THE ROLE OF “CLINICAL PRACTICE” DISCIPLINE IN PREPARATION OF FUTURE SPECIALISTS OF HIGHER MEDICAL EDUCATIONAL INSTITUTIONS

Clinical practice of medical students is one of the most important parts of the professional training of any specialist and is a key point of the curriculum. Clinical practice in therapy is the process of knowledge and practical skills “fixing”, acquired during the studying process and formation of universal professional competences of future therapists, physicians, particularly experience acquisition in solving the real professional tasks. Clinical practice is aimed at improving knowledge and skills in the organization and provision of emergency care in emergencies in therapy, consolidation and deepening the ability to make rational choices of drug and non-drug therapy taking into account the mech-anism of action, etiology, pathogenesis of the disease, patient age, acquisition of skills in disease prevention, medical examination of patients with therapeutic diseases and the basic principles of rehabilitation in the clinic of internal medicine. The chair of internal medicine №2 and nursing integrated elective discipline “Clinical practice in thera-py” for 5th course students of the medical faculty. Clinical practice consists of three content modules: “Main examination and diagnostic methods in cardiology”, “Examination and diagnostic features in rheumatology, gastroenterology and nephrology, Diagnostics of the main infectious diseases” and “Clinical practice in pulmonology, endocrinology, and hematology”. Much attention is paid to the implementation of practical skills and the ability to solve situational prob-lems/ cases in practical classes. Students improve their skills in physical examination of all organs and systems and establish the degree of their violation, electrocardio-gram registration, cardiopulmonary resuscitation, peak flowmetry, bone marrow aspiration, interpret the results of laboratory and instrumental methods of research, diagnose, explain, prescribe treatment and choose the next route of the patient management depending on the diagnosed pathology in practical classes. The discipline includes practical classes and self-reliant work of the student. The teacher organizes a detailed consideration of individual theoretical issues and develops the skills and abilities of their practical applica-tion in the professional field by performing practical tasks and solving situational problems/cases in the practical classes. The practical classes are held in training centers; certain clinical situation is offered to a student, where the specific practical skills have to be demonstrated and theoretical questions have to be answered. The greatest attention in practical classes is paid to the ability to register the electrocardiogram in 12 standard leads; interpret the results of daily monitoring of blood pressure, ergometry, treadmill test, coronary angiography, echocardiography; perform peak flowmetry; interpret the results of instrumental studies (ultrasound examination of the abdominal cavity, pleural sinuses, thyroid gland, kidneys, pelvic organs, computed tomography and magnetic resonance imaging of the chest, abdominal cavities; radiographs of the chest, radiography of the joints, spine); results of laboratory tests; results of fibroesophagogastroduodenoscopy and pH-metry; determine the rate of glomerular filtration of the kidneys by CKD-EPI; perform electrical defibrillation and perform cardiovascular resuscitation. Current and final module controls are used during the course. Also, obligatory module control is prepared for self-reliant studying evaluation.