Training Of Medical Personnel Research Articles

Harnessing the power of AI in healthcare: benefits, concerns, and challenges for medical personnel training

Artificial intelligence (AI) has emerged as a transformative force in healthcare, offering numerous benefits such as improved diagnostics, personalized treatments, and enhanced patient care. However, its integration into medical personnel training comes with both opportunities and challenges. This research article explores the benefits of AI in healthcare training for doctors and other healthcare providers across various hospital departments, while also addressing concerns and challenges associated with its implementation. Recommendations and implications for optimizing AI integration in medical training are discussed.

A SURVEY ON CONTINUOUS POSTGRADUATE DISASTER MEDICINE EDUCATION NEEDS IN THE PLOVDIV REGION

Introduction: Disasters, regardless of their origin, have a direct negative impact on the physical and psychological wellbeing of the population. Medical support for the casualties necessitates specific organization and training of medical personnel. Knowledge and skills in the field are considered to be essential for the execution of a rapid response. Purpose: The aim of this research was to study the need for postgraduate disaster medicine education for different categories of medical professionals in the Plovdiv region. Materials and methods: A cross-sectional study was conducted in 2020 through an anonymous inquiry among medical professionals from pre-hospital healthcare, hospital care and the centers for emergency medical aid in the Plovdiv region. Results: The survey was held among 160 medical professionals. They were interviewed regarding their participation in medical support for disasters or mass casualty incidents. 50,3% of them had such experience. 65% of the respondents evaluated their knowledge of disaster medicine as moderate, while only 18,7% reported high self-assessment. Most interviewees knew the knowledge and skills needed for disaster medical support, but half had never trained in these skills. Almost all respondents - 93,1%, considered disaster medicine knowledge useful for medical practice. 89,4% share the opinion that postgraduate courses were necessary. 93,2% preferred to be trained and educated on the subject by the Medical University. Conclusions: The results from our survey highlight the lower than expected self-confidence among medical professionals regarding their disaster medical support knowledge and skills. Postgraduate training could improve disaster resilience by increasing skill and confidence.

Ways to prevent ISMP by changing the behavioral approach of health care workers

The article presents foreign experience in implementing a program for the prevention of HAI through changes in behavior and skills acquired during the ongoing training of medical personnel. The need and importance of creating program modules for each target audience of medical personnel is emphasized.

Actualization of practical training in medical education

Currently, the issue of the effectiveness of medical personnel training is a key issue for the healthcare sector. The target area of medical personnel training is the combination of theoretical studies and the development of practical skills in the educational process. The article provides a comparative analysis of the norms regulating the features of practical training in educational programs of different levels, the features of practical training in medical education programs. Network forms of practical training implementation, requirements for their resource provision, as well as existing provisions regulating practical training in medical education programs and directions for its improvement are considered.

Application of flipped classroom teaching method based on ADDIE concept in clinical teaching for neurology residents

BackgroundAs an important medical personnel training system in China, standardized residency training plays an important role in enriching residents’ clinical experience, improving their ability to communicate with patients and their clinical expertise. The difficulty of teaching neurology lies in the fact that there are many types of diseases, complicated conditions, and strong specialisation, which puts higher requirements on residents’ independent learning ability, the cultivation of critical thinking, and the learning effect. Based on the concept of ADDIE (Analysis-Design-Development-Implementation-Evaluation), this study combines the theory and clinical practice of flipped classroom teaching method to evaluate the teaching effect, so as to provide a basis and reference for the implementation of flipped classroom in the future of neurology residency training teaching.MethodsThe participants of the study were 90 neurology residents in standardised training in our hospital in the classes of 2019 and 2020. A total of 90 residents were divided into a control group and an observation group of 45 cases each using the random number table method. The control group used traditional teaching methods, including problem based learning (PBL), case-based learning (CBL), and lecture-based learning (LBL). The observation group adopted the flipped classroom teaching method based on the ADDIE teaching concept. A unified assessment of the learning outcomes of the residents was conducted before they left the department in the fourth week, including the assessment of theoretical and skill knowledge, the assessment of independent learning ability, the assessment of critical thinking ability, and the assessment of clinical practice ability. Finally, the overall quality of teaching was assessed.ResultsThe theoretical and clinical skills assessment scores achieved by the observation group were significantly higher than those of the control group, and the results were statistically significant (P < 0.001). The scores of independent learning ability and critical thinking ability of the observation group were better than those of the control group, showing statistically significant differences (P < 0.001). The observation group was better than the control group in all indicators in terms of Mini-Cex score (P < 0.05). In addition, the observation group had better teaching quality compared to the control group (P < 0.001).ConclusionBased on the concept of ADDIE combined with flipped classroom teaching method can effectively improve the teaching effect of standardized training of neurology residents, and had a positive effect on the improvement of residents’ autonomous learning ability, critical thinking ability, theoretical knowledge and clinical comprehensive ability.

The 50th anniversary of corresponding member of the Russian Academy of Sciences Pavel N. Romashchenko

February 22, 2024, marks the 50th anniversary of Pavel N. Romashchenko, a famous scientist, specialist in the field of endocrine, abdominal surgery, and oncology, corresponding member of the Russian Academy of Sciences, Doctor of Medical Sciences, professor, and colonel of the medical service. For more than 30 years, his life has been inextricably linked with the S.P. Fedorov Faculty of Surgery of the Military Medical Academy names after S.M. Kirov, where he worked his way up from a cadet to the head of the department. In the walls of his alma mater, he evolved into a brilliant clinician, scientist, and leader, defended his doctoral dissertation, and received the title of professor. His fundamental work, as well as scientific research conducted in the clinic under his leadership, substantiated diagnostic and treatment algorithms and expanded the possibilities of using innovative and minimally invasive technologies in endocrine and abdominal surgery. Over the years of P.N. Romashchenko’s leadership of the department and clinic, much has been done to improve it with modern equipment, allowing it to perform various surgical and diagnostic interventions as part of the provision of specialized and high-tech surgical care. P.N. Romashchenko was awarded the honorary title “Honorary Doctor of the Russian Federation”. Under his leadership, 2 doctoral and 10 candidate dissertations were defended. P.N. Romashchenko is the author of more than 460 scientific works, including 14 monographs on various areas of endocrine and abdominal surgery. Currently, Pavel Nikolaevich successfully manages various scientific research as well as training scientific, pedagogical, and medical personnel.

SYSTEM OF STATE REGULATION OF PROFESSIONAL TRAINING OF MANAGING STAFF OF HIGHER MEDICAL EDUCATION IN UKRAINE

The article addresses the topical issue of public administration of professional training for higher medical education management personnel in Ukraine. It explores the current state and development prospects of the training system for managers of higher medical education institutions, and identifies priority areas for its improvement. The relevance of the research is determined by the need to provide the Ukrainian healthcare system with highly qualified managers capable of effectively managing higher medical education institutions in the context of dynamic changes and integration into the European and world educational and scientific space. The article defines the main approaches and mechanisms for implementing state policy in the field of healthcare and higher medical education. It identifies the directions for improving the organizational, legal, and economic mechanisms of state regulation of professional training for management personnel of higher medical institutions in Ukraine in terms of clarifying the content of the key research concepts "management personnel of higher medical education institutions" and "state administration of professional training for management personnel of higher medical education institutions". It is determined that the reforming and development of the healthcare and higher medical education sector of Ukraine in the context of integration into the European and world educational and scientific space requires the preparation of a new generation of managers - healthcare managers. It is determined that this category of managers includes vice-rectors and heads of relevant scientific, educational-methodological and educational commissions, deans and vice-deans of faculties, heads of departments and other structural units. The formation of a comprehensive mechanism of state administration of professional training for management personnel of higher medical education institutions should be carried out on the basis of such principles as scientific justification, legality, common interests and values, consistency, comprehensiveness, systematicity, subsidiarity, transparency, innovation, adequacy, efficiency, and responsibility. The article analyzes the features of the system of state administration of professional training for management personnel of higher medical education institutions in Ukraine and abroad. Based on a comparative analysis of management training systems in 6 developed countries of the world, it is proved that the system of professional training and advanced training of management personnel of higher medical education institutions should function in accordance with the current trends in the healthcare sector and the field of higher medical education, comply with the implementation of state policy principles, and be systematic. Statistical analysis of the dynamic changes in the indicators of provision with higher medical education institutions and medical institutions over the years of Ukraine's independence demonstrates the need for joint coordination and cooperation to coordinate the efficiency of the healthcare system. Thus, the article reveals the essence and features of state administration of professional training for management personnel of higher medical institutions, analyzes the regulatory framework governing this area, and identifies the main areas for improving the training system for managers of higher medical education institutions, namely: Updating the content and forms of training; Introduction of innovative teaching methods; Improvement of teachers' qualification; Strengthening the practical focus of training; Development of international cooperation.

Uterine Balloon Tamponade in Management of Postpartum Hemorrhage

Aim. To evaluate the efficacy and safety of uterine balloon tamponade for the management of postpartum haemorrhage.Materials and Methods. We have screened the Cochrane Library and PubMed for the following keywords: “intrauterine balloon tamponade”, “controlled balloon tamponade”, “controlled balloon tamponade” AND “postpartum bleeding/haemorrhage” during 5 years (2018-2023). In total, we have identified 358 publications including 3 meta-analyses, 6 systematic reviews, and 13 randomized controlled trials. After checking titles and abstracts to remove duplicates, we selected 38 sources which met the selection criteria.Results. Postpartum haemorrhage remains the leading cause of maternal mortality in both developing and developed countries. In most cases, postpartum haemorrhage occurs due to atony and is controlled by administration of uterotonics. However, if uncurbed, postpartum haemorrhage requires blood transfusion and surgery. Currently, uterine balloon tamponade is considered as one of the most efficient and safe technologies for controlling postpartum haemorrhage and preventing hysterectomy, yet a number of studies have reported negative results. Several investigations showed an advantage of double-balloon tamponade as it provides an additional benefit of vascular compression of the lower uterine segment. Generally, uterine balloon tamponade is an efficient intervention which allows to avoid additional surgeries (uterine artery embolization or hysterectomy) in 87.3 – 100.0% of cases with a relatively low complication rate (&lt; 6.7% – 9.4%).Conclusion. The effectiveness of uterine balloon tamponade and the risk of complications are probably determined by the type of device, the learning curve effect, and the regularity and quality of training of medical personnel. Further in-depth multicenter studies in this direction are required.

Strategies and recommendations to face respiratory syncytial virus disease in 2024

During the winter of 2023, Chile faced a complex situation related to the respiratory syncytial virus (RSV). After experiencing a decline in RSV circulation during the years of the SARS-CoV-2 pandemic, a late outbreak was observed in the spring of 2022 and an early onset of the outbreak in 2023, with a significant increase in the number of serious cases. The ineffectiveness of strategic planning and risk communication contributed to the complexity of the situation. To avoid the above next winter, measures such as active surveillance, unification of definitions for acute respiratory infections, identification of RSV variants, public education about infections and advance preparation regarding hospital beds and health personnel are suggested. The importance of immunization and intersectoral collaboration to acquire new preventive alternatives is highlighted, as well as the need for early communication about the importance of immunization and identification of high-risk groups, improvement in training of medical personnel and strategic planning of the Ministry of Health. seeking a proactive and collaborative approach to address the complex RSV situation in future winters. The Chilean Immunization Advisory Committee has already carried out an analysis and recommendation on a new prevention alternative. This working group will support any decision of the Ministry of Health in public policies that attempt a change in the paradigm of control of this disease for the health of the children of our country.

Current state of research in the field of intranasal dosage forms and the possibility of using piracetam as an intranasal gel

The intranasal method of administration has been known for a long time and until recently was regarded only as a method of local treatment of nasal cavity diseases. However, nowadays it is increasingly being considered as a promising and convenient way to deliver many drugs with a resorptive effect into the body. This is not surprising: this method of administration has a number of advantages and can be used for drugs produced only in the form of injectable solutions. The drug will not be metabolized in the liver, since it will enter the blood directly through the epithelium of the nasal cavity, which is abundantly supplied with blood. In addition, compared with injectable dosage forms, this method is less traumatic and does not require the participation of medical personnel and special training. The use of intranasal dosage forms, primarily for the treatment of cerebral pathologies, is a promising direction in medicine and pharmacy.

Telemedicine and international projects: from Asia to Africa: chances for the future?

Although the morbidity and mortality of neurological diseases in many Asian and African countries is high and are predicted to increase even further in the coming decades, in many areas there is ashortage of medical personnel and high-quality treatment options. This shortage, together with a frequently insufficient healthcare infrastructure, limits the access of many patients to medical treatment. The possibilities of telemedicine are multifarious. It provides new, so far unused possibilities in the diagnostics and treatment of neurological diseases, totally independent of geographical boundaries. In the future it could also be used for the education and training of physicians and medical personnel and to close the existing gaps in healthcare, especially in developing countries.

Check valves : Important facts for safe use

Patients benefit from the use of check valves when drugs with a particularly short half-life (e.g., catecholamines) are continually administered through aone-way valve or when an accidental retrograde bolus application must be prevented, as in the event of arapid sequence induction and intubation. The lack of acheck valve can prevent the administered drug from working in the intended manner resulting in potentially insufficient treatment and negative consequences for the patient. In order to ensure the highest level of patient safety while using check valves appropriate training of medical personnel is essential. In contrast, preventable dangers (e.g., infections, awareness) exist when safety measures are disregarded, including the re-use of medications, syringes or disposable materials in successive patients after having only exchanged the check valves. It is not clear how often this is practiced in German-speaking areas.

Professor Viktor Konstantinovich Menshikov — medical doctor, scientist, patriot (to the 140th anniversary)

The article presents the biography of a talented pediatrician Victor K. Menshikov, who made a substantial contribution to the history of the formation of pediatric services in Kazan and in the Republic of Tatarstan. Special attention is paid to the role of the professor in the development of therapeutic and preventive care for young children in an economic laggard with high morbidity and infant mortality at the turn of the XIX-XX centuries. The emphasis in the coverage of Victor K. Menshikov’s activities is focused on the organization of a department for infants on the basis of a children's clinic on the model of European clinics, the study of issues of dietetics and the expansion of the range of acidified milk formula in the nutrition of children with digestive disorders, a modern approach to the organization of the educational process in the training of national medical personnel. The presented information enriches the history of the development of pediatrics, science and healthcare in the Republic of Tatarstan and in Russian Federation.

Трудный путь возрождения пермской медицины (1919–1923)

The article is devoted to the most difficult period in the history of Perm medicine, associated with the recovery after the devastating civil war. It turned out to be the least studied in the historical discourse, although it was filled with tragic events: the destruction of urban infrastructure, including in the field of healthcare, the practical absence of medical personnel, the catastrophic epidemic situation in the city and countryside. Returning the situation to normal was complicated by the food and fuel crisis. And in 1921, the famous famine began in the Volga region, which also captured a number of districts of the Perm province and had a great impact on the state of medical care. Based on archival sources that have not previously been introduced into scientific circulation, newspaper materials, and publications of that time, a description is given of the activities of doctors and paramedics in overcoming enormous difficulties in providing a minimum level of medical care to the population. The role of the Soviet and party leadership of the Perm province, provincial and district health departments in overcoming the most acute organizational and personnel problems in this area is revealed. Attention is drawn to the difficulties and unresolved problems in the fight against mass epidemic diseases and the dedicated work of medical personnel in these difficult historical conditions. Of undoubted interest is the initial period of formation of the pediatric service system in the province, the contribution of scientists and practitioners in providing medical care to newborns, young mothers and infants. The role and significance of the Faculty of Medicine of Perm University in the training of medical personnel, the work of teachers and students in practical healthcare is analyzed. A special place is given to the analysis of the state of medical care in the initial period of the NEP. The main directions of implementation of these principles in the field of health care, their contradictory nature and the difficulties of their implementation on the territory of the Perm province until the end of 1923, when the zoning of the Urals took place, led to the liquidation of this territorial entity.

Research on the Optimization Strategies of the Structure of Higher Vocational Medical Personnel Training under the Background of Medical-Educational Collaboration

Research on the Optimization Strategies of the Structure of Higher Vocational Medical Personnel Training under the Background of Medical-Educational Collaboration

Satisfaction and readiness for professional activity of students of the Institute of Osteopathy (Saint-Petersburg): a study using the DREEM questionnaire

Introduction. The educational program is an important factor of the training quality of a future specialist in the modern system of medical personnel training. The most important indicator of the educational program quality is the educational environment that influences the formation of competencies and the students′ success. Measurements of the educational environment with the help of developed and validated tools make it possible to change it in many ways, which will eventually improve the quality of medical education. To date, the rapid educational environment assessment system developed at the University of Dundee (Dundee Ready Education Environment Measure, DREEM questionnaire) is considered as a valid and reliable tool that is universally accepted for measuring the medical educational environment, assessing the strengths and weaknesses of the educational environment according to the educational program under study and determining the direction of improving the educational environment. The aim of the study is to evaluate the perception of the educational environment by students of the Institute of Osteopathy (Saint-Petersburg) using the DREEM questionnaire. Materials and methods. The study involved 80 students of the Institute of Osteopathy (Saint-Petersburg), studying in residency or professional retraining programs. Participants were surveyed using the DREEM questionnaire, consisting of 50 closed-ended statements, which are grouped into 5 subcategories. I. Students′ perception of the learning process (12 statements). II. Students′ perception of the role of lecturers in the educational process (11 statements). III. Students′ perceptions of their own academic performance (8 statements). IV. Students′ perceptions of the educational atmosphere (12 statements). V. Social self-perception and interaction with the environment (7 statements). Each of the 50 statements is rated on a 5-point scale: «Strongly agree» (4), «Agree» (3), «Not sure» (2), «Disagree» (1) and «Strongly disagree» (0). Satisfaction analysis was also carried out for individual statements. Results. The analysis of information obtained using the DREEM questionnaire showed that the educational environment created at the Institute of Osteopathy (Saint-Petersburg) was rated by students as ideal — 165,2 points; doctors studying in the residency educational program rate the educational environment statistically significantly (p &lt; 0,05) higher than those studying in the professional retraining program. Among the students studying in a residency program, the indicators of confidence in their readiness for professional activity are at a fairly high level — 3,5–3,7 points, while among the students studying in a professional training program, the indicators of confidence in their readiness for professional activity are at the level of 2–3,3 points. There are some indicators of the educational environment that require improvement. Conclusion. A detailed study of the level of the educational environment perception among students of the Institute of Osteopathy (Saint-Petersburg), studying in various educational programs, made it possible to identify the most problematic areas in the educational process implemented at the Institute, which makes it possible to develop proposals for improving the current educational environment. The issues of organizing social support for students and building confidence in their preparedness for practical activities deserve the greatest attention. It is also recommended to regularly conduct a study of the educational environment satisfaction among students of the Institute of Osteopathy to assess the dynamics of the indicators.

A systematic review of tetracycline resistance genes in animals and derived products in Latin America and the Caribbean

We aimed to systematize and assess scientific information on tetracycline (TET) resistance genes in animals, products, and by-products in the Latin America and the Caribbean (LAC) region. PRISMA guidelines were followed. Only original articles published in peer-reviewed journals were considered. Sixty articles published between 2003 and 2023 met the inclusion criteria. The geographical areas of study were Brazil, Mexico, Chile, and Costa Rica, and, to a lesser extent, Colombia, Bolivia, Cuba, Jamaica, Puerto Rico, and Uruguay. The studies were related to livestock, wild animals, and pets. The most common isolated bacteria were Escherichia coli and Salmonella spp. The tet genes found in higher frequency in the samples or isolates evaluated were tetA, tetB, tetM, tetL, tetK, tetC, tetO, tetD, tetG, tetW, tetS, tetQ, tetE, tetH, tetJ, tetZ, and tetY. Studies evaluating the presence of tet genes in animals in LAC are limited despite TET being antibiotics widely used in animals. It is necessary to establish cross border public policies that allow the constant training of medical and related personnel regarding the responsible use of antibiotics in animals and the effective monitoring of the phenomenon in the region.

Cerebrovascular diseases epidemiology in the Stavropol region rural residents in the implementation context of the regional program «Fighting mediavascular diseases in the Stavropol region»

Relevance. During the implementation of the program for the prevention and treatment of cardiovascular diseases in the Stavropol Territory, measures were taken to prevent hemorrhagic and ischemic strokes, train medical personnel in methods of timely detection of cerebrovascular diseases (CVD), recognition (including through training of the general population) and routing patients with acute cerebrovascular accidents; during a pandemic, opening specialized departments. This organizational experiment required an assessment of its impact on the most medically complex group of the population - rural residents. The aim was to study in dynamics the epidemic situation of CVD among the rural population in the Stavropol Territory in comparison with the Russian Federation. Materials and Methods. Information from official statistical observation forms on the incidence of CVD and mortality from them was studied. Results and Discussion. In the period from 2010 to 2022, there was an increase in the incidence of CVD in the rural population from 464.6 to 1045.1 per 100,000 rural population, which is partly due to the aging of the population, and partly due to improved diagnosis of CVD. The overall incidence of CVD increased from 1275.5 to 3416.1, which suggests an improvement in patient survival. The incidence of strokes of all types tended to decrease, which indicates the effectiveness of the impact on the risk factors for their development. The incidence of unspecified strokes decreased significantly, which led to an increase in the primary incidence of cerebral infarctions (which, however, grew more slowly in the Stavropol Territory than in the Russian Federation as a whole; the coefficients of the regression equations were 2.5 and 4.3, respectively). Between 2015 and 2022. the mortality rates (from 208.4 to 161.1) and mortality (from 5.8 to 2.8) from CVD decreased rapidly (relative to mortality from CVD in the Russian Federation). Conclusion. The proposed set of measures for the prevention and treatment of CVD, including preventive measures, a system of social mobilization, FAST-test, patient routing systems with the delivery of eligible persons to vascular centers within an hour, timely response to new risk factors for the development of CVD, was effective and can be recommended for implementation in similar areas with a high proportion of rural population.

Exploring the Epidemiology of Injuries in Athletes of the Olympic Winter Games: A Systematic Review and Meta-Analysis.

This study sought to provide a comprehensive assessment of the incidence of sports injuries among athletes participating in the Olympic Winter Games and to investigate contributing factors. We gathered injury data from athletes participating in the recent four Olympic Winter Games, incorporating details on the sports event, sex, injury location, and type. Through a meta-analysis, we calculated the injury incidence rates for each sport and examined the influence of sex and the type of sport on these incidence rates. Out of 11,197 registered athletes, we documented 1,304 sports injuries. The sports events with the highest injury rates were freestyle skiing, snowboarding, alpine skiing, bobsleigh, and ice hockey, with the most frequent injury locations being the knees, thoracic/lumbar/back regions, and the wrist/hand/fingers. Contusions, hematomas, and bruises were the most prevalent injuries, followed by strains (including muscle rupture, tearing, or tendon rupture) and sprains (covering dislocations, subluxations, and ligament ruptures). In the Olympic Winter Games, events such as freestyle skiing, snowboarding, alpine skiing, bobsleigh, and ice hockey pose a particularly high risk. Predominant injury sites include the knee, spine/back, and wrist and hand, with injuries ranging from contusions and hematomas to strains and sprains. For effective injury prevention, it is crucial to emphasize proper medical resource allocation, specialized training for medical personnel, and meticulous venue maintenance.

Perspectives on the Strategic Health Impact in Romania

The health system and management of medical services is a sector of major importance, considering that it concerns the entire population, emphasis should be placed on the medical act, on the motivation and training of medical personnel to provide quality health services that respond fully meet patient expectations. It should be remembered that it is easier to prevent than to treat, and primary prevention represents the basis of a healthy society and the most effective and inexpensive method to stop the occurrence and evolution of chronic diseases. In this sense, new concepts and methodologies have been developed, both worldwide and in our country, especially recently, that try to meet the needs. It is approached differently and specifically depending on the individual needs, the resources we have at hand, all of which have as the result the improvement of the medical act and the satisfaction of the patient.