Inadequate or disrespectful medical care during childbirth is a serious problem that can significantly negatively affect the life and health of mother and child. Following a discussion of the view of the problem from domestic and foreign specialists, arguments are given in favor of conducting simulation education that can influence the causes of inadequate or disrespectful medical care during childbirth and improve the situation. This could include classes on developing professional communication skills, empathy and perception, training in technical competencies and team interaction, and discussion of the ethical aspects of obstetric practice. Simulation training can promote a culture of safety, respect, and empathy in obstetric practice, reducing the risks of obstetric aggression and inappropriate or disrespectful care in the perinatal period. 

The article discusses the issues of training pediatricians with different medical experience working in institutions of different levels to provide emergency care to children.

88 pediatricians were trained, including 40 district pediatricians. 20 doctors had less than 5 years of work experience. Scenarios from the passport “Emergency medical care” and their own scenarios were used for simulation classes. The knowledge of the algorithm of examination in critical condition, the correctness of diagnosis, the ability to use medical equipment, the correctness of the appointment of treatment and team interaction were analyzed. Doctors from third-level hospitals, especially doctors from reception departments with practical experience, showed higher results. They knew more often than others, but ignored the inspection algorithm. The greatest problems in providing emergency care arose from district pediatricians who graduated from university more than 5 years ago. Thus, a differentiated approach is needed to develop scenarios for the education of pediatricians, depending on the place and length of service.

The introduction of new medical, organizational and educational technologies has significantly improved the quality of medical care for newborn children, increased the level of knowledge of specialists in this field and reduced the infant mortality rate in the country. The article evaluates 10 years of experience in the implementation and development of simulation training in the profile of “neonatology” at the Far Eastern State Medical University, and conducts a retrospective analysis of the work of the Department of Pediatrics, Neonatology and Perinatology with the course of emergency medicine on the basis of the Federal Center for «neonatology» discipline within the framework of additional professional education. Changed approaches to education in the specialty “Neonatology” have significantly improved the level of training in this area. 

The article presents the results of training of students of the specialist program of the Higher School of Medicine of Immanuel Kant Baltic Federal University in the specialty “General Medicine” in the discipline “Ophthalmology” using the “Simulated Patient” technique in the conditions of ophthalmological offices of medical organizations. With the help of this methodology, students gain the skills of predictive analytics, which is in demand and relevant in the context of a competencybased approach to education. The result of such training is the improvement (or training) of communication, the development of critical and clinical thinking, skills for analyzing various clinical situations, as well as the skills of questioning and initial examination of the patient, communication with patients and their relatives. 

The article presents a model of training medical workers and employees from among the administrative staff of medical organizations in the skills of providing medical care in emergency and urgent forms, the formation of resource management competencies, effective decision-making in a critical situation, implemented by employees of the Accreditation and Simulation Center of the Amur State Medical Academy. This model makes it possible to optimize the professional development plan for medical workers, identify technical and non-technical problems in the organization of healthcare in the provision of emergency and emergency medical care. 

A pediatric urologist-andrologist needs to perform a large number of manual procedures. The article describes the simulation module “Paraphimosis”. After an introductory conversation with the child’s parent, a manipulation is performed to realign the head of the penis, and then a medical consultation is carried out, during which the procedure is described and recommendations are given. The proposed simulation modules will help students, residents and doctors act effectively when interacting with a patient diagnosed with paraphimosis and his legal representatives, which will improve the outcomes of this condition.