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

1. ORGANIZATION AND ASSESSMENT OF QUALITY OF CONTINUOUS MEDICAL EDUCATION IN DEPARTMENT OF ANAESTHESIOLOGY AND INTENSIVE CARE MEDICINE Smetkin A. A., Nedashkovsky E. V., Kuzkov V. V., Kirov M. Y. Northern State Medical University Arkhangelsk, Russia

2. Continuous medical education (CME) ― educational process, which enable to continuously (everyday) renew the clinical knowledge and practical skills for medical professionals. Association of medical societies for quality www.asmok.ru

3. Aim of CME ― improvement of quality of medical care and safety of patients. Association of medical societies for quality www.asmok.ru

4. Objectives 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.

5. Undergraduate 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.

6. Undergraduate education • 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.

7. Undergraduate education Scientific society of students • Theoretical part. • Presentation of the results of clinical studies. • Training of the practical skills. Assessment ofknowledge and practical skills with discussion of theoretical and practical questions and using games with elements of competition.

8. Scientific societies of students

9. Postgraduate education Entry examination (enable to assess the quality of undergraduate level of 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 and intensive care.

10. Postgraduate 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 twoobligatory night duties per month. • 2nd year: study the topics of the different fields of anesthesiology and intensive care medicine.

11. Postgraduate education Assessment of quality • 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.

12. Postgraduate education 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.

13. Postgraduate education Assessment of quality • 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.

14. Postgraduate education Computer assisted examination

15. Obligatory training (every 5 year) Self-education (everyday) Continuous medical education

16. Continuous medical education (obligatory training) • Full-time (144 hours) andelective (72 hours) parts. • Lectures, practical tasks and work in operation rooms and intensive care units. • Assessment of quality: • Entry MCQ test. • Final MCQ test.

17. Continuous medical education (self-education) Sources of information: • Department’s library: national and international journals, books. • Publications of our department: books, book’s chapters, “Refreshening course of lectures” (by ESA), journalUpdate in Anaesthesia (by WFSA) Russian edition.

18. Continuous medical education (self-education) Sources of information: • Web-sites and electronic editions

19. Continuous medical education (self-education) • 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).

21. Continuous medical education (assessment of quality) Motivation for self-education: • The special credits scale aiming to assess educational activity of medical professionals was introduced in 2010. • The principle of calculation: 1 hour of CME activityis 1 credit. • Goal – gain at least 250 credit points at the period between obligatory trainings.

22. Continuous medical education (assessment of quality)

23. Future • 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.

24. Thank you for your attention!