COURSE “OTOLARYNGOLOGY” IN INTERNSHIP TRAINING PROGRAMS FOR GENERAL PRACTITIONERS-FAMILY DOCTORS
DOI:
https://doi.org/10.11603/1681-2786.2025.4.15900Keywords:
intern; internship; practical skills; course “Otolaryngology”; program.Abstract
Purpose: to study the main characteristics of the “Otolaryngology” section in the training programs for doctors in internships in the specialty “General Practice – Family Medicine”; to propose approaches to improving the training programs of interns in otolaryngology. Materials and methods. An exemplary internship training program in the specialty “General Practice – Family Medicine”, approved by the Ministry of Health of Ukraine, and 7 similar programs of state-owned higher education institutions; regulatory documents and scientific literary sources. Methods: structural-logical analysis of documents, grouping, generalization, comparison, bibliosemantic. Results. It was established that the duration of the considered programs is 2 years, and the educational part of the course “Otolaryngology” of higher education institutions is from 18 to 36 hours, with the recommended 36 hours; the duration of the practical part of most programs is 108 hours. The structure of the course “Otolaryngology” by topics is rich in content and number (11 units) and multiplicity (10–20 times) of practical skills. A comparison of the duration and content of domestic programs with the best European ones showed that the duration of the latter is at least 3 years, and in most European countries – 5 years. Foreign studies indicate a direct relationship between the duration of training and the acquired competencies of a doctor. Approaches to improving internship training programs for general practitioners-family doctors in otolaryngology include increasing the total duration of training to at least 3 years, with a corresponding increase in the duration of the Otolaryngology course, and making wider use of postgraduate short-term training using simulators. Conclusions. Internship training in the specialty “General Practice-Family Medicine” requires an increase in the duration of programs according to the best European models, with a corresponding extension of the duration of the “Otolaryngology” course, as well as the use of short-term training cycles on otolaryngology within the framework of the continuous professional development of general practitioners-family doctors.
References
Про схвалення Стратегії розвитку системи охорони здоров’я на період до 2030 року та затвердження операційного плану заходів з її реалізації у 2025–2027 роках : Розпорядження Кабінету Міністрів України від 17 січня 2025 р. № 34-р. URL: https://zakon.rada.gov.ua/laws/show/34-2025-%D1%80#Text (дата звернення: 03.11.2025).
Черешнюк Г. С., Козяр Т. В. Загальна практика сімейна медицина, як невід’ємна складова трансформації системи охорони здоров’я в медичну освіту України. Тези доповідей навчально-методичної конференції «Актуальні проблеми сучасної вищої медичної освіти: національний досвід та світовий вимір», м. Вінниця, 7 лютого 2019 року. Вінниця, 2019. С. 229. URL: https://www.vnmu.edu.ua/downloads/pdf/tezy_n-m_konf_2019.pdf (дата звернення: 05.11.2025).
Scott G. M., Best CAE., Micomonaco D. C. Otolaryngology exposure in a longitudinal integrated clerkship setting. J Otolaryngol Head Neck Surg . 2017. Vol. 46(1), no. 10. P. 51. DOI: 10.1186/s40463-017-0215-1. DOI: https://doi.org/10.1186/s40463-017-0215-1
Dimitrov L., Unadkat S., Khanna A., Rennie C., Saleh H. ENT training amongst general practitioners: results from a questionnaire. The Journal of Laryngology & Otology. 2020. No. 134 (2). P. 109–115. doi:10.1017/S0022215120000201. DOI: https://doi.org/10.1017/S0022215120000201
Mayer A. W., Smith K. A., Carrie S.; Collaborative Authors. A survey of ENT undergraduate teaching in the UK. J Laryngol Otol. 2020. No. 134(6). P. 553–557. DOI: 10.1017/S0022215120000936. DOI: https://doi.org/10.1017/S0022215120000936
Sorichetti B. D., Pauwels J., Jacobs T. B., Chadha N. K., Kozak E. L., Kozak F. K. High frequency of otolaryngology/ENT encounters in Canadian primary care despite low medical undergraduate experiences. Can Med Educ J. 2022. No.13(1). P. 86–89. DOI: 10.36834/cmej.72328. DOI: https://doi.org/10.36834/cmej.72328
Rozsnyai Z., Tal K., Bachofner M., Maisonneuve H., Moser-Bucher C., Mueller Y., Scherz N., Martin S., Streit S. Swiss students and young physicians want a flexible goal-oriented GP training curriculum. Scand J Prim Health Care. 2018. No. 36(3). P. 249–261. DOI: 10.1080/02813432.2018.1487582. DOI: https://doi.org/10.1080/02813432.2018.1487582
Про затвердження примірних програм підготовки в інтернатурі за спеціальностями «Анестезіологія та інтенсивна терапія»; «Загальна практика-сімейна медицина»; «Дерматовенерологія»; «Радіологія»; «Отоларингологія»; «Патологічна анатомія»; «Фізична та реабілітаційна медицина» : Наказ Міністерства охорони здоров’я України від 28 червня 2022 р. № 1114. URL: https://moz.gov.ua/uploads/7/37644-dn_1114_28_06_2022_dod_2.pdf (дата звернення: 03.11.2025).
Arya N., Gibson C., Ponka D., Haq C., Hansel S., Dahlman B., Rouleau K. Family medicine around the world: overview by region: The Besrour Papers: a series on the state of family medicine in the world. Can Fam Physician. 2017. No. 63(6). Р. 436–441. URL: https://pubmed.ncbi.nlm.nih.gov/28615392/ (date of access: 03.11.2025).
Tornow C., Freyer Martins Pereira J., Mathias E., Chenot J. F. Postgraduate training in general practice in Germany: A narrative review. Ger Med Sci. 2025. No. 23. P. Doc08. DOI: 10.3205/000344.
Pasick L. J., Benito D., Zapanta P., Sataloff R. T. Assessing Medical Student Basic Otolaryngology Knowledge: A Multi-Institutional Study. Ear Nose Throat J. 2019. No. 98(1). P. 44–49. DOI: 10.1177/0145561318823369. DOI: https://doi.org/10.1177/0145561318823369
Alassaf H. I., ALturki A. Y., Almansour N. M., Albdulsalam A. M., Altameem R. M., Alqahtani Z. A., et al. Basic ear, nose, and throat knowledge among medical students: A multi‑institutional study reflecting the current stage of ear, nose, and throat curriculum in undergraduate medical education. J Nat Sci Med. 2023. No. 6 (2). P. 59–65. DOI: 10.4103/jnsm.jnsm_169_20. DOI: https://doi.org/10.4103/jnsm.jnsm_169_20
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish in this journal agree to the following terms:
1. The authors reserve the right to authorship of the work and pass the journal right of first publication of this work is licensed under a Creative Commons Attribution License, which allows others to freely distribute the work published with reference to the authors of the original work and the first publication of this magazine.
2. Authors are entitled to enter into a separate agreement on additional non-exclusive distribution of work in the form in which it was published in the magazine (eg work place in the electronic repository institution or publish monographs in part), provided that the reference to the first publication of this magazine.
3. Policy magazine allows and encourages authors placement on the Internet (eg, in storage facilities or on personal websites) manuscript of how to submit the manuscript to the editor and during his editorial processing, since it contributes to productive scientific discussion and positive impact on the efficiency and dynamics of citing published work (see. The Effect of Open Access).
