Medical Education In Ukraine Research Articles

ON THE 80TH ANNIVERSARY OF THE FOUNDATION OF THE BUKOVINIAN STATE MEDICAL UNIVERSITY: SCIENTIFIC ACHIEVEMENTS

Bukovinian State Medical University is a leading institution of higher medical education in Ukraine, which will celebrate its 80th anniversary in October 2024. The priority direction of the university activity is scientifi c. During the years of its existence the university has created research infrastructure and opportunities for training scientifi c and pedagogical personnel in the specialties «221 Dentistry», «222 Medicine», «223 Nursing» and «228 Pediatrics». The University publishes 7 scientifi c and practical journals, 2 of which are A-rated. The Student Scientifi c Society and the Council of Young Scientists are actively working at the Bukovinian State Medical University. Today the Bukovinian State Medical University confi dently pursues the course of integration into the world scientifi c space. International scientifi c projects, cooperation with the leading research centers of the world, exchange of experience and knowledge – all this makes the University a real fl agship of medical science and practice.

CHANGES IN PHARMACOLOGICAL TRAINING OF FUTURE DOCTORS IN UKRAINE IN THE CONTEXT OF MODERNIZATION OF MEDICAL HIGHER EDUCATION INSTITUTIONS

World integration processes and globalization trends have set the tasks of modernization and involvement in the European and world educational space for higher medical education in Ukraine. The periods of changes in the total number of hours and the emergence of independent work in the curricula of pharmacological training of future doctors, which corresponded to Ukraine's accession to the Bologna Process and subsequently to the European Education Area (EEA), are highlighted. The curricula for the study of pharmacology over the past 55 years have been analyzed. The problems that arose in the context of changes in the curriculum, which led to a redistribution of the number of hours in the study of disciplines, are revealed. The directions of resolving the discrepancies between the amount of material and the features of the curricula are characterized. Key words: pharmacological training, modernization of higher medical education, European educational area (EEA), work programs, curricula, classroom, independent work

ADAPTATION COMPONENT AS A CONSTITUENT OF FOREIGN STUDENTS SUCCESSFUL TRAINING IN MEDICAL UNIVERSITIES OF UKRAINE

Abstract. The article highlights the main tasks of higher medical education in Ukraine. It is noted that one of the global tasks of higher medical education development in Ukraine is the qualitative training of foreign students. The successful process of their education is a kind of indicator of high level of education in Ukraine, a confirmation of its international scientific, educational and cultural authority. It is indicated that attraction of foreign students to Ukrainian medical institutions of higher education performs not only economic functions, replenishing the country's budget at the expense of students studying on a contract form of education, but also stimulates cultural exchange between countries, affects the formation of future medical elite. Foreign students who remain in our country after graduating from Ukrainian higher education institutions have particular interest for the research. During their studies, they not only receive education, but also master the Ukrainian language, adapt to economic, cultural and other living conditions. Such graduates are very valuable for the future of our country. In connection with this, the question of adaptation of foreign students to living and studying in Ukraine is being brought up to date as the quality of education and professional socialization of foreigners depends on its success.
 The adaptation component plays an important role in studying process of foreign students. Students encounter adaptation difficulties from the first days of their studies. Foreigners find themselves in an unfamiliar cultural, linguistic, household and social environment, which they need to master, so the educational process is accompanied by adaptation to new living conditions. An important role in the process of foreign students’ adaptation in the universities of Ukraine has the organization of the educational process itself and the direct participation of the teacher in it. However, the successful implementation of the adaptation component is facilitated not only by classroom work, but also by extracurricular work, as it is an integral part of educational and educational processes.
 An important role in the process of adaptation of foreign students in universities of Ukraine is played by the organization of the educational process itself and the direct participation of the teacher in it. However, the successful implementation of the adaptation component is facilitated not only by classroom work, but also by extracurricular work as it is an integral part of the educational and pedagogical processes.

Університетська клініка як чинник забезпечення якості медичної освіти: управлінський аспект

The article analyzes the functioning of the university clinic as a factor in ensuring the quality of medical education. It was found that the university clique ensures high quality of medical care and creates conditions for quality education of medical workers. It is proposed to create and/or improve established university clinics in order to improve the quality of medical education in Ukraine. The functioning of the network of university clinics as structural subdivisions of institutions of higher medical education significantly increases the quality of training of medical students, interns, clinical training, retraining and advanced training of specialist doctors; increases the efficiency of research works and ensures the implementation of their results in practical medicine, as a result of which the quality of providing medical care to the population increases. In such clinics, appropriate conditions are created for the clinical training and retraining of students, medical and scientific-pedagogical workers within the framework of training programs of the system of continuous professional development, improvement and implementation of training programs in internship, master's degree, clinical residency, participation in the development and implementation of programs for improving medical qualifications employees The training of scientific and pedagogical staff of a clinical profile in post-graduate and doctoral studies and improvement of their qualifications is also provided.

Conflict and natural disaster: the impacts on medical education in Ukraine and Türkiye.

In addition to causing enormous and enduring harms to the health of populations, the Russian invasion of Ukraine and the recent earthquakes in southeast Türkiye have greatly damaged the institutions of medical education at work in these countries. This paper explores these harms and encourages medical educationalists in unaffected countries to reflect on the virtues of their own educational institutions.

Research-innovation aspect of modern medical (dental) education in a mixed learning environment

The national concept for the development of higher education in Ukraine during the war is aimed at involving digital education in the educational process and promoting the development of virtual educational mobility. The relevance of the study is due to the unstable state of modern medical education in Ukraine, the need to use digital technologies and involve a mixed form of education in the generally accepted concept of conducting the educational process. The purpose of the study is to identify how teachers and students of the dental speciality of higher medical institutions of Ukraine implement the concept of mixed learning as of the beginning of 2023. The paper uses the following methods of research: descriptive, historical-typological, and terminological principles analysis, through which it was possible to implement the research-innovative aspect of modern dental education during the war on the territory of Ukraine. The study examines the historical features of the formation of a mixed form of education in the Ukrainian educational field. Key aspects of using the blended learning model in modern higher medical education in Ukraine are highlighted. The main online platforms used in mixed learning environment and relevant software for mixed learning are considered. A thorough analysis of the state of the modern educational process in Ukrainian universities, where future dental specialists receive education, was conducted, and the prospects for using a mixed form of education for dental students in medical educational institutions were examined. The results of the study can be used by researchers and teachers for further research on the subject raised, in particular, to identify and eliminate the shortcomings of various forms of training.

Communication as a component of simulation training competence

Medical education in Ukraine is an integral part of the national system of education and health care. Medical education is especially important and relevant today, in the conditions of war, when the requirements for the future professional are increasing. Simulation training is a mandatory component of professional training, which is used as a model of professional activity in order to provide opportunities for everyone to learn to perform a professional skill or its element in accordance with professional standards of providing medical care. The content of the concept of pedagogical competence integrates theoretical psychological and pedagogical knowledge, practical skills, experience, and personal qualities important for pedagogical work, among which it is worth noting the need for self-improvement, the presence of critical thinking, the desire for creativity, and love for the profession.Aim. To determine the role of communications as a component of competence in education in the conditions of modern realities.Materials and methods. The role of communication as a component of the competence of simulation training and the data of available national and foreign publications containing information on possible ways to improve higher medical education are analyzed.Results and discussion. The vector of medical education is aimed primarily at the formation of competencies, which, accordingly, are directed to educational activities: lectures, seminars, remote modules, etc. However, it is the theoretical base that is the first stage on the way to mastering the entire matrix of specialist competencies, and the acquired knowledge requires further reinforcement with practical skills. The student gets the first practical experience "without fear" of incorrect execution and risk for the patient precisely with the help of simulation techniques. Simulation teaching methods have already become quite widespread in the modern educational process and, regardless of the degree of complexity of the mannequin, are used in practical classes to form the general professional and professional competencies of the future specialist. The basis on which the training is built is knowledge, so they should be conducted after learning the theoretical material at lectures, seminars, round tables, video conferences and further assessment of the level of acquired knowledge (surveys, tests). Thus, training is a process of active learning, the purpose of which is to consolidate knowledge and master skills. In the traditional sense, simulation training is a practical session using simulation technologies, which includes an in-depth study of theoretical material at the previous stage and the implementation of applied practical tasks with subsequent feedback, for example, analysis of the results of the session by the students themselves together with the teacher at a debriefing.Conclusions. The development of medical education and training of a competitive specialist is an urgent issue of modern education, especially in the conditions of martial law in the country. There is a need to introduce new methods and approaches to the formation of professional qualities of the future medical specialist. In the conditions of reforming medical education, it is essential to increase the level of professionalism on the basis of the obtained theoretical knowledge through the improvement of the practical interaction of the student with the patient. Simulation training of practical competencies and improvement of communication skills will help develop sustainable qualification skills of graduates of higher medical institutions, ensuring that highly qualified specialists provide practical health care.

VOLUNTEERING AS A VALUE IN THE EDUCATIONAL WORK OF HIGHER MEDICAL EDUCATION INSTITUTIONS IN UKRAINE

The content structure of volunteering as a value regarding educational work at the institutions of higher medical education in Ukraine has been analysed in the article; the values that should be developed in future medical specialists corresponding to current challenges have been defined.
 It is found out that organizational centres of public support of Ukrainians in higher medical education are the university volunteer centres, which comprehensively help the teams of students – future doctors as well as military personnel of the Armed Forces of Ukraine on the whole.
 According to the results of analysis of the educational work directions in the institutions of higher medical education, it is established that they prove the highest value of human life (the life of a warrior) for future doctors from different perspectives. In particular, it is confirmed by proactive attitude of student volunteers in donating blood for military personnel.
 Implementation of the value of patriotism in the educational activities of future doctors is substantiated. It is about involvement of senior students and interns into trainings on pre-hospital care.
 It is established that involvement of students into projects aimed at psychological support to civilians and military personnel, as well as financial aid and assistance in supporting mental health for internally displaced persons is a special direction of medical volunteering and education in wartime.
 It is proved that participation in volunteer movement by future doctors promotes development of their personal values: activity, diligence, initiative, desire to help, service, subordinating them to national, civil interests – for the sake of victory and peace in Ukraine.
 Thus, educational work in the institutions of higher medical education of Ukraine requires a systematic approach to development of the values of charity and social activity in the students both regarding the volunteer movement and besides it.

HOW TO BE A WOMAN-ANATOMIST IN UKRAINE

Anatomy is a fundamental discipline that is the basis for all clinical specialties. The lecturer must possess many surgical skills to teach students. The aim of the study is to analyze the gender equality in medical education in Ukraine. All data were obtained from open sources. Results. Women have a potential to get medical education and to teach students at medical universities, also to do research work. Many women run the departments of Anatomy/Clinical Anatomy in Ukraine, but they are underrepresented among university Rectors, Academics and Ministers. Conclusions. Nevertheless women can work hard, can perform creative, technical and organizational work with equal quality, they still have limited opportunities to get highest administrative positions.

TRANSFORMATION OF HIGHER EDUCATION IN MODERN CONDITIONS

The replacing of world civilization and Ukrainian society in particular played a significant role in the evolution of medical education in Ukraine. The system of higher education simultaneously affects the development of the future generation of doctors and is a remarkable social institution. That is why, the role of the system of higher medical education in difficult periods of the state’s development and proposed ways to innovate and optimize the scientific potential of students of higher medical education was analyzed.
 The aim of the study. The aim of the study is to analyze the current trends of transformational changes in the field of medical education and to propose ways to optimize the scientific potential of students of higher medical education.
 Objects and methods of the study include the system of medical education at the Higher Secondary School of the PSMU in various periods of its formation and development.
 Results and discussion. During our research, an analysis of modern trends in the development of medical education in Ukraine by studying well-known literary data was performed. The basis of own research is: quantitative analysis and synthesis (for the study of the higher education system of Ukraine); comparative analysis (to highlight the peculiarities of the functioning of the system of higher medical education in the conditions of modern challenges).
 Studying the system of higher education of Ukraine, it pays attention to the fact that the entire period of its development was accompanied by certain tests that prompted the transfer of the educational process to online format. At the same time, it should be noted that students are most often concerned with the following problems: poor or no Internet 30.2% of respondents; complex emotional state and psychological problems of higher education applicants 25.9; absence or lack of gadgets for learning 12.1%; a higher education student does not accept distance learning 10% of respondents; 9.2% of respondents noted that they were able to join distance learning partially or only for a certain period. Most of the higher education seekers who pointed out this problem lived in the Donetsk, Dnipropetrovsk, Kharkiv and Luhansk regions before the war; absence or partial distance learning happened to 2.5% of respondents, who for a certain period, namely at the beginning of the war, should not have been able to join the training at all; 2.0% faced the problem of studying during their stay abroad.
 Analyzing the transformational changes that have occurred in our state, one can safely say that the social and medical conditions in which the society found itself have caused many problems in the field of medical education. There is an urgent need to solve the strategy, content, structure, methods of teaching, education and formation of views.

Організаційні форми підготовки медичних кадрів із питань паліативної допомоги

Purpose - to study modern views, advanced world and national experience in training medical personnel for palliative care. Materials and methods. Recommendations of international organizations, domestic regulations on palliative care, curricula of medical universities and colleges. Results. It is established that the definition of «Palliative Care» and the levels of its provision, regulated by the current legislation of Ukraine, do not correspond to modern international approaches. The National curricula on palliative care developed by us on the principle of vertical integration and approved by the Ministry of Health in 2014, nowadays, in the era of transition to full autonomy of universities, is outdated. There is no medical specialty «palliative care» in Ukraine. Medical specialists can acquire knowledge and skills in palliative care only within the framework of their continuous professional development at the postgraduate level. According to an EAPC White Paper on Palliative Care Education, the three-level system of medical education based on core competencies and core constituents of palliative care is offer. Conclusions. The system of medical education in Ukraine requires correction in order to acquirement core competencies of palliative care by all medical workers. No conflict of interests was declared by the authors.

Impact of war on foreign students' satisfaction with quality of dental and medical education in Ukraine.

The objective of this study was to evaluate the changes in foreign students' satisfaction with the quality of dental and medical education considering the impact of the war in Ukraine. The present study was organized in the form of a questionnaire-based survey among 300 foreign students of Medical Faculty and Faculty of Dentistry in Ukraine. The questionnaire was ad mistered via Google form in a multiple-choice, closed-ended format. Students' satisfaction with environment safety and comfort (p < 0.05) and with the collaborative learning offered (p < 0.05) statistically decreased during the war. Sixty percent of the variability in the mean of students' satisfaction with the quality of education during the war could be explained by the satisfaction rate before the war. The need of migration from Ukraine had a stronger inverse correlation with education quality (r = -0.58) than the fact of the war itself (r = -0.32). The war in Ukraine has had a negative impact on the educational process of foreign medical and dental students, even though the quality of education was considered by students to be as high as before and during the war. The personal effort of professors, the quality of study materials, and adequate technical support could potentially overcome the negative impact of the war on student satisfaction with the quality of medical and dental education by the online mode, if the academic medium could be protected from the direct impact of the war or if the influence of the war within the university community could be minimized.

The role of the press conference and work in small creative groups as interactive teaching methods (on the topic “Development of higher medical education in Ukraine”)

The role of the press conference and work in small creative groups as interactive teaching methods (on the topic “Development of higher medical education in Ukraine”)

ТРАНСФОРМАЦІЯ СИСТЕМИ БЕЗПЕРЕРВНОЇ МЕДИЧНОЇ ОСВІТИ ЛІКАРІВ-СТОМАТОЛОГІВ В УКРАЇНІ

The transformation of the health care system in Ukraine, radical changes in the health care financing model, which were introduced in 2017, led to changes in the system of training doctors and other specialists. The main task of medical education remains to provide citizens with high-quality medical care thanks to the high level of training of specialists. The new strategy of medical education in Ukraine, the rapid pace of development of medical science, the increase in the amount of new information about innovative technologies in the diagnosis, treatment, and prevention of major dental diseases – all this necessitated the search for new forms of continuous professional development of doctors.

Medical education in Ukraine: the systemic problem and possible ways to solve it

Medical education in Ukraine: the systemic problem and possible ways to solve it

Andragogy in higher medical education: features of implementation in fundamental and clinical disciplines

Annotation. The article summarizes the main aspects of andragogy - the science of adult education, considers key terms, and characterizes the principles and methods of andragogy. The regulatory documentation regulating the organization and requirements for the development of andragogical competence of teachers was analyzed; electronic resources of PubMed were studied; Google Academy with depth of bibliographic search 2012-2022; the experience of applying aspects of andragogy in the scientific and pedagogical work of the departments of biological and general chemistry and the department of internal medicine №2 of National Pirogov Memorial Medical University, Vinnytsya was analyzed and summarized. It is shown, that the effectiveness of the modernization of higher medical education in Ukraine, requires the formation of a new generation of scientific and pedagogical workers who are capable of self-improvement, self-development, and lifelong education. A scientific and pedagogical worker in the field of higher medical education must understand the basic principles of andragogy, constantly develop and improve his andragogy competence, and master the methods of mentoring, moderation, and facilitation. The application of the principles of andragogy in higher medical education is aimed at the formation of a competitive specialist capable of continuous professional development throughout life based on an atmosphere of freedom, creativity, tolerance, responsibility, an individual educational trajectory, and equal opportunities for subjects of study. The implementation of andragogic technologies and methods in institutions of higher medical education depends on educational goals and can vary in fundamental and clinical disciplines. Prospects for further research are the development of normative documents and recommendations on the methodology of andragogy for employees of a higher medical school.

STATE REGULATION OF HEALTH EDUCATION: PRESENT, PROBLEMS AND SOLUTIONS

The purpose of the article is to clarify the main trends in the development of medical education in Ukraine in the context of global challenges; to identify and systematize the problems hindering the development of domestic education, their causes and consequences. To determine the place and role of medical education in the economy of Ukraine. The basis of the conducted research is an abstractly logical method in close combination with the methods aimed at obtaining information for further analysis.&#x0D; Medical education, since the beginning of the reforms introduced in the state, has undergone significant changes, but without solving the legal issues further development is impossible. &#x0D; The problems hampering further development of medical education have been clarified and systematised (non-prevalence of officially registered private practice of nursing, lack of motivational leverage, professional secondary education, educational content not meeting the requirements of the workplace, outdated system of professional development). It is determined that promotion is not the main motivational lever (increasing salaries has not yielded positive results, there is still an outflow of staff from the profession). The necessity of development of "Strategic development of medical education" and improvement of legal levers of state regulation in this sphere is proved. The place of medical education in the system of economy of Ukraine as one of the key, namely that competitive workers can improve medical services and guarantee the availability of these services. "A healthy nation" is a guarantee of a healthy workforce, which is capable of achieving Ukraine's sustainability development goals and fulfilling its obligations to the world community. It has been substantiated and proven that quality education is a guarantee of national security of the state and a guarantee of sustainability economic development

Modernization of theoretical and practical aspects of the development of higher medical education in Ukraine

The coronavirus pandemic has become a challenge for national health care systems, a global problem that has accelerated the processes of reforming medical education in many countries. The purpose of the article is to analyze the modernization of theoretical and practical aspects of the development of higher medical education in Ukraine. The research uses general scientific (analysis, synthesis, deduction and induction) and specialized methods (prognostic, axiological). The results trace the transformation of the state regulation of higher medical education, the use of research methods in education, the use of modern teaching methods aimed at making the medical education sector in Ukraine more efficient. It has been proven that transformations in higher medical education were hampered due to a lack of funding. During 2015–2017, the first changes occurred: the "KROK" testing system, based on American samples was implemented. The latest teaching methods, updated in recent years, are also actively implemented in teaching practice. In the conclusions, it is noted that in the future, employers should play a more active role in the formation of educational programs, as is customary in the leading countries of the world. In Ukraine, due to the aggression of Russian troops and the destruction caused by them, the further commercialization of medical education may become an important trend for further development.

Modern achievements and prospects for the development of higher medical education: Ukrainian realities

The purpose of the study is to research and highlight modern achievements and prospects for the development of higher medical education in Ukraine. Theoretical and empirical methods were used to achieve the set goal and solve research problems. A modern doctor must perfectly master his professional competence. The main motive for reforming the medical field is the desire of students to master professional skills and practical skills, to deepen the acquired theoretical knowledge and apply it in practice, to develop skills regarding the standards of providing medical care, to gain experience in practical work, which will allow a modern student to successfully work independently in the future. It is also necessary to create a group that would carefully study and propose a number of conceptual priority measures related to changes in legislation and aimed at coordination between universities in order to develop a clear, unified strategy for reforming medical education, to ensure the responsibility of higher education institutions for the quality of education and its guarantee, taking into account the interests of society.

MAIN ASPECTS IN FOSTERING PROFESSIONAL COMPETENCE OF FUTURE MEDICAL DOCTORS DURING THE COURSE OF OTORHINOLARYNGOLOGY

Today, the ambitious goals to achieve excellence in professional training of future healthcare professionals in accordance with European high standards are among the priorities of higher medical education in Ukraine. The issues on fostering professional competence of students of higher medical educational institutions are in the focus of attention of many disciplines, and otorhinolaryngology, a compulsory educational component, is one of them. Over the course of the academic discipline "Otorhinolaryngology", future medical doctors acquire general and professional competencies required for their successful practice. The aim of the article was to highlight the main aspects of the formation of professional competencies of future medical doctors during the course of Otorhinolaryngology. To implement the competency approach at the Department of Otorhinolaryngology with Ophthalmology of Poltava State Medical University, an educational and methodological complex has been prepared, and the newest technologies for the presentation of material and mastering skills are being constantly introduced. The department regularly updates material and technical base. These preconditions stimulate cognitive and professional motivation of students, encourage them to intensify educational activities, and contribute to improving the effectiveness of learning, and develop independence and responsibility that ultimately ensures the formation of professional competence of the future doctor. Thus, the course of the discipline "Otorhinolaryngology" is designed and delivered to train highly qualified and competitive healthcare specialists to provide their own professional activity with high quality and productivity.