Preventive Medicine as a Component of Objective Structured Clinical Examination

O. Shevchenko, T. A. Holovkova, N. Onul, Yu. S. Kramaryova, O. Shtepa, S. Shchudro
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Abstract

The purpose of the study was to develop an optimal model of simulation and practical examination stations “hygiene and ecology” as components of objective structured clinical examination for the actualization of the formation of a preventive way of thinking among students of higher medical training. The paper analyzes the Passports of the simulation and practical stations of the objective structured clinical examination, their methodological and logistical support, which will allow to fully perform all the tasks and methods provided by the algorithms for mastering special professional competencies. The simulation station reproduces a number of real-life situations in specific tasks (25 options in total), the solution of which allows to assess the student's mastery of the professional competencies provided by the higher education standard, in particular: determining the risks to public health from the consumption of poor-quality drinking water, determining the nutritional status of the patient and the appropriateness of the prescription of therapeutic nutrition for the prevention of “diseases of civilization”, determining the requirements for compliance with sanitary and epidemiological requirements in health care facilities. The practical station is equipped with modern analytical instruments which allows the student to demonstrate their practical skills, in particular: bacterial air testing with evaluation of the results, research and evaluation of indoor microclimate parameters, research and evaluation of light environment parameters, measurement and evaluation of ionizing radiation, professional hand hygiene in health care facilities. To ensure high-quality training of students to perform the tasks of a practical station additional educational video guides were created, which are posted for general access on the department's page on the website of the University. Conclusion. Ukraine has now formed its own complex set of social, technogenic and environmental problems, which necessitates the development of appropriate skills and abilities in preventive medicine in future general practitioners. Objective structured clinical examination is a modern type of assessment of students' practical knowledge and skills, designed to test their acquisition of clinical skills and competencies that cannot be assessed by traditional forms of examinations. For the practical implementation of the preventive part of objective structured clinical examination in institutions of higher medical education, it should be taken into account that the traditional methods of protection and prevention, which have been developed by mankind over the centuries for the prevention of mass infectious, environmentally dependent, occupational and lifestyle diseases, in modern conditions are insufficient and/or ineffective
预防医学作为客观结构化临床检查的组成部分
摘要本研究旨在建立以“卫生学与生态学”模拟与实践考察站作为客观结构化临床检查组成部分的优化模型,以实现高等医学培养学生预防思维方式的形成。本文分析了客观结构化临床检查的模拟站和实操站的通行证、方法和后勤支持,使其能够充分执行算法提供的所有任务和方法,以掌握特殊的专业能力。模拟站在特定的任务中再现了许多现实生活中的情况(总共25个选项),其解决方案允许评估学生对高等教育标准提供的专业能力的掌握程度,特别是:确定饮用劣质饮用水对公众健康的危害,确定病人的营养状况和治疗性营养处方的适当性,以预防"文明疾病",确定卫生保健设施遵守卫生和流行病要求的要求。实践站配备了现代化的分析仪器,使学生能够展示他们的实践技能,特别是:细菌空气测试和结果评估、室内微气候参数的研究和评估、光环境参数的研究和评估、电离辐射的测量和评估、卫生保健设施的专业手卫生。为确保学生能接受高质素的训练,以胜任实习站的工作,我们制作了额外的教育视频指南,并在大学网页的教务部门网页上公布,供大众浏览。结论。乌克兰现在已经形成了它自己的一套复杂的社会、技术和环境问题,这就需要发展未来的全科医生在预防医学方面的适当技能和能力。客观结构化临床考试是一种对学生实践知识和技能的现代评估,旨在测试他们获得的传统考试形式无法评估的临床技能和能力。为了在高等医学教育机构中切实实施客观结构化临床检查的预防部分,应当考虑到,人类几个世纪以来为预防大规模传染病、环境依赖性疾病、职业性疾病和生活方式性疾病而发展起来的传统保护和预防方法在现代条件下是不够和(或)无效的
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