Smetkin A. A., Nedashkovsky E. V., Kuzkov V. V., Kirov M. Y. ORGANIZATION AND ASSESSMENT OF QUALITY OF CONTINUOUS MEDICAL EDUCATION IN DEPARTMENT OF ANAESTHESIOLOGY

Smetkin A. A., Nedashkovsky E. V., Kuzkov V. V., Kirov M. Y.Smetkin A. A., Nedashkovsky E. V., Kuzkov V. V., Kirov M. Y.

ORGANIZATION AND ASSESSMENT OF QUALITY OF CONTINUOUS MEDICAL

EDUCATION IN DEPARTMENT OF ANAESTHESIOLOGY AND INTENSIVE

CARE MEDICINE

ORGANIZATION AND ASSESSMENT OF QUALITY OF CONTINUOUS MEDICAL

EDUCATION IN DEPARTMENT OF ANAESTHESIOLOGY AND INTENSIVE

CARE MEDICINE

Northern State Medical University Arkhangelsk, Russia

Northern State Medical University Arkhangelsk, Russia

― educational process, which enable to continuously (everyday) renew the clinical knowledge and practical skills for medical professionals.

Continuous medical education (CME)Continuous medical education (CME)

Association of medical societies for qualitywww.asmok.ru

― improvement of quality of medical care and safety of patients.

Aim of CMEAim of CME

Association of medical societies for qualitywww.asmok.ru

Objectives of university departmentObjectives of university department

• Provision of comprehensive education for anaesthesiologists and intensive care professionals:

undergraduate level;postgraduate level.

• Provision of best condition for continuous medical education.

Undergraduate educationUndergraduate education

• Students of the 5th course from 5 medical faculties – lectures in anesthesiology and practical classes in intensive care medicine and resuscitation.

• Assessment of knowledge – entry tests (short answer questions), case methods.

Elective (supplementary) study at 4-6th courses of education:

4th course – clinical physiology and organization of anesthesiology and intensive care;

5th course – general principles in anesthesiology; 6th course – general principles in intensive care medicine.

Assessment of knowledge – discussion the questions of diagnostics and treatment of patients.


• Theoretical part.• Presentation of the results of clinical studies.• Training of the practical skills.

Scientific society of students

Assessment of knowledge and practical skills with discussion of theoretical and practical questions and using games with elements of competition.


Scientific societies of studentsScientific societies of students

Postgraduate educationPostgraduate education

Written examination with short answer questions.Personal activity in scientific society of students.Participation in clinical studies as co-investigator.Discussion of the basic topics of anesthesiology andintensive care.

Entry examination(enable to assess the quality of undergraduate level of education):

• 1st year: clinical physiology, general principles of anesthesiology and intensive care medicine.In the beginning of the study – lectures during three weeks, followed by lectures and demonstration of clinical cases by professors every Monday.The most time – work as a doctor’s assistant in 5 clinical hospitals plus two obligatory night duties per month.

• 2nd year: study the topics of the different fields of anesthesiology and intensive care medicine.


• Ongoing assessment:Registration of gained practical skills and knowledge in

record book.Individual discussion of the main topics of the

completed part of study with group supervisor.Discussion of the particular questions in group during

every week presentation of clinical cases.

Assessment of quality


• Intermediate assessment:Every half-year.Presentation of clinical cases by students followed by

feedback on positive and negative sides of cases.Discussion of the topics of completed parts of study.



• Final assessment:Presentation of practical skills and assessment of

knowledge in the main seven parts of anesthesiology and intensive care.

Computer assisted examination with multiple choice questions (MCQ).

Interview with discussion of theoretical topics and answer the extended matching questions.



Computer assisted examination


Obligatory training (every 5 year)

Continuous medical educationContinuous medical education

Self-education(everyday)

• Full-time (144 hours) and elective (72 hours) parts.• Lectures, practical tasks and work in operation rooms and

intensive care units.

Continuous medical education(obligatory training)Continuous medical education(obligatory training)

Assessment of quality:• Entry MCQ test.• Final MCQ test.

• Department’s library: national and international journals, books.

• Publications of our department: books, book’s chapters, “Refreshening course of lectures” (by ESA), journal Update in Anaesthesia (by WFSA) Russian edition.

Sources of information:

Continuous medical education(self-education)Continuous medical education(self-education)

• Web-sites and electronic editions


Sources of information:

• Regional conferences (society of anesthesiologists and reanimatologists of Arkhangelsk region, association of anesthesiologist and reanimatologists of North-west Russia).

• National conferences (Whit See symposium, National Federation of anesthesiologists and reanimatologists.

• International conferences (European Society of Anesthesiologists, World Federation of Societies of Anesthesiologists).

• Courses of European committee for education in anesthesiology (СEEA) and World Federation of Societies of Anesthesiologists (WFSA).


• The special credits scale aiming to assess educational activity of medical professionals was introduced in 2010.

• The principle of calculation: 1 hour of CME activity is 1 credit.• Goal – gain at least 250 credit points at the period between

obligatory trainings.

Motivation for self-education:

Continuous medical education(assessment of quality)Continuous medical education(assessment of quality)

Educational activity Credits

Obligatory training 144

Scientific fellowship 25

Publication of article 10

Publication of abstract in national conference abstract book 4

Tutorship 15

Oral presentation at regional conference 5

Oral presentation at national conference 10

Oral/poster presentation at international conference 15

Activity in regional professional society 3

Activity in national professional society 5

Activity in international professional society 7

Workshop activity 6

Continuous medical education(assessment of quality)Continuous medical education(assessment of quality)

• Assistance in spread and popularization of CME in Arkhangelsk region and Russian Federation.

• Improvement of technical facilities for CME (mannequins, simulators, etc.).

• Development and introduction of systems aiming to assess the quality of care and knowledge of medical professionals.

• Development of guidelines on improvement of motivation to CME.

FutureFuture

Thank you for your attention! Thank you for your attention!

Documents

Smetkin A. A., Nedashkovsky E. V., Kuzkov V. V., Kirov M. Y. ORGANIZATION AND ASSESSMENT OF QUALITY OF CONTINUOUS MEDICAL EDUCATION IN DEPARTMENT OF ANAESTHESIOLOGY