Experience in conducting the course “Expert of Medical Simulation Training”, discussion of its practice orientation, quality of presentation of material, the degree of assimilation of theoretical foundations by students and the formation of practical competencies for managing a simulation center, planning simulation training, developing, conducting and evaluating the effectiveness of classes.

   Primary accreditation of specialists plays a key role in the growth of young doctors. The members of the accreditation subcommittees (ASC) occupy an important place in the process of primary accreditation.

   The purpose of this pilot single-center prospective research with anonymous questionnaires was to study aspects of the work and training of ASC members in order to develop a reasonable design of a multicenter research to study the “portrait” of an ASC member in order to subsequently form a request for the members preparation of subcommittees and develop practical recommendations for effective interaction between the accreditation site and ASC members.

   The questionnaires of 27 members of the subcommittees were analyzed. The pilot study reviewed the duration of participation in the work of the ASC, ways of preparing for work as experts and readiness to undergo additional training, satisfaction with the training of accredited medical students. In addition,  opinions were taken into account on the quality and the need to correct the passports of stations of an Objective Structured Clinical Examination (OSCE), optimize the work schedule during the period of accreditation of specialists, as well as proposals for improving, increasing the efficiency and coordination of the work of the ASC with accreditation sites. The pilot project aroused serious interest among the participants of the XI Congress of the Russian Society for Simulation Education in Medicine (ROSOMED) and the international conference 2022 in Moscow. The reason is this study showed the importance of taking into account the opinions of members of the ASC, as direct participants in the accreditation process, which makes it possible to develop the design of a multicenter international study, the data of which will make it possible to offer evidence-based recommendations to improve the interaction between participants in the accreditation process in medicine and improve its quality in the Russian Federation, with a possible broadcast on the territory of the interested countries participating in the study.

   The article presents an analysis of the data of a sociological survey of medical workers conducted by the Research Institute of Health Organization and Medical Management of the Department of Health of the City of Moscow. Attention is focused on important aspects in the treatment of acute surgical diseases of the abdominal cavity and their connection with education in advanced training programs.

   Simulation training in medicine has proven to be an initial method for mastering practical skills and transferring them to the marginal conditions. Since 2016, accreditation of specialists created for these purposes, including endoscopists and thoracic surgeons, has been carried out, the list of labor obligations includes the performance of bronchoscopy. At the moment, in the domestic literature there are only a few publications on the role of simulation training in mastering the skills of bronchoscopy. The simulation center on the basis of the St. Petersburg Research Institute of Phthisiopulmonology was
established in 2018.

   Considering all of the above, it seems relevant to discuss the results of using the phantom in teaching the bronchoscopy technique, which was the purpose of this work.

   To determine the factors that ensure successful and complete implementation of the proposed simulation and tasks, a “boxed” simulator was taken to work out bimanual manipulations and work skills with a needle-holder and Lapsim simulator. A computer simulator allows with a high level of reliability to work out the stages of surgical interventions, use anatomical situations of various levels of complexity, work out orientation skill in two -dimensional space, master the use of a video camera, and getting used to the “lever effect”. Two training groups (16–18 students) performed the proposed simulation exercises and tasks within 2 weeks. For the current academic year, 38 groups passed this course. In general, the successful and complete implementation of the proposed simulation and tasks was carried out mainly by those students who were motivated to study this subject, that is, who chose professional specialization related to surgery.

   One of the methods to improve the quality of practical training of specialists is the using of simulation technologies. Simulation training in medicine is the latest technology for obtaining knowledge and assessing the degree of mastering practical skills and competencies, which is based on modeling close to reality, simulating a clinical “case” using training models of varying complexity and realism [3, 4]. The article describes the introduction of the training module “Respiratory therapy in severe pneumonia” in the training of residents, anesthesiologists-resuscitators in the specialty “Anesthesiology and Resuscitation” using the “TestChest” dynamic human lung model simulator system in the Bashkir State Medical University of the Ministry of Health of Russia.

   Ear surgery is a very specific area in which the practical skills differ significantly from other branches of surgery. At present, there is no standard for training in otosurgery worldwide. The study provides data on the use of a virtual simulator with haptic feedback in teaching ear surgery and compares the objective results of working on the simulator in groups of residents, outpatient doctors, ENT doctors and professional otosurgeons-experts. The study found that such training increases the basic knowledge of students of the anatomy, their spatial understanding of the structures of the temporal bone and its topography, the methods and technologies of ear surgery, which is the most important result for residents and inpatient operating doctors. For polyclinic otorhinolaryngologists, such knowledge is extremely important for understanding the surgical interventions performed in patients transferred to them for supervision from surgical hospitals.