Modern technology of training as a method of improving the quality of treatment and diagnostics of comorbid patients


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In recent years, there is a need to update the views on the improvement of the mechanism of education of doctors, which would have a maximum effective impact on the quality of medical care. At the moment, the new format of the education includes training with the use of simulation technologies. Simulation training allows to conduct an effective high effective education using innovative technologies in a fairly short period of time taking into account the initial level of medical knowledge. Another advantage of simulation technology is indefinite skill training without risk for the patients. We have developed and implemented training courses using simulation technologies for primary care physicians «Standardized patient in the practice of the therapist». As a result, expected result of training has been received, namely, improvement of the quality of medical care. Also, analysis of the work of doctors after training showed that the time of doctor's appointment became stable (11 minutes), which suggests a more careful management of patients; patient's waiting time reduced (4.6 minutes); the number of calls regarding hypertensive crises decreased: 28% in April and 27.3% in May, 2015, compared to 21.1% in April and 23.4% in May, 2016; pronounced decline in over-diagnosis of CHD after the training of doctors was observed. Thus, after training using novel simulation technologies the work of therapist becomes more stable, clear; doctors demonstrate developed tactics and decision-making algorithm in different clinic situations.

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作者简介

Grigory Arutyunov

N.I. Pirogov Russian national research medical university

Email: arut@ossn.ru
corresponding member of RAS, MD, professor, head of the Department of propedeutics of internal diseases, general physiotherapy and radiodiagnosis of pediatric faculty; chief freelance therapist of the Department of health of Moscow

Dmitry Dragunov

N.I. Pirogov Russian national research medical university; Research institute for health organization and medical management

PhD, assistant professor of the Department of propedeutics of internal diseases, general physiotherapy and radiodiagnosis of pediatric faculty; head of the Organizational-methodical department

Anna Sokolova

N.I. Pirogov Russian national research medical university; Research institute for health organization and medical management

PhD, assistant professor of the Department of propedeutics of internal diseases, general physiotherapy and radiodiagnosis of pediatric faculty; leading specialist of the Organizational-methodological department

Sergey Simbirtseva

N.I. Pirogov Russian national research medical university

assistant of the Department of anesthesiology, reanimatology and intensive therapy of medical faculty

Yelena Palferova

City polyclinic №66, Moscow

PhD, chief physician of the outpatient center

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