The article highlights the experience of teaching the disciplines of the therapeutic
profile at the department of care of patients and the higher nursing education to future laboratory assistants for the credit transfer system

Boreiko, L.D.

Plesh, I. A.

Senyuk, B.P.

Yurnyuk, S.V.

Кshanovska, А.I

Цифровий Репозиторій - Інтелектуальні Фонди Буковинського державного медичного університету

 17 OSIĄGNIĘĆ AKADEMICKICH. TEORIA. PRAKTIKA.2017Introduction: Dynamic development and reform of medical education in Ukraine, its orientation to international standards, condi-tioned by modern requirements to the level of quality education, dynamic changes in the health care system of Ukraine.The process of treating a sick person is ex-tremely complex and requires the involvement of specialists in different specialties. The cor-rectness and speed of the diagnosis, the con-trol of the effectiveness of treatment depend not only on the level of knowledge of the clini-cian, but also on the degree of effectiveness of the laboratory’s post office, without a close contact with which it is difficult to imagine the activity of a doctor of any field of medicine. In other words, the clinical thinking of the physi-cian is based on generalization, comprehen-sion of the data obtained during the laboratory examination, in combination with the clinical manifestations of the disease and in close con-nection with the data of other methods of ex-amination. Obtaining reliable laboratory in-formation, including monitoring the effective-ness of treatment of patients, can be realized on the basis of modern laboratory technolo-gies and further effective clinical use of the results [4].Laboratory diagnostics, without exaggera-tion, remains the key to health care in the mod-ern developed state, the level of development of which determines the quality of medical ser-vices and, accordingly, the quality of life and health of people, economic and social develop-ment of society. This can be solved by improv-ing the training of skilled professionals [1, 2].The main part. At the Department of Nurs-ing and Higher Nursing Education of the High-er state educational institution “Bukovinian State Medical University” students are trained in the field “Laboratory diagnostics” (educa-tional level - “Bachelor”) according to the re-quirements of the European Credit Transfer and Transfer System (ECTS) [3]. In accordance with the educational and qualification charac-teristics and educational and professional train-ing program of laboratory assistants - bachelors compiled curricula for teaching therapeutic FEATURES OF TEACHING THERAPEUTIC DISCIPLINES TO STUDENTS OF THE TRAINING DIRECTION “LABORATORY DIAGNOSTICS” OF THE EDUCATIONAL LEVEL “BACHELOR”1Boreiko L.D., 2 Plesh I.A., 3Кshanovska А.I., 4Yurnyuk S.V., 5Senyuk B.P. 1PhD, Associate Professor of Department of Patients Care and HNE  2Doctor of Medical Science, Head of the Department, professor of Department of Patients Care and HNE 3Assistant Professor of Department of Patients Care and HNE  4Assistant Professor of Department of Forensic Medicine and Medical Law 5PhD,Associate Professor of Department of Internal Medicine Higher State Educational Establishment of Ukraine «Bukovynian State Medical University»Summary. The article highlights  the experience of teaching the disciplines of the therapeutic profile at the department of care of patients and the higher nursing education to future laboratory assistants for the credit transfer system.Key words: laboratory diagnostics / лабораторна діагностика, bachelor / бакалавр, care for patients / догляд за хворими, internal medicine / внутрішня медицина.Резюме. У статті висвітлено досвід викладання дисциплін терапевтичного профілю на кафедрі догляду за хворими та вищої медсестринської освіти майбутнім лаборантам-бакалаврам за кредитно-трансферною системою.18 Zbiór artykułów naukowych.disciplines. The use in the educational process of innovative and interactive technologies cre-ates conditions for improving the quality of practical training of future specialists. Professional training of students is an inte-gral part of educational work and is carried out with the purpose of acquiring professional skills to make independent decisions in real conditions. It is intended to prepare future specialists for real practical work, to ensure the proper level of their professional training.From the first lessons, teachers explain to the students the structure of the module, the organization and conduct of practical classes, the calculation of points of current progress. Each student has an opportunity to get ac-quainted with a directory of each discipline, which contains all the necessary information: lecture plans, practical classes, independent work, a list of questions for modular control, criteria for assessing knowledge and skills, a list of basic and additional literature.Students study at the second course during the entire academic year (3-4 semester) in the discipline “Care for the sick and medical ma-nipulative technique”. The study of this disci-pline is allocated a total of 75 hours, of which: 40 hours - practical classes, 35 hours - inde-pendent work. The purpose of teaching is the mastering of the basic methods of profes-sional activity of the younger nurse based on the profound knowledge and understanding of the peculiarities of functioning of the body of a sick person, observing the principles of medical ethics and deontology. Studying this discipline involves the mastering of theoreti-cal knowledge and practical skills and skills in professional communication; Observation and care of patients; Performing medical ma-nipulations in accordance with the standards and rules of infectious safety; Prevention of occupational diseases and intra-hospital in-fection; Formation of active attitude towards healthy lifestyles among students. Practical classes on separate topics are held at the cen-ter of practical training of the university, a cabinet of instrumental research, which has the necessary methodological support, multi-functional phantoms, dummies, instruments, educational equipment and other objects of diagnostics and care of patients, which al-lows, in preclinical conditions, to imitate the real conditions of this performance, working in the clinic. After studying the discipline students pass the industrial practice “Care for the sick and medical manipulation tech-nique” in the surgical and therapeutic depart-ments of the hospital, during which they have the opportunity: to carry out the sanitary treatment of the patient; To prepare disinfec-tant solutions; Sterilize medical instruments; To feed seriously ill patients; Measure body temperature, determine pulse, blood pres-sure, diuresis and water balance; To perform simple physical therapy procedures; To apply medicines in external, enteral and parenteral ways; To prepare the patient for laboratory and instrumental (X-ray, endoscopic, ultra-sound) examination; Maintain medical re-cords; Give recommendations on a healthy lifestyle, tempering, rational nutrition; Carry out sanitary-educational work (sanitary bal-lots, conversations, lectures). At the second year (4 semester), students study the discipline “Propedeutics of internal medicine”. To study this discipline, 2,5 credits have been allocated: a total of 75 hours (12 hours - lectures, 28 hours - practical classes, 35 hours - independent work). The ratio of the number of hours of classroom studies to independent and individual work is (%): classroom classes - 53% independent and in-dividual work - 47%.The purpose of studying this discipline is to provide the student with the first skills of me-thodically correct communication with the sick person and a practical approach to its ex-amination: the issue of diagnosis, proper ob-jective examination of the patient, collection of anamnesis, symptoms of diseases. During practical classes the students’ attention is fo-cused on mastering of interviewing skills and physical examination of patients and analysis of their results in the clinic of internal diseases; The ability to analyze the results of basic labo-ratory and instrumental research methods; To identify the leading symptoms and syndromes in the clinic of internal diseases. 19 OSIĄGNIĘĆ AKADEMICKICH. TEORIA. PRAKTIKA.2017As a result of studying this discipline, the student must know: the basic principles of deontology and medical ethics; Mechanisms of development and causes of the occurrence of major pathological processes in the human body; Main clinical syndromes and symptoms of diseases of the internal organs and mecha-nisms of their occurrence; Basic objective methods of diagnosis of clinical symptoms and syndromes of major diseases of internal organs; Laboratory and instrumental diagnos-tic methods and their role in the diagnosis of diseases; As well as be able to: conduct ques-tioning and physical examination of the pa-tient; To evaluate the revealed symptoms, ex-plain the causes and mechanisms of their oc-currence; To draw up a plan of laboratory and instrumental examination of the patient; To evaluate the results of laboratory and instru-mental research methods; Independently di-agnose the main clinical syndromes.Discipline “Internal Medicine with the as-sessment results” students studying in the third year (5 semester). The purpose of this course is to familiarize and train future techni-cians bachelors recognize the most common manifestations of major human diseases, diag-nosis of diseases, including physical, laborato-ry and instrumental examination of patients, the ability to provide patient qualified emer-gency medical care in accordance with the profile of pathology, comprehensive formation of students the most important professional and spiritual foundations of his future profes-sional activities.The topics of the lectures reveal the etiol-ogy, pathogenesis, classification, clinical manifestations of diseases of the internal or-gans. Particular attention is paid to the prac-tical aspects of organizing the work of labora-tory assistants in the clinical laboratory. Dur-ing mastering of practical skills the student must master the methods of evaluation of the obtained data, logical methods of analytical approach to the definition of pathological processes in the formation of the preliminary diagnostic conclusion. Practical classes in-clude clinical examination of patients (sur-veys, reviews, palpation, percussion, auscul-tation); Formulation of the preliminary diag-nosis; Differential diagnostics; Drawing up a plan for patient screening; Interpretation of laboratory tests based on pathology; Prepara-tion of the treatment program.Thus, knowledge about the pathology of the organism as a whole is formed, which makes it possible for the laboratory assistant to be guided in any section of medicine. Gradually, clinical and laboratory thinking is underway, thanks to which the future bachelor’s assistant will become a doctor’s consultant on labora-tory diagnostics of diseases.ECTS requires students to work everyday on mastering the material. In preparation for practical classes, they are assisted by electronic training courses (ENCs) on the server of dis-tance learning of the university in the environ-ment of “MOODLE”. Distance learning en-ables you to implement interactive storytelling technologies. ENCs contain the necessary in-formation: methodical instructions, notes, sit-uational tasks, self-monitoring tests, video and audio information, presentations. This ensures the student’s internal motivation to learn, con-tributing to its effectiveness.At each practical lesson the level of as-similation of students of the program mate-rial of a discipline is estimated. The control of knowledge disciplines students, educates the responsibility, provides systematic work on the study of discipline. Evaluated both theoretical and practical knowledge of stu-dents, for which the department uses a vari-ety of tools: individual oral and written surveys, tests (from the open source test tasks of the license test “Step B. Laboratory diagnosis” “Testing Center” at the Ministry of Health of Ukraine), situational tasks and control of the practical skills provided by the curriculum of each discipline. Solving clini-cal situational problems requires a student of logical thinking, and not just the choice of the correct test response. During an oral re-sponse, students learn to express their thoughts, communicate more.Independent non-auditing work of students is aimed at independent search of thematic literature, self-study of the fragments of the 20 Zbiór artykułów naukowych.curriculum, performance of individual tasks of the teacher.Conclusions1. At the Department of Care of Patients and Higher Nursing Education, appropriate conditions for the acquisition of theoretical material and the acquisition of practical skills in the disciplines of the therapeutic profile according to the ECTS are created, which allows qualitative training of a laboratory assistant.2. Future laboratory assistants will be able to make the right decisions by choosing adequate laboratory tests, and will be able to help clinicians in interpreting the results that will improve the diagnostic process.References:1. Луньова Г. Г., Олійник О. А., Сергієнко Л. І., За-вадецька О. П., Кривенко Є. О., Федоров Т. Т. Сучасні вимоги до підготовки фахівців із лабо-раторної медицини // Матеріали XIII Всеукраїн-ської науково-практичної конференції з міжна-родною участю «Актуальні питання якості ме-дичної освіти». -  Тернопіль: ТДМУ «Укрмедкни-га», 2016.2. Плеш І.А., Хомко О.Й., Кшановська Г.І., Борейко Л.Д., Макарова О.В. Сучасні можливості клініч-ної лабораторної діагностики / Буковинський ме-дичний вісник. – Т. 18, №1 (69), 2014. – С. 147-150.3. Навчальний план підготовки бакалавра – лабо-ранта (медицина) напряму 6.120102 «Лаборатор-на  діагностика» (галузь знань 1201 Медицина). Київ, 2013. – 8 c.4. Толстанов О.К. Особливості підготовки фахівців з лабораторної діагностики у контексті інтеграції до європейського освітнього простору // Патоло-гія, 2013, №1 (27). С.4-6.

FEATURES OF TEACHING THERAPEUTIC DISCIPLINES TO STUDENTS OF THE TRAINING DIRECTION “LABORATORY DIAGNOSTICS” OF THE EDUCATIONAL LEVEL “BACHELOR”

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Цифровий Репозиторій - Інтелектуальні Фонди Буковинського державного медичного університету