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«ASPECTS OF CLINICAL PRACTICE
IN KYRGYZSTAN FOR
INTERNATIONAL STUDENTS»
RUSLAN LIUKHUROV
The clinical practice of students is the most
important link in training of medical personnel and
is an integral part of the educational process.
The main task of the clinical practice is to
obtain and improvement by future doctors of
practical knowledge and skills in patient care,
diagnosis and treatment of patients, acquaintance
with the organization and working conditions of a
secondary medical staff and doctors in regional,
city and district hospitals, district service of clinics,
ambulance stations.
Foreign students can study clinical
practice at the clinical bases of a higher
educational institution or at the place of
residence on the basis of a personal
application certified and approved by the
dean's office and the department of practice.
Subsequently, with the delivery of all the
necessary documentation and an exam with a
demonstration of practical skills in simulation
centers on training dummies.
In modern, rapidly developing conditions,
society needs graduates of higher educational
institutions (in our case, a medical profile) with
practical experience, including those gained in
the process of educational and clinical
practice. As a result of the acquired practical
skills, young specialists should become
competitive both in terms of further education
and in terms of work in the clinic.
Therefore, the practical training of future
specialists with higher medical education is one
of the most important conditions for the
implementation of state policy in the field of
improving the quality of medical education of
future doctors.
Foreign students study clinical practice
with great interest and take an active part in
academic
time
and
free
time,
try to get more skills, apply and consolidate
theoretical knowledge in practice.
The purpose of this work: timely identification of
problems arising in the process of practical training
for medical students, and the development of ways
to eliminate these problems, which should improve
the preparation of a future specialist for practical
work, improving the quality of knowledge and skills
obtained in a medical university.
Research objectives: to study the problems
(difficulties) during the practical training of medical
students; highlight the priority (most common)
difficulties of students; outline ways of solving
emerging problems.
Materials and research methods
To solve the set tasks, a questionnaire and
survey of 108 students was carried out. The
questionnaire for the survey was focused on
the satisfaction with the practice, the
completeness of the acquisition of practical
skills and the problems that arise during the
practice. At the same time, 94 students out of
the respondents were practicing in health
care institutions at their place of residence
(India, Pakistan)
The results of the survey, the following results.
Out of 10 questions of the questionnaire, students
were asked to choose at least 5 answers to the
problems (difficulties) that have arisen in the
process of practice.
At the same time, all the interviewed students were
satisfied with the results of practical training
(regardless of the base of its passing) - they
understood the importance of practical skills. Not a
single person answered positively to the proposed
option: "Dissatisfaction with this practice."
The overwhelming majority of the students participating in
the survey noted a positive psychological atmosphere in the
teams of medical institutions where they underwent
industrial practice.
Thus, having studied the emerging problems during the
passage of students, we can draw the following conclusions:
1. Industrial practice for medical students is an
important continuation of theoretical training during
the academic year and educational practice and
allows you to increase the level of their theoretical
knowledge, as well as practical skills, and provides
further motivation for training in medical direction.
2. It is necessary to pay more attention to those
arising from students after the first year (lack of skills
in filling out documentation; lack of practical skills
and abilities; lack of educational practice on
manipulation algorithms; lack of knowledge in
communicating with patients, etc.).
3. Heads of practice and teachers of training
sessions at a medical university in subsequent
courses of study need to find out the difficulties
encountered by students and solve them
systematically, preparing graduates for the next
stages of practice and for their further independent
work.
CLINICAL PRACTICE
Universities of Kyrgyzstan are trying to provide everything
possible for better teaching of clinical skills, thus foreign
students are taught in simulation centers.
During practice, foreign students face the
following problems:
• The need for the constant presence of a leader
• Difficulty explaining and
Russian-speaking patients
understanding
• Difficult understanding of hospital documentation in
Russian.
• Unwillingness patients contact with local and
foreign students etc.
Therefore, the issue of clinical practice is
very relevant today:
1. It is necessary to create academic mobility with
English-speaking universities abroad (India,
Pakistan and others) for internships (clinical
practice) with English-speaking patients.
2. Adding more hours of teaching Russian with
the presentation of a certificate of knowledge of
the Russian language for better doctor-patient
contact and the development of clinical
thinking.
3. Creation of telemedicine with English-speaking
patients to train students in collecting complaints,
anamnesis and teaching patient counseling.
4. Creation of a clinic for the treatment of Englishspeaking patients who wish to receive treatment
away from relatives and friends, to receive
treatment using balneology therapy (nature of the
mountains, mountain lakes, medicinal waters, hot
springs, natural products without the use of GMOs
and much more).