CURRENT PROBLEMS OF INTERNSHIP DOCTOR TRAINING IN THE SPECIALTY ‘‘ORTHOPEDICS AND TRAUMATOLOGY’’

Abstract

The article provides a detailed analysis of the components of the curriculum and training program for interns in the specialty “Orthopedics and Traumatology” during the two-year internship period. The issues of the main and related blocks of the curriculum during the internship are highlighted. The basic requirements for the knowledge and skills of an orthopedist-traumatologist after the internship are established. Emphasis is placed on the need to provide an orthopedist-traumatologist after the internship adequate level of examination and treatment of patients in accordance with modern advances in medical science and technology. It is emphasized that such methods of examination include ultrasound, CT and MRI. It is also noted that in each of the theoretical issues included in the main block there is a reference to the nature and changes of these surveys. On the other hand, in a detailed study of the list of issues for the training of orthopedist-traumatologist, no section was found on ultrasound, CT and MRI. The simulated situation is considered, when it is necessary to independently analyze MRI and CT images, and correctly, accurately, locally introduce the required drug by injection and perform it under the control of modern equipment with full visualization of the damaged area and the drug. It is emphasized that conducting such procedures requires not only knowledge but also practical skills, which can be obtained only after special theoretical and practical training not provided for in the curriculum of orthopedist-traumatologist. Thus, there is a discrepancy between the requirements for the knowledge and skills of a specialist in traumatology and orthopedics and the content of the training program for such a specialist. To address this issue, it is proposed to introduce in the main block of the training program a course to study additional methods of examination of the musculoskeletal system, namely ultrasound, CT and MRI. Carry out this course in parallel with the course of clinical topographic anatomy, which will promote better clinical understanding. Develop a program to acquire basic practical skills based on the use of these methods.