Topical issues of teaching therapy in higher education
Abstract. Article discusses the most important aspects of the educational process within the framework of therapeutic disciplines in medical universities of the Russian Federation under the specialist programme in the “General medicine” speciality for preparation of a general practitioner (district general practitioner) for practical work. Controversial and unresolved issues are introduced, including the discrepancy between curriculums for teaching internal diseases due to a different number of credit points of workload, the lack of a system of horizontal and vertical continuity of teaching between Departments. Attention is paid to digital educational solutions that create a safe environment for simulating clinical situations of varying complexity, creating cognitive mechanisms of clinical reasoning and ensuring continuity of student training from propaedeutics to outpatient practice. Current and promising areas in this field include the wider use of integrated educational programs as a means of achieving “seamless” teaching, development and implementation of national standards for digital therapeutic education that meet modern clinical medicine requirements, standardization of the content of the disciplines studied in internal medicine direction, and the development of a unified, structured educational program.Arutyunov G.P., Larina V.N., Ilyina E.E., Prirodova O.F., Sokolova A.V., Dragunov D.O., Khasanov N.R., Tarlovskaya E.I., Petrova M.M., Grigorieva N.Yu.
Keywords
higher education
medical university
internal medicine
specialist programme
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About the Authors
Grigory P. Arutyunov, MD, Dr. Sci. (Medicine), professor, corresponding member of RAS, director of the Institute of clinical medicine, head of the Department of internal medicine propaedeutics No. 1, N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia (Pirogov University). Address: 117513, Moscow, 1 Ostrovityanova St.E-mail: arut@ossn.ru
ORCID: https://orcid.org/0000-0002-6645-2515
Vera N. Larina, MD, Dr. Sci. (Medicine), professor, head of the Department of outpatient therapy of the Institute of clinical medicine, N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia (Pirogov University). Address: 117513, Moscow, 1 Ostrovityanova St.
E-mail: larinav@mail.ru
ORCID: https://orcid.org/0000-0001-7825-5597
Elena E. Ilyina, MD, PhD (Medicine), associate professor, deputy director of the Institute of clinical medicine, head of the academic office of the Department of hospital therapy named after academician P.E. Lukomsky of the Institute of clinical medicine, N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia (Pirogov University). Address: 117513, Moscow, 1 Ostrovityanova St.
E-mail: elenila-il@yandex.ru
ORCID: https://orcid.org/0000-0002-9541-995X
Olga F. Prirodova, MD, PhD (Medicine), vice-rector for postgraduate and continuing education, director of the Institute of continuous education and professional development, head of the Department of organization of professional education and educational technologies at the Institute of continuous education and professional development, N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia (Pirogov University). Address: 117513, Moscow, 1 Ostrovityanova St.
E-mail: prirodova_of@rsmu.ru
SPIN code: 5217-1598
Anna V. Sokolova, MD, PhD (Medicine), associate professor, leading specialist of the organizational and methodological Department for Therapy of the Department of Healthcare of Moscow, Research Institute for Healthcare and Medical Management Organization of the Department of Healthcare of Moscow; associate professor of the Department of internal medicine propaedeutics No. 1 of the Institute of clinical medicine, N.I. Pirogov Russian national Research Medical University of the Ministry of Healthcare of Russia (Pirogov University). Address: 115184, Moscow, 30 Bolshaya Tatarskaya St.
E-mail: sokolova_av@rsmu.ru
ORCID: https://orcid.org/0000-0003-0823-9190. SPIN: 5239-1803
Dmitry O. Dragunov, MD, PhD (Medicine), associate professor, head of the organizational and methodological Department for Therapy of the Department of Healthcare of Moscow, Research Institute for Healthcare and Medical Management Organization of the Department of Healthcare of Moscow; associate professor of the Department of internal medicine propaedeutics No. 1 of the Institute of Clinical Medicine, N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia (Pirogov University). Address: 115184, Moscow, 30 Bolshaya Tatarskaya St.
E-mail: Dragunov_do@rsmu.ru
ORCID: https://orcid.org/0000-0003-1059-8387. SPIN code: 1417-5465
Niyaz R. Khasanov, MD, Dr. Sci. (Medicine), professor, head of the Department of internal medicine propaedeutics named after professor S.S. Zimnitsky, Kazan State Medical University of the Ministry of Healthcare of Russia. Address: 420012, Kazan, 49 Butlerova St.
E-mail: ybzp@mail.ru
ORCID: https://orcid.org/0000-0002-7760-0763
Ekaterina I. Tarlovskaya, MD, Dr. Sci. (Medicine), professor, deputy director for research work of the Institute of therapy, head of the Department of therapy and cardiology, Privolzhsky Research Medical University of the Ministry of Healthcare of Russia. Address: 603005, Nizhny Novgorod, 10/1 Minina i Pozharskogo Sq.
E-mail: etarlovskaya@mail.ru
ORCID: https://orcid.org/0000-0002-9659-7010
Marina M. Petrova, MD, Dr. Sci. (Medicine), professor, head of the Department of outpatient therapy and family medicine with a postgraduate course, Professor V.F. Voyno-Yasenetsky Krasnoyarsk State Medical University of the Ministry of Healthcare of Russia. Address: 660022, Krasnoyarsk, 1 Partizana Zheleznyaka St.
E-mail: stk99@yandex.ru
ORCID: https://orcid.org/0000-0002-8493-0058. SPIN code: 3531-2179
Natalya Yu. Grigorieva, MD, Dr. Sci. (Medicine), professor, head of the Department of internal medicine, director of the Institute of clinical medicine, N.I. Lobachevsky National Research State University of Nizhny Novgorod of the Ministry of Healthcare of Russia. Address: 603950, Nizhny Novgorod, 25/1 Gagarina Avenue.
E-mail: grigoreva28@mail.ru
ORCID: https://orcid.org/0000-0001-6795-7884
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