THREE-STAGE MODEL OF TEACHING COMBAT SURGICAL TRAUMA OF EXTREMITIES IN THE STUDY OF THE DISCIPLINE “TRAUMATOLOGY AND ORTHOPEDICS” ON THE SPECIALTY 31.05.01 MEDICINE

• Oksana I. Rubanova
• Svetlana A. Perepelitsa

Abstract

The experience of teaching combat surgical trauma of extremities as part of the cycle “Traumatology and Orthopedics” on the basis of implementation of the approach “flipped classroom” to students studying at the specialty 31.05.01 Medicine is presented. The proposed system of teaching in the 10^th semester of study at the medical institute contributes to the conscious formation of PC‑4 “Able to recognize and provide medical care in emergency or urgent forms in conditions that pose a threat to the patient’s life, including the state of clinical death (stopping of vital functions of the human body (blood circulation and/or breathing)”, OPK‑4 “Able to use medical devices provided by the order of medical care, as well as to conduct examinations of the patient in order to establish the patient’s condition, the patient’s condition, and the patient’s vital functions (blood circulation and/or breathing)”. As a result of the three-stage model of teaching combat surgical trauma using the “flipped classroom” approach, the mean score of theoretical knowledge level increased from 3.9±0.7 to 4.3±0.6 points, and practical knowledge level increased from 3.7±0.9 to 4.4±0.6 points (p<0.01).

Keywords: three-stage teaching model; combat surgical trauma; stages of care; flipped classroom; medical training

References

1. Spalding C.N., Rudinsky S.L. Preparing emergency medicine residents to disclose medical error using standardized patients. West J Emerg Med. 2018; 19 (1): 211–5.

2. Order of the Ministry of Science and Higher Education of the Russian Federation dated August 12, 2020. No. 988 «On Approval of the Federal State Educational Standard of Higher Education - specialization in specialty 31.05.01 Medicine». (in Russian)

3. Adamovich G.A., Reshetnikov A.N., Levchenko K.K. Teaching traumatology and orthopedics at the department of higher education in modern conditions. Sovremennye problemy nauki i obrazovaniya [Modern Problems of Science and Education]. 2018; (5): 117. (in Russian)

4. Svistunov A.A., Gorshkov M.D. Simulation training in medicine. Moscow: Izdatel’stvo Pervogo MGMU im I.M. Sechenova, 2013: 288 p. (in Russian)

5. Davydenko V.V., Yashin S.M., Reytel’ R.P. Modern problems and opportunities for training in surgical manipulations. In: Proceedings of the I International Scientific Congress «Pedagogy and Psychology in Medicine: Problems, Innovations, Achievements». Saint Petersburg, 2021: 89–95. (in Russian)

6. Moraros J., Islam A., Yu S., et al. Flipping for success: evaluating the effectiveness of a novel teaching approach in a graduate level setting. BMC Med Educ. 2015; 28: 15–27. DOI: https://doi.org/10.1186/s12909-015-0317-2

7. Hurtubise L., Hall E., Sheridan L., Han H., et al. The flipped classroom in medical education: engaging students to build competency. J Med Educ Curric Dev. 2015; 2: 35–43. DOI: https://doi.org/10.4137/JMECD.S23895

8. Vyatkina N. Yu., Prisyazhnaya N.V., Vasserman B.A. Labor employment of medical school graduates: the main discourses of study. Sotsiologiya meditsiny [Sociology of Medicine]. 2018; 17 (2): 88–97. DOI: https://doi.org/10.18821/1728-2810-2018-17-2-88-97 (in Russian)

9. Zolin I.E. Labor market and the problem of staff shortage. Gumanitarnye, sotsial’no-ekonomicheskie i obshchestvennye nauki [Humanities, Socio-Economic and Social Sciences]. 2019; (10): 59–63. DOI: https://doi.org/10.23672/SAE.2019.10.38993 (in Russian)

10. Zolin I.E., Iudin A.A., Iudin D.I., Iudin A.I. Attitude of medical students to the curriculum of doctor training. Meditsinskoe obrazovanie i professional’noe razvitie [Medical Education and Professional Development]. 2023; 14 (1): 102–24. DOI: https://doi.org/10.33029/2220-8453-2023-14-1-102-124 (in Russian)

11. Sheyman I.M., Sazhina S.V. Personnel policy in health care: how to overcome the shortage of doctors. Mir Rossii. Sotsiologiya. Etnologiya [The World of Russia. Sociology. Ethnology]. 2018; 27 (3): 130–53. DOI: https://doi.org/10.17323/1811-038X-2018-27-3-130-153 (in Russian)

12. Reshetnikov A.V., Prisyazhnaya N.V., Pavlov S.V., Morozov A.P., Petrov M.A., Kutakova Y. Yu., et al. Young medical specialist in the labor market: employers’ expectations, Sotsiologiya meditsiny [Sociology of Medicine]. 2017; 16 (1): 32–44. DOI: https://doi.org/10.18821/1728-2810-2017-16-1-32-44 (in Russian)

13. Stul T.G., Moliboga G.L., Shevyreva E.O., Lokteva R.V. Potential and problems of using the method «Flipped classroom» in medical school. Global’niy nauchniy potentsial [Global Scientific Potential]. 2023; 3 (144): 163–6. (in Russian)

14. Itinson K.S., Chirkova V.M. «Flipped classroom»: an innovative model of learning in higher education. Baltiyskiy gumanitarniy zhurnal [Baltic Humanitarian Journal]. 2020; 9 (2): 88–90. DOI: https://doi.org/10.26140/</span>bgz3-2020-0902-0022 (in Russian)

15. Zhakota D.A. Teaching pathologic anatomy: mix or inversion? In: Proceedings of the II International Congress ROSMEDOBR. Moscow, 2023: 94–5. (in Russian)

16. Lutokhina Y.A., Kireeva N.V., Litvinova T.M., Volel’ B.A. Results of the implementation of the approach «Inverted classroom» with elements of project activities at the Institute of Clinical Medicine named after N.V. Sklifosovsky Sechenov University. Meditsinskoe obrazovanie i professional’noe razvitie [Medical Education and Professional Development]. 2022; 13 (4): 81–92. DOI: https://doi.org/10.33029/2220-8453-2022-13-4-81-92 (in Russian)

17. Bösner S., Pickert J., Stibane T. Teaching differential diagnosis in primary care using an inverted classroom approach: student satisfaction and gain in skills and knowledge. BMC Med Educ. 2015; 15: 63. DOI: https://doi.org/10.1186/s12909-015-0346-x

18. Goldberg H. Considerations for flipping the classroom in medical education. Acad Med. 2014; 89 (5): 696. DOI: https://doi.org/10.1097/ACM.0000000000000210

19. Miller G.E. The assessment of clinical skills/competence/performance. Acad Med. 1990; 65 (9): 63–7.

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