Strategy and tactics of introduction of con¬tinuous professional development system in Samara Region
Abstract
Public health care development directly depends on the ability of the industry to provide medical personnel as well as the level of their training which must be based on continuous professional development (CPD). CPD system is the complex of educational measures aimed at maintaining and improving professional skills of medical specialists. The improvement of health care quality is the ultimate goal of the system.
Definition and importance of continuous education
Abstract
Such concepts as evidence based practice and system ensuring clinical practice standards are becoming part of a practicing physician’s life. There emerged (and in many countries they are coming to the forefront in medical education) such concepts as certification, recertification, independent evaluation and qualification confirmation. Are these concepts alien to standard practice reality? Must a clinician study all his life to be able to work as a general practitioner? Does continuous education start after graduation from a university? In order to answer all these questions in the paper we will follow the history of continuous education development and issues pertaining to its use in every day practice.
Nursing in the 21st century: trends, challenges and opportunities (examples from Canada, Italy and Chile)
Abstract
Objective: to explore the most recent healthcare trends that have an impact on the present and future of nursing, to review some of the opportunities and challenges related to nursing practice and education, and to present some of the possible strategies for overcoming current challenges. Method: an environmental scan involving a search of web sites, professional journals and interviews with experts. Specific examples for practice and education were drawn from three countries: Canada, Italy and Chile.
Results: trends such as socio-demographic changes, decentralization and privatization, technological advances and globalization along with rising costs and higher public expectations are creating a situation of instability in healthcare systems. As a result many nurses migrate or leave their jobs causing a worldwide shortage, and for many, poor working conditions and the inability to appropriately use their skills to effectively change patient outcomes, are daily challenges. The development of policies for training and education, interprofessional collaboration and support from professional organizations are possible strategies to improve this situation. Conclusions: Canada, Chile and Italy are examples of countries that have created, each in their own ways, opportunities for nurses to obtain university education, and to have access to graduate programs. Improvement in the quality of both basic and continuing education as well as the use of evidence-based practice are strategies that would enable nurses, as more qualified members of a multidisci-plinary team, to participate in the improvement of current healthcare systems.
Problems and outlooks in teaching the course of internal diseases in the medical university
Abstract
Study of internal diseases course is of great importance in the formation of attitude of any medical specialist. The objectives of teaching the course of internal diseases must be interlinked with the general objectives of future physicians training. Stressing the importance of students’ training adaptation to existing problems of practical public health care the author draws our attention to one-sided nature of students’ training evaluation during exams, abundance of highly specialized topics in the curriculum. There is an urgent necessity of a general discussion of the methods of clinical subjects teaching as well as the course of internal diseases at a medical university.