Expert Practice Research Articles

A Delphi Consensus on Surgical Technique of Roux-en-Y Gastric Bypass: An Obesity and Metabolic Surgery Society of India Initiative

Abstract Introduction: Roux-en-Y gastric bypass (RYGB) is considered the gold standard bariatric surgical procedure. However, its complexity has led to various technical adaptations being practiced globally, including in India. Recognizing the need for uniformity in such a crucial procedure, the Obesity Surgery Society of India (OSSI) took the initiative of doing a Delphi consensus on the technique of RYGB. Methods: A panel of 17 experts, chosen from OSSI members, was formed based on their extensive experience with RYGB, years of practice, the proportion of RYGB in their practice, and their academic contributions and recommendations from the executive committee. A questionnaire comprising 40 statements regarding the key steps of the procedure was shared with the selected experts through email. Consensus was deemed to be reached when the statements received scores exceeding 70%. Results: After three rounds of surveys, consensus was reached on 34 statements. Following the first round, statements without consensus underwent reformulation and were redistributed along with pertinent literature. Despite these efforts, six statements remained unresolved by the end of the third round, indicating areas where expert consensus could not be achieved. Conclusions: This Delphi consensus gives a snapshot in the practices of experts doing RYGB in India. It details the various intricacies and technical aspects of the procedure.

A multi-stakeholder perspective on the development of key competencies for sustainability in Education for Sustainable Development at school

A range of stakeholder groups are involved with fostering Education for Sustainable Development (ESD). It is crucial that their views on the aims of ESD are aligned. This is a prerequisite for coordinated integration of ESD into the formal education system. However, research has not explored whether stakeholder groups have similar ideas about the aims and learning outcomes of ESD. This study investigates the differences and similarities in stakeholders’ opinions on the sustainability key competencies students should develop. We conducted 15 interviews with German experts in ESD practice, policy, and science, analyzing the results deductively using Qualitative Content Analysis within the UNESCO framework of Key Competencies for Sustainability. An inductive approach was used to identify aspects and concepts of competence that went beyond this framework. Most of the competencies mentioned could be assigned to the UNESCO framework, but we identified the additional competency of participating at the political level as being important for ESD. The experts also identified several other concepts. The three stakeholder groups emphasized different competencies and concepts, probably due to their differing professional backgrounds. However, similarities predominated, and the experts largely agreed on which competencies should be developed. Structural difficulties with integrating ESD into the education system are therefore not likely to be the result of fundamental differences in perspective between the three stakeholder groups on the aims of ESD. However, their different frames of reference might lead to miscommunication and misunderstanding, which could impede integration. This aspect needs thorough examination in the future.

Management of failed flow diversion for intracranial aneurysm beyond the first 6 months of follow-up: an international Delphi consensus.

The placement of flow-diverting devices has become a common method of treating unruptured intracranial aneurysms of the internal carotid artery. The progressive improvement of aneurysm occlusion after treatment-with low complication and rupture rates-has led to a dilemma regarding the management of aneurysms in which occlusion has not occurred within 6-24 months. The authors aimed to identify clinical consensus regarding management of intracranial aneurysms displaying persistent filling 6-24 months after flow diversion and to ascertain questions that may drive future investigation. An international panel of 67 experts was invited to participate in a multistep Delphi consensus process on the treatment of intracranial aneurysms after failed flow diversion. Of the 67 experts invited, 23 (34%) participated. Qualitative analysis of an initial survey with open-ended questions resulted in 51 statements regarding management of aneurysms showing persistent filling after flow diversion. The statements were grouped into 8 categories, and in the second round, respondents rated the degree of their agreement with each statement on a 5-point Likert scale. Flow diverters with surface modifiers did not influence administration of dual-antiplatelet therapy according to 83%. Consensus was also reached regarding the definition of treatment failure at specific time points, including at 6 months if there is aneurysm growth or persistent rapid flow through the entirety of the aneurysm (96%), at 12 months if there is aneurysm growth or symptom onset (78%), and at 24 months if there is persistent filling regardless of size and filling characteristics (74%). Although experts agreed that the degree of intimal hyperplasia or in-device stenosis could not be ascertained by noninvasive imaging alone (83%), only 65% chose digital subtraction angiography as the preferred modality. At 6 and 12 months, retreatment is preferred if there is persistent filling with aneurysm growth (96%, 96%), device malposition (48%, 87%), or a history of subarachnoid hemorrhage (65%, 70%), respectively, and at 24 months if there is persistent filling without reduction in aneurysm size (74%). Experts favored treatment with an additional flow diverter (87%) over aneurysm clipping, applying the same principles for follow-up (83%) and treatment failure (91%) as for the first flow diverter. The authors present the consensus practices of experts in the management of intracranial aneurysms without occlusion 6-24 months after treatment with a flow-diverting device.

PULMONARY REHABILITATION IN ROMANIA: FROM THE BEGINNINGS TO THE PRESENT

Pulmonary rehabilitation is the standard of care for patients with chronic lung disease. Material and method: Starting from the systematic review of specialized literature and practical expertise obtained both internationally and nationally, the exposition emphasizes the aspects related to pulmonary rehabilitation in patients with chronic lung diseases. Results: The cornerstone of pulmonary rehabilitation is the American Thoracic Society (ATS)/European Respiratory Society (ERS) Statement on Pulmonary Rehabilitation published in 2006 and developed based on the documents of the American College of Chest Physicians (ACCP) and American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) published in 1997 and 2004. The document was subsequently updated in 2007, 2013, 2015, 2021 and 2023, with the concept of pulmonary rehabilitation constantly evolving over the years. In Romania, pulmonary rehabilitation is carried out according to these guidelines and international standards, Iasi being a reference center in this field. Conclusions: Pulmonary rehabilitation is one of the most powerful evidence-based therapies for patients with chronic lung disease. Keywords: COPD, exercise capacity, training, quality of life.

Experiencing the Pre-Service Teachers’ Ideas and Thoughts during Practicum: Quantitative and Qualitative Approaches

Pre-service educators, embarking on the path to professional teaching licensure, engage in intensive training regimens, culminating in a practicum phase designed for immersive exposure to the educational frontline. This critical juncture facilitates translating theoretical knowledge into practical pedagogical expertise, empowering aspiring teachers with the tools necessary for effective classroom engagement. Drawing upon a mixed-methods analysis, this study scrutinizes the experiential narratives of 367 pre-service teachers’ post-practicum, supplemented by in-depth interviews with a select cohort of ten participants to elucidate the nuanced dynamics encountered within the school environment. The findings illuminate a spectrum of pedagogical hurdles, including but not limited to methodological implementation, classroom management, and temporal coordination. Additionally, the economic encumbrances experienced by pre-service teachers emerge as a salient theme, with the majority grappling with financial constraints exacerbated by insufficient stipends, inadequately addressing their living expenses, and pedagogical outlays. These revelations underscore the imperative for enhanced mentorship, augmented supervisory mechanisms, and holistic support from academic and institutional bodies, aiming to fortify pre-service teachers’ practicum engagements. Such strategic interventions are pivotal in navigating the intricate landscape of educational praxis, ultimately cultivating adept educators poised for success in the authentic school setting.

“Two Mountains concept” leading the green transformation of China's economic society

The rapid urbanization are serious threats to global sustainable development, making the green transformation of socio-economy and industry a must for global efforts. The theory of ecological and economic harmonization in ecological economics has gained attention. However the Two Mountains concept, i.e., “Lucid waters and lush mountains are invaluable assets”, has been mostly neglected as a practical demonstration of the theory. In this study an equal weights method is used to construct an index system for testing the effectiveness of the ongoing practices and demonstrations of the Two Mountains concept, and whether it can achieve the expected green transformation objectives. A total of 421 pilot cases and 208 surrounding non-pilot cases in China from 2010 to 2020 are selected for analysis. The results indicate that: (1) From 2010 to 2020, overall 98.33% of pilots show positive improvement in comprehensive effectiveness; (2) Strong evidence indicate that the positive externality of the demonstrations extends to their surrounding region, mainly manifested in the impact of industrial structure change, inspiring collaboration between cities; (3) Such ambitious green transformation has a significant impact on landscape characteristics, which emphasizes the role of landscape management and monitoring. Therefore, this study proposes an industrial integration framework to enhance the transformation of ecosystem service values, to facilitate transition to a green economy in various regions globally. It provides significant managerial insights and practical expertise. The demonstration of China's Two Mountains concept can offer reliable empirical cases to enrich the theory of ecological economics and global sustainable development.

Participatory budgeting in Russia in conditions of economic instability

Subject. The article considers theoretical and methodological aspects of participatory budgeting development in Russia. Objectives. The aim is to substantiate the effects of using the participatory budgeting under economic instability. Methods. The study draws on general scientific methods of cognition (analysis, synthesis, induction, deduction, comparison, and analogy), and special methods of cognition (comparison of theoretical and practical material, expert method, systematization, and classification). Results. Changes in methodological aspects of budget planning significantly affected the implementation of budget policy. Budget planning is influenced by internal and external factors, and by entities with which public legal entities have to interact at the subnational level. The paper focuses on financial aspects of participatory budgeting, like the total amount of funding for participatory budgeting projects, the average cost per project, the number of funded projects, sources of funding. I investigated options for including participatory budgeting in the budget process of Russian regions and municipalities and identified two main ones used by public legal entities. Conclusions. The study substantiates why participatory budgeting is advisable to apply in conditions of economic instability and uncertainty. It highlights the effects of the development of participatory budgeting practices and specifics of their implementation at the municipal level. The findings can be useful for public authorities, local governments, and those involved in participatory budgeting.

Using traditional knowledge to reduce disaster risk - A case of Tibetans in Deqen County, Yunnan Province

Traditional Knowledge (TK) is practical knowledge and expertise that is accumulated over generations by individuals living within a specific environment, and transmitted through tradition. This study offers a systematic review of the current state of research on TK in Disaster Risk Reduction (DRR) and establishes a DRR framework, based on a comprehensive survey of Tibetan communities in Deqen County, Yunnan Province, from 2003 to 2022. Specifically, the study considers the cooperation between local Tibetan residents with multiple parties in leveraging their unique traditional knowledge to mitigate disaster risks. To evaluate the efficacy of traditional knowledge and multiparty cooperation in disaster risk reduction actions, the research employs a range of methodologies, including quantitative analysis, participatory surveys, semi-structured interviews, and literature research. This case serves as a valuable reference point for developing a multi-disaster reduction system and may be aligned with the Sendai Framework's guidelines, demonstrating that traditional knowledge plays a crucial role in assisting local communities to cope with natural disasters.

From the Section Editors: Teaching & Learning Section Vision: Innovate, Evaluate, Disseminate

This editorial introduces the new editorial team and vision of the Teaching and Learning of Evaluation (T&L) Section. With deep expertise in evaluation theory, methodology, and practice, Schröter and Woodland bring a vision of advancing the pedagogy, andragogy, and heutagogy of evaluation through innovative practices and inclusivity. This note outlines the section's focus on systematically examining T&L in evaluation, showcasing articles that inform instructional innovations, curriculum development, and educational research. The editors invite contributions from diverse perspectives, encompassing formal and informal settings, transdisciplinary boundaries, and various dimensions of T&L environments in evaluation. Highlighting recent articles aligned with the section's goals, the editors invite feedback and involvement from readers and contributors to further enhance the T&L section's impact. As they embark on this journey, Schröter and Woodland express their commitment to fostering a vibrant and inclusive community dedicated to advancing evaluation through transformative T&L practices.

Disciplinary tribes and the discourse of mainstream media expert opinion articles: evidencing COVID-19 knowledge claims for a public audience

Abstract Much applied linguistic research has investigated how experts from different disciplines – different “disciplinary tribes” – present knowledge claims, drawing on taken-for-granted disciplinary ideologies and epistemologies. However, this research has mainly focused on specialist to specialist communication rather than specialist to non-specialist communication. This article aims to fill this gap by examining a corpus of mainstream media “expert opinion articles”, written by experts for members of the public, on the topic of the COVID-19 crisis and published in The Guardian and The New York Times. The corpus included articles by experts in Medical Science, Medical Practice, Science, Humanities and Social Sciences, Law, and Economics. Using corpus-based discourse analysis, we consider the effect of discipline on the way that experts present and evidence knowledge claims. We compare the kinds of experts, their content focus, and forms of evidentiality seen in verbal evidentials used in the articles. The analysis identifies four discourse strategies: (1) deriving knowledge from experience; (2) invoking the knowledge of the expert community; (3) invoking vernacular knowledge; and (4) raising claims in argument or critique. Differences in disciplinary epistemologies lead to systematic differences in presenting and evidencing knowledge claims, even in texts primarily intended for a wide public audience.

Talent Development in Software Technology Specialisation at Vocational Colleges: A Case Study of Luoyang Vocational College of Science and Technology

The software industry's competitiveness hinges on the prowess of its software technology talents. In light of this, the present study focuses on Luoyang Science and Technology Vocational College, renowned for its provincial brand specialty in software technology. Employing a qualitative research approach, particularly through semi-structured interviews, this research involves graduates from the software technology program and professionals from information technology enterprises both within and outside the province. The findings reveal several critical issues, including a disconnect between the curriculum and industry demands, insufficient emphasis on skill development and practical expertise, and a lack of vocational literacy in software technology education. To address these challenges, the study proposes tailored strategies. These strategies aim to bridge the gap between academic content and industry requirements, enhance the cultivation of practical skills and hands-on experience, and bolster vocational literacy in software technology programs. By implementing these recommendations, Luoyang Science and Technology Vocational College, as well as other institutions, can effectively nurture competent software technology talents, equipping them to thrive in the fiercely competitive software industry.

The role of advanced practice nurses in improving healthcare outcomes for patients with chronic kidney disease: A scoping review protocol.

The number of patients with chronic kidney disease is increasing worldwide; previous studies have suggested that advanced practice nurses, including nurse practitioners and clinical nurse specialists, with expert practice skills can provide high-quality care and solve complex healthcare problems. In general, nurse practitioners are generalist nurses who work as autonomous clinicians with whole personal care. Clinical nurse specialists, in contrast, are nurses with advanced nursing knowledge and skills for individuals or specific populations. Their roles are independent and different; however, similarities exist in their role in potentially improving healthcare outcomes. Although two previous studies described the role of nephrology nurse practitioners, they were systematic reviews, and their outcomes were limited. To clarify the overall aspect of advanced practice nurses' role, it is necessary to extract the studies illustrating advanced practice nurses' practices for patients with chronic kidney disease. This study aims to map the literature describing the role of advanced practice nurses in improving healthcare outcomes for patients with chronic kidney disease. This scoping review will be conducted using the Joanna Briggs Institute methodology for scoping review. Online databases will be searched across MEDLINE (PubMed), CINAHL (EBSCOhost), Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, and Web of Science. Only studies published in English will be included, and no date limit will be set. Chronic kidney disease, renal replacement therapy, and advanced practice nurses as keywords and related search terms will be used. Two independent reviewers will screen the title and abstract/full-text; in case of discrepancy, a third reviewer will make the final decision. The results will be extracted and presented following the review question concerning the study characteristics, patients' characteristics, condition of chronic kidney disease, and role of advanced practice nurses.

Evaluating the Knowledge, Practice, and Regulatory Situation of Veterinary Experts Regarding Counterfeit Veterinary Medications in the Selected Districts of Central Gondar Zone, Ethiopia.

The intentional and illegal misrepresentation of fake medications involves falsely indicating their source. These fraudulent medications can include products that contain either accurate or incorrect ingredients, lack proper labeling, have insufficient quantities of ingredients, and are packaged with counterfeit packaging. This unlawful activity has led to treatment failures, the development of antibiotic resistance, adverse effects, and even deaths. Hence, the objective of this study was to assess the knowledge, practice, and regulatory status of veterinary drug experts in the central Gondar zone of Ethiopia regarding counterfeit veterinary medications. From January 2023 to July 2023, a self-administered structured questionnaire was utilized to conduct a cross-sectional study in Central Gondar Zone, Ethiopia. The analysis of the data involved the application of descriptive and chi-square tests. The study revealed that the majority of professionals possessed a work experience ranging from 5 to 9 years (23; 56.1%). Additionally, a total of 25 individuals (61.0%) who participated in the research had not undergone any kind of training. It was observed that a significant proportion of participants (82.9%) possessed knowledge about counterfeit veterinary drugs. Only about 63% and 36% of respondents had high knowledge and good practice concerning veterinary counterfeit drugs, respectively. Only 29.3% of participants have reported practices. Furthermore, a poor regulatory level of coordination was detected (85.4%). The study revealed a significant (χ2 =7.6165; p = 0.022) disparity between the respondents' practice levels and training. Respondents' regulatory levels were also significantly associated (p < 0.05) with their sex (χ2 = 13.34; p = 0.001) and work experience (χ2 = 13.64; p = 0.033). The research findings also revealed a noteworthy correlation between practice and regulatory activity (χ2 = 15.0463; p = 0.005). The study outlines the necessity of awareness initiatives, with a focus on the significance of veterinary experts' knowledge, practice, and regulatory efforts in addressing the issue of counterfeit veterinary medications.

American Rhinologic Society expert practice statement part 1: Skull base reconstruction following endoscopic skull base surgery.

The goal of this American Rhinologic Society expert practice statement (EPS) is to summarize the best available evidence for technical factors that optimize outcomes in skull base reconstruction following endoscopic skull base surgery for intradural pathologies. These topics include the use of free mucosal grafts versus vascularized pedicled nasoseptal flaps; the use of autologous versus synthetic grafts; and the roles of lumbar drains, dural sealants, and nasal packing. This EPS was developed following the recommended methodology and approval process as previously outlined. As there are a myriad of techniques and limited agreement on the accepted principles of skull base reconstruction, this EPS aims to summarize the existing evidence and provide clinically meaningful guidance on these divergent practices. Following a modified Delphi approach, five statements were developed, four of which reached consensus and one of which reached near consensus. These statements and the accompanying evidence are summarized along with an assessment of future needs.

Choosing and accessing COVID-19 treatment options: a qualitative study with patients, caregivers, and health care providers in Lebanon

BackgroundThe coronavirus disease 2019 (COVID-19) pandemic has strained healthcare systems globally, particularly in terms of access to medicines. Lebanon has been greatly affected by the pandemic, having faced concomitant financial and economic crises. The objective of the study was to understand the experiences of patients with COVID-19 in Lebanon, as well as those of their families, and healthcare providers, with regards to their treatment decisions and accessibility to COVID-19 medicines.MethodsFor this qualitative study, we conducted 28 semi-structured interviews. We used purposive sampling to recruit participants with a diverse range of perspectives. The data collection phase spanned from August to November 2021 and was conducted virtually. After transcribing and translating the interviews, we employed thematic analysis to identify recurring themes and patterns.ResultsIn total, 28 individuals participated in this study. Participants highlighted challenges owing to the COVID-19 pandemic and economic crisis. Accessing COVID-19 medicines posed major hurdles for physicians and patients, given limited availability, global shortages, local circumstances, community hoarding and stockpiling by pharmacies. Providers based treatment decisions on research, local and international practice guidelines, experiences and expert feedback. Patients sought information from social media, community members and physicians, as well as through word of mouth. Accessing medicines involved navigating the healthcare system, the black market, charities, personal networks and political parties and sourcing from abroad. The medicines were either free, subsidized or at inflated costs.ConclusionsThis study highlights the diversity and complexity of factors influencing decision-making and accessing medicines during the COVID-19 pandemic in Lebanon. Future research should explore strategies for ensuring medicine access during crises, drawing insights from comparative studies across different countries.

Consensus on relevant point-of-care ultrasound skills in General Practice: a two-round French Delphi study

ContextPoint-of-Care Ultrasound (POCUS) has become an important tool in the clinical practice of many specialties, but its use and impact in General Practice in France remains to be explored.ObjectiveThe objective of this study is to obtain a consensus among experienced French general practitioners on a list of relevant POCUS skills in General Practice in 4 anatomical regions.MethodWe used a two-round Delphi method to obtain a consensus. An initial list of skills was drawn by conducting a literature review. To rate each skill, we used a nine-point Likert scale. An interactive meeting between experts took place between Delphi rounds. POCUS experts in General Practice were defined as general practitioners with theoretical training in ultrasound who regularly perform ultrasound, who have performed ultrasound for more than five years and/or are involved in providing ultrasound training.Results11 French general practitioners screened 83 skills in 4 anatomical regions: abdominal, urogenital, vascular, gynecology and obstetrics. An agreement was obtained for 36 POCUS skills as to their appropriateness in General Practice. There were 17 skills with a strong appropriate agreement (100% of “7–9” ratings) and 19 skills with a relative agreement (100% of “5–9” ratings).ConclusionThese skills could serve as a basis for guidelines on the use and curriculum of POCUS in General Practice in France as well as in other countries with similar healthcare systems.

Development and exploration of the national first-class undergraduate course in "Enzyme Engineering"

The biotechnology industry is a strategic emerging industry in our country, holding a crucial position in the national economy. The training of innovative high-quality professionals carries immense significance. As the cornerstone course in biotechnology, "Enzyme Engineering" directly impacts the students' caliber and industry development. This course aims to address pertinent issues present in the current curriculum delivery, such as inadequately optimized content, excessive dependency on textbooks, and reliance on monotonous teaching methods. By adjusting the course outline, updating the case material repository, and engaging students' enthusiasm, we developed a three-dimensional approach to instruct. This approach included a blend of online and offline components, interactive teaching through the flipped classroom methodology, heuristic teaching using problem-based learning (PBL) mode, and topic teaching via case studies. We also improved the assessment mechanism to stimulate students' enthusiasm for learning nurture their innovation capabilities. Our objective was to foster high-quality professionals with a robust foundation and practical expertise. Through teaching exploration and practice, we have witnessed significant improvement in both teaching efficacy and students' engineering practice and innovation abilities.

How the training pathways and capacity of rural physicians inform their scope of practice: A qualitative study examining the experiences of Australian and international medical graduates in South-East New South Wales, Australia.

Current strategies to address shortages of rural doctors focus on developing a pipeline for rural generalist practice. Limited research has explored how doctors' professional journey engenders the skills required to practice rurally. This paper analyses how rural general practitioners' clinical pathway informs their scope of practice and future retention. Qualitative thematic analysis using semi-structured telephone interviews. Twenty-one general practitioners appointed in their local health district of Murrumbidgee and Southern New South Wales, Australia, within the past 10 years. Participants comprised 10 Australian medical graduates (AMG) and 11 international medical graduates (IMG). AMGs and IMGs contrasted how their pathway into rural practice, and capacity to work rurally, informed their scope of practice. Australian medical graduates' familiarity with rural areas was consolidated through congruous experiences, including at rural clinical schools. Paradoxically, the fluency of their training limited the amount of unsupervised experience and confidence AMGs gained. Together with a focus on work-life balance, this limited many to providing mainstream general practice, precluding extending their scope of practice. International medical graduates described disseminated experiences, often unsupervised in high-volume contexts. However, a lack of professional opportunities prevented them from extending their scope of practice. IMG and AMG motivation and pathway for working rurally differ. Respective cohorts have concerns regarding requisite skills and knowledge for rural practice, which incorporates opportunity and recognition. Entry points for training should be variable to allow consideration of life stage, prior skill development and extension of scope of practice. Doctors' scope of practice is informed by their pathways into rural practice. Australian medical graduates may not gain adequate competence during expedited training programs to confidently undertake extended clinical activities. International medical graduates, however lacked the opportunities and support, to utilise their expertise in rural practice. Complementarily utilising the expertise and commitment of both AMGs and IMGs may synergistically address workforce shortages.

Upaya Kontribusi melalui Keterlibatan Pengabdian Mahasiswa dalam Proses Konstruksi Pondasi Bored Piled Jembatan Timbang

This activity is a community service carried out by UMKT Civil Engineering students who are integrated with UMKT Civil Engineering Lecturers for two months. The collaboration carried out by students with industry partners in the weighing-bridge construction project showed an essential contribution to the integration of actual and theory. The focus of this community service activity is the implementation of work methods on bored pile foundation work. Student activities include direct observation, interviews, and comparative theory analysis with field practice. The activity results focus on Standard Penetration Test (SPT) soil testing data, determining weighing-bridge bored pile points, and implementation methods. Through this activity, students and lecturers play an active role in providing accurate contributions to industrial partners in ensuring the efficiency and quality of the implementation of bored pile foundations. Thus, this activity not only provides solutions to problems faced by industrial partners but also serves as a direct learning medium for students. This emphasizes the importance of an interdisciplinary approach that combines science, technology, practical expertise, and academic theory in planning bored pile foundations for weighbridges.

Совершенствование законодательства о судебно-экспертной деятельности: некоторые вопросы организационно-правового и методического обеспечения

The authors analyze the applicable laws, investigative and expert practice to bring forward amendments to the applicable laws and the bill of the Federal Law on Forensic Activities in the Russian Federation in terms of certifi cation of private forensic experts, validation and certifi cation of scientifi c and methodological support of forensic examination. The article proves the idea that one needs to reach a balance of powers by engaging an equal number of representatives of various state forensic institutions in this procedure. The paper also notes inexpediency of the establishment of requirements for methodological support of forensic examination through introduction of additional regulatory procedures.