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

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

G.P. Arutyunov, D.O. Dragunov, A.V. Sokolova, S.Yu. Simbirtseva, Ye.A. Palferova
1 N.I. Pirogov Russian national research medical university, Moscow 2 Research institute for health organization and medical management, Moscow 3 City polyclinic №66, Moscow

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.

Keywords: comorbid patient, decision-making algorithm, simulation technologies, training

Read entire article

About the Autors

Grigory P. Arutyunov, corresponding member of RAS, MD, professor, head of the Department of propedeutics of internal diseases, general physiotherapy and radiodiagnosis of pediatric faculty, N.I. Pirogov Russian national research medical university; chief freelance therapist of the Department of health of Moscow. Address: 117997, Moscow, 1 Ostrovityanova St. Tel.: +74954347121. E-mail: arut@ossn.ru

Dmitry O. Dragunov, PhD, assistant professor of the Department of propedeutics of internal diseases, general physiotherapy and radiodiagnosis of pediatric faculty, N.I. Pirogov Russian national research medical university; head of the Organizational-methodical department, Research institute for health organization and medical management. Address: 117997, Moscow, 1 Ostrovityanova St. Tel.: +74954347121

Anna V. Sokolova, PhD, assistant professor of the Department of propedeutics of internal diseases, general physiotherapy and radiodiagnosis of pediatric faculty, N.I. Pirogov Russian national research medical university; leading specialist of the Organizational-methodological department, Research institute for health organization and medical management. Address: 117997, Moscow, 1 Ostrovityanova St. Tel.: +74954347121

Sergey Yu. Simbirtsev, assistant of the Department of anesthesiology, reanimatology and intensive therapy of medical faculty, N.I. Pirogov Russian national research medical university. Address: 117997, Moscow, street Ostrovitjanova, d. 1. Tel.: +74954343690

Yelena A. Palferova, PhD, chief physician of the outpatient center of City hospital №66. Address: 111672, Moscow, 11B Saltykovskaya St. Tel.: +74957017655

Back to Content