POST DIPLOMA EDUCATION OF FAMILY MEDICINE PHYSICIANS IN KYRGYZ STATE MEDICAL ACADEMY

1. POST DIPLOMA EDUCATION OF FAMILY MEDICINE PHYSICIANS IN KYRGYZ STATE MEDICAL ACADEMY ROADS AND PERSPECTIVES OF PARTNERSHIP

2. GOALS OF HEALTH CARE REFORM PERSONNEL POLICY • Improvement, standardization and optimization of medical education system • Optimization of number and regional distribution of personnel • Improvement of work quality, professional skills and knowledge • Creation of necessary conditions to optimize medical specialist’s work

3. IMPROVEMENT, STANDARDIZATION AND OPTIMIZATION OF MEDICAL EDUCATION SYSTEM • Undergraduate education • Post Diploma • Continuous

4. POST DIPLOMA EDUCATION OF FAMILY MEDICINE PHYSICIANS • Working out and introduction of new educational standards (programs) • Improvement of professional training quality in residency • Improvement of teaching staff’s professional level • Improvement of clinical base and teaching sites

5. DEFICIENCY OF MEDICAL EDUCATION • Gap between theory and practical training • Low level of training in modern medical technology, including communication • Low level of practical clinical skills • Separation of educational theoretical basis from instructor’s clinical activity • Inadequate clinical psychology education, absence of “ physician-patient”communication • Lack of pedagogical and methodic training for clinical teachers

6. NECESSARY LEVEL OF KNOWLEDGE AND SKILLSCOUNCIL OF HIGH MEDICAL EDUCATION ACCREDITATION (САВМО-ACGME) – 1999 г. • Medical knowledge • Clinical skills • Training and improvement, based on practice. • Professionalism • Communication and interpersonal skills • Practice, based on systems

7. Structure of Family Medicine Center K S M A К Г М А ЦЕНТР СЕМЕЙНОЙ МЕДИЦИНЫ Family Medicine Center Научно-аналитический отдел Research analytical depart. Department of Family Medicine Кафедра семейной медицины Отделение семейной медицины лечебного факультета Division of General Medicine Faculty Family Medicine Отдел последипломного обучения Division of Post Diploma Training Г С В SFMP

8. Number of KSMA residents for 2000-01

9. Family medicine – 14 weeks Internal medicine– 14 weeks Surgical diseases – 12 weeks Pediatrics – 12 weeks Obstetrics and gynecology – 10 weeks Psychiatry and medical psychology –3 weeks Infection diseases – 6 weeks Neurology – 2 weeks Otolaryngology – 2 weeks Oncology – 2 weeks Clinical pharmacology – 2 weeks Phthysiology – 2 weeks Laboratory and instrumental diagnostic – 3 weeks Exams – 2 weeks Common: – 88 weeks LEARNING PLAN OF " FAMILY MEDICINE" RESIDENCY

10. Center of family medicine Obstetrics and gynecology Center Post Diploma Course of therapeutics training Course of specialization Course of Pediatrics Course of surgery Rotational training of family medicine physicians

11. Strategy of development and adoption of new training program (educational standards) Preparatory stage Stage of development of training program Acquaint and co-ordinate stage Stage of implementation and introduction Stage of effectiveness evaluation

12. Preparatory stage • Information search • Determine goals and tasks • Determine timeline and implementation plan • Selection of development team

13. Stages of training program development • Determination of training periods and goals • Determination of physician’s quality descriptions • Development of training plans • Development of new training technology • Development of requirements for training of students • Change the theoretical and practical assignment hours • Determination of requirements for clinical base • Determination of requirements for technical and information resources

14. Acquaint and Co-ordinate Stage • Get opinions from experts • Co-ordinate with educational and health care administrative authorities

15. Stages of Implementation • Management of new program implementation • Determination of learning and clinical base and their modernization • Selection and retraining of teaching staff • Modernization of technologies and introduction of new training methods • Development and introduction of new knowledge and practical skills evaluation methods • Democratization of training process (tutor activity)

16. Stages of Evaluation • Evaluation of implementation • On initial stage of introduction • On intermediate stage of introduction • Final evaluation

17. MONITORING AND EVALUATION OF POST DIPLOMA EDUCATIOIN

18. Number of undergraduate and post diploma students Number of physicians working in their profession line Number of physicians working in their profession line in urban and rural fields Number of instructors who had retraining and improvement courses Number of new training program and plans Number of new learning equipment and instruments Number of new training sites for teaching QUANTITY INDICATORS OF MONITORING AND EVALUATION

19. QUALITY INDICATORS OF MONITORING AND EVALUATION • Training quality: • questionnaire of students, instructors, graduated physicians, and interviewing of patients • Quality of training program and plans • Accreditation of training program and plans • Expert’s evaluation of training programs and plans • Quality of teaching and learning • Technical and methodic testing of learning process • Expert’s evaluation of learning process • Certification of educational institution • Certification of students, instructors and physicians