Topic number
4 . 2016
Editorial

Editorial

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News

News

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Abstracts

Abstacts

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Professional Development

Transition to the new system of medical care work permission: accreditation and continuing medical education

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The article discusses the topical issue for medical education in Russia — transition to continuing medical education and introduction of the accreditation procedure. Since 2021 accreditation of medical specialists on the basis of system of continuing medical education will become the only permission procedure to pursuit of a professional activity. However so far this process is only on start, and there were many rumors, myths and delusions already formed around it. The purpose of the article is to state the key moments associated with the changes which will happen in the next 5 years in the sphere of the higher medical and pharmaceutical education.
Educational Technologies

Construct validity testing of a laparoscopic surgical simulator

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Background. We present initial data on the construct, content, and face validity of the LAPMentor (Simbionix), virtual reality laparoscopic surgical simulator.

Study design. Medical students (MS), residents and fellows (R/F), and experi­enced laparoscopic surgeons (ES), with <30 laparoscopic cases per year (ES<30) and those with >30 laparoscopic cases per year (ES>30), were tested on 9 basic skill tasks (SK) including manipulation of 0-and 30-degree cameras (SK1, SK2), eye-hand coordination (SK3), clipping (SK4), grasping and clipping (SK5), two-handed maneuvers (SK6), cutting (SK7), fulguration (SK8), and objecttranslocation (SK9).

Results. Mean MS (n=23), R/F (n=24), ES<30 (n=26), and ES>30 (n=30) ages were 26 years (range 21 to 32 years), 31 years (range 27 to 39 years), 49 years (range 31 to 70 years) and 47 years (range 34 to 69 years), respectively. In the lower level skill tasks (SK3, SK4, SK5, and SK6) the ES>30, ES<30, and R/F had similar scores, but were all substantially better than the MS scores. In the higher level skill tasks (SK7, SK8, and SK9), the ES>30 scores tended to be better than the R/F and ES<30, which were similar, and these, in turn, were markedly better than the MS. The ES>30 had notably higher SK8 scores than the R/F and ES<30, who had similar scores, and these had notably better scores than the MS.

Conclusions. The noncamera skills (SK3 to 9) of the LAPMentor surgical simulator can dis­tinguish between laparoscopically naive and ES. SK8 showed the highest level of construct validity, by accurately differentiating among the MS, R/F, ES<30 and ES>30.

Innovative approaches to assessing the quality of residency training in anesthesiology and cnitical cane medicine

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Key educational technologies of clinical residency in anesthesiology and critical care medicine are closely connected with assimilation of knowledges, the acquisi­tion of professional skills and personal qualities of the formation of Residents, specified by the learning objectives. The lecture summarizes the basic scientific knowledge in the disciplines. The semi­nars focused on the details of this knowl­edge, development and consolidation of skills of professional activity. We propose to modify the traditional forms of tea­ching, such as lectures, seminars, work­shops in accordance with requirements of modern clinical practice in surgery and critical care. Changing the format of lectures and seminars, analysis of clini­cal cases, regular testing and rating of the Resident- all these innovations formulate the basic rules of the new technique. Also, an important role is played by the daily filling of the original Diary of Residen'st Activity. The main task of this educational system is to prepare qualified medical specialist who has knowledges and skills that determine the ability and willingness to inde­pendent professional activity.

Possibilities and prospects of application of the сase method in the training of clinicians

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The article considers the problem of optimizing the training of medical specialists in the framework of the Federal state educational standards of higher education. The questions of subject-subject interaction in the educational process. Examples of real situations shows the effect of the method of case analysis on the formation of personal qualities of the future clinician. The article also presents a study of the impact of the case method in educational process in medical school. A pilot study in using case-technologies in training medical students testify to the wide possibilities of the proposed technology in the improvement of higher education.

Basic cardiopulmonary resuscitation simulation training for ambulance practitioners

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Basic cardiopulmonary resuscitation (CPR) simulation course with automated external defibrillation is a type of intensive deliberate practice for ambulance professionals. However, the start of simulation classes is associated with psychological distress for them. Teaching on this course is intended to raise the level of professional and practical skills of ambulance personnel, providing them with efficient and safe carriage of their professional tasks. The ultimate goal of education - reducing the number of errors when performing basic CPR, which will improve the quality of care for sudden cardiac arrest, help to reduce the rate of complications in real patients, reduce mortality from cardiac causes and increase life span in population.

The effectiveness of the practical training of neurosurgical staff in a simulation center

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Object. The object of the study was to develop indica­tors to monitor the effectiveness of functioning and evaluation of the neurosurgical staff teaching work on the basis of simulation centers at various levels.

Methods. Analysis of 2 simulation centers activity, based on which the training of neurosurgeons was per­formed. The study was conducted using 13 indicators characterizing the effectiveness of the center's activi­ties, the quality and practical relevance of training.

Results. For 48 months on the basis of first level of the simulation center trained 84 doctors, 199 simulations of neurosurgical interventions were performed. For 7 months on the basis of a second level of the simulation center trained 52 physicians who have completed 205 neurosurgical simulations. Progress in the development of practical skills men­tioned 70 —78% of students, 95.4% able of physi­cians to realize their need for training. The degree of satisfaction with the acquired skills as a highly rated by 89% of students, practical significance of simula­tion training as sufficient noted 92%.

Conclusions. In multidisciplinary center it is pos­sible to increase the quantitative performance through implementation of various medical disci­plines curriculum. In assessing the doctors training activity within the same specialty are important the indicators characterizing the availability of simula­tion models and educational equipment at the time of the training course for a specific student.

Ronald Harden’s Blog

Ronald Harden’s blog

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CHIEF EDITOR
CHIEF EDITOR
Balkizov Zalim Zamirovich
Secretary General of the Russian Society of Medical Education Specialists, Director of the Institute of Training of Medical Education Specialists of the Russian Medical Academy of Continuing Professional Education, 125993, Moscow, Russian Federation, Professor of the Department of Vocational Education and Educational Technologies of the N.I. Pirogov RNIMU of the MOH of Russia, CEO of GEOTAR-Med, Advisor President of the National Medical Chamber, Moscow, Russian Federation

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