tool for the repository of virtual computer simulations. Currently, videoconferencing in the field of cardiology has been created as a potential digital base for practical clinical studies and accreditation.

Intracorporeal laparoscopic suture (ICS) is an important skill of the surgeon in performing laparoscopic procedures. Simulation training in this skill contributes to the formation of a skill and its implementation in operational practice. There are not enough publications highlighting the effectiveness of simulation training of the skill from the point of view of application in practice. Interviews were conducted with surgeons who underwent such simulation training in order to determine the proportion of doctors who applied the acquired skill in a real operating room. After training 88.9% of surgeons started using Intracorporeal laparoscopic suture; intracorporeal sliding knot — 77.3%.

Making a simulation trainer from a student has been described earlier. When analyzing the training experience (training of trainers) of the teaching staff of universities, two groups were identified. During the training we faced a number of problems. The difficulties that have arisen we explain by the preservation in the education system of a large share of information teaching methods and orientation to the hourly component of disciplines. A step-by-step system of training trainers of simulation training from existing teachers is justified if there is a voluntary involvement in this process.

The results of a questionnaire survey of graduates of the Faculty of General Medicine of Krasnoyarsk State Medical University on the presence and nature of communication problems in the process of starting a professional activity.

The use of the uterus simulator for teaching the surgical skills of performing surgery in case of ingrown placenta and surgical hemostasis in postpartum hemorrhage (patent No. 198996), which is a model of the uterus with anatomical landmarks and simulates a severe complication of pregnancy — ingrowth of the placenta, allows to increase the self-esteem of obstetricians-gynecologists in performing skills of surgical hemostasis.

The article presents the experience of practicing the skills of providing resuscitation care to newborns in the delivery room by neonatologists, pediatricians, resuscitators and ambulance doctors on a highly realistic multifunctional robotic simulator of a full-term newborn baby SimNewB, a highly realistic dummy of a premature newborn in the framework of the Premature anne system plus control system in the proposed scenario for different clinical situations.

The abstracts describe the results of the study on the development of methods for the use of simulation technologies in the preparation of physicians-therapists in the conditions of the requirements of the professional standard "Physician-therapist"

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 work assesses the psychological readiness to provide first aid in everyday life, assesses theoretical knowledge on cardiopulmonary resuscitation and assesses practical actions for providing first aid in simulated conditions on the basis of the Far Eastern State Medical University.

The study involved 44 people. 59.09% were trained at various stages of their life in providing first aid. According to the respondents, 27.27% are confident in the skills of first aid. Complex correct mastery of first aid techniques was demonstrated only by 4 people (9.09%).

The use of simulation technologies in medicine has proven its advantage over the traditional education system. The growing interactivity of the educational environment and the plasticity of interdisciplinary training with an emphasis on self-education dictate the search for promising directions for the development of simulation learning.

Simulation training is an integral part not only in the training of doctors and medical students, but also among everyone who does not have a medical education. The created course "Public Rescuer" allows you to work out the theoretical skills using modern technologies on the basis of the Center for Simulation Medicine of the Institute of Fundamental Medicine and Biology of Kazan Federal University.

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 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.

The problem of treating wounds of various origins remains one of the most urgent. Working with a wound defect is one of the main components of the healing process, due to the need to find the most effective methods for treating wounds and caring for them.

Due to the COVID-19 pandemic, limited access of students to health care facilities makes it impossible or difficult to teach local wound healing skills in real patients. Under these conditions, one of the options for solving this problem is the use of experimental biological models for practical training.

The need to form a new system of vocational education is dictated by the pace of modern life and the level of development of society. Increasing professionalism becomes possible with the use of new popular learning technologies. The modernization of the educational process affects all its components, including the methods and form of teaching, the style of communication between the teacher and students.

The experience of the implementation of the educational project "Communicative skills of a doctor" in the Ural State Medical University in Yekaterinburg, its main guidelines and principles, as well as the results of studying the content of the patient's image in the context of its impact on the effectiveness of interaction in medical consultation in the direction of its patient-orientation are presented.

Over the past ten years, a multicenter simulation training system has been created in the Tula region. Each class and center of simulation training has its own tasks and brings simulation training technologies closer to the doctor's workplace. The equipment of the simulation centers differs in accordance with the tasks. The accumulated training experience with the use of simulators allows you to change training programs in accordance with modern requirements.

The multicenter system of organizing simulation training in the region meets modern challenges and is effective.

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 study conducted a survey of 168 students of the 5th year of the Faculty of Dentistry, aimed at assessing the psychological readiness for independent work. The data obtained indicate that simulation training contributes to an increase in the level of self-esteem of students of the dental faculty, which indicates the role of simulation centers in the formation of professional competencies of a dentist and changes in the educational environment in the practice-oriented side of specialist training.

Trends to improve international quality standards for medical education dictate the need for the proper application of methods for coordinating the results of the development of educational programs.

The introduction of methodological approaches for coordinating the results of mastering educational programs, as well as the founding of two medical simulation training centers and their functional integration into the educational system of the Yerevan State Medical University after M. Heratsi served as a serious help for improving the quality of educational services.

Game technologies, as a set of methods and tools, are a way of consolidating the material in the long-term memory of students. The interest in intellectual and thematic play, which can be awakened in the doctor, will subsequently serve as the basis for internal motivation for further professional development and self-development. The quest, as a task with the solution of logical problems, can be an ideal way of both teaching and testing the knowledge gained, therefore, we will consider the experience of introducing this technology on the basis of the V.I. Razumovsky Saratov State Medical University. 

The paper presents the results of a study conducted on the basis of the I.I. Mechnikov North-West State Medical University, aimed at identifying the prospects for the introduction of VR technologies in the medical educational environment. The estimates obtained by questioning 100 students who have passed the equipment testing indicate the possibility of modernizing the educational process by integrating virtual technologies through deep immersion, high comfort when using the simulator, and the possibility of simulating situations from different disciplines.

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.

It is possible to increase the effectiveness of teaching ophthalmoscopy using simulators. The experience of using ophthalmoscopy on the Ophthalmosim simulator allows you to make training close to the real process of ophthalmoscopic examination. At the same time, the possibilities of assessing the level of preparedness of a doctor for ophthalmoscopy, including in pediatric practice, have been implemented.

This article discusses the logic and aspects of creating a web application for the accumulation and processing of incoming data of radiation diagnostics and their transformation into information that can be used by students of medical educational institutions in training in the absence or lack of anatomical materials. In prospective analysis, it is possible to use this software product not only as a means for simulation training, but also in medical applied practice in preoperative surgical planning, modeling various mechanical characteristics of implants.

Modern challenges of medical activity - the safe execution of manipulations, teamwork, taking on leadership functions, high personal responsibility require organizing student training in such a format that will allow them to master the necessary skills as quickly and efficiently as possible. Game technology based on the "Kaleidoscope of Roles" accreditation model has significantly increased the interest of future doctors in mastering nursing manipulations.

Many accreditation platforms and accreditation commissions have already accumulated quite a lot of experience in conducting primary and primary specialized accreditations, certain approaches have been found, some problems have been identified and solved that allow to optimize the process. At the Academician E.A. Wagner Perm State Medical University, as a platform for accreditation of specialists in the Perm Territory, uses informational training in technology and logistics for the delivery of PAS and PSA, methodological support of the agro-industrial complex and lean production technologies

The teaching of the standard operating procedure (SOP), taking venous blood (venipuncture, phlebotomy), for a long time proceeded according to the classical model, in which the teacher explained and showed the cadets how to take blood from a vein correctly, and then the trainers repeated the whole sequence after him (4- x in stages). In 2014, substitute teacher technologies such as the TutorMan virtual complex began to appear in the training system. And what if the students already have their own experience. We turned to educational intervention technologies.

The authors present the experience of combining simulation training in clinical skills and training in lean technologies at the "Process Factory"

The organization of training for medical students from the point of view of the formation of an individual trajectory is important, taking into account the mastery of related competencies. There are certain mechanisms for the implementation of an individual educational trajectory, including the features of building an educational program and curriculum, tools for integration with scientific research, and practice of simulation training.

The development of medical science and the technical support of hospitals leads to the annual appearance of new instruments in the hands of the cardiovascular surgeon. The improvement and expansion of the series of X-ray endovascular catheters and electrodes, as well as the differences between similar models from different manufacturers, forces the doctor to either take a new instrument into the operating room without prior approbation with the risk of reducing the effectiveness of treatment or use old, familiar equipment, which reduces the possibility of using the entire range of consumables and prevents personalization medical care.

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.

The article presents the features of the model of communication between a phthisiatrician and tuberculosis patients with social problems, taking into account the indicators of self-esteem of patients.

Auscultation skills are some of the most important basic methods of patient examination. The educational process of teaching auscultation is complex in itself, and in the context of the pandemic of the new coronavirus infection and the widespread epidemiological limitations, the complexity of learning is multiplied, which requires alternative teaching methods. The Virtual Lung Sound Auscultation Simulator creates a learning platform for auscultation by delivering real pre-recorded cardiopulmonary sounds on the virtual chest of a child.

Caesarean section (CS) is one of the most common surgical procedures in the world, and its frequency continues to rise, especially in high- and middle-income countries. A technically correct CS determines the successful course of the intra- and postoperative period, promotes favorable healing of the postoperative wound.

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.

This paper describes the need to include simulation equipment in the educational process for practicing the skills of performing osteosynthesis in various fractures.

This work proves the need to systematize theoretical knowledge in a critical room, as well as regular training with their use qualitatively improves the level of education of students and has a positive effect on the results of passing primary accreditation.

Systematization of theoretical knowledge in preparation for the delivery of primary accreditation, as well as regular training with the use of simulation technologies, qualitatively increases the level of education of students and has a positive effect on the results of delivery of primary accreditation.

The work proves the need for systematization of theoretical knowledge and regular training in a simulation center.

This work confirms the need for systematization of theoretical knowledge and regular training in a simulation center.