Specialist Training Research Articles

INVESTIGATION OF THE INFLUENCE OF CHOOSING THE TYPE OF FACADE SYSTEM USING ABC ANALYSIS ON THE COST OF THE LIFE CYCLE OF THE BUILDING OBJECT

The article is devoted to a comprehensive study of the influence of the choice of the type of facade systems on the total cost of the life cycle of the construction object, with a special emphasis on the application of ABC-analysis as a tool for determining the optimal option for arranging the facade, taking into account economic and quality aspects. The main purpose of the article is to justify the feasibility of using ABC analysis to select the type of facade systems and assess its impact on the costs associated with the life cycle of the building. The article provides a detailed analysis of various types of facade systems from the point of view of their fastening, materials, design and method implementation. Such systems as ventilated and non-ventilated facades, hinged ventilated facade systems, facades with cladding made of natural stone, composite materials and other modern materials are considered. Special attention is paid to the study of technological characteristics, durability and maintenance costs of various types of facade systems. The application of ABC analysis allows classifying facade systems according to their impact on the cost and quality of construction. In this context, facade systems are divided into three categories: A - the most important and expensive, B - medium importance and expensive, C - less important and with minimal expenses. This approach allows builders and designers to focus their attention on the most critical elements that affect the overall cost and efficiency of construction.As a result of the study, it becomes possible to make an informed decision regarding the choice of the optimal facade system, which best meets the specific needs of the project and contributes to the optimization of the cost of the life cycle of the building. In particular, the selection of appropriate materials and technologies allows to reduce construction costs, ensure durability and reduce maintenance and repair costs in the future. In addition, the results of the study can become the basis for the development of practical recommendations for professionals in the construction industry, including builders, designers and architects. This makes it possible to create more efficient, economical and ecologically sustainable construction objects. Also, the article emphasizes the importance of creating specialist training schools and conditions for the successful implementation of life cycle assessment technologies in the construction industry.

Analysis about radiation risk perception among university students from San Carlos de Bariloche and radiological protection experts from Argentina

Radiation risk perception must be studied by communication and radiological protection specialists, taking account of engineering, social and cultural variables. An anonymous and voluntary survey was peformed to enquire about the radiation risk perception among university students and radiological protection experts from Argentina, and to become aware of how it is perceived compared to other health risks. A fifteen-question dedicated questionnaire was designed including socio-demographic variables and questions about work environment, risk perception and risk communication. A five-point Likert-type scale was used for most of the questions. Surveyed people were asked to compare radiological risks in medicine with other risks (i.e.: smoking, sports, leisure activities, stress). The research involved 10 (38.5%) experts, 25 (45%) physics and engineering students and 40 (100%) bio-images production bachelor students. The results were analysed based on the professional or academic background. Although participants considered the radiation exposure in medicine as a low-risk activity, the results showed a disagreement about the radiation risk perception in particular situations (i.e.: living near a nuclear power plant, training in radiological protection while at college) and about radiation risk communication strategies. There is neither right nor wrong risk perception; however, a lot of work must be done to build an agreement between radiological risk perception and risk assessment due to radiation exposure in medicine. It should include working on the design of public policies focused on radiological protection training for health staff and clinical research training for medical physicists and radiological protection specialists, while strengthening communication skills and channels.

Readiness of Future Librarians to Work in Today's Digital Environment in Kazakhstan

The purpose of this research is to determine the optimal pedagogical conditions in the context of the formation of information and communication competencies of future librarians, as well as to reveal the basics of professional training of information-library specialists in the higher educational institutions of Kazakhstan. The basis of the methodological approach is a qualitative combination of the system analysis methods of librarians’ training at universities with the analytical study of the development of professional competencies of future specialists. To implement the conceptual tasks of professional education, an important component is the psychological and pedagogical conditions for the training of qualified personnel, which involves the use of modern approaches to teaching in the educational process with the use of innovative methods. The results of this study reflect the problem of preparing librarians for professional activity in the modern digital environment. It also presents ways of effectively organizing the educational process in the context of the formation of information and communication competencies of higher education students.

Competency Approach in Nurse Training

In the current conditions of market relations, especially in the context of reforming the medical education system, it is necessary to change the quality of training of specialists in order to train demanded and competitive graduates of secondary vocational educational institutions using a competency approach. The competence approach contributes to the orientation of the young specialist to obtain theoretical knowledge, increasing the level of practical knowledge that a graduate of a medical college should have and his ability to master in the labor market. The opinion of medical college students about the knowledge and practical skills required by the graduate is important. To this end, a questionnaire survey of 84 medical college students was conducted. First-year students do not yet have a clear idea of ​ ​ the competence approach in the learning process and the importance of not only theoretical knowledge, but also clinical disciplines, practical communication skills. Students of the 3rd year have already formed an opinion about the importance of all subjects and motivation for future professional training. The introduction of a competency approach in the training of nurses makes it possible to conduct the educational process at a qualitative level, contributing to the training of highly qualified, competitive specialists in the medical labor market.

Experience of Implementing Simulation Training at Grodno State Medical University

Healthcare education is constantly evolving, and simulation training has become an integral part of the training of medical specialists. Grodno State Medical University is actively implementing simulation methods aimed at developing practical skills in students and doctors, contributing to improving the quality of medical education.

A Мodular approach to the development of additional professional education programs for the training of medical specialists: analysis and prospects.

A Мodular approach to the development of additional professional education programs for the training of medical specialists: analysis and prospects.

Organization of Simulation Training of Secondary Medical Workers in Marat Ospanov West Kazakhstan Medical University

The article discusses the key aspects of the organization of simulation training for secondary medical workers at Marat Ospanov West Kazakhstan Medical University. Simulation technologies make it possible to repeatedly practice clinical skills, improving the quality of specialist training. The training includes modeling of various situations, which contributes to better assimilation of the material, reducing the risk of errors in real practice and increasing the competence of specialists.

Audit of the Quality of Emergency and Emergency Care for Children in a Multidisciplinary Hospital Using Simulation Technologies

Currently, on the basis of the Order of the Ministry of Health of the Russian Federation dated 07/31/2020 No.785n, the Ministry of Defense must conduct an audit of the quality and safety of medical activities. The audit should include not only an assessment of theoretical knowledge, but also the level of proficiency using simulation technologies. An audit was conducted on the indicators of emergency and emergency care for children in the Ministry of Defense. The audit results allowed: to improve approaches to providing emergency care to children; to form an effective trajectory for training specialists; to implement trainings; to obtain data on the survival of skills; to work out an audit algorithm.

A Competition among Medical Organizations Using Simulation Technologies Is an Effective Form of Auditing the Level of Proficiency in Providing Emergency and Emergency Care to Children

The organization of quality control and safety of medical activities in the field of emergency and emergency care for children is one of the urgent problems today. Despite the need, there is no clear understanding (What? How? Who?) implementation of this control. The use of simulation technologies is the most effective format for both training and skill assessment. As one of the effective forms of control, it is possible to hold competitions among medical organizations using simulation technologies and involving external experts (simulation training specialists).

Development and validation of a realistic type III esophageal atresia simulator for the training of pediatric surgeons

BackgroundThe technical complexity and limited casuistry of neonatal surgical pathology limit the possibilities of developing the necessary technical competencies by specialists in training. Esophageal atresia constitutes the paradigm of this problem. The use of synthetic 3D models for training is a promising line of research, although the literature is limited.MethodsWe conceptualized, designed, and produced an anatomically realistic model for the open correction of type III oesophageal atresia. We validated it with two groups of participants (experts and non-experts) through face, construct, and content-validity questionnaires.ResultsThe model was validated by nine experts and nine non-experts. The mean procedure time for the experts and non-experts groups was 34.0 and 38.4 min, respectively. Two non-experts did not complete the procedure at the designed time (45 min). Regarding the face validity questionnaire, the mean rating of the model was 3.2 out of 4. Regarding the construct validity, we found statistically significant differences between groups for the equidistance between sutures, 100% correct in the expert group vs. 42.9% correct in the non-expert group (p = 0.02), and for the item “Confirms that tracheoesophageal fistula closure is watertight before continuing the procedure”, correctly assessed by 66.7% of the experts vs. by 11.1% of non-experts (p = 0.05). Concerning content validity, the mean score was 3.3 out of 4 for the experts and 3.4 out of 4 for the non-experts.ConclusionsThe present model is a cost-effective, simple-to-produce, and validated option for training open correction of type III esophageal atresia. However, future studies with larger sample sizes and blinded validators are needed before drawing definitive conclusions.

ASSESSMENT OF THE COMPETENCE APPROACH OF DENTISTS OF VARIOUS SPECIALTIES IN PROVIDING MEDICAL CARE TO PATIENTS WITH INCREASED TOOTH ABRASION

BACKGROUND. This study examines the main aspects of the competence-based approach of dentists in the treatment of patients with increased tooth erasure (TSL). TSL is a serious problem that can lead to various diseases of the oral cavity, as well as tooth loss. The competence-based approach of dentists in the treatment of patients with TSL plays a key role in the prevention and treatment of this disease. A study examining the knowledge of dentists in providing care to patients with TSL will reveal the level of training of specialists in this field. This will allow us to assess the need for additional training and advanced training of dentists for the effective treatment of patients with TSL. The results of the study can be used to improve the work of dental institutions and educational programs for dentists. This will improve the quality of dental care, improve the prognosis of the disease in patients with TSL and reduce the risk of complications. AIM. To evaluate the knowledge of dental care for patients with increased tooth abrasion among dentists of different specialties. MATERIALS AND METHODS: The research is based on the results of a sociological survey using the questionnaire method of 175 dentists of different specialties. The survey of doctors was conducted according to the questionnaire developed by the authors "Assessment of professional competence in the tactics of managing patients with TSL by dentists of different profiles." The questionnaire included general information about the respondent (age, specialty), questions related to TSL (concept, complaints, symptoms, prevention of TSL, treatment), assessment of the questionnaire procedure. RESULTS. The study demonstrated a relatively low competence approach of dentists of various specialties in the prevention and treatment of patients with TSL. CONCLUSION: Dentists have demonstrated a low competence approach to the prevention and treatment of TSL. The lack of interaction between dentists in the treatment of TSL was determined. The results of the conducted sociological study, along with the high prevalence of TSL, determined the need to develop clinical recommendations for the prevention and treatment of TSL.

The Didactic Spiral in the Organization of Continuous Training in Neonatal Resuscitation

The dynamic educational process is a didactic spiral in the organization of continuous training in neonatal resuscitation, it is a "living", developing system of training medical specialists in obstetric care with the progress of competencies from the basic level to the highest professionalism and skill, from technical skills to supra—professional competencies.

SP8.8 - Inspiring Overseas Surgeons for a Life in the NHS: Results from an International Cohort

Abstract Aims Entry into the NHS can be fraught with difficulty, especially when entering from outside of the UK. Numerous socioeconomic and cultural barriers exist, which can be prohibitory. Currently only extremely limited methods of motivating international medical graduates (IMG) exist. Surgical specialist training recruitment has decreased over the past few years. We instigated an innovative introduction to the NHS with the aim of inspiring overseas doctors to pursue a career within surgery in the NHS. Methods An agenda was created targeted at medical students and IMG. Speakers were recruited based upon these including students and doctors who had visited the NHS or are current workers. Collaboration was sought with international students who aided with distribution. Individuals were invited to sign up via an electronic link. The session was delivered with free online video conferencing software. Participants answered a series of 5-point Likert scale questions. Results 102 registrations were received. Participants attended from Brazil (64.3%), USA (14.3%), India (7.1%) and the UK (7.1%). The event attracted a wide range of seniority from medical students (35.7%) to residents (7.1%). 100% of participants stated they had a better understanding of the NHS and 100% were more likely to attempt to enter the NHS after attending the event. Conclusions Chronic staffing shortages are a ubiquitous problem in the NHS. Application rates for surgical posts have been declining. Our innovative method of inspiring surgeons of the future has been shown to be effective in our international cohort.

Mind the gap: exploring stakeholder perspectives on police-led pathways to crisis mental health care for young people in Ireland

ABSTRACT Over the past few decades, the level of police involvement at a community level in matters of mental health has increased significantly. Police are often the only agency immediately available day or night to respond to such emergencies and are often left to deal with mental illness and associated social crises with very limited support. Whilst recent years have witnessed an upsurge in governmental policy intended to safeguard vulnerable groups, such as young people and people with mental illness, there is a dearth of research regarding the proficiency and operability of these directives in practice. Even less is known about how these policies are practically applied to young people in crisis. The study examines the police-led care pathways of Irish youth experiencing a crisis mental health event from the commencement of police involvement through to the initiation of psychiatric care. Qualitative interviews were conducted with police and a group of stakeholders comprised of medical professionals and a social worker. Results indicate a complex care pathway beset with ambiguous policy and legislation, deficits in specialist training, and chronic under-resourcing of services. In the face of these shortcomings, police innovate informal practices that sometimes help and at other times pose a risk to young people in crisis. Furthermore, uncertainties surrounding formal procedure was a source of significant psychological burden for police and potential disciplinary action. These findings are discussed in the context of existing theory and research, and recommendations for policy and practice are offered.

On the 130th anniversary of the Krasnoyarsk Rail Transport Institute — branch of Irkutsk State Transport University

In 2024 Krasnoyarsk Rail Transport Institute — branch of Irkutsk State Transport University turns 130 years. The history of its establishment is connected with the rapid development of railway transport in Russia and the construction of a new railway in Siberia. The article presents an outline of the 130-year history formation and development of the oldest educational institution, founded in 1894 as the First Siberian Technical Railway School. The main stages of the university’s formation are determined, achievements in the professional training of specialists in the railway industry, its contribution to the socio-economic development of the country are considered.

Experience of Using Immersive Technologies in Medical Education

The report "Experience with Immersive Technologies" covers advanced approaches in medical education using virtual and augmented reality. Specific examples of the implementation of immersive technologies in the training of medical students and professionals will be considered, including the simulation of complex clinical situations, virtual operations and distance learning. The report will also touch on the assessment of the effectiveness of these methods, their impact on the level of training of specialists and prospects for further development.

USING THE ARDUINO PLATFORM IN THE RESEARCH OF INTERNAL COMBUSTION ENGINES

Modern measuring systems used in the study of internal combustion engines require significant investments. The universal Arduino platform offers ready-made powerful hardware modules for data collection (shields) and control, which work in a wide range of frequencies and signal amplitudes, provide their analysis and processing, allow to implement equipment management, and have a relatively low cost and free software with standard libraries. These facts testify to the high relevance of the use of the Arduino platform in the study of internal combustion engines. The purpose of this work is to determine the possibilities and features of using the Arduino hardware and software platform in the study of processes occurring in energy power plants with internal combustion engines, early prototyping of their control and diagnostic systems. The paper considers the possibility of hardware and software connection of sensors for measuring basic physical quantities to the Arduino platform: crankshaft rotation frequency (based on induction sensors and Hall sensors), pressure, air and fuel flow, temperatures (resistance sensors and thermocouples). In addition, the characteristics (dependence of the measurement parameter on the output value) of some popular sensors used in the study of internal combustion engines are given. It is important to consider that the equipment used for the study of processes in the ICE must meet the certification requirements. In the case of Arduino, this certification may not be available. However, the recommendations for the use of various sensors, shields and Arduino boards can be applied if the measured quantity is not the determining factor. It is important to consider these limitations and use Arduino with an understanding of the capabilities and limitations of the platform. The use of Arduino in the educational process in the training of specialists in the field of power engineering and in the research of energy installations of vehicles will allow students to apply the knowledge, skills and abilities acquired in the learning process at the hardware and software levels, which will create additional motivation for further study devices and principles of operation of automated and automatic vehicle control systems.

A case report of system configuration issue in medical imaging due to system upgrade- changes in hardware and software.

Although the rapid growth in the efficiency of medical imaging is undeniable, the expansion of health information technology (HIT) into medical imaging has not been as seamless or well-integrated as it was thought to be. The socio-technical complexities in medical imaging associated with HIT systems can cause risks to patient harm and inconvenience, both individually and collectively, often in new, unforeseen, and unexpected ways. This study reflects a retrospectively collected single incident report related to medical imaging HIT systems, aiming to develop a set of preventive and corrective strategies. A combination of multiple deductive approaches (existing frameworks), i.e., HIT Classification Systems and 18-step medical imaging process workflow and inductive method (content analysis), were used to analyze the incident. The incident was identified as a "system configuration"-related software issue, contributed by system upgrade- changes in hardware and software. The incident was determined to occur during steps 10-12, i.e., "study selection and retrieval," "calling up of patient's referral," and "image review and interpretation," causing severe disruptions in the clinical workflow for several weeks. We propose 16 preventive and corrective strategies grouped under four key areas based on the socio-technical aspects associated with HIT systems. The key areas are (i) preparation and integration for upgraded systems, (ii) training for medical imaging specialists, (iii) contingency planning/immediate backup system, and (iv) system design and configuration. These strategies are expected to help healthcare staff, analysts, reporters, researchers, and relevant stakeholders improve care delivery and patient safety in medical imaging in the context of any system upgrades.

Public service motivation, public sector preference and employment of Kenyan medical doctor interns: a cross-sectional and prospective study

BackgroundKenya grapples with a paradox; severe public sector workforce shortages co-exist with rising unemployment among healthcare professionals. Medical schools have increased trainee outputs, but only 45% of newly qualified/registered doctors were absorbed by the public sector during 2015–2018. In such a context, we explore what influences doctors’ career choices at labour market entry, specifically understanding the role of public service motivation (PSM).MethodsWe conducted a cross-sectional and prospective study of interns and recently graduated doctors to examine PSM, their intention to work in the public sector and their final employment sector and status. We surveyed them on their PSM and job intentions and conducted a prospective follow-up survey of the interns, around one year later, to understand their employment status.FindingsWe recruited 356 baseline participants and followed up 76 out of 129 eligible interns. The overall PSM score was high among all participants (rated 4.50/5.00) irrespective of sector preferences. 48% (171/356) of the participants preferred to work in the public sector immediately after internship, alongside 16% (57/356) preferring direct entry into specialist training—commonly in the public sector. Only 13% (46/356) and 7% (25/365) preferred to work in the private or faith-based sector. Despite the high proportion of interns preferring public sector jobs, only 17% (13/76) were employed in the public sector at follow-up and 13% (10/76) were unemployed, due to lack of job availability.ConclusionHigh PSM scores irrespective of sector preferences suggest that doctors are generally committed to serving the ‘public good’. Many intended to work in the public sector but were unable to due to lack of job opportunities. Policymakers have an opportunity to tackle workforce gaps in the public sector as young doctors continue to express a preference for such work. To do this they should prioritise creating adequate and sustainable job opportunities.

OPTIMIZATION OF ENGLISH LANGUAGE TEACHING IN MEDICAL UNIVERSITIES: FORMATION OF LEXICAL, GRAMMATICAL AND COMMUNICATION SKILLS

This article analyzes the issues of formation of lexical, grammatical and communicative skills in the process of teaching English at a medical university. The objectives of the study are to review the existing methods of teaching English in medicine, and to identify the main stages of learning that contribute to effective language acquisition. The result of the study is due to the need to optimize the educational process, where English plays a key role in the training of medical specialists. Research methods imply the development of a structured teaching methodology that can significantly increase the level of students' training and their readiness for international practice. Proper assimilation of medical terminology and the ability to communicate in English are important factors for the successful practice of future doctors.