РЕДАКЦИОННАЯ СТАТЬЯ
ORIGINAL ARTICLES
The high level of professional training, technical skill and practical skills of the doctor acquired on the simulator of X-ray and magnetic resonance RadiumSim studies increase the quality of medical X-ray diagnostic care. A focus group of radiologists evaluated the uniqueness and effectiveness of the Radius simulator, as well as indicated the wishes and changes in the formation of the interface (including the designer of medical protocols and conclusions of CT studies) on the RadiumSim simulator. The use of the simulator of X-ray and magnetic resonance RadiumSim studies with additions of scenarios of various pathologies is recommended for accreditation of specialists in the field of radiology, as well as for practical training and training in the organization of independent work of students, residents and radiologists.
The development of modern systems and technologies creates new requirements for the education system every day, provides new opportunities for the development of educational methods, consumer coverage and data science. The experience gained as a result of the transfer of the Therapy Olympiad in 2021 to a remote format proved its success and prompted the development of the Olympiad in this direction. On March 21–22, 2023, the III National Russian Therapy Olympiad with international participation in online format was organized. As a result, 2,120 students, residents and schoolchildren from Russia, Uzbekistan, Kazakhstan, Belarus, Kyrgyzstan, Tajikistan, Azerbaijan, and India took part in the Olympiad. This article analyzes the Olympiad in order to study the possibility of conducting an automated assessment of knowledge and skills formed by students of 4–6 courses of specialty and residents of the therapeutic profile and other medical specialties. The following evaluation tools were used: knowledge testing using a distance learning system and assessment of practical skills using a Dimedus computer virtual on-screen patient simulator. The analysis of the results showed that the base of the formed test mini-cases and clinical cases is valid, reliable and can be used for automated assessment of knowledge and skills of students in specialty and residency programs of therapeutic profile. Statistical data and feedback data showed the involvement in the process and the interest of students in the chosen assessment format.
The purpose of the study is to evaluate the efficiency of placement of simulation equipment and consumables in the warehouse of the simulation center. When opening a multi-profile accreditation and simulation center, the task arose to place a large number of equipment and containers with consumables of various parameters and sizes in a warehouse. To develop the concept of work in the warehouse, university employees were involved, who analyzed the current situation by applying the methods of analysis of lean production.
ТЕЗИСЫ
The article discusses the production of a 3D anatomical model using software designed to convert volumetric MRI data into surfaces. This software made it possible to highlight the surface of the deep structures of the human brain.
The development of medical science, the emergence of new technologies, specialties and areas significantly increase the need for postgraduate education. The main goal of postgraduate professional education is the preparation of a highly qualified medical specialist. The article discusses the problem of postgraduate education of doctors in clinical algology. The example of the Russian Independent Medical Association shows its role in the development of a separate medical specialty
The article presents a new approach to teaching students in the discipline "Anesthesiology, resuscitation, intensive care" and the game method "I am a teacher", which provides for a lesson on a specific topic and the development of a quiz game by a team of students. The training was attended by 13 students of the 6th year in the specialty of General Medicine.
Simulation training makes it possible to improve the skills of neurosurgeons, avoid the development of complications during revascularization operations, repeatedly perform the same manipulation, and bring it to automaticity. This article provides an example of simulation training for neurosurgeons from the city of Nizhny Novgorod on the study and development of various techniques for applying anastomoses on the vessels of the brain and neck. Trained doctors effectively used the knowledge gained at master classes in practice, which increased the efficiency of revascularization operations and increased the number of operating doctors.
The study is aimed at identifying the conditions for a multilateral assessment of the communication skills of students in a medical university.The method involves peer review, self-assessment and assessment of communication skills by a standardized patient.It has been established that its implementation is possible subject to a set of conditions: availability of standardized assessment tools, organization of feedback from experts and the patient, training of all participants in the multilateral assessment methodology.
One of the key stages in the primary accreditation of students of medical universities in the specialty "Pediatrics" is the stage of passing practical skills at accreditation stations, which is aimed at assessing the development of competencies corresponding to labor functions, determined by the professional standard of a district pediatrician. One of these stations is the station "Emergency Medical Care", during the development of which the accredited person must develop the skills for providing emergency medical care in an outpatient setting
For five years in Kursk, students of higher and secondary education (paramedics) have been trained in first aid by telephone: the caller (actor) calls an ambulance and asks the dispatcher (training participant) for guidance on self-help before the brigade arrives. Gradually, a system of scenarios with stepwise complication was developed, which made it possible to improve communication skills, the ability to improvise and use improvised means, knowledge of first aid algorithms and personal safety. And most importantly — this way you can create any situation absolutely without financial costs.
There was a need for accreditation of specialists with a different education engaged in medical activities, but there were problems: subcommittees were not formed, accreditation centers were not equipped with the necessary equipment, specialists were not trained.To organize the accreditation and training of specialists, the joint work of the multidisciplinary accreditation and simulation center and the Department of Clinical Laboratory Diagnostics of the Kazan State Medical Academy was carried out.As a result, specialists were trained, prepared for this procedure and biologists were successfully accredited.
The GMS clinic has accumulated experience in conducting certification of nursing staff in practical nursing skills, as well as in communication skills. An assessment system has been developed, new stations are being introduced, and old ones are being improved. Senior nurses, chief doctors, and a training center are involved in the work. Certification helps to maintain uniform standards of work, teach new standards, assess the qualifications of nurses, and improve the processes of providing care within the clinic.
The article demonstrates the experience of the Department of Pediatric Diseases with the neonatology course of the Faculty of Advanced Studies and Professional Retraining of the Izhevsk State Medical Academy in the implementation of simulation technologies in the educational process for mastering practical skills in the discipline "Pediatrics" as a part of an advanced training and professional retraining programs for additional professional education.
The article presents a three-stage model of teaching the discipline "Life Safety", including a course in the mode of audio lectures, theoretical classes and simulation. Training according to the new system contributes to a more effective formation of the competence of UK-8 “Able to create and maintain safe living conditions in everyday life and in professional activities to preserve the natural environment, ensure the sustainable development of society, including in the event of a threat and the occurrence of emergencies and military conflicts”.
Developed emotional intelligence is an integral part of the personality of a progressive healthcare worker. One of its components is the ability to understand and differentiate the emotions and feelings of the patient. One of the factors in the emergence of conflict situations in medical institutions is the "emotional deafness" of a medical worker. Simulation training by immersion allows you to identify trigger points and work out the weaknesses of the health worker.
Simulation education is a promising technique, as well as rapidly developing and modifying. Simulation-based learning allows you to develop and improve, form practical, communication skills, as well as the principles and skills of teamwork.
When applying for a new job, specialists experience communication difficulties for a long time. Over time, relationships improve, within a large organization there are many informal groups that arbitrarily unite into a kind of network. The formal structure and tasks daily unite specialists who begin to depend on each other in many aspects. Consideration of the relationship of healthcare professionals to establish more effective methods of communication, which will subsequently contribute to professional activities, is the main idea of this work.
The article presents the results of training in cardiopulmonary resuscitation for foreign students studying in English. Participants are divided into three groups depending on the theoretical preparation for the lesson. All students were tested on the platform of the European Council for Resuscitation. During training blood pressure and heart rate were monitored. The study showed high effectiveness of training and revealed a tendency to increase the studied parameters of hemodynamics at the first stages of training.
Mastering practical skills with the help of simulation technologies has a number of advantages over traditional methods. An important role here is given to teachers and their involvement in the development of innovative pedagogical technologies. The study considered the motivational aspect of involvement — the level of participation of teachers who use simulation equipment during training sessions, the assessment of the performance indicators of the teaching staff in terms of the use of simulators.
The article discusses the main advantages of laparoscopic interventions and their relationship with the number of trained specialists. In addition positive dynamics was revealed in the use of laparoscopic methods and their effectiveness for a particular patient. The training is useful both for beginning surgeons and for established specialists and will allow you to have up-to-date information on the latest achievements in laparoscopic surgery and open up a new look at certain aspects in this promising area.
The article was prepared on the basis of the current regulatory and legislative documentation in the field of accreditation of healthcare professionals in the Russian Federation and the positive experience of organizing a simulation workshop to train second-year residents of S. P. Botkin City Clinical Hospital of the Moscow Health Department for the second stage of primary specialized accreditation — assessment of practical skills in simulated conditions.
Teaching young people how to provide first aid to victims of emergency conditions is an important direction in the educational and upbringing process of educational institutions. One of the ways to increase the knowledge of non-medical students in matters of first aid is to hold for them thematic olympiads in medical universities using simulation equipment.
The work of accreditation and simulation centers is often associated with multitasking, as it includes different areas of work. Lean principles provide an opportunity to identify waste at different levels of any value creation process, and also suggest ways to solve problems identified. We recommend using our successful experience in process mapping, timing and drawing up a “spaghetti” diagram for use in the work of accreditation centers, both in the course of accreditation of specialists and in preparation for it.
The modern assessment of the quality of medical care is mainly based on the patients' assessment of organizational factors: the waiting time for a doctor's appointment, the timeliness of examinations, the receipt of consultations by specialists, etc. This study examines the role of professional communication skills of medical staff in patient satisfaction with medical care. It was found that patients who are highly satisfied with medical care rate the presence of professional communication skills in medical staff significantly higher.
The strategy for the development of continuing medical education is a multi-level process through which close interaction between the medical profession, medical science and medical education is ensured. The relationship of these three components is necessary to ensure the effective development of the medical industry, its competitiveness and improve the quality of the results of medical care.
The experience of using contextual methods in such a form of the learning process as a lecture is considered. On the example of the topic of first aid to victims, the authors propose a solution to the problem of delivering motivating information in a limited two-hour period to a large audience that is not prepared for the subject. In addition, the authors analyze the relevance of teaching first aid skills to the general public using all available educational methods due to the great social significance of this topic.
The conduct of a special military operation forced a different look at many issues related to the training and assessment of the qualifications of persons providing services with the use of weapons. Helping skills play a special role in independent proficiency assessment, as skill assessment tools should include only objectively controlled models. Currently, the Department of Simulation Training of the N. N. Burdenko Voronezh State Medical University is working to create a system for assessing qualifications in the first aid section.
An important task of training students in simulation centers is to teach algorithms of actions in extreme situations, to make the right decision as quickly as possible and to perform manipulations flawlessly. The article discusses the main advantages of using a combined teaching method using the virtual clinic "Dimedus" and the robot simulator "Apollo", which allows you to maximize the benefits of virtual learning, effectively use the emergency class, and objectively evaluate the formation of individual educational and practical skills.
Since December 2021 the simulation center of the I. Kant Baltic Federal Universityactively uses the virtual clinic "Dimedus".The wide possibilities of using virtual technologies in simulation training have led to various options for using the Dimedus virtual clinic in this process.The experience of the simulation center of the I. Kant Baltic Federal Universityshows that virtual technologies can be used both as an independent teaching method and in combination with others.In general a virtual learning environment is a fairly effective method, tool and technology of learning.
Modern advanced training of emergency medical specialists is unthinkable without the use of innovative technologies that, together with traditional education, allow them to form their high competence that meets the requirements of practice and ensure the quality of their activities. The article discusses the experience of conducting advanced training courses for doctors / paramedics of emergency medical care using combined methods in training. The survey of participants showed that the majority of respondents positively assessed this method and expressed their readiness to undergo training in such programs every 3-6 months.
A hybrid method using virtual learning technologies allows you to simulate various clinical situations, create new realistic scenarios and implement them in the educational process. Classes in the simulation center are associated with psychological discomfort for students, since each person perceives information differently. The method allows you to use all types of perception: sight, hearing, touch (“I hear, see, feel”), which reduces discomfort and significantly increases the level of training of students.
With the entry into force of Federal Law No. 238-FZ “On Independent Assessment of Qualifications” on July 1, 2019, the professional standards developed by the Council for Professional Qualifications in the Non-State Sphere of Security of the National Council for Professional Qualifications under the President of the Russian Federation included labor functions that prescribe the provision of a function life support of the victim until the arrival of specialists. The tasks of the Council are the development of federal state educational standards, the updating of vocational education and training programs.
Employees of the Department of Simulation Training of the Voronezh State Medical Institute named after N. N. Burdenko have been dealing with first aid for many years and, in this regard, we are the ones who are asked what kind of first aid kit to purchase and what should be in it. Such questions are heard from individuals, motorists, participants in a special military operation and labor protection officers of various organizations. Accreditation is often associated with additional psychological and physical stress (CPR), and according to Russian law, a first aid kit must be present at the workplace. But there are many questions about the quality and composition.
Anaphylaxis is the most severe, potentially life-threatening systemic hypersensitivity reaction, which in children ranges from 10.5 to 70 cases per 100,000 person-years, with the highest incidence at the age of 5-17 years. As before, late diagnosis remains in pediatrics — in 50% of cases, the diagnosis of anaphylaxis is not actually made, which makes it necessary to develop skills in diagnosis and treatment tactics. The results of the training on one of the life-threatening conditions on the basis of the Multidisciplinary Simulation Center of the Tyumen State Medical University for five years are described.
Employees of the National Research Institute of Microsurgery in Tomsk have been developing modern microsurgical technologies for many years and have been teaching beginners or established surgeons this technique for more than 10 years. The training program includes both a practical and a theoretical part, which makes it possible to eliminate many errors and improve the quality of medical care.
The trends of recent years in the issue of training future healthcare professionals have led to the fact that the three-stage state primary accreditation of graduates and the expansion of the system of continuing medical education have become one of the most actively modernized events. Thus, the system of three-stage primary accreditation, the implementation of which is determined by the Order of the Ministry of Health of Russia dated February 25, 2016 No. 127n, is currently the key procedure for admitting specialists to medical and pharmaceutical professional activities.
Differences in the self-assessment of academic achievements of students depending on the use of interactive teaching methods are revealed. To prepare for primary accreditation, the Standardized Patient methodology is effective. For the formation of competencies necessary in real professional activity, the use of role-playing games and group discussions is significant. Simulation training has a positive effect on the formation of a predictive self-assessment of academic achievements, an increase in the educational and professional motivation of students, and the development of their reflective and productive thinking.
Employees of the non-state security sector, providing first aid for gunshot wounds, should be able to apply all the main methods of temporarily stopping bleeding. Also, the possession of these methods should be checked during the procedure for an independent assessment of qualifications. The aim of our study was to create and test an inexpensive training device for teaching wound tamponade in the presence of a deep wound channel — a hemostatic applicator.
Due to the fact that the teachers of the Department of Simulation Education teach not only students, but also residents and doctors of various specialties, they must regularly improve their knowledge, skills and abilities through advanced training and professional retraining in order to maintain their professional competencies and improve the level of the educational process. The presence of several specialties for a teacher in different disciplines is a necessity dictated by a new approach to simulation training.
The article touches upon the analysis of stress resistance and the ability to self-regulate emotions as determining factors in building effective professional communication in medical practice. The relevance of the possession of these competencies involves the introduction of thematic training into the training program, which can be most effectively implemented within the framework of a simulation course using, respectively, simulation technologies.
This paper presents the experience of a multifunctional simulation and training accreditation center of the N. N. Blokhin National Medical Research Center of Oncology of the training of oncological specialists in the Russian Federation.
Pre-University is an educational project of pre-university education. This project is a new area of activity of the university and represents the basis of the innovative paradigm of modern education associated with integrative processes. Pre-University is a consultative, methodological and expert platform for preparing the best students in biomedical classes for further education in medical universities of the country.
Training of anesthesiologists-resuscitators under the additional professional advanced training program “Extracorporeal membrane oxygenation. Basic course "(18 academic hours) at the Medical Center of the Botkin Hospital.
In the course of a joint tactical training, the participants formed and improved effective communication skills, a model for the correct transmission of information, digital skills for predicting the course and outcomes of pathology. An important task in the course of trainings is the development, implementation in practice of remote technology for medical forecasting and remote consulting for employees of medical organizations.
The report presents a digital solution for optimizing the work of the structures of the Accreditation and Simulation Center of the Amur State Medical Academy.
The paper presents the results of the development and implementation of an educational method for improving the legal training of medical specialists based on gamification in order to prevent defects in the provision of medical care and the prevention of legal conflicts in clinical practice.
Information is presented on the implementation of a unique for the Republic of Belarus pilot educational project "Modern Medicine in the Regions" using simulation educational technologies on the basis of the educational simulation center of the Republican Clinical Medical Center of the Office of the President of the Republic of Belarus (hereinafter referred to as the Center).
An important feature of simulation training is that it makes it possible to hone skills and abilities in the conditions of our center in a short time, using modern simulators in conjunction with the preparation of presentations and briefings. Each lesson focuses on one topic. Classes begin with the formation of the relevance of the issue and statistics. In preparation we used six levels of realism in the educational process.
The study of the effectiveness of training in the state institution "Republican Clinical Simulation Center" of the Administration of the President of the Republic of Belarus (hereinafter referred to as the RCSC) using simulation technologies allows us to evaluate the real effectiveness of medical simulators at different levels of education, to identify the opinion of students about the effectiveness of training, to determine the goals and needs for simulation training , evaluate the effectiveness of training using simulation technologies, determine the priority types and methods of training, find out what place simulators occupy in the structure of medical education.
In the Russian Federation various student Olympiads, skill competitions among specialists and other similar events are quite common. What are their goals and results, can the same be achieved differently, what are the pros and cons. Quite often these events are built exclusively on competitive conditions, which leads to undeserved victories for some and defeats for others, a shift in emphasis to external incentives, unnecessary separation of groups, and sometimes alienation and rejection of processes instead of attracting attention and development.
The authors reveal the role of methodologists in the development of simulation education. The methodologist in the educational process plays a significant role in ensuring the quality of simulation education by preparing the necessary educational resources that meet the requirements for training practical healthcare professionals.
The authors compare two teaching approaches in mastering the medical manipulation "intravenous injection", assess the degree of influence of the TOPSET "TutorMAN" simulator and the trainer of practical skills among undergraduate students of "Medical University of Karaganda". Despite the great interest of students in high-tech simulators and peer-reviewed automated algorithms, stable knowledge and skills are formed while working with a teacher who contributes to the development of students' clinical competence through the use of soft skills.
Educational programs for the provision of emergency medical care expand the knowledge of the cadet in the field of intensive care and resuscitation, bring them closer to real life situations, provide an opportunity to hone the skills of diagnostic techniques and manipulations without risk to the patient, correct mistakes, increase the level of stress resistance in further independent work, and clinical experience in a virtual environment gives confidence in the correctness, efficiency and quality of medical care in practical healthcare.
We present five years of experience in individual educational trajectories of bachelors of nursing at the Tyumen State Medical University. The most demanded individual educational trajectories for students are organizational, managerial and psychological-pedagogical. For employers, clinical nursing practice. Individual educational trajectories improve the quality of education and professional mobility in the labor market.
Based on the analysis of the types of behavior of bachelor students in a conflict situation, we substantiated in the publication the importance of including in the main professional educational program of higher education of a bachelor's degree in the field of study 34.03.01 Nursing of disciplines that aim to form communicative competencies. Diagnostics was carried out in dynamics at the first and final courses of the Institute of Public Health and Digital Medicine of the Tyumen State Medical University. Studying at a medical school facilitates the transition from ineffective strategies of communicative behavior, such as compromise, rivalry, and avoidance to effective ones, such as cooperation.
One of the main directions in the field of higher medical education is the need to significantly strengthen the practical aspect of training future doctors while maintaining the proper level of theoretical knowledge. Simulation practice is a new methodological approach to teaching medical students. Modern graduates, having a good theoretical background, are less prepared for practical work.
The thesis presents a brief report on the start of a study approved by the Russian Society for Simulation Education in Medicine on the work of subcommittees in accreditation centers of the constituent entities of the Russian Federation. An announcement and the first results of an evidence-based multicenter prospective study with blind data analysis were given in order to popularize the study and prepare for an international release.
The study presents the results of assessing the activities of teachers of the simulation center by questioning residents of the 2nd year of study who have completed simulation courses. The survey involved 357 residents of the 2nd year of study, who were asked to evaluate the work of the teachers of the simulation center — 12 teachers aged from 26 to 62 years, with less than 5 years of work experience — 7 teachers and more than 5 years — 5. As a result of the analysis of feedback questionnaires for 2023, we can conclude that the vast majority of residents of the 2nd year of study are satisfied with the quality of teaching courses.
The publication presents the results of an assessment of first aid skills at the station "Basic cardiopulmonary resuscitation of adults and maintenance of airway patency" during the primary specialized accreditation in the specialty of neonatology in 2023. The assessment of demonstration of practical skills showed a high level of training of specialists who have mastered the residency program, and also revealed some errors and inaccuracies that need to be paid attention to when preparing for accreditation.
Artificial intelligence, or AI, is gaining momentum across industries, and simulation-based learning is no exception. AI has the ability to quickly collect and process information, while machine learning learns and adapts to the user, improving performance over time. Artificial intelligence has the potential to simplify and systematize the learning process. But what are its advantages and prospects for use in our time?
Today there are 9540 people in Transbaikalian Regional Public Organization "ProfMedSpets", who are representatives of practical healthcare, both state and departmental, and private healthcare structures. The main statutory goal of the Professional Association is the professional development of specialists with higher, secondary medical education.
This article deals with the problem of formation of the communicative competence of local general practitioners in conducting preventive counseling. The results obtained can serve as a basis for developing a methodology for the formation of communicative skills of doctors.
A training game program has been developed and used in the educational process. The program makes it possible to visualize the educational material, immerse the student in the space of his future professional activity. When developing educational games, the teacher must structure the material, visualize it, form evaluation criteria. Software development allows you to develop creative thinking. The use of educational game programs in the educational process is aimed at increasing the level of assimilation of educational material, increasing student motivation and improving the quality of education in general.
This paper discusses the possibilities of the author's simulation model for teaching appendectomy within the framework of the training course intended for the programs of the specialist, residency, faculty of advanced training and professional retraining of doctors. The model is compared with alternative appendectomy simulators, the advantages of the proposed model are evaluated, and a conclusion is made about its educational potential.
Despite the potential danger of using electrosurgical equipment, surgeons around the world are still not well acquainted with the issues of electrosurgical safety. The experience of conducting training courses "Fundamentals of Safety and Efficiency in Electrosurgery", including a structured simulation training, is presented. As part of the training, possible complications are modeled when working with high-energy equipment. It is shown that thanks to the practical part of the course, students perceive and assimilate the material well.
Taking into account the possibility of self-replenishment of the first aid kit, it is important to develop an algorithm for teaching the installation of the oropharyngeal airway. Manipulation training can include several stages. The first stage is the theoretical block. The second stage is a demonstration with commentary and repetition of the air duct installation technique by a tutor-teacher using a special simulator. The third stage is the development of practical skills by students on the simulator and the analysis of errors. The fourth stage is a repeated demonstration by students of the air duct installation and individual correction of the technique.
When teaching students of the Faculty of Medicine in the discipline "Faculty Therapy", two versions of the interactive educational application "AcademiX3D" were used. In the course of working with the application, students improved the skills of questioning and examining the patient, on the basis of which they made a diagnosis and prescribed treatment.Using the application "AcademiX3D" in the "practice" mode helps to form the clinical thinking of future doctors, brings students closer to the conditions of real practice and improves the quality of practical training.
The modern development of the healthcare system today makes high demands on the level of training of future specialists with a secondary medical education. The use of simulation training in the process of education of future medical workers, as well as professional retraining and advanced training of medical workers, makes it possible to prepare highly qualified, competent personnel who have successfully passed accreditation and carry out their professional activities in medical organizations.
The paper presents our own experience in organizing and conducting training courses for doctors of surgical specialties using living tissue technology (Wet-Lab) and augmented virtual reality. A feature of these courses is the successful combination of Dry-Lab and Wet-Lab simulation techniques, which allows for “step-by-step” skill training with its consolidation during operations on animals in an experimental operating room.
An experimental approach to assessing the clinical effectiveness of simulation training is described. An analysis of the relationship between the level of skills of medical specialists, the quality of neonatal resuscitation performed by full-term newborns and the dynamics of their condition during regular simulation retraining of medical specialists is presented.
The intracorporeal suture is a key skill for performing laparoscopic interventions. The intracorporeal suture training takes place in simulation education; 44 — 72.2% of trained physicians use intracorporeal suture in practice (students). The result of simulation education largely depends on the teaching methodology. An improved technique of simulation education of intracorporeal suture with the inclusion of author's methods for performing knots and simulators has been developed and applied. The result was evaluated by the method of structured interviews of listeners. 88.9% of newly trained physicians were able to apply an intracorporeal suture in practice; 67.3% noted the expansion of the laparoscopic interventions spectrum, and 73.0% decreased the duration of the laparoscopic interventions.
Simulation training in surgical procedures is an important part of the training of surgeons. The goal of simulation training is to develop the ability of physicians to perform surgical procedures in real practice. The assessment of simulation training programs is needed to analyze to improve outcomes; requirements for assessment of simulation training include an assessment of the application of surgical procedures in practice, in the general population of students. A method of assessment of surgical procedures has been developed by means of a structured interview of listeners with an assessment of practical results. The method revealed the high efficiency of the laparoscopic intracorporeal suture training program.
Employees of the Department of Simulation Teaching Methods of Kazan State Medical University, together with LIRS K (P) FU, developed a training computer program for students to work with electronic medical records. To test the multimodal program two groups of 28 4th year students of the medical faculty of the Kazan State Medical University were selected. As a result of comparison with the "Standardized Patient" methodology, the proposed program better prepares the student for the upcoming profession and allows them to evaluate his work in a comprehensive manner.
In 2022, on the basis of the Scientific and Educational Research Center "Pharma-Premium" of Sechenov University, the "Pharmaceutical production" software module was developed for the "AR|VR-University" training platform (state registration certificate 2022618639 dated 05/13/2022). The introduction of VR technology into the educational process of the A. P. Nelyubin Institute of Pharmacy in 2022 for 200 fifth-year students enrolled in the specialty "Pharmacy" made it possible to increase students' interest in the disciplines taught, as well as to gain skills that are impossible to practice in an educational environment.
In 2023, 20 thousand applicants chose the specialty "Pharmacy". The growing popularity of the direction among applicants is associated with priority programs implemented by the state in relation to the industry, however, the lack of the possibility of internships at real production sites for 100% of graduates makes their entry as new employees into the work of production postponed. The introduction of a VR course into the training program will reduce the time required for training specialists after their employment, improve the quality of graduates and increase their demand in the labor market.
The article shows the advantage of learning at the process factory (primary accreditation) for the formation of soft and selfskills in comparison with traditional lectures.
The Neonatology Olympiad demonstrated the interest of young specialists and students in such events, inspired and activated the younger generation.
The introduction of a synergistic effect in the development of the technology of "minimally invasive" surfactant administration to understand the physiological basis of the method of surfactant administration, a visual demonstration of its advantages and possible complications is a competent and modern combination of methods of training narrow specialists in specific professional technologies.
Our experience of using interdisciplinary case studies for the state final certification of graduates of the Bachelor's degree program in the field of training 34.03.01 Nursing at the Tyumen State Medical University has demonstrated the validity as an evaluation material that allows you to objectively assess the skills and possessions of a graduate according to indicators of achievement of general professional and professional competencies, to identify positive aspects and weaknesses in the preparation of bachelors of nursing primarily in the interests of employers.
Communication skills are the most important competence for a manager. After all, he devotes most of his working time to communicating with subordinates. And if he does not know the appropriate techniques, this can lead to conflicts in the team and reduce the effectiveness of management.
Automation of the examination of the quality of filling out the medical history will speed up the process and reduce time delays (ODNOPOLOV O. T., et al., 2018) For a doctor such a function is able to adjust the plan of medical and diagnostic procedures in time. The use of the verification module in the training computer program for filling out an electronic medical history at the student stage will allow you to quickly get acquainted with the procedure for examining the quality of medical care.
The authors present their own experience of using high-tech training equipment with elements of augmented virtual reality in the educational process of obstetricians and gynecologists. Based on this experience, a controlled virtual reality complex has been developed, where for the first time students have the opportunity to actively influence the proposed scenario, eliminate possible errors in the implementation of the algorithm of necessary actions, and come as close as possible to the ideal conduct of medical manipulations. This complex also opens up wide prospects for its use for medical purposes.
Circulatory arrest is a common cause of death in the world. Resuscitation measures are practical skills aimed at preserving human life. Training in ECG and basic cardiopulmonary resuscitation is a key element in the training of specialists capable of providing quality care in critical situations. The scenario method of training allowed us to work out the acquired skills in real conditions. The simulation training program contributes to improving the quality of medical care and can be recommended for widespread use in medical institutions.
Constant feedback from students after completing simulation courses allows you to make adjustments to the methodology of teaching practical skills. In this case, the authors analyzed the results of an online survey.
The growing volume of educational literature indicates the need to reform existing teaching strategies in medical education. The inverted classroom is a new pedagogical model in which students develop a basic understanding of course materials before class and use classroom time for classes focused on practical student learning. However, the model is currently insufficiently studied and requires a thorough approach to its implementation.
Team building is the process of forming a team whose members are united by a common goal, have well–developed procedures for coordinating their actions in achieving concrete results, and are mutually responsible for the results of their activities based on a common vision of the situation. This thesis is devoted to the formation of positive motivational characteristics of students taking part in the Olympic surgical team of Far Eastern State Medical University, and the study of factors that reduce this motivation.
The sphere of medical education is currently inseparable from scientific and technological progress — for example, simulation technologies have become an integral component of practical professional training of medical university students. Students of Bashkir State Medical University attend practical classes on the basis of the level III FOC, starting from the first courses to form practical skills and consolidate theoretical knowledge about competent work with patients. Equipping the federal accreditation center of the Bashkir State Medical University allows you to implement the development of a wide range of skills.
The article describes the experience of the Simulation Clinic of the Astrakhan State Medical University with students and residents of the departments of clinical disciplines in the form of practical exercises, trainings, master classes.
An analysis of the results of an anonymous survey of first-year students of the Faculty of Pediatrics after passing first aid classes was carried out. The students' perception of the effectiveness of mastering practical skills was studied.
Simulation training is an effective method of teaching students of medical specialties. This paper discusses the importance of simulation training using a special device to control the location of the ischial spines, as one of the anatomical landmarks of the narrow part of the pelvic cavity.
The use of simulation technologies in the training of oncologists opens up new possibilities, providing not only realistic training, but also training in a safe and controlled environment. At the same time the complexity and multi-stage approach to preparation is important. The specifics of the profession makes us pay special attention to all aspects of treatment: from a competent and tactful collection of anamnesis to the choice of the optimal therapy option.
Undoubtedly, the quality of training of doctors must meet the requirements of the healthcare system and correspond to a high level of training in order to provide medical care of proper quality. The use of the programmed error method can be applied in the simulation center to teach practical skills. Thanks to the programmed error technique, the student's attention is activated, the monotony of the presentation is eliminated and the quality of the manipulations is improved.
Simulation technologies are now being actively introduced at all levels of higher education in the training of qualified specialists in medicine: starting with basic general medical skills in junior courses, and ending with teamwork skills for interns and residents, as well as practicing doctors with work experience in the course of additional professional education.
The experience of holding a regional student Olympiad in surgery of the Far Eastern Federal District with international participation is presented.
Annotation. The study presents the experience of implementing an educational social project for teaching cardiopulmonary resuscitation.
Over the past decade, digital technologies have spurred the development of the medical industry through various innovations in the field of detection, prevention and treatment of diseases. The importance of the process of training future doctors and raising the level of knowledge of healthcare professionals is beyond doubt. The classical academic system already now cannot fully provide a medical student with the proper level of knowledge and practical skills. The Z-generation of young people (Zoomers-generation, born from 1997 to 2012) has entered the system of medical education.
During the exercises of the search and rescue team of the Main Directorate of the Ministry of Emergency Situations of Russia for the Khabarovsk Territory, according to the international methodology for response and rescue operations INSARAG, simulation training was carried out during the sanitary evacuation of victims of emergencies with the development of practical skills in implementing SOPs and under control using checklists. During the training, using standard equipment, we used a previously tested free ECG simulator program — Six Second ECG and simple mannequins.
As a part of the implementation of the regional program of continuous medical education of obstetrics and gynecology doctors in the Perm region, aimed at reducing maternal and perinatal morbidity and mortality, simulation training programs have been developed. The topics of the programs include algorithms for providing specialized care for emergency conditions, such as severe preeclampsia /eclampsia, obstetric hemorrhage, etc. The implementation of the programs will improve the provision of obstetric and gynecological care in Perm region.
Reducing the infant mortality rate is one of the important tasks of the maternal and child health service, therefore the provision of qualified medical care to newborns, including respiratory stabilization of prematurely born children, is of particular importance. The abstract presents the experience of using a highly realistic robot of a premature baby in training doctors in a continuing education program.
The work is devoted to the study of the linguistic aspect of medical communication with its subsequent implementation in the training of doctors. The study was conducted on the basis of electronic medical consultation dialogues, the analysis of which made it possible to trace lexical and grammatical patterns in the interaction between the doctor and the patient. Training in the peculiarities of verbal interaction (in particular, within the framework of electronic consultation) can significantly increase the effectiveness of communication.
To increase the effectiveness of teaching manual surgical skills, we identified surgical techniques, the mastery of which allows us to develop the widest possible range of skills. These included intestinal, vascular and intracorporeal endoscopic sutures. The training was carried out on the basis of the Department of Faculty of Surgery No. 2 and the Federal Accreditation Center of Academician E. A. Wagner Perm State Medical University. The operations were performed using biological preparations. 14 students were trained in these skills. Training in the three leading manual skills allowed students to raise their skills to a high level.
One of the most enriching formats for teaching professional communication skills is the practice format with a specially trained simulated patient and a second facilitator. To scale up training in communication skills with simulated patients, sources of information were studied, and a survey was conducted among the most experienced, active and promising specialists of the working group at ROSOMED on communication supporting training with simulated patients.
In order to train and improve the skills of endoscopists in the Republic of Belarus, simulation training programs have been developed and implemented at the simulation center of the State Institution “Republican Clinical Medical Center”: 1) “Flexible endoscopy”; 2) “Diagnostic and therapeutic endoscopy”; 3) “Operative endoscopy of neoplasms of the gastrointestinal tract (GIT).” The use of these programs allows us to train endoscopists with the necessary endoscopic skills, prepare them for independent work with patients and improve their professional qualifications.
The authors present their own experience of studying the level of mastery of clinical and practical skills according to the algorithm “Providing emergency care for injuries of the extremities” among junior and senior students using simulation training equipment. As a result of the study, it was revealed that students’ level of mastery of practical skills increases, helps stimulate professionalism, increase the level of clinical thinking, sustainability of acquired knowledge and close interaction with the teacher as a tutor, facilitator and mentor.
The article presents the results of training students of a specialty in “General Medicine” in the discipline “Ophthalmology” using the “Simulated Patient” technique. The result was an improvement in the performance of the final certification (examination session) in the experimental group. The average score was 4.23, which is 1.2 times higher than the average score in the comparison group.
The article presents the experience of the Volga Research Medical University in organizing and holding the All-Russian Olympiad in the psychology of communication “Communicative competence from the perspective of modern medicine.” Students of medical and non-medical specialties, as well as young doctors, were invited to participate. Participants solved cases, situational problems, and analyzed videos filmed using a “simulation” patient. This mixed format made it possible to identify the main gaps in the knowledge of medical students; the experience of “non-medical” students revealed possible communication problems on the part of the patient.
The article presents the results of a study of the assessment by clinical residents and 6th year students of the importance of using communicative microtechniques. The results of this study can be used by teachers both for preparation for primary and primary specialized accreditation, and for consideration within the framework of the advanced training course “Communication skills of a healthcare specialist.”
The use of simulation teaching methods in secondary and higher medical education has become systematic in recent years. Along with the rapid and massive spread of new educational methods, inevitable natural problems arise, such as a lack of qualified personnel, especially management. To solve this problem, a unique “Medical Simulation Training Expert” course was developed and first implemented in 2022-2023.
This article is devoted to studying the role of simulation training in the formation of practical skills among medical university students in the Republic of Belarus. Training medical students in performing individual skills and abilities on simulators is an important factor for the formation of sustainable knowledge in practical medicine and increasing the level of professional competence.
Communication between the doctor and the patient is an important component of the treatment process and is of great importance for the effective and successful restoration of health.
Endovideosurgical interventions on the thyroid gland are being actively introduced into clinical practice.The anatomical complexity of the intervention area requires additional simulation training for surgeons, which, among other things, is possible with the help of special dummies.The work performed is aimed at studying anthropometric data and, based on them, the angular parameters of the access and the operation of the instruments necessary to create a mannequin that allows training the main stages of endovideosurgical thyroidectomy through the axillary-nipple access.
New state educational standards for qualityprofessional competencies of medical university graduates implystrengthening both theoretical and practical training of future doctors -specialists. Simulation technologies in medicine have established a strongposition in the training of medical personnel. The main direction in the field of higher education is an emphasis on practical training of future doctors: approaching educational process to the environment of practical healthcare, formation clinical reasoning and teamwork skills.
This work describes the stages of development and presents the results of using the mobile application “Teach Med” by medical students, medical college students, practicing doctors and other people interested in studying anatomy for the period from September 2020 to August 2023. This information is published for the first time.
The educational complex is a “dental anthropomorphic robot”, equipped with elements of artificial intelligence with original hardware solutions based on the intellectual developments of Smart-jaw and Smart-teeth, developed by a group of scientists from a consortium of three universities (Academician E. A. Wagner Perm State Medical University, PNIPU, MGMSU) within the framework of the program of scientific events of the world-class Perm NOC with the creation of multifunctional service software modules, with a database of clinical cases in the “doctor-patient” system based on Robo-C, which is a modern digital system.
During the period 2016-2023 in Yaroslavl region, 4,636 healthcare professionals underwent the procedure of primary and primary specialized accreditation. Optimal approaches to providing organizational and technical support for the accreditation procedure while maintaining due objectivity and rigor of the event created all the necessary conditions for comfort and satisfaction with the event on the part of all participants.
This study is devoted to the analysis of training models for practicing breast ultrasound skills in accordance with the requirements of the BI-RADS scale. The work examines models from leading manufacturers: Blue Phantom, CIRS and Kyoto Kagaku. The purpose of the analysis is to assess the degree of realism of the image, the presence of pathological changes and compliance with BI-RADS. According to the results of the study, it was revealed that despite the high level of realism, the models differ in the range of pathologies presented, which can affect the quality of training.
Based on an analysis of scientific publications over the past ten years, a significant gap was identified in the training of urologists and oncologists for this procedure due to the lack of specialized simulators. Existing training devices most often focus on ultrasound diagnostic skills, while hands-on training in biopsy techniques is underdeveloped. Thus, the urgent task is to develop and implement simulators that facilitate comprehensive preparation for pancreatic biopsy, which will help improve the quality of medical care for patients with cancer.
The effectiveness of management activities in healthcare is characterized by the use of professional knowledge by managers of medical organizations. Used at the Department of Public Health and Healthcare of A. I. Evdokimov Moscow State Medical University in situ simulation technology allows students to develop the necessary competencies in accordance with the requirements of the professional standard “Specialist in the field of healthcare organization and public health” based on the integration of knowledge and practical experience in using management decision-making tools.
Ensuring highly realistic simulation in training and assessing the clinical skills of healthcare professionals is one of the important tasks in the development of simulation technologies. Using the method of analyzing OSCE video fragments in the accreditation procedure, it was possible to consider the work of simulated / standardized patients when assessing communication skills in the accreditation procedure for healthcare professionals in the Russian Federation, as a condition for ensuring highly realistic simulation.
Simulation technologies in cardiovascular surgery are actively used for training and accreditation of specialists all over the world. A. N. Bakulev Center for Cardiovascular Surgery has one of the greatest experiences in this section of simulation medicine in our country and is ready to share it with the professional community. The talk will address one of the most important aspects of this topic: the development and use of simulations for training and accreditation.
The formation of a professional vocabulary is important in the education of doctors for understanding colleagues and patients and is associated with teaching communication skills. The study examined graduate students' knowledge of communication skills when taking anamnesis, as well as knowledge of differential diagnosis when conducting an initial examination of a patient, and the requirements for preparing primary medical documentation.
The occurrence of emergency conditions such as anaphylactic shock, fainting, collapse, clinical death in the dentist’s office requires immediate first aid. Studying these types of conditions, their clinic, diagnosis in a simulation session using mannequins and simulators with feedback will prepare doctors to be able to act correctly and with lightning speed, saving the lives of patients.
Experience in developing non-technical skills to provide emergency care to a multidisciplinary team in stopping obstetric hemorrhage is presented. Key points are highlighted that can improve the quality of teamwork in an emergency situation.
The problem of personal well-being and satisfaction with the quality of life has recently become increasingly popular both in the field of scientific knowledge and in the field of management. Research shows that a high level of psychological well-being (PB) and the development of its main components support the productive functioning and process of self-realization of the individual. The study showed the presence of a low level of occupational safety among employees of individual simulation centers in Russia. A connection was revealed between the respondents' work safety and their marital status, the presence of children, material well-being and job satisfaction.
The paper describes the experience of conducting neonatology courses in a number of Central Asian republics.
The article demonstrates the experience of the Department of Pediatric Diseases with the neonatology course of the Faculty of Advanced Studies and Professional Retraining of the Izhevsk State Medical Academy in the implementation of simulation technologies in the educational process for mastering practical skills in the discipline "Pediatrics" as a part of an advanced training and professional retraining programs for additional professionaleducation
Our team created an experimental simulation model of a skin suture, and to assess the level of realism, we applied a method of objective assessment of physical properties on specialized equipment and carried out a comparative assessment of various models based on the data obtained. The objective assessment method can be used as an additional criterion to prove the realism of the simulation model. Based on the data obtained, it is possible to produce an artificial reusable skin suture simulator, which will be as close as possible in physical properties to human skin.
ISSN 2687-0037 (Online)