Russian Military Medical Academy ReportsRussian Military Medical Academy Reports2713-23152713-2323Eco-Vector4344710.17816/rmmar43447Research ArticlePRACTICAL DAMAGE SURGERY COURSES - A MODERN APPROACH TO TRAINING MILITARY SURGEONSSkakunovaT. Yu-S.M. Kirov Military Medical Academy of the Ministry of Defense13122020391S25225528082020Copyright © 2020, Skakunova T.Y.2020The training of military surgeons to assist the wounded is one of the fundamental directions for improving the medical support of troops. One of the most effective forms of training surgeons in the treatment of severe wounds and injuries is considered to be continuing education courses in trauma centers of the first level. For military surgeons this center is the Department of Field Surgery of the Military Medical Academy named after S.M. Kirov. However, in recent years, due to the steady decrease in the number of incoming wounded, the demonstrativeness of the educational process, the possibility of real participation of students in the treatment process have decreased. To increase the efficiency of training of military surgeons, to improve their manual skills, it is necessary to introduce new forms of training. The most promising of them is the introduction of combined practical courses using simulators and real tissues. The first such course in Russia was practical course on damage surgery SMART (Modern Methods and Algorithms for the Treatment of Wounds and Injuries), created by the teaching staff of the Department of Military Surgery of the Military Medical Academy named after S.M. Kirov, during course participants were given the opportunity to listen to a short lecture cycle on pressing issues of damage surgery and military field surgery, as well as to work out the most relevant life-saving surgical operations and manipulations that form the basis of Damage Control tactics. The aim of the study was to substantiate the introduction of practical courses for surgeons on issues of field surgery and to evaluate their efficiency. The efficiency of the SMART training course has been proven by testing the initial and final level of knowledge of 55 participants.field surgerytraumainjurytraining of surgeonsmanual skillsbiological objectsвоенно-полевая хирургиятравмаранениеобучение хирурговмануальные навыкибиологические объекты[1. Военно-полевая хирургия: национальное руководство / И.Ю. Быков, Н.А. Ефименко, Е.К. Гуманенко [и др.]. - М.: ГОЭТАР Медиа, 2009. - 816 с.][2. Самохвалов, И.М. Проблемы организации оказания хирургической помощи раненым в современной войне: хирургическая по-мощь на этапах медицинской эвакуации (Сообщение первое) // Воен.-мед. журн. - 2012. - Т.333. - №12. - С.4-11.][3. Самохвалов, И.М. Разработка тренажёрного комплекса для подготовки военно-полевых хирургов / И.М. Самохвалов, К.П. Головко, М.В. Сохранов, А.О. Рикун // Экстремальная робототехника. - 2013. - Т.1, №1. - С.188-189.][4. Самохвалов, И.М. Проблемы организации оказания хирургической помощи тяжелораненым в современной гибридной войне / И.М. Самохвалов, А.В. Гончаров, К.П. Головко, С.В. Гаврилин, В.В. Северин, Т.Ю. Супрун, Ю.А. Лошенко // Воен.-мед. журн. - 2017. - Т.338. - №8. - С.4-12.][5. Boffard, K.D. Manual of Definitive Surgical Trauma Care 3E / K.D. Boffard, D. Kenneth. - 2011. - Р.304.][6. Wetlab: Центр инновационных методов медицинского образования: Новые горизонты профессионального роста: [сайт] / ООО «ЦИММО». - Санкт-Петербург, 2015-2020. - URL: https://www.wetlab.spb.ru/ (дата обращения: 25.10.2019). - Текст: электронный.][7. dstc: Surgeons. Anaesthesiologists. Nurses: DEFINITIVE SURGICAL TRAUMA CARE COURSES: DSTC, DATC, DPNTC: Website / DSTC. - Melbourne, 2020. - URL: https://dstc.com.au/ (дата обращения: 13.01.2020). - Текст: электронный.][8. College of Surgeons: Inspiring Quality: Highest Standards, Better Outcomes: [сайт] / American College of Surgeons. - Chicago, IL, 1996-2020. - URL: https://www.facs.org/ (дата обращения: 25.10.2019). - Текст: электронный.]