ORIGINAL ARTICLES
The feedback data obtained in the process of questioning members of accreditation subcommittees is one of the significant components of the consistent improvement of the accreditation process. The article provides a comparison of data from the pilot and multicenter stages of the Accred-ROSOMED prospective study, dedicated to the analytics of a survey of members of accreditation subcommittees regarding the most important issues of the accreditation process in the 2022 and 2023. These studies emphasize the importance of the mentioned issues, forming the basis for subsequent research continuation in order to provide the most complete and detailed representation of the accreditation process in the regions of Russian Federation and compare it with international experience.
The purpose is to describe the method of creating and using the VR library of neurosurgical intracranial pathology. Materials and methods. CT and MRI images were used to create 3D models. Segmentation was performed in the Inobitec program. 3D models were reproduced in Blender using Oculus Quest 2 VR glasses. Results. A VR library has been created based on data from 100 patients. 3 clinical observations of the use of VR technology are presented. Conclusion: The VR library allows you to study the individual anatomy of patients and improve surgery planning.
The article highlights the criteria for assessing the quality of training of graduates of the residency faculty for the station “Collection of complaints and anamnesis” of the primary specialized accreditation of specialists. The checklists of the station “Collection of complaints and anamnesis” for the primary specialized accreditation of graduates of the residency department in the specialty “Therapy” and “Oncology” were processed on the basis of the Khanty-Mansiysk State Medical Academy for 2021-2023. Systemic errors were identified, primarily in the area of generalizing the complaints expressed by the patient. FrequeThe article highlights the criteria for assessing the quality of training of graduates of the residency faculty for the station “Collection of complaints and anamnesis” of the primary specialized accreditation of specialists. The checklists of the station “Collection of complaints and anamnesis” for the primary specialized accreditation of graduates of the residency department in the specialty “Therapy” and “Oncology” were processed on the basis of the Khanty-Mansiysk State Medical Academy for 2021-2023. Systemic errors were identified, primarily in the area of generalizing the complaints expressed by the patient. Frequent non-compliance with points related to taking care of the patient’s comfort was discovered. Some of the results of the study will be used in the preparation of residency faculty students in the specialty “Therapy” and “Oncology”.nt non-compliance with points related to taking care of the patient’s comfort was discovered. Some of the results of the study will be used in the preparation of residency faculty students in the specialty “Therapy” and “Oncology”.
ТЕЗИСЫ
Carotid endarterectomy is currently the most popular surgical intervention in vascular neurosurgery. Every year the number of neurosurgical hospitals in which this operation is performed increases. This article evaluates the results of simulation training for carotid endarterectomy of neurosurgeons.
One of the main goals of the Association for Interventional Pain Treatment (AIPT) is to expand the range of pain interventions and disseminate these skills among doctors of various specialties, incl. and neurosurgeons. The article describes the activities of AIPT and evaluates its significance in the training of outpatient neurosurgeons.
Chronic pain syndrome (CPS) is an urgent and socially significant problem in modern medicine. This article is a review of the independent association (Association for Interventional Pain Treatment) in postgraduate education of specialists. The main tasks, activities and directions of this association are listed. Association for Interventional Pain Treatment conducts master classes for various specialists, which helps reduce technical errors in the treatment of patients with degenerative diseases of the spine.
Additive technologies (3D printing) can be used in teaching surgical treatment of diseases and injuries of the spinal column due to the ability to produce both standard anatomical models and models based on patient imaging data. The presented opportunities allow you to practice and maintain manual surgical skills, choose the most appropriate surgical treatment tactics at the preoperative stage, taking into account the individual anatomical characteristics of the patients and the characteristics of the pathological process.
Providing emergency care to patients is a basic skill for doctors of any specialty. Emergency department overcrowding is a pressing public health problem that affects countries around the world. Medical Triage or triage is the process of prioritizing medical care for patients based on the severity of their condition.
A study of satisfaction with simulation training among medical specialists of the Republic of Belarus was conducted
The technical service department at the simulation center plays an important role in ensuring the safety and effectiveness of training for medical professionals. He is responsible for the technical support of simulation programs and equipment, as well as their maintenance and repair. Employees of the service and technical department must have knowledge in the field of medical equipment, electronics, programming and mechanics, and must also be able to set up and calibrate equipment, troubleshoot problems and ensure its smooth operation.
In 2024, for the first time, the Rostov State Medical University held an Olympiad for students in grades 8-11, “My Path to Medicine.” A comparative assessment of the results of passing the practice-oriented stage of the Olympiad by different categories of schoolchildren was carried out. It was found that those who underwent simulation training demonstrated better results during the practice-oriented stage of the Olympiad in comparison with schoolchildren who were interested in medicine but did not have prior training using simulation technologies.
This paper studies the level of student satisfaction with the quality of educational services, teaching, material and technical support of the educational process of the Center for Practical Skills.
Today, inclusive education is the most effective way to provide all students with equal chances to gain knowledge and master practical skills. At the same time, special conditions are being created for people with disabilities: redevelopment of educational facilities, adapted teaching methods and other opportunities. In the Simulation Center of the Kazakh National Medical University named after S.D. Asfendiyarov, the method of inclusive education "puppet" has been introduced to master the practical skills of future healthcare professionals
Percutaneous endoscopic gastrostomy, which is performed with the participation of a surgeon and an endoscopist, is generally recognized as the operation of choice for palliative correction of dysphagia. The rarity of the operation makes it difficult to train, maintain manual skills and coordinate the work of the team. The theses describes the approbation of the developed simulator for testing all stages of the Percutaneous endoscopic gastrostomy (RU2765110C1), which allows you to acquire and maintain the necessary manual skills and coordination of the interaction of the operating team, which reduces the risk of complications and reduces the time of the procedure (p<0.05).
The Apollo mannequin is a unique robot for simulation education of students, interns and doctors, which allows you to simulate various situations in medical practice. It is based on anatomical data and has many functions that allow students to practice their skills and gain experience in various clinical situations, such as first aid, medical manipulations, examination and treatment of patients with various diseases.
The article presents the results of a highly realistic in situ simulation in an ambulance. The professional standard of an anesthesiologist-resuscitator regulates the actions of a doctor when providing various types of specialized medical care outside a medical organization, including as part of a specialized emergency medical team, which requires appropriate training of a specialist.
This paper presents the experience of first aid training using simulation technologies for employees of regional enterprises, where martial law has been introducedб (using the example of Donetsk and Lugansk people's republics).
The experience of teaching combat surgical trauma to the extremities based on the “Flipped Learning” approach to students studying in the specialty 05.31.01 “General Medicine” is presented. The proposed teaching system promotes the conscious formation of the necessary professional and general professional competencies.
The “Inverted classroom” model is one of the innovative approaches in higher education using information technology, in which the student is given theoretical material for independent study before meeting with the teacher. Analysis of available literature sources with comparison with the situation in a real university showed that the use of this model in medical education has expanded due to the development of multimedia technologies. The introduction of it at a medical university will ensure the modernization of the educational process and improvement of the quality of higher medical education.
A high level of communication skills (CS) among health care workers increases adherence to treatment and improves treatment outcomes. The work clarifies and describes the existing barriers and difficulties in studying, teaching and assessing CS for future doctors, and suggests approaches to improving the educational process. Modern frameworks, models and teaching strategies have been studied to effectively integrate the didactic components of CS into the educational program. Particular attention is paid to the system of training medical personnel in Armenia.
The paper presents the results of the master class "Cardiac surgery" for students in residency in the specialty "Surgery" and members of the surgical student scientific circle as part of additional training. As a result, the participants mastered such technical skills as the imposition of anastomoses between the autovenous and coronary arteries, mobilization of the right and anterior interventricular arteries, arteriotomy, vascular suture technique and control of its tightness, various options for aortic valve repair.
In modern medical education, innovative methods are used to increase the effectiveness of training, such as case-based learning. It develops critical thinking, teaches analysis and decision making. The work describes the process of creating and implementing cases for students of additional professional training at a medical college.
Simulation training in modern medicine is a recognized technology for teaching and assessing practical skills based on realistic modeling and imitation of a clinical situation, for which educational models of varying complexity and realism are used. Simulation education in dentistry and maxillofacial surgery is leading in creating conditions for the development of a wide range of competencies without the risk of harm to a patient and without which it is impossible to imagine education in modern times.
The article presents the experience of the medical accreditation and simulation center of the "National Medical Research Center for Hematology" from March 2021 to January 2024.
Since 2024, “Trephine biopsy” has been included in the simulation stage of the primary accreditation of specialists in the specialty “Hematology”.
The authors analyzed the experience of organizing the "Lifeline 2024" competition for emergency medical response services. The updated competitive stage "Mine explosion injury" made it possible to identify areas of correction of educational programs for emergency medical specialists. In conditions of a high probability of massive mine explosion injury, this is of great importance for increasing the level of readiness of the pre-hospital stage to provide assistance in emergency situations.
The experience of teaching medical students to quickly assess the general condition of a patient in an urgent situation through training in the form of an "educational game" to determine ten important clinical indicators (consciousness, position, blood pressure, pulse, Algover index, temperature, respiration, stool, urine, saturation) with interpretation and generalization of the results obtained is presented. This method increases the effectiveness of training, as it is practice-oriented, provides for the development of an algorithm of actions, develops clinical thinking, is modern, interactive and does not require financial investments.
The main issue and task of higher medical education has always been the preparation of a future doctor capable of independent responsible work in medical organizations, depending on the chosen direction. Due to the need to prepare graduates who are maximally prepared for medical activity, we are implementing a practice-oriented educational concept at the Institute of Dentistry of Privolzhsky Research Medical University, which has been successfully used by us for several years — it has its own results and prospects. It is currently being implemented at 2 levels: specialty and residency.
The authors of the study are trying to answer the question of whether simulation education in medicine is a "classic" or an "innovation", and also to assess the implementation of its advantages in practical realities, the reasons for failures and difficulties of both participants in the process on the part of students and on the part of education and practicing specialists.
This paper presents an analysis of the readiness to provide first aid to employees of enterprises in the new territories of the Russian Federation (DPR, LPR) in conditions of a high probability of missile and artillery attacks, conducted on the basis of first aid training for 976 people.
The problems of the modern world are associated with the risks of emergency situations, as well as possible threats of military conflicts and the need to evacuate civilians. It is important to be prepared for the need to quickly deploy assembly evacuation points for collecting, registering and sending the evacuated population to safe areas. To practice the skills of deploying such points, special exercises should be conducted, the platform for which can be a simulation center. The paper presents the experience of deploying a training model of an assembly evacuation point based on the simulation center of the Altai State Medical University.
Competitions in prehospital emergency medicine for emergency medical teams and disaster medicine have been held in the Voronezh Region since 2015. Previously, the program included a master class "Providing emergency medical care in an emergency situation (emergency)", from 2023, due to the need to assess the readiness of teams to work in case of a massive mine explosion injury, it was decided to introduce an appropriate competitive stage.
The report presents a project of a digital assistant based on a social messenger, the main task of which is to provide advisory support to citizens in providing first aid, as well as medical workers in providing medical care in emergency and urgent forms.
The Discipline "Pedagogy and Psychology of Adult Education" in the Residency Program. Is it a Real Necessity or an "Accidental" Rudiment?
In 2024, the Health Committee for the first time held a competition "The best young nursing specialist" among nurses of medical organizations in St. Petersburg.
The paper examines the attitude of experienced doctors to simulation training. The study involved 16 doctors trained in the "Emergency medical care" cycle, with an experience of 4-41 years (21.2±11.4). The participants passed topics on emergency care, followed by a questionnaire: all answered that they became more confident in the implementation of the methodology being worked out (100%), 14 people (87%) noted the need to use simulators and simulators in training.The development of skills on simulators is necessary for the introduction into the educational process not only for groups of young specialists, but also for doctors with experience.
The article presents the results of a study of difficult doctor-patient communication situations among medical professionals with different ages and work experience. Significant differences were revealed in the assessment of difficult communication situations by doctors of different ages and with different work experience. The greatest difficulty is caused by non-standard communication situations, such as "When the patient talks a lot and not to the point" for young specialists.
Communicative competence becomes a key clinical function in building a therapeutic relationship between a doctor and a patient and has an impact on the quality of medical care provided. Teaching professional communication skills in medicine using scenarios designed to solve certain tasks in accordance with the requests of doctors of a particular specialty can make training practice-oriented and more effective.
One of the most relevant principles in the development of healthcare is patient orientation. The purpose of the study is to identify the level and need for the development of professional medical communication skills among students, teachers and doctors at the Siberian State Medical University. A continuous anonymous online survey was conducted. There is a shortage of knowledge and skills in the field of communication skills, however, there is a fairly high level of commitment to a participatory approach and a positive attitude towards teaching to doctors communication skills.
The paper offers the experience of teaching first aid in acute stress response in the framework of a simulation course for residents of various specialties of the Institute of Postgraduate Education of N. N. Burdenko Voronezh State Medical University. The authors have proposed an algorithm for first psychological assistance to victims in an emergency situation. Among other things, the issues of the first psychological self-help are considered.
First aid is an important skill that a doctor of any specialty should possess. The aim of the study was to evaluate the effectiveness of conducting a highly realistic simulation for the formation of first aid skills among residents. Simulation trainings on first aid were conducted among 351 first year residents. The study showed that conducting highly realistic simulation first aid training is positively perceived by cadets, effectively and significantly reduces the level of fear and increases readiness for first aid.
The Olympiad movement is widespread in medical education. The purpose of the study: to assess the role of the Olympiad movement on the example of the "All-Russian Olympiad in Pediatric urology-andrology using simulation equipment with international participation." More than 100 medical students participated. Olympiads are an effective way of career guidance and a platform for improving knowledge and skills. The traditional competitive format no longer meets the needs of participants who need additional training modules, master classes, and feedback trainings.
The simulation center plays an important role in training medical personnel. The All-Russian Interdisciplinary Olympiad among residents has been held for two years at the A.V. Vishnevsky National Medical Research Center of Surgery. Pros: immersion in the specialty, working through surgical interventions, improving hand motor skills, communication between educational institutions. Cons: high workload for students, high costs for preparing competitions. Organizing and holding Olympiads in a simulation center is a progressive stage in training medical personnel in surgical specialties.
The article discusses the features of using immersive simulation technologies in V. Soldatov Tobolsk Medical College in the process of training medical students. The emergence of complex medical equipment and technologies, changes in moral and legal conditions have become one of the reasons for the modernization of the system of medical training of a specialist.
The leading place in the structure of gynecological diseases is occupied by intrauterine pathology, the "gold standard" of treatment of which is therapeutic hysteroscopy. Conducting hysteroscopy in outpatient conditions in the absence of anesthesia significantly reduces the workload of the inpatient unit, but requires high-quality training of specialists due to the labor intensity of the manipulation and the lack of opportunity to acquire skills intraoperatively. The use of biomodels for training allows specialists to master this technique in a short time.
The results of the work of the educational center based on the Republican Scientific and Practical Center for Radiation Medicine and Human Ecology, the lead organization for the provision of specialized medical care to the population affected by the Chernobyl disaster, are presented. It is noted that the institution has created opportunities and provided optimal conditions for the actual receipt of continuous medical education.
Many of the principles and methods of the battlefield first aid algorithm can be useful and applicable in peacetime in accordance with the new approved first aid procedure.
Education of the population in the skills of first aid in cardiac arrest is relevant and important in the modern world. The experience of organizing simulation training for high school students (10th grade) in Belarus within the framework of the republican educational project "Start the Heart" is presented.
The effectiveness of the accreditation session largely depends on the work of the accreditation subcommittee, whose members must have in-depth knowledge of the accreditation process and their responsibilities. However, there are often problems with the preparedness of members, leading to a delay in the accreditation process and the development of conflict situations. The instructions for the Accreditation Subcommittee presented in the work are based on the analysis and generalization of the experience of accreditation of previous years and regulatory documents of the Methodological Center for Accreditation of Specialists (fmza.ru).
Modern medical education has firmly incorporated such concepts as information civilization, global computer network, interactivity, creativity, and innovation. The use of innovative teaching tools in vocational education in the specialty "Nursing" allows you to increase the creative activity of students, improve the quality of knowledge and allows you to control the learning process itself at all stages.
Currently, the protection of rural population health is of particular importance. This article presents the experience of organizing a simulation course "Dispensary observation at a Feldsher-Obstetric Station ", it also considers practical issues of its implementation and results.
An essential part of modern healthcare is nursing, which has significant human resources and real potential to meet the needs of the population for accessible, acceptable medical care.
The study analyzed feedback from the accreditation subcommittees members and determined the significance of the multicenter prospective international study “ACCRED-ROSOMED”. The analysis included 410 questionnaires from APC members from 11 regions of the Russian Federation during the work of the subcommissions in 2022-24. The following issues were analyzed: composition, awareness, training, motivational factors of APC members, the degree of satisfaction with OSCE stations and the training of accredited persons, and other issues. The significance of the ACCRED-ROSOMED study for the further development of professional assessment of specialists and the need for further research was demonstrated.
The report "Experience with Immersive Technologies" covers advanced approaches in medical education using virtual and augmented reality. Specific examples of the implementation of immersive technologies in the training of medical students and professionals will be considered, including the simulation of complex clinical situations, virtual operations and distance learning. The report will also touch on the assessment of the effectiveness of these methods, their impact on the level of training of specialists and prospects for further development.
A comparative study was conducted on the effectiveness of various methods of training law enforcement officers of the Krasnodar Territory in providing first aid, taking into account the specific conditions of official activity.
The article presents the results of a study aimed at using active methods of creating a simulation learning environment to improve the socio-cognitive skills of a doctor. The main focus is on the integration of situational learning, active methods and socio-psychological approaches to develop professional competence and readiness for practical activities. The study focuses on the development of socio-cognitive skills and abilities through the use of situational role-playing games, trainings, discussions, case studies, business games and other teaching methods.
The protection of reproductive health of the population of Russia has been declared by the country's leadership to be the most important state task and is one of the priority components of the National Projects "Healthcare", "Demography" and "Family". The development of the latest technologies in medicine determines the need to create and widely implement an innovative approach to the training and professional preparation of doctors. In this regard, there is a need to change the methodology for training doctors at present.
In the context of the growing need for palliative medicine, it will probably be necessary to reorganize the existing system of training of mid-level medical personnel, include a course on palliative medical care in the curriculum of institutions of secondary vocational education, and introduce active teaching methods. Therefore, an important area is the training and education of medical workers providing palliative care, including nursing staff to provide nursing care for terminally ill patients.
A doctor of any specialty must be able to provide medical care to a patient in urgent and emergency situations. The abstract presents the results of a study that compared groups of specialists who had and had not undergone accreditation, who had and had not been trained in specialized cycles. Knowledge of algorithms and organizational issues of providing these types of care in institutions was revealed. Based on the results obtained, measures were proposed to improve the quality of training doctors to provide urgent and emergency medical care.
Screening is a vital part of practical healthcare in the Republic of Kazakhstan. Screening is a process of mass examination or testing of a group of people to identify potential diseases or conditions at an early stage, before obvious symptoms appear. The purpose of screening is early detection of health problems, which allows for treatment or prevention to begin at an earlier stage and improve the effectiveness of medical intervention.
The main difference of the author's educational program "Therapeutic patient at an outpatient appointment" is the introduction of simulation technologies. The course structure includes 5 days of training, during which sequential and joint use of interactive lectures is used, based on international recommendations and treatment protocols of the Republic of Kazakhstan, as well as the development of practical skills on modern simulation equipment.
To develop professional competencies of mid-level medical personnel, team trainings with role distribution together with students of the medical university were used for students of medical colleges. As a result, it was revealed that practicing isolated practical skills is insufficient for developing high-range professional competence. Team trainings allow forming real professional competencies of both medical and mid-level medical personnel, allowing to adjust and consolidate technical and non-technical skills.
Simulation technologies play a significant role in modern medical education, allowing to model clinical situations and hone the skills of medical specialists in a safe environment. The All-Russian Olympiad in Therapy with international participation became a platform for demonstrating the effectiveness of such technologies. This paper examines the use of the DIMEDUS platform for holding the Olympiad, and also analyzes the advantages and results of this approach and the platform as a whole.
The authors describe the functional capabilities of the online platforms AMRmap and AMRbook. The use of the platforms clearly demonstrates the depth and danger of the problem of increasing antibacterial resistance and allows you to avoid making mistakes when selecting antibacterial therapy. These platforms are convenient web products for visualizing educational material, capable of immersing a medical student in the space of his future professional activity. According to the authors, active learning methods using the AMRmap and AMRbook platforms increase motivation and assimilation of educational material by students.
Over the past decades, Russia has carried out a huge amount of work to standardize manipulations and procedures of general and medical care in the form of technologies of simple medical services and standard operating procedures. The experience of developing, testing and implementing standards of nursing practice in the activities of medical organizations in the Tyumen region is given. The need to update the technologies of simple medical services using evidence-based nursing practice approaches to unify primary accreditation algorithms is substantiated.
The discipline "Human Resources Management in a Medical Organization", included in the educational program for training bachelors in nursing at Tyumen State Medical University, includes two modular units: Fundamentals of Human Resources Management and Human Resources Management in a Medical Organization. Its relevance is confirmed by the results of employment of bachelors in nursing as senior nurses, continuity of training in the master's program in Nursing Management, and the opinion of employers.
Simulation education in pediatric surgery using laparoscopic simulators and virtual reality glasses Kyalio VR surgical training increases the efficiency of surgeon training, reduces the time of adaptation to real operations and improves the quality of medical care for children.
The article presents the main job responsibilities of an orthodontist assistant and his/her role in providing dental care during a clinical appointment. The need to introduce narrow specialization in orthodontics into the training process of mid-level medical personnel is considered.
The article presents the results of a theoretical study of the problem of increasing the effectiveness of preventive activities of general practitioners and family doctors by developing a technology for the primary prevention of addictive behavior in patients using the method of developing personal self-regulation and a method for developing the competencies of doctors in preventing addictive behavior in patients using medical simulation.
The first experience of planning, development and implementation of electronic courses based on programs of additional professional education of medical workers in the oil and gas industry is presented. An analysis of the feasibility and economic benefits of electronic education in a distance format is conducted. It is shown that for a certain part of the topics of training of medical workers, such a format is preferable. At the same time, conducting electronic education on topics that require constant updating requires a special approach to editing the material, and ways to solve this problem are shown.
Competent communication between a doctor and a patient is one of the most important aspects of high-quality medical care. Effective communication helps improve the quality of consultations, increase patient satisfaction and preserve the emotional resources of specialists. We have developed and implemented a local educational module "Communication Skills with Patients" for employees of the multidisciplinary medical center "UMMC-Health". The center's development plan includes systematic training in effective communication in medicine for all specialists, which is more than 700 doctors and 400 nurses.
The article presents the results of the activities of the consortium "First Aid and Digital Health of the Population" and Amur State Medical Academy, as a higher educational institution — a leader and provider of effective education in first aid programs.
As part of the implementation of the dynamic observation reform in Viamedis clinics, it is planned to expand the job functions of a nurse with the implementation of a full-fledged nursing reception of chronic patients. The concept of "nursing reception" includes an initial examination, physical examination, assessment of the condition in dynamics, the appointment of a research plan and their interpretation in accordance with the regulatory legal acts of the Republic of Kazakhstan, the identification of alarming clinical and laboratory signs, determination of patient management tactics within the framework of nursing competence and further routing.
The "Standardized Patient" (SP) method can be used to control practical skills of medical students. The article presents the concepts, advantages and disadvantages of implementation in educational practice.
Foreign body airway obstruction is the 4th leading cause of death in children and adolescents. Despite the development and dissemination of emergency aid methods, the introduction of endoscopic examination and treatment methods, and the increased knowledge of medical personnel and the population in providing first aid, this problem is extremely relevant at present. This study included a detailed analysis of foreign body airway obstruction episodes in children in the Ryazan region over a 5-year period, and described clinical cases that allow us to assess the importance of early diagnosis and treatment.
For the purpose of professional growth and assignment of qualification categories in the profile "Obstetrics" additional professional education (advanced training programs and professional retraining programs) and training in simulation centers are included. The results of the effectiveness of the training of midwives of maternity hospitals in the specialty "Obstetrics" on the topic "Development of practical skills of the algorithm of actions in the diagnosis of moderate and severe preeclampsia in a pregnant woman and a woman in labor in a maternity hospital" in the federal accreditation center of the Far Eastern State Medical University are presented.
The article considers current issues of practical application of simulation equipment in the context of training students of the medical university. The authors outline the main advantages that medical students receive when studying lung and heart pathologies in the process of using simulation technologies, and present the results of the empirical research method using questionnaires and surveys of students conducted after completing training on simulation equipment.
The article presents data from an experimental study that examines how the developed training program improves the communication skills of endocrinologists in the treatment of adolescent patients with chronic somatic diseases (using type 1 diabetes as an example), which in turn contributes to improving the quality of communication between the doctor and the patient and increasing compliance in patients.
The study examines how the developed training program improves the communication skills of endocrinologists in the treatment of osteoporosis in age-related patients, which improves the quality of communication between the doctor and the patient, helping to overcome ambivalence to positive changes in behavior and better adhere to a prevention or treatment plan.
Modern requirements for the training of an obstetrician-gynecologist include meeting the educational and professional needs of a specialist, providing high qualifications in modern conditions of medical activity, as well as improving professional competencies on the topics studied. The study analyzes the effectiveness of simulation training for obstetricians and gynecologists using simulation technologies in critical obstetric conditions.
According to the Global consensus statement on simulation in healthcare, developed by the world's leading experts in the field, it is necessary to integrate simulation training into everyday clinical practice and medical education. The simulation should also be available to specialists working in rural areas, as well as supported by the health system and educational institutions. In Tyumen region, as part of the implementation in 2023-2024 of the project "Attention! Children's life!" conducted simulation training of emergency care for children for pediatricians, paramedics, nurses.
Professional skill championships are one of the forms of assessment of professional competencies. The assessment of professional competencies is a matter of interest for employers. The requirements for a modern specialist are very high, these are: the ability to adapt to changing working conditions, have the necessary set of professional competencies, be able to navigate non-standard situations and make important decisions. To increase the effectiveness of training and improve results, it is necessary to systematize the entire training process.
Within the framework of primary specialized accreditation, the "Standardized Patient" methodology is actively used to evaluate student actions. The undeniable advantage of this technique is a two way assessment of the actions of the future doctor — the "patient" and the expert. Simultaneous video recording allows you to look at the situation from the inside. At the same time, in the routine practice of the doctor, the registration of medical documentation continues in 2 types — paper and electronic. Therefore, it becomes important to consider the introduction of an electronic medical documentation training point into the "Standardized Patient" program.
In the period from February to June 2024, on the basis of the Institute of Accreditation and Simulation Technologies of the Northern State Medical University of Arkhangelsk, a pilot project was implemented within the framework of the "Ministry Training" program, which was called the "Step into Medicine Excursion Program". The social partner of the project was the Ministry of Education of the Arkhangelsk region. The social task set by the partner is to involve schoolchildren in the world of medicine, popularize medical professions among schoolchildren, and increase the level of literacy in the field of health protection.
The article is devoted to an innovative educational project — "School of Surgeons". Elective disciplines have been introduced into the curriculum of the 6th year students of the Faculty of Medicine, during which students are taught the technique of performing basic surgical techniques. The experience of the first year of the educational project implementation is presented. Good results have been obtained in preparing students for the residency stage.
The article presents an analysis of the effectiveness of simulation training in identifying and eliminating errors in clinical practice in the section neonatal intensive care.
The article examines the organization of career guidance work with students of medical classes in secondary schools and the use of simulation quest competitions and the connection with traditional training, the potential impact on future university education and the safety of personnel in the Udmurt Republic.
The paper presents the results of using the digital educational platform "Dimedus" in the process of teaching students of the medical institute in professional retraining and advanced training programs for doctors and nurses. Proposals have been formulated for various options for the Dimedus configuration.
Doctors of various specialties, depending on their professional activities, use specific professional communication skills more often in the doctor-patient model. The list of communication skills used by doctors of different specialties differs. A study was conducted at Tver State Medical University aimed at studying the peculiarities of the use of communication skills by internists, surgeons and obstetricians-gynecologists of the outpatient polyclinic level.
Surgical safety issues are becoming particularly relevant today. The vector of development of this strategically important area is seen by us in the organization of effective training of surgeons in the implementation of surgical safety algorithms for various nosologies developed by expert groups of the Russian Society of Surgeons. The article describes the main stages of organizing the educational process for teaching surgeons a standardized algorithm for safely performing laparoscopic cholecystectomy in the process of mastering the practice-oriented program "Moscow School of Surgery".
Simulation courses play an important role in the development of professional competencies, emotional and communicative skills of future medical professionals. Constant feedback from students after completing the training of simulation courses allows updating the methodology of mastering practical and clinical skills in order to ensure a high level of training of medical personnel.
We have analyzed the causes of the most common mistakes in the development of first aid skills that affect the level of residual knowledge of students at the end of the training cycle. In studying this issue, the tests compiled by the authors were used to assess the priority of using auditory and visual channels of information perception by students. The data obtained made it possible to adjust the educational process to improve the quality of training.
The data of a study evaluating the quality and clinical effectiveness of the strategy of approaches to improve neonatal resuscitation in the delivery room in full-term newborns born in a state of asphyxia and who underwent neonatal resuscitation in the delivery room, under the conditions of regular simulation retreats of medical specialists are presented.
The thesis presents a simulation scenario of first aid for mine-explosion injuries, developed in accordance with the new procedure for first aid, which entered into force on September 1, 2024. This procedure is based on algorithms used in the combat zone, developed by the Main Military Medical Directorate of the Ministry of Defense of the Russian Federation in 2022 and adapted on the basis of international protocols. The scenario assumes an interactive reaction of the "victim" to the actions of the student, which improves the development of skills in conditions of high probability of mine-explosive injuries.
In recent decades, nothing has been invented in the educational process more productive and clinically effective than simulation technologies. The analysis of the opinion of the 6th year students of the Faculty of Pediatrics on the organization of the educational process in the specialty "neonatology" (feedback — "student voice") was carried out. The student's opinion and feedback are very important for the improvement and success of the educational process.
Scientific research in the field of medicine within the framework of PhD and doctoral studies is always an occasion and an opportunity to prove the purpose and objectives of the theory that is proposed for defense. With the advent of simulation technologies with their versatility, from the point of view of the possibility of application in scientific and research activities, there was a gradual integration of simulation into science. The path of simulation continues at the present stage, having undergone a transformation from the theoretical mention of such a tool to the assessment of the clinical effectiveness of the teaching method and the improvement of technical skills.
The dynamic educational process is a didactic spiral in the organization of continuous training in neonatal resuscitation, it is a "living", developing system of training medical specialists in obstetric care with the progress of competencies from the basic level to the highest professionalism and skill, from technical skills to supra—professional competencies.
The conducted single-center prospective study of the formation of practical skills for performing basic cardiopulmonary resuscitation demonstrated high results in eduction using phantom simulation techniques. At the same time, the terms and volumes of reduction of the performance skill in the absence of periodic repeated training are determined.
Professional orientation is a necessary tool for preparing teenagers for their future profession and an integral part of the work of a higher school teacher at the stages of becoming a doctor. The development and implementation of business games in medicine make it possible not only to interest students in the profession, but also to form the foundations of clinical thinking and team interaction.
Accreditation of medical psychologists has become mandatory for all employees of healthcare institutions in this position. Currently, there are a number of contradictions and difficulties, both at the regulatory and organizational level. Nevertheless, the procedure is becoming regular, and an increasing number of specialists undergo it every year. Monitoring the main difficulties and requests from medical psychologists is the main task of the departments performing this procedure.
On November 24, 2023, the II International scientific and practical conference "Application of simulation educational technologies in healthcare" was held at the Federal Accreditation Center of the Bashkir State Medical University with the support of the Russian Society for Simulation Education in Medicine (ROSOMED). The event brought together specialists from different cities and regions and became a platform for discussing modern approaches to medical education and exchanging experiences in simulation training.
Scientific reviews play an important role in the scientific process, providing researchers, professionals and decision makers with a comprehensive and critical analysis of existing knowledge.
Simulation education is currently an innovative teaching method, which is one of the most effective and capable of significantly diversifying the educational process. Thanks to this method, students acquire practical skills and deepen their theoretical knowledge through modeling processes and simulating situations that they may encounter in the practical sphere.
The article presents the experience of developing and implementing a 4-month (from February to May 2024) course "Virtual Propaedeutics" by 2nd-year students of the Faculty of Medicine of I. I. Mechnikov North-West State Medical University, St. Petersburg, based on the S. M. Ryss Department of Propaedeutics of Internal Medicine, Gastroenterology and Dietetics. A large-scale scientific and practical project for implementation in a digital environment — interactive lessons and clinical cases for examining virtual patients, has no analogues in domestic and world educational practice.
The quality and safety of medical care in modern medicine are determined by the level of formation of team competence of clinical specialists. The article describes 8 years of experience in the formation of good practice and interaction of an educational institution for advanced training of medical workers with city medical institutions of the obstetric profile and obstetric departments that are part of the FAP and the Central District Hospital of the Omsk Region using the example of simulation trainings of team interaction in primary resuscitation of a newborn in the delivery room.
An anonymous survey of 40 foreign students from medical universities in a number of Russian cities who studied in an intermediary language showed not only the high level of the program for preparing for primary specialized accreditation implemented at the Center for Electronic Medical Education of the Volgograd State Medical University, but also the problems of students with knowledge of the Russian language, which, in general, reduces the effectiveness of training future specialists (in particular, therapists).
In the modern system of medical education, the development of communicative competence is a prerequisite for the training of a qualified medical worker. Successful acquisition of communicative skills allows improving the quality of medical care provided to the population. For this, the learning process must be continuous: from student years to practical medical activity. M. Ospanov West Kazakhstan Medical University has extensive experience in teaching communicative skills, both at the pre-graduate and postgraduate levels of education.
Is it possible to teach empathy in the conditions of modern crises and geopolitical situation? Is it possible to teach to love people? To love colleagues? Here we put a huge number of concepts into the word love: empathy, respect, acceptance and many, many others. We are taught to empathize from early childhood, but how to teach empathy to a person who, by the will of Mrs. Medicine, sees pain, suffering, human deaths? Now the goal of the sphere of additional professional education is not to improve, expand, deepen, but rather to transform the personality of the listener.
The paper presents its own data and analysis of the role and effectiveness of the use of the virtual patient simulator “Body interact” in the process of teaching hospital pediatrics to graduating students of the pediatric faculty of the Yaroslavl State Medical University for 3 academic years (period 2021-2024).
One of the main sources of errors in the preanalytical stage of laboratory diagnostics is the collection of venous blood. Modern medicine makes it possible to reduce the number of diagnostic errors by analyzing the main causes of such errors and offering effective measures to prevent them.
We present the results of using artificial intelligence in medical education using the example of ophthalmological simulators "Oftalmosim". Highly realistic simulators with artificial intelligence technologies have been developed for teaching ophthalmoscopy in children and adults, exophthalmometry. The software uses original clinical datasets for training, knowledge control, debriefing and exam. The structure of the intelligent service for simulation training, the results of its use and development prospects are given.
The introduction of methods for students to independently create situational tasks.
In the context of solving the problem of reducing cases of critical obstetric conditions and maternal mortality, employees of the Perm State Medical University, on behalf of the Minister of Health of the Perm Territory, developed a comprehensive training program for employees of medical organizations of the obstetric and gynecological profile and chief physicians of the Perm Territory. Over the course of the year, work was carried out to organize on-site training and training for heads of specialized departments.
The article discusses the importance of developing universal competencies for future doctors. The emphasis is on an adequate level of empathy. The results of testing of 814 students enrolled in the first year of medical school are presented. 82% of the respondents demonstrated a normal level of empathy, which is observed in most of all people. However, it is insufficient to be successful in the medical profession. The degree of expression of empathy among students at various faculties is analyzed.
The study involved 51 students divided into 2 groups, trained in the algorithm of emergency care for acute coronary syndrome on the virtual patient simulator "BodyInteract". The first group (30 students) followed the algorithm without explanations from the teacher, the second (21 students) — with detailed explanations and the opportunity to ask questions. After 2 months, the assessment on the checklist showed that students with explanations were 5-10% more effective than those who did not receive explanations.
The management system of a medical simulation and accreditation center Argus does not stand still and is developing together with the centers where it is installed today. The development team strives to make life easier for the staff of the centers during the evaluation procedures. Of course, first of all we are talking about federal accreditation. Many requirements for conducting evaluation procedures that require additional organizational efforts on the part of the center's staff are easily closed using Argus in automatic mode with minimal preliminary preparation.
The ability to perform artificial lung ventilation is one of the mandatory skills of a neonatologist, fixed in the Professional Standard. The purpose of this work was to develop a methodology for teaching first-year neonatology clinical residents the principles of ventilation in newborns. Classes are conducted using real ventilators and a Baby LuCy simulator robot. The result of the simulation session is the ability to choose starting modes and parameters depending on the gestational age and pathology of the child, as well as their correction when the condition changes.
The article examines the effectiveness of using simulation technologies in teaching non-medical specialties, based on the department-center of simulation technologies.
The “inverted classroom” technique is becoming increasingly popular in medical education. The study examines the use of an inverted classroom in teaching practical skills of children in medical students of the 3rd and 7th courses of study. The results show that teaching with the "inverted classroom" approach of teaching with the help of educational materials provided by the teacher for self-preparation of students before the start of practical training can improve the effectiveness of classroom teaching.
The article discusses the key aspects of the organization of simulation training for secondary medical workers at Marat Ospanov West Kazakhstan Medical University. Simulation technologies make it possible to repeatedly practice clinical skills, improving the quality of specialist training. The training includes modeling of various situations, which contributes to better assimilation of the material, reducing the risk of errors in real practice and increasing the competence of specialists.
Modern approaches to medical education require the use of innovative methods for effective student learning. One of these methods is the use of standardized patients (SP). This article discusses the possibility of using artificial intelligence, namely ChatGPT, to create clinical scenarios designed for the SP technique. The conducted research demonstrates how ChatGPT can effectively generate scenarios that meet educational goals.
To assess the effectiveness of simulation technologies during classes, an anonymous survey of 4th year students of the Faculty of Medicine using Google forms was conducted. The students noted the improvement of practical skills, the convenience of studying and memorizing the symptoms of diseases of internal organs, and the improvement of knowledge on providing assistance in emergency situations. The use of simulation technologies in teaching therapy brings students closer to real working conditions, which significantly increases their motivation to study and contributes to high-quality practical training.
Modern medicine requires from future doctors not only in-depth knowledge, but also highly developed communication skills. The article examines the impact of simulation training, including role-playing games and work with standardized patients (SP), as well as the use of digital technologies such as virtual platforms and video materials, on the development of medical students' knowledge. The results demonstrating a significant improvement in students' KN are discussed, as well as problematic aspects related to emotional preparation are identified.
This study presents a comparative analysis of the survey data of the 2nd year medical university students who completed a simulation course on basic medical manipulations for the period from 2018 to 2023. The purpose of the study is to assess changes in students' perception and satisfaction with this course, as well as to identify trends and factors influencing their opinion. The study highlights the importance of regular monitoring and evaluation of educational programs to ensure that they meet the needs of students and improve the quality of medical education.
The thesis examines the possibilities of developing the communication skills of medical workers with the help of artificial intelligence.
Currently, on the basis of the Order of the Ministry of Health of the Russian Federation dated 07/31/2020 No.785n, the Ministry of Defense must conduct an audit of the quality and safety of medical activities. The audit should include not only an assessment of theoretical knowledge, but also the level of proficiency using simulation technologies. An audit was conducted on the indicators of emergency and emergency care for children in the Ministry of Defense. The audit results allowed: to improve approaches to providing emergency care to children; to form an effective trajectory for training specialists; to implement trainings; to obtain data on the survival of skills; to work out an audit algorithm.
The organization of quality control and safety of medical activities in the field of emergency and emergency care for children is one of the urgent problems today. Despite the need, there is no clear understanding (What? How? Who?) implementation of this control. The use of simulation technologies is the most effective format for both training and skill assessment. As one of the effective forms of control, it is possible to hold competitions among medical organizations using simulation technologies and involving external experts (simulation training specialists).
The paper presents the process of compiling a psycholinguistic portrait of a "difficult" patient. Based on the data obtained, the "difficult" patient appears as having personal characteristics, characterized by conflict behavior, including resistance to treatment, characterized by the severity of the disease, difficulties in diagnosis and treatment, on the one hand, requiring additional efforts from the doctor, and on the other – stimulating his professional growth. The results of the study can form the basis of educational trainings on medical communication, as well as mechanisms for semantic annotation of texts.
The study of verbal means of conflict communication is necessary for understanding the mechanisms of preventing misunderstandings in the communication pairs "patient - doctor" and "patient - medical institution". The selection and analysis of lexical and grammatical markers that actualize the semantics of the conflict, and the definition of typical linguistic representations of the conflict in patients' appeals can become the basis for educational communication trainings.
The most difficult part of training young professionals is the skills of decision-making, communication, and role allocation. To develop these skills, Kursk State Medical University conducts business games simulating the operation of an ambulance and disaster medicine station. Starting with oral exercises and board games, the authors aim to diversify the mechanics of the game and increase engagement. The result was a model of an entire region with a city, villages, enterprises and natural areas, where participants physically move by special transport and fully provide the entire pre-hospital stage in normal and emergency conditions.
This study describes the results of a survey conducted among standardized patients of the regional federal accreditation center. The survey revealed the main difficulties in interacting with accredited patients, and also reflected the changes that occurred on the accreditation platform in the period from 2018 to 2024. Analysis of the data obtained will optimize the work of specialists and develop new approaches to training future doctors.
The main trends in higher medical education are practice-oriented approach, problem-based approach, immersive technologies. The aim of the study was to evaluate the effectiveness of using the virtual multidisciplinary clinic "Dimedus" when conducting classes on the subjects "Surgical diseases in children" and "Pediatric surgery" for students, as well as residents. For the first time in the Siberian State Medical University, practical classes were conducted using the clinic "Dimedus". The results of the study revealed a positive perception, benefit and effectiveness of classes using immersion technologies.
Primary accreditation of specialists is aimed at assessing the clinical competencies of medical university graduates. The greatest number of questions arise when performing the second stage of accreditation station "Physical examination of the patient", where a randomized choice is made between examining the respiratory, cardiovascular systems and the gastrointestinal tract. The main changes in this station are related to the fact that starting in 2023, due to the digitalization of medicine, an automated system for assessing the conclusions of an objective study has been introduced.
The specifics of communication in providing emergency and urgent care to children remains an unstudied problem throughout the world, requiring the development of training programs taking into account the specifics of working in emergency situations and with children and/or their legal representatives.
The cycle of advanced training of the faculty on the basis of the Federal Accreditation Center of Perm State Medical University was created to form the professional competencies of students and the work functions of teachers. To introduce practical classes into the programs of clinical disciplines, a standard simulation module (SIM) was used, which is becoming a mandatory basis for the educational process at the University. The analysis of 106 SIM showed the use of simulation equipment and identified problems that are the basis for further development of the course.
In recent years, studies by Russian authors have noted the need to develop and implement special training tools that promote the development of emotional competencies in healthcare workers, including the use of training, gaming and simulation technologies. The developed Board Game allows for the formation and development of the competence of "Relationship Management and Communication with Stakeholders" in participants in accordance with the competency model of healthcare management personnel (Naigovzina N.B., et al., 2022).
Standard operating procedures (SOPs) are documents that contain step-by-step instructions for performing a particular procedure (manipulation). Undoubtedly, the quality of training of doctors must meet the requirements of the healthcare system in order to provide medical care of the proper quality. At the same time, the precise implementation of nursing manipulations in accordance with SOPs is a very urgent task. In this regard, the debriefing technique used in classes in a simulation center can improve the existing skills and knowledge of students
In the daily work of a dentist, situations often arise that require emergency care for urgent indications. According to researchers (Al-Turki O, Al-Hussyeen A, Al-Hammad N, Alhowaish L, Almaflehi N. Medical Emergencies In Dental Practice. J Dent Med Sci), emergency medical situations at a dental appointment occur on average once every two years. In addition, in recent years, there have been fatal cases during the provision of dental care, which certainly makes the problem relevant.
In order to modernize medical education at Grodno State Medical University, methods using modern simulation technologies were included in the curriculum of medical universities. One of the innovative approaches to improving the quality of training for students of medical universities is the creation of a simulation and certification center.
Healthcare education is constantly evolving, and simulation training has become an integral part of the training of medical specialists. Grodno State Medical University is actively implementing simulation methods aimed at developing practical skills in students and doctors, contributing to improving the quality of medical education.
The Ministry of Health of the Russian Federation, in accordance with the State Program for the Development of Healthcare of the Russian Federation and within the framework of the national project "Health", has been conducting the Clinical and Educational Training Complex "STROKE" in all federal districts of the Russian Federation since 2012. The program is aimed at improving the provision of medical care to patients with vascular diseases in the regions of Russia. In the multidisciplinary team of specialists, the niche of training in nursing care with elements of rehabilitation is occupied by the St. Demetrius Sisterhood.
The development of a functional simulator capable of effectively and accurately positioning patients for X-ray examinations will improve the quality of X-ray images, reduce the effective radiation load on the patient, increase the level of education of specialists in the field of radiology and increase the level of medical care provided to the population. The creation of a database with stacking atlases can be used by medical personnel to enhance their professional skills and improve the quality of research. Improving the accuracy of patient positioning will help to reduce the effective radiation load and increase the level of diagnostic results.
Medical education is associated with a high level of academic workload, early start of professional activity, stress factors, and often low medical activity. Studying the factors that determine the health status of university students is a key area for improving the effectiveness of mastering practical skills.
ISSN 2687-0037 (Online)