Simulation training is a relatively new, but rather promising education technique that is rapidly developing and modifying. The article reflects the possibility of determining the quality of educational services through a survey of the 6th year interns in the context of integrating simulation training into the educational process of the Faculty of General Medicine, organized on the basis of the Simulation Center (SC). The article presents an analysis of feedback from the consumer of educational services trained on simulation equipment.

The inclusion of the “standardized patient” method during the development of practical skills gives students the opportunity not only to practice the skill itself to professionalism, but also to work with the patient at the same time, taking into account all the possible circumstances that a young specialist may encounter in practice. The article reflects the possibility of determining the quality of educational services through the feedback of interns of 6-7 courses in the context of integrating simulation training into the educational process.

The use of ultrasound in the practice of anesthesiologists-resuscitators is a necessary skill, mastered by a specialist during the educational period. For the successful application of algorithms for focused ultrasound diagnostics in practice, it is necessary to form stable theoretical knowledge and practical skills. The experience of our work has shown that during the 36-hour training using simulation technologies, students successfully master the above skills and cope with the most common mistakes.

This article discusses the features, advantages and significance of practicing medical manipulations by students of the internship level in the educational process in the simulation center of Asfendiyarov Kazakh National Medical University, using the VI-generation robotic simulator "Lyusina".

Three-dimensional visualization of a surgical wound in otorhinolaryngology allows a more detailed assessment of the anatomical features of the structure of human ENT organs, thereby improving the productivity of the surgeon. Thanks to the created adapter for the endoscopic tube, it was possible to synchronize the work of the surgeon's hands and the distal end of the instruments used. Experimental and clinical work was carried out on the cadaver material of animals and humans. The obtained results realized the phenomenon of stereopsis as a qualitatively improved method of videooscopy of a surgical wound.

The article analyzes the current regulatory legal sources that regulate the process of accreditation of specialists in 2022. The issues of preparing documents for accreditation are covered, recommendations are given for the formation of a portfolio and a report on professional activities.

In the Federal Law “On Education in the Russian Federation”, distance learning technologies are understood as educational technologies implemented mainly with the use of information and telecommunication networks with indirect interaction between students and teachers.

The Medical Simulation Center of the Botkin Hospital is actively developing towards creating unique educational content in medicine. Applying the Case method in the education of medical workers, we bring the academic training of practical health care specialists of the Russian Federation as close as possible to the field of their professional activity by discussing real clinical cases from medical practice (cases) aimed at a deep and multifaceted understanding of a specific situational problem in the context of real life, thereby improving the quality of medical care to the population.

The article presents the results of a study of the readiness to implement organizational changes for employees of simulation centers in Russia.

To study the readiness for the implementation of organizational changes of employees of simulation centers in Russia, the D. Holt questionnaire (“Readiness for organizational change”) adapted by E. Naumtseva was used. The study involved employees of simulation centers from 15 Russian cities (Nizhny Novgorod, Moscow, Krasnoyarsk, Vitebsk, Tver, Kaliningrad, Rostov-on-Don, Khabarovsk, Ryazan, Yekaterinburg, Cheboksary, Orenburg, Perm, Omsk) (N=39) .

The organization and accounting of educational activities within the framework of continuing medical education is provided by the continuing medical education portal of the Ministry of Health of Russia. The portal contains a large number of various innovative programs aimed at training specialists with secondary and higher education. The functionality of the Personal Account of the continuing medical education portal is designed taking into account the individual needs of each healthcare professional.

The aim of the study is to consider the current model for the construction and functioning of the Federal Information System "Federal Register of Information on Documents on Education and (or) Qualifications, Documents on Training", as a type of control and supervision in the field of education in the Russian Federation by analyzing the features systems.

The system review was carried out on the basis of the Training and Accreditation Center - the Medical Simulation Center of the Botkin Hospital.

The article discusses a new approach to the formation of universal competencies aimed at teaching communication, teamwork and leadership. Methods are proposed for both the theoretical block (Abstract-interview, thematic medical animation) and simulation training (teamwork and leadership during cardiopulmonary resuscitation) in the study of the discipline "Anesthesiology, resuscitation and intensive care".

The article discusses a new approach to the formation of universal competencies aimed at teaching communication, teamwork and leadership. Methods are proposed for both the theoretical block (Abstract-interview, thematic medical animation) and simulation training (teamwork and leadership during cardiopulmonary resuscitation) in the study of the discipline "Anesthesiology, resuscitation and intensive care".

The aim of the study is to determine the effectiveness of the author's device for objective control of the location of the ischial spines.

The article presents the results of a survey of the 6th year students of the Medical University before and after the accreditation procedure.

Training doctors using simulation equipment is a modern way of teaching doctors’ practical skills without risks to the patient. Virtual technologies today make it possible to simulate not only the patient's behavior in virtual reality, but also create all the necessary environment with interactive tools. Legislation and requirements for educational programs make it possible to successfully integrate VR technologies, and also meet the needs of students, so it is recommended to use them to improve the qualifications and training of doctors.

The educational technology of using a virtual patient (VP) for teaching communication skills is an innovation for medical education in the Russian Federation. The work describes the theoretical, practical, technological features of the introduction of VP into the educational program of higher education in the specialty 31.05.01 "Medicine" (I.I. Mechnikov North-Western State Medical University); demonstrates the design of an assessment system using the blueprinting method; summarizes the results of a survey of students on satisfaction with communicative trainings with the use of VP.

We believe that so far insufficient attention has been paid to first aid training in various institutions. Often, training is carried out according to outdated teaching aids that do not comply with the Order of the Ministry of Health and Social Development of Russia of 04.05.2012 N 477n. The approach to learning is often formal, with little attention paid to practical skills. And in the current socio-political situation, first aid skills and the formation of an effective "rescue chain" are more relevant than ever.

The article discusses the use of additive technologies in the field of medical education. Taking into account current trends and the need for the formation of practical skills from doctors, the right combination of theoretical training and practical skills is very important. In particular, 3D printing technologies can be used to teach practical skills in neurosurgery.

The relevance of training an endoscopist using safe simulation technologies is considered.

Federal State Budgetary Institution "Central Research Institute of Organization and Informatization of Healthcare" of the Ministry of Health of the Russian Federation and the "Methodological Center for Accreditation of Specialists" have begun work on a pilot project to introduce first aid issues for primary specialized accreditation stations for doctors of various specialties. The Department of Simulation Training of the Federal State Budgetary Educational Institution of Higher Education "VSMU named after N.N. Burdenko" of the Ministry of Health of the Russian Federation took part in testing new stations for accreditation, including first aid measures in the absence of consciousness and foreign bodies in the upper respiratory tract.

The quality of first aid is affected not only by the adequacy, but also by the speed of the measures taken. Given the important factor of the lack of regular funds for providing assistance in the first minutes after an injury, combined with the lack of experience in first aid among the majority of the population, it is more likely to predict a low or ineffective result of such activities. We compared traditional bandage dressings and an innovative tool — a first aid signal tape.

In a pandemic, modern education, including medical education, is experiencing many problems. First of all, this is due to the introduction of a remote work format in the educational process, which limits the opportunity for a medical student to contact real patients and develop practical skills. "Virtual Patient" is an effective pedagogical technique for developing the skills of clinical thinking and making medical decisions of the future local therapist.

The experience of an interdepartmental elective course in surgery, which combined the theoretical foundations, simulation training, training in WetLab conditions and work in a surgical clinic, is presented. Technical and organizational solutions are shown, their positive aspects and difficulties encountered are analyzed. Interdepartmental interaction in conducting elective courses can contribute to greater student interest in choosing the profession of a surgeon, effective mastering of topical issues of surgery and practical skills.

Various studies suggest that communication between a medical worker and a patient is a multifaceted process, the result of which can directly affect the patient's health. It is also necessary to study the values, culture and preferences of patients, as communication is an important component of patient care.

Simulation education is an integral part of surgical manipulation training. The purpose of Simulation education programs is to develop the ability of physicians to perform surgical manipulation in real practice. Evaluation of the effectiveness of simulation education programs is necessary to analyze ways to improve results and includes methods for assessing the ability of surgical manipulation individually and in a representative sample. A review of methods for assessing the ability of surgical manipulation and the requirements for assessing the effectiveness of programs has been carried out. The method of structured interviews with doctors and the analysis of the transfer of skills to clinical practice are recommended. The results of training for intracorporeal suture are given. 

Information is provided on the unique for the Republic of Belarus pilot educational project "Modern Medicine in the Regions", implemented by the state institution "Republican Clinical Medical Center" of the Administration of the President of the Republic of Belarus. The importance of integrating simulation educational technologies into the postgraduate education of medical workers is emphasized.

The peculiarities of the practical activity of a nurse make it possible to determine that a significant proportion of their activities — the provision of primary medical and social care, the organization of preventive and rehabilitation measures, requires the mastery of general and professional competencies, for the formation of which we offer a set of simulation training methods in the form of a consistent introduction of non-game and game methods on the basis of A.A. Verbitsky’s theory of contextual learning, in terms of the transformation of educational and cognitive activity into a professional one through a quasi-professional one.

Despite the relative accessibility of the oral cavity for medical manipulations, the visualization of dental interventions remains one of the unsolved problems of modern dentistry. Part of the task of visualization for a dentist is solved through the use of dental microscopes and binoculars. However, the use of these tools will only allow visualization of the stages of dental treatment and does not allow continuous registration of dental treatment. Therefore, the full visualization of dental intervention remains an important task of modern dentistry.

An analysis was made of the results of an anonymous survey of sixth-year students of the Faculty of Pediatrics after passing classes on the basis of the simulation and certification center of the university in 2019-2022. Based on the results obtained, directions for improving simulation classes at the pediatric faculty are proposed.

The article considers the goals and objectives of the teamwork competition in mastering professional skills. The analysis carried out showed the importance and prospects for integrating the competition into the educational process and provides a comprehensive assessment of practical skills at the end.

The situation that developed during the period of forced isolation created conditions that forced us to reconsider some aspects of the teaching methods in medical simulation centers. This material presents our experience in transforming simulation learning from a traditional format into a distance learning format while maintaining the structure and curriculum of classes. We propose to use the obtained results when introducing a hybrid teaching method, subject to careful evaluation, selection and modification of existing courses.

In practical classes various technologies are used: immersion in professional activities, solving situational problems, conducting role-playing games. When solving situational problems, students analyze, assess the situation, make the right decision. The main teaching methods are based on the principles of "learning through action", "learning through the process", which necessarily imply independence and problematicness that is feasible for students. The method of solving situational problems is called the Case-method.

Mastering practical skills with the help of simulation technologies eliminates the risk to the life, health of the patient and the stress of the trainee, allows you to conduct classes according to individual programs, without taking into account the operating mode of the clinic, makes it possible to repeatedly practice the skill and bring the manipulation to automatism. The article shows the effectiveness of the use of a multidisciplinary university virtual clinic - Dimedus in practical classes in teaching clinical disciplines to foreign students of the international medical faculty of Osh State University.

In the Russian Federation, there is a need to create conditions for the active provision of first aid to the general population. Currently, these skills are taught in a fragmented and unsystematic manner. It is believed that any medical professional can teach first aid skills. One of the key directions for solving this problem is the regulation of first aid training at the legislative level, as well as the alignment of medical training processes in accordance with the new legislation. The paper describes a solution to this problem, implemented in our organization.

Competitions in emergency medical care for emergency response teams were previously held in Voronezh at the city level for 7 years, but the realities of our time forced the organizers to expand these competitions to the regional one and reformat them into the format of mass training in emergencies

Bedside education has traditionally been one of the most effective ways to train physicians. It has traditionally been considered a key element of clinical education, as it allows students to participate in a range of real-world processes associated with the medical profession. In order to clarify the current state of the problem, the literature over the past two decades has been analyzed. The study revealed the need for methodological reform for the further development of this form of education to ensure the formation of professional communicative competencies of future doctors.

In the constantly changing conditions of providing high-quality medical care to patients, updating knowledge and developing manual skills in simulation conditions provides an opportunity for doctors and mid-level medical specialists to master the best practices of leading specialists. Undoubtedly, the quality of medical care is influenced by the level of training of employees, including basic medical education, and the subsequent continuous process of continuous professional development and improvement.

One of the main goals of the national project "Healthcare", implemented in our country from 2019 to 2024, is to provide medical institutions with highly qualified personnel. The development of the latest technologies in medicine determines the need for the creation and widespread implementation of an innovative approach to the education and training of personnel. It is possible to improve the quality of training of medical specialists with properly organized simulation training.

Starting from the first course, the future dentist must develop his manual skills obtained in the simulation center. An anonymous survey of 2nd year students and 5th year students of the Faculty of Dentistry demonstrated an increased interest in using innovative simulation technologies in the learning process, since they completely reproduce the workplace of a practicing doctor.

The paper presents a project for the strategic development of the Federal State Budgetary Educational Institution of Higher Education Amur State Medical Academy for 2022–2030. The role and capabilities of the Accreditation and Simulation Center and simulation medical technologies in the implementation of this project are determined. The main vectors of network interaction with other universities, scientific organizations of the Region and the Russian Federation, areas of international cooperation are presented.

The competence of the teacher of the simulation center is largely determined by the qualities he has, which give originality to his communication with students, determine the speed and degree of mastery of various skills. Special requirements are placed on the young teaching staff, which, in the new direction of medical education — simulation training, is the vast majority.

The paper discusses the effectiveness of the use of simulation technologies for the current monitoring of students' technical skills and improving the quality of preparation for the OSCE as a method of objectively assessing the skills of a future doctor.

We present our experience in the formation of individual educational trajectories of bachelors of nursing at the Tyumen State Medical University within the framework of the requirements of the Federal State Educational Standard of Higher Education. Individualization of learning is achieved through the portfolio of disciplines of the educational program, formed by the participants in educational relations, namely, elective and optional disciplines. The organizational, managerial and psychological-pedagogical individual educational trajectories most demanded by bachelors are determined by the prospects for their employment and the possibilities of further education in the master's program

We present our experience in the formation of individual educational trajectories of bachelors of nursing at the Tyumen State Medical University within the framework of the requirements of the Federal State Educational Standard of Higher Education. Individualization of learning is achieved through the portfolio of disciplines of the educational program, formed by the participants in educational relations, namely, elective and optional disciplines. The organizational, managerial and psychological-pedagogical individual educational trajectories most demanded by bachelors are determined by the prospects for their employment and the possibilities of further education in the master's program

We present our experience in the formation of individual educational trajectories of bachelors of nursing at the Tyumen State Medical University within the framework of the requirements of the Federal State Educational Standard of Higher Education. Individualization of learning is achieved through the portfolio of disciplines of the educational program, formed by the participants in educational relations, namely, elective and optional disciplines. The organizational, managerial and psychological-pedagogical individual educational trajectories most demanded by bachelors are determined by the prospects for their employment and the possibilities of further education in the master's program

We present our experience in the formation of individual educational trajectories of bachelors of nursing at the Tyumen State Medical University within the framework of the requirements of the Federal State Educational Standard of Higher Education. Individualization of learning is achieved through the portfolio of disciplines of the educational program, formed by the participants in educational relations, namely, elective and optional disciplines. The organizational, managerial and psychological-pedagogical individual educational trajectories most demanded by bachelors are determined by the prospects for their employment and the possibilities of further education in the master's program.

We present the results of ten-year work of the commission on admission to work in the position of nurse in Tyumen State Medical University, analyze the key success factors, and dwell on the problems. To ensure high-quality training and the acquisition of general and medical care competencies, skills for performing manipulations and nursing procedures, it is necessary to include educational and industrial practices, disciplines and simulation training in educational programs.

We present an analysis of the results of a survey of first- and final-year undergraduate students in the field of study Nursing in comparison with practicing specialists in assessing the most significant professional qualities of a nursing specialist and substantiate the need for a dual approach to their formation.

The material presents a study of the effectiveness of teaching students communication skills to communicate with patients on the example of using the standardized patient technique in combination with the Kirpatrick method. The effectiveness of assimilation of Calgary-Cambridge system of interaction with a patient was studied in the 4th year students of medical and pediatric faculties. It has been established, that the game form of education in combination with the stress factor increases the students' motivational component in learning and contributes to better assimilation of the material.

The relevance and effectiveness of the use of video standards and station equipment standards in the preparation of graduates of the medical institute for primary accreditation (PA) is shown by significantly reducing the preparation time and reducing the level of stress. The calculation of the odds ratio showed that the participation of students in the creation of video standards by 24 times reduces the likelihood of developing a high level of stress during the second stage of the PA, and work with video standards in preparation for the PA — by 8.5 times.

Medicine refers to a type of activity where high communicative competence is an integral part of the profession and is expressed as special skills and abilities. Medical workers are constantly included in the communication process, which provides for a variety of relationships with the patient, his relatives, as well as work colleagues. It is mistakes in professional communication that are the most common cause of ethical and deontological violations, conflict situations, as well as dissatisfaction and complaints of patients and their relatives.

The report presents an analysis of the effectiveness of remote training in practical skills and two years of experience in conducting Olympiads among students of Amur State Medical Academy in a remote format. The methodological base of remote training in practical skills has been obtained.

Preventive counseling is the most important technology of the adult health screening program. The Federal State Budgetary Institution "National Medical Research Center for Therapy and Preventive Medicine" has developed a model for the formation of doctors' skills to conduct preventive counseling of patients. The effectiveness of the developed model was determined in the course of the study. The results of this study are briefly presented in the published thesis.

This study describes the stages of transformation of curricula for the development of communicative competencies among students in the specialty "General Medicine". Fifteen years of experience of the Medical University of Karaganda (Kazakhstan) showed the evolution of the training program with the identification of weaknesses and justification of the reasons for changing the program in order to improve it.

The analysis of the quality of simulation training of 72 obstetrician-gynecologists on the topic "Obstetric bleeding" was carried out. The quality of skill performance was assessed by analyzing test cards for self-assessment of the doctor's qualifications. Analysis of the results showed that the quality of mastering practical skills by students significantly improves when using simulation technologies.

Information is provided on educational simulation programs implemented on the basis of the educational simulation center of the state institution "Republican Clinical Medical Center" of the Office of the President of the Republic of Belarus for the formation of new competencies of cardiologists "Transesophageal echocardiography", "Ultrasound diagnosis of diseases of a heart and blood vessels".

Following the best international practices of leading countries and taking into account the sudden pandemic, at the Department of Simulation Technologies of NJSC Semey Medical University, for the first time, the practical part of the summative exam was held for students of the 2020-2021 academic year using video simulation.

The formation of professionally oriented qualified medical personnel is a priority task of medical education. The incomplete understanding of students about their future specialty, the lack of knowledge about popular medical areas do not always allow them to make an informed choice. As a solution to the above problems, career guidance simulation trainings are of interest.

The acquisition of practical skills in medical education is associated with stress factors. Thus, a large amount of practical skills being mastered, an assessment educational system, and iatrogenic risks can affect the academic performance of students and their cognitive functions. Coping with stress in a simulated setting can allow trainees to critically assess personalized resilience and learn effective stress management skills.

A significant limitation in the targeted and systematic training of future health workers in professional communication skills is the lack of a coordinated approach in the professional community of medical education specialists on the methodology of teaching and assessing communicative competence. An initiative working group is currently working. All interested persons are invited to participate in the work of the group.

The problem of employee development in the system of the training center is one of the most relevant in the theory and practice of employees of medical institutions. The essence of the professional competence of a specialist is determined by the willingness to solve current and future problems and tasks. The criterion for the effectiveness of the development of professional competence is the content of new knowledge, increasing the level of professional competence and confirming the effectiveness of this in the experience of one's work.

The authors of this text present their views on the use of 3D printing technologies and consider various options for using a 3D printer in a simulation center in the training of medical workers.

The purpose of the study: to assess the level of retention of practical skills taught in the simulation class.

The study analyzed the main stages and factors in the development of emotional burnout. Using the methodology of K. Maslach, the levels of burnout stages of nurses who took part in the study were identified, and the burnout index was determined. The main styles of nursing staff management are considered. The study revealed the relationship between the burnout index of nurses and management styles.

The study analyzes the problem of the prestige of the profession of a nurse as one of the factors that determine its attractiveness among young people. A theoretical analysis of the problem and a study of the attitude of students of RUDN University of the subject "nursing" to the prestige of the profession of a nurse were carried out.

The aim of the study is to compare the learning outcome of medical students in cardiopulmonary resuscitation (CPR) on high-precision simulation equipment and the standard CPR Prompt® manikin, as well as retention of knowledge and skills.

As part of a theoretical analysis of the problem of prevention of visual impairment in medical students in distance learning, the main eye diseases of students and the causes of their occurrence were described. As a result of an empirical study, methods for the prevention of visual impairment were identified, which are used by students of RUDN Medical Institute.

The methods of competitive training with the use of simulation equipment in the preparation of residents of the 1st and 2nd years of study in the specialty of anesthesiology-resuscitation during the organization of the Olympiad "Anesthesiology, resuscitation and intensive care of emergency conditions" in memory of Professor I.V. Merkulov on the basis of the simulation center of the Federal State Budgetary Educational Institution of Higher Education "AGMU" of the Ministry of Health of the Russian Federation. A survey of residents-participants of the 1 (20 people) and 2 (20 people) years of study was conducted, the effectiveness of the use of simulation technologies was analyzed. Feedback was received from the teachers of the organizers of the Olympiad.

Child care technologies are different from adult care technologies. The formation of nursing skills in pediatrics by bachelors of higher nursing education is included in the main program of study practice, which allows them to develop skills in pediatric hospitals during their work practice and more successfully form skills in the work practice "Clinical practice "Assistant of junior medical personnel".

The article discusses the effectiveness of the "listener-simulated patient" technique in the context of the subject-activity approach in the development of communicative competencies of nurses in postgraduate education. The experience of application of the technique allowing to broadcast it to other organizations of additional professional education is presented.

The experience of conducting organizational and methodological measures with teachers of simulation training in the GAU DPO RB "Center for Advanced Studies" during simulation classes is presented.

In teaching students of the Faculty of Medicine in the discipline "Faculty Therapy", a combination of case-tasks and simulation technologies was used. Students received part of the initial data during direct independent auscultation using K-plus simulator. In the course of working with the simulator and solving cases, students improved the skills of diagnostics and differential diagnostics in diseases of the respiratory and cardiovascular systems, prescribed treatment. The use of simulators in the context of solving clinical situations improves the quality of practical training of students

During the audit of the provision of emergency care to children, insufficient knowledge of the algorithm A, B, C, D, E and the lack of teamwork skills were revealed. These shortcomings were taken into account when creating a simulation training program for pediatricians in emergency departments and specialists on duty in the hospital. The learning outcomes were positively assessed by all participants. Emergency care training should be used in the education of pediatricians. A pre-audit allows you to identify weaknesses and optimize the training program.

Orientation towards the development of professional and socio-psychological competence makes it expedient not only the use of traditional technologies in the pedagogical process, but also the development of innovative technologies. Innovations in the university can be the use of well-forgotten active learning methods. One of such methods, which gives impetus to the development of the necessary professional competence among students, is a role-playing game.

An analysis of the audit of the possession of professional competencies and their application in practice among medical specialists who regularly study under advanced training programs with simulation trainings at the Federal Accreditation Center of the Federal State Budgetary Educational Institution of Higher Education of the Far Eastern State Medical University of the Ministry of Health of Russia is presented.

The basis of teaching on the Department of Simulation Education is the high competence of teachers and competent orientation in a vast number of algorithms, manipulations and tasks.

An analysis of the training of neonatologists in Khabarovsk Territory over the past 20 years is presented. The effectiveness of different approaches to the training of neonatologists was compared.

Teaching medical students to provide medical care to the population faces the ethical problem of teaching manual skills on patients. This problem is partly solved by simulation technologies in medical education, one of the promising areas of which is the use of educational and experimental operating rooms (WetLab). This technology makes it possible to quickly master surgical and anesthesiology skills without harm to patients in conditions as close to real as possible, as well as to adapt students to further education and work at clinical sites.

The thesis presents a comprehensive training of doctors and residents of nephrologists through the analysis of clinical cases of common nephrological pathology in combination with an emergency, in order to improve the alertness of emergency situations and improve practical skills in a simulation class.

To increase the number of hours and develop communication skills with the patient, collect clinically significant information and make a diagnosis, it is proposed to supplement the process of simulation training with humanoid robots with various scenarios for the initial formation of professional skills in future specialists. By conducting a pilot station as part of accreditation, we tried to identify the readiness of medical graduates to interact with the robot, as well as the possibilities of Virtubot as a simulated patient.

The use of the Body Interact simulator increases the motivation of students, the efficiency of obtaining theoretical knowledge and practical skills and abilities; contributes to the development of a clear algorithm of actions in the diagnosis and treatment of various diseases, reducing the risk for real patients; contributes to the formation of clinical thinking, allows you to overcome uncertainty. Thus, increasing the practical preparedness of pediatric graduates in general.

The experience of analyzing the equipment of the simulation center and the state of the simulation and medical equipment during operation is described as a way to assess the quality of the educational process.

Identification of diseases and damage to organs and systems of the human body using the physical phenomena and properties of X-ray radiation, magnetic resonance for effective treatment and correction of human health is the main goal of the professional activity of a radiologist.

Pathological obstetrics requires not only the possession of certain practical skills, but also the ability to think critically and logically, make quick and correct decisions. One of the key goals of the educational process in medicine is the development of clinical thinking skills. It is decision making in urgent situations that is a critical point in the development of events.

Since 2016, the procedure for accreditation of medical specialists has been introduced in Russia. Kazakhstan launched an analogue of the accreditation procedure in 2015, thus becoming a pioneer in this matter. The form of certification is different in Russia and Kazakhstan, retaining a practical focus, the desire for objectivity in assessment and the use of simulation technologies. The domestic procedure is free and multidirectional in terms of its methodological content, however, due to the optimization of the number of stages, the universities of Kazakhstan are less loaded during the certification procedures.

The publication reflects the results of a study of self-assessment of the level of professional competencies in the field of emergency medical care among persons who have passed the primary specialized accreditation on the basis of Kursk State Medical University. Self-assessment was carried out, among other things, among specialists who completed a simulation course aimed at improving professional competencies in providing medical care in emergency and emergency forms as part of the implementation of additional professional retraining programs.

The paper proposes the experience of developing a program of end-to-end simulation training "Practical training in anesthesiology, resuscitation and emergency medical care", which provides for 4 levels of training for students of 1-6 courses of a specialist and 1-2 courses of residency in the specialty of anesthesiology-resuscitation, is implemented in the format of the elective "Academy A&R" as a part of the university curriculum.

The experience of developing and introducing into the educational process a mannequin and a technique for performing thoracocentesis while reducing the economic costs of consumables during the development of practical skills is presented. Preservation of realism and the possibility of repeated repetition of the puncture of the pleural cavity according to the adapted checklist improves the quality of specialist training.

By organizing activities, each company occupies a certain niche in the market. As a rule, several goals are planned for implementation, depending on the stage of the project life cycle, as well as on external and internal conditions that affect the behavior of an economic entity. Independence in assessing situations and making economic decisions, responsibility for the final results put forward special requirements for management on an organization striving to achieve attractiveness for students.

The use of the Radium-Sim computer simulator during accreditation provides an opportunity to assess the level of practical training, knowledge and skills of those accredited in radiological practice. The study showed the efficiency and effectiveness of Radium-Sim. The use of the Radium-Sim simulator with additions of scenarios for various pathologies is recommended for the practical training exam for students, residents and radiologists.

The report presents the experience of teaching endosurgical suture based on the own training developments of the Multidisciplinary Accreditation and Simulation Center of Yaroslavl State Medical University, as part of advanced training cycles for doctors of surgical specialties.

When evaluating the validity of the simulation model, it is necessary to assess the level of practical skill of the betrothed. One of the common assessment tools is the checklist, which is often developed for a specific manipulation. Combined checklists include a binary assessment system in conjunction with an assessment scale, but are much less commonly used in practice due to the difficulties in statistical processing. In our study, we evaluated the effectiveness and disadvantages of using this type of checklist in the validation procedure of a medical simulator.

The solution of situational problems in virtual reality helps to fill in the gaps in clinical practice in the course of medical education, and can also be one of the elements of an objective assessment of the level of acquired clinical skills among graduate students during the Final State Attestation, which establishes their level of readiness for performing professional tasks.

Modern medicine is actively embarking on the path of introducing a patient-centered approach. The ideology of a medical organization and its mission should be aimed not just at the "impersonal" provision of services, but at high-quality treatment and a trusting psychological atmosphere. The use of compact cases in the training of medical workers allows them to develop the skills of critical analysis of a problem situation, determine effective patterns of their behavior in the proposed conditions, and communication skills. In the future, this will help them to implement a patient-centered approach in practice.

In the training of experienced surgeons, one of the priority and difficult to master areas is teaching manual skills. The classical training system does not allow you to repeatedly repeat certain manipulations that allow you to consolidate manual skills. At the moment, in order to increase the effectiveness of the educational process in teaching the manual skills of surgeons, it is necessary to use simulation training technologies, and it is necessary to clearly divide the educational process into training stages depending on the subject being studied and the level of the surgeon’s training.

The results of the work of the team of the simulation center on the basis of  the Medical University to promote simulation as an innovative technique in medical education are analyzed. There is an increase in the number of teachers implementing simulation technologies in the period 2010-2022. (2010 - 5; 2011 - 8; 2012 - 11; 2013 - 12; 2014 - 10; 2015 - 14; 2016 - 23; 2017 - 77; 2018 - 71; 2019 - 78; 2020 - 44; 2021 - 84; 2022 – 89). The number of students through simulation technologies has increased: 2016 - 1696; 2017 - 7115; 2018 - 9216; 2019 - 7871; 2020 - 4306; 2021 - 12555.

The effectiveness of a one-time event — the conference "Day of the head of a medical organization" to promote simulation in medical education was analyzed. Despite the saturation of the information field with information about the role of simulation in modern medical education, the topic turned out to be little understood by the organizers of regional healthcare. An open simulation training within the framework of a specialized conference has become an effective event that positively changes the attitude of the head to the modern format of doctor training.

The paper presents the experience of conducting a professional development cycle for doctors of perinatal centers and maternity hospitals in the Perm region with specialized trainings and multidisciplinary team training in a simulation center. Conducting problematic trainings for multidisciplinary medical teams in typical emergency situations contributes to good survival of emergency skills and compliance with quality criteria for medical care in emergency conditions.

The experience of using remote technologies in teaching foreign students at the Department of Internal Medicine and Family Medicine in English is presented. It was revealed that for a successful online educational process, it is necessary to create teaching aids with tasks of varying degrees of complexity, and the gradual complication of tasks from topic to topic helps to increase students' independence. The distance learning format unexpectedly had a stimulating effect on the introduction of new forms of education by teachers of the department and the motivation to study among foreign students.

One of the priority areas for the development of healthcare in Russia is the introduction and improvement of high-tech types of medical care, which also includes endovideosurgical interventions.

The authors describe the training program for the training of paramedics using simulation equipment in the skills of providing first aid. The creation of a simulated environment is a key factor in organizing the training of people without special medical education and contributes to the development of emergency care skills at the prehospital stage in a short time.

High-quality training of future specialists with medical education is an important issue, since the requirements for the level of professional knowledge, skills and abilities of medical personnel have increased incredibly today. The most important role in preparation is played by training in a simulation center.

The problem of the relationship between a doctor and a nurse is the most important in the formation of professional ethics. As society's need for health services increases, doctors and nurses are required to clearly fulfill their professional duties in a friendly team of like-minded people. Professional competencies developed and well-executed improve the quality of medical care.

The authors consider an anti-crisis program in the management of a simulation center with internal limited capabilities and the influence of external factors on the reduction in funding to support the material and technical base. For sustainable development and stability in a competitive environment, the Simulation Center of  Karaganda Medical University (Kazakhstan) recommends revising strategic guidelines as a way to overcome the crisis in the management of the center through updating methodologies for teaching and learning clinical skills, taking into account qualification requirements and functioning equipment.

Providing emergency care to patients is a basic skill for doctors of any specialty. Regardless of the location of the emergency situation, assistance should be provided as early as possible in combination with calling a resuscitator or an ambulance resuscitation team. For most specialists, the unwillingness to act effectively may be due to the rarity and non-triviality of the situation, the lack of previous experience and, for this reason, the factor of "confusion" and uncertainty.

The use of the existing arsenal of trainers and simulators makes it easier to achieve the set training goals, but is limited either by high cost or a certain range of simulators on the market that do not fully reflect the entire list of required skills. We have developed the Eversion Carotid Endarterectomy simulator from commercially available components. Approbation of its use in the conditions of classes with students of the Corps of Tutors of the MSO Wagner and residents of the specialty "Cardiovascular Surgery" was carried out. Application analysis showed high realism and efficiency.

The assessment of satisfaction and effectiveness of the integrated objective structured clinical examination through the eyes of the examiners is described. The examiners assessed the strengths and weaknesses of the integrated OSCE, which allows them to strive to improve the quality of station design and content in fundamental disciplines.

Our team has developed a number of phantoms suitable for advanced training of ultrasound diagnostic doctors, as well as testing their knowledge and skills. Phantoms are made of durable materials and can be considered analogues of foreign commercial models. The materials used allow modeling different levels of echogenicity, rigidity, and they can be given clinically realistic shapes. Our phantoms are applicable for practicing the skills of ultrasound diagnostics in gray scale and elastographic modes, for taking a biopsy sample, as well as for solving research problems.

The digitalization of the healthcare field has a number of features of implementation in medical and practical activities. These include: the lack of a unified terminology that could fully characterize the state of various systems and organs of the body, the many medical profiles of doctors and their own templates developed by them during their professional activities and the existing standards for the design of medical document templates. This study summarizes the experience of introducing the developed product into the polyclinic of Far Eastern Federal University.

In medical practice, digital technologies are increasingly being used to automate the work of doctors. This is necessary to reduce the risk of medical errors by reducing the impact on neuropsychological indicators, such as concentration, attention and visual apparatus of a person when performing routine procedures. One of these areas is the creation of reporting generator programs that allow you to reduce the time in the formation of a standard workflow.

Within the framework of this article, the authors highlight the role of the simulation center in improving the quality of training of medical students using the example of the activities of the multidisciplinary accreditation and simulation center of the Federal State Budgetary Educational Institution of Higher Education of Bashkir State Medical University of the Ministry of Health of Russia in Ufa.

Simulation training is a necessary condition for the safe and confident development of practical skills. The development of clinical scenarios and the objectification of the assessment make it possible to determine the level of formation of professional competencies at all levels of education. The authors present the experience of implementing adapted checklists at the stages of preparing and conducting the final certification of graduates.

A competency-based approach in medical education is necessarily aimed at mastering practical skills in all disciplines. It is necessary to repeat the algorithms obtained on simulators in the course of lectures or self-training of students to achieve the necessary confident level. An analysis of the results of the implemented distance learning methods during the pandemic clearly identified the need for additional classes in simulation centers.

The thesis describes the certification practice-oriented course "Expert of Simulation Medical Education", developed by experts from ROSOMED, Sintomed and EuroMedSim, intended for managers and leading specialists of simulation centers to master the theoretical foundations and form practical skills in managing a simulation center, planning simulation education, development, implementation and evaluation of the effectiveness of simulation classes.

A prerequisite for the formation of skills and abilities is the training of students in the implementation of individual skills and abilities on simulators. The results of a differentiated test for summer industrial practice of students of the medical faculty are given. According to 96.62% of respondents, preparation for certification using simulators improved practical training in nursing skills, increased confidence in the possibility of independent professional activity.