codnis Sefaseba da testuri gamocda. testis dizaini da misi Sedgenis ...
codnis Sefaseba da testuri gamocda. testis dizaini da misi Sedgenis ... codnis Sefaseba da testuri gamocda. testis dizaini da misi Sedgenis ...
samedicino gazeTi Tebervali 2010 gv.8 specialoba da profesionalizmi pediatris profesia da pediatriuli ganaTleba: axali gamowvevebi irakli favleniSvili Tssu pediatriis departamentis sruli profesori, sarezidento programis “pediatria” direqtori, amerikis pediatrTa akademiis wevri, saxelmwifo premiis laureati I . pediatris profesia gagrZeleba. dasawyisi wina nomerSi. - skolis pediatri. saskolo asakis da mozardi bavSvebi is kontigentia, romlebic arasaTanado samedicino daxmarebas iRebs. rogorc Cans, pediatrTa garkveul nawils isev mouwevs Tavisi praqtikis didi nawili gaataros skolis pirobebSi, raTa uzrunvelyos iseTi samedicino daxmareba, rogoricaa vaqcinaciis Catareba, sqesobrivad gadamdebi infeqciebis profilaqtika, orsulobis prevencia, sxvadasxva qimiuri nivTierebebis borotad gamoyenebasTan dakavSirebiT konsultireba, moswavlis ganviTarebisa da fsiqiuri janmrTelobis mdgomareobis Sefaseba, mozardebSi Zaladobis prevencia da sxv. - pediatri, rogorc samedicino daxmarebis aRmomCeni binis pirobebSi. amJamad SeiniSneba mwvave Tu qronikuli daavadebebis binis pirobebSi e.w. komfortuli da xarjTefeqturi mkurnalobis tendencia. amitomac, saWiroa im kompetenciebis Camoyalibeba, romliTac pediatri Seafasebs, koordinacias moaxdens da gaaadvilebs am saxis samedicino daxmarebas. garda amisa, SesaZlebelia, rom ufro gafarTovdes binaze Catarebuli profilaqtikuri Semowmebis da mwvave daavadebaTa mkurnalobis areali. - pediatri, rogorc populaciaze dafuZnebuli, sazogadoebrivi medicinis praqtikosi. axlo momavalSi savaraudoa saxelmwifo da municipalitetebi gamoiyenebs eqimebs, maT Soris pediatrebs, sazogadoebrivi jandacvis pirveladi moTxovnilebebisa da SemTxvevaTa marTvis sakiTxebis integraciis mizniT, sazogadoebrivi janmrTelobis gaumjobesebisaTvis, samedicino daxmarebis xarisxis Sesafaseblad da sxv. - pediatri administraciul medicinaSi. pediatrebi sxva eqimebis msgavsad dResac saqmdebian jandacvis administraciaSi. muSaoben sadazRvevo kompaniebisaTvis, janmrTelobis SemanarCunebeli organizaciebisaTvis da sxva dawesebulebebisaTvis. aRniSnuli karierisTvis mosamzadeblad sul ufro meti eqimi ecdeba maRali biznes xarisxis mopovebas. - pediatri, rogorc pediatriuli samsaxuris xarisxis mkvlevari. informaciuli teqnologiebisa da pasuxismgeblobebis mimarT yuradRebis mosalodnel zrdasTan erTad pediatris kidev erTi mniSvnelovani funqcia iqneba pediatriuli samsaxuris xelmisawvdomobis, xarisxisa da gamoyenebis sakiTxebis Seswavla. es kvleva warimarTeba akademiur samedicino centrebsa da polisis jgufebSi CarTuli mkvlevarebis, aseve kerZo dawesebulebebSi momuSave pediatrebis mier. - sofelSi momuSave pediatri. soflis regionSi pediatriuli saqmianoba kvlavac unikalur sirTules warmoadgens. sofelSi momuSave pediatrma zog SemTxvevaSi kvlavac unda SeiTavsos Terapevtis, neonatologis, intensiuri Terapiis specialistis funqciebi matransportirebeli jgufis mosvlamde, rodesac pacientis mdgomareoba kritikulia. telemedicina saSualebas miscems sofelSi momuSave pediatrs saWiroebis SemTxvevaSi miiRos Sesabamisis subspecialistis konsultacia da amgvarad aRmouCinos pacients optimaluri samedicino daxmareba. qronikuli daavadebebis mkurnaloba da qcevis problemebis amocnoba soflis pediatris kompentenciis is aspeqtebia, romelic aqtualizebulia da saswrafod gadaWras moiTxovs. amrigad, pediatriuli samsaxuris profesionalTa Camoyalibeba da maTi rolebis gafarToeba moiTxovs imas, rom pediatriulma samedicino ganaTlebam saTanado yuradReba miaqcios pediatriuli samsaxuris integracias monaTesave samsaxurebTan. gansakuTrebiT mniSvnelovania xazi gaesvas pediatrebis mier urTierTTanamSromlobis Cvevebis SeZenas, vinaidan maT sul ufro xSirad mouwevT sxvadasxva gundSi muSaoba. samedicino samsaxuris uzrunvelmyof profesionalTa rolebisa da SesaZleblobeb- Si garkveva pediatriuli ganaTlebis er- TerTi mniSvnelovani komponentia. vinaidan xSir SemTxvevaSi pediatriuli pacientisaTvis samedicino daxmarebis aRmoCenaze pasuxismgebeli iqneba arapediatri eqimi, amitom saWiroa, rom pediatriuli ganaTlebis dros pediatrebs Caunergon liderobis SegrZneba da gamoumuSavon Cvevebi, romlebic saWiroa pediatriuli samedicino daxmarebis standartebis SesamuSaveblad. da bolos, vinaidan pediatrs mravalferovani rolebis SeTavseba mouwevs momavalSi, amitom samedicino ganaTlebis procesSi unda moxdes studentTa gaTviTcnobiereba Tu ra da ra mimarTulebiT SeiZleba moxdes pediatris karieris ganviTareba. SeiTavsebs ra axal funqciebs pediatris dasaqmeba ukve SesaZlebelia ara marto rogorc - pediatri, momuSave poliklinikebSi - pediatri, momuSave soflis regionebSi - pediatri, romelic uzrunvelyofs samedicino momsaxurebas binaze - pediatri, momuSave saavadmyofoSi - pediatri, momuSave skolaSi - pediatri, momuSave baga-baRSi - pediatri, momuSave saswrafo daxmarebis brigadaSi aramed, rogorc - pediatri, momuSave marTvadi samedicino daxmarebis centrebSi - pediatri, momuSave sazogadoebriv konsultantad, - pediatri, populaciaze dafuZnebul sazogadoebriv medicinaSi - pediatri, administraciul medicinaSi - pediatri, momuSave saafTiaqo qselSi - pediatri, momuSave farmacevtul kompaniaSi - pediatri, momuSave sadazRvevo kompaniaSi profesionalebi, romlebic bavSvTa janmrTelobaze zrunvisas pediatrebTan TanamSromloben, arian nutriciologebi, socialuri samsaxuris TanamSromlebi, fsiqologebi, `fizikuri datvir- Tvis~ specialistebi da logopedebi. marTalia, mentalur janmrTelobaze zrunva didi xania farTo, multidisciplinaruli gundis muSaobis Semadgeneli nawilia, magram pediatriul praqtikaSi es procesi Senelebuli tempiT mimdinareobs. vinaidan ganviTarebis, qcevisa da mentaluri janmrTelobis sakiTxebi metad mniSvnelovania pirveladi samedicino daxmarebisaTvis, amgvari aliansis warmateba mniSvnelovan gavlenas moaxdens pediatriis momavalze. garda amisa, unda iTqvas, rom sxva specialobis eqimebic mniSvnelovani rols asrulben pediatriuli pacientebis moTxovnilebebis dakmayofilebaSi. magaliTad, ojaxis eqimebi, gadaudebeli daxmarebis eqimebi, nevrologebi, fsiqiatrebi da pediatri subspecialistebi. bavSvTa da mozardTa fsiqikuri janmrTelobis moTxovnilebebi sakmaod mniSvnelovania. pediatrs damatebiTi sWirdeba treningebi, raTa man saTanadod SesZlos bavSvTa fsiqiuri janmr- Telobis Sefaseba. garda amisa, pediatrma kvlavac unda gaagrZelos mWidro TanamSromloba fsiqiatrebTan, fsiqologebTan da socialuri samsaxuris TanamSromlebTan, raTa daakmayofilon TavianTi pacientebis fsiqikuri janmrTelobis moTxovnilebebi. fsiqikuri paTologiis uyuradRebod datoveba bavSvTa asakSi, populaciasi mentaluri paTologiis ganviTarebis sixSiris matebis safrTxes Seicavs. ojaxis eqimisa da pediatris funqciebis `zeddeba~ konkurentul garemos qmnis, gansakuTrebiT iseT regionebSi, sadac eqimTa siWarbea. Tumca aseTi `zeddeba~ kooperatiuli modelebis Camoyalibebis saSualebas iZleva, gansakuTrebiT im regionebSi, sadac eqimTa naklebobaa. magaliTad, pediatrs SeuZlia informacia miawodos ojaxis eqims da gaaumjobesos bavSvTa daavadebebis mar- Tva daSorebul regionebSi. agreTve, pediatrma SeiZleba damakavSirebeli roli Seasrulos ojaxis eqimsa da subspecialists Soris, riTac dazogos pacientis ojaxi zedmeti xarjebisa da gadaadgilebisgan. zogadi pediatrisa da subspecialistis roli da maT Soris urTierToba is sakiTxia, romelic gansjisa da kamaTis sagania. kvlevebi, romelebic Catarda zogadi eqimebisa da subspecialistebis mier aRmoCenili samedicino daxmarebis Sedegisa da xarisxis Sesadareblad, xSirad urTierTagamomricxavia. mozrdil pacientebze Catarebulma ramdenime kvlevam aCvena, rom Terapevtis mier aRmoCenili samedicino daxmarebis gamosavali iseTivea, rogoric subspecialistis mier Catarebuli mkurnalobisa, magram resursebis xarjva pirvel SemTxvevaSi ufro naklebia. sxva kvlevebma gamoavlina, rom daavadebis gamosavali gacilebiT ukeTesia subspecialistebis mier Caterebuli mkurnalobisas. pediatriuli pacientebis Sesaxeb msgavsi monacemebi ar moipoveba. pediatri subspecialistebi (neonatologi, bavSvTa pulmonologi, kardiologi, gastroenterologi alergologi, nefrologi, nevrologi, onkohematologi da sxv.) uzrunvelyofen samedicino daxmarebas, mTel rig sxvadasxva dawesebulebaSi. amasTan, pediatr subspecialistTa umetesoba Tavis profesiul saqmianobas, swavlebasa da kvlevas akademiur samedicino centrebSi unda eweodes. pediatri subspecialisti profesiuli mzadebisa da gamocdilebis safuZvelze daxelovnebulia imaSi, rom aRmouCinos samedicino daxmareba, aswavlos da Caataros kvleva viwro pediatriul specialobaSi da iyos konsultanti mZime, kompleqsur da iSviaT daavadebebTan dakavSirebiT. pediatr-subspecialistTan pacientis mimarTvianobas pirveladi rgolis eqimebi, ZiriTadad pediatrebi, ojaxis eqimebi da ufro iSviaTad ki pediatrsubspecialistebi unda uzrunvelyofdnen. urbanul dasaxlebaTa umetesobaSi pediatri subspecialistebi zrunaven rTuli da progresuli daavadebis mqone bavSvebze. vinaidan soflebSi SedarebiT naklebia pediatr-subspecilaistTa ricxvi, amitomac aucilebelia zogad pediatrebsa da subspecialistebs Soris swrafi da mimdinare kavSiris damyareba telemedicinisa da telefonis meSveobiT an pirdapi adgilobriv mozrdilTa subspecialistis meSveobiT. pediatrs SeuZlia qronikuli daavadebebis marTva sxva subspecialistebTan erTad, rogorc xdeba magaliTad bavSvTa simsivneebis marTvis mraval programaSi. Tumca arsebobs ramdenime winaaRmdegoba, rac xels uSlis pediatriuli samedicino daxmarebis TanamSromlobiTi modelis danergvas. sxvadasxva kvlevam gamoavlina, rom mSoblebi ar arian darwmunebulni zogadi eqimis kvalifikacia- Si kompleqsuri, mZime da iSviaTi daavadebebis mkurnalobisas. amasTan, ar aris sruli konsensusi miRweuli imis Taobaze Tu ra tipisa da simZimis problema unda gadaiWras pirveladi rgolis pediatris da romeli - subspecialistis mier. garda amisa, Tu subspecialisti ar aris monawile saxelmwifo programebisa, konsutalciis fasi xSirad miuwvdomelia mravali ojaxisaTvis. amasTan, unda iTqvas, rom pacientze orientirebuli jandacvis mizania, rom yvela bavSvi, romelic saWiroebs specializebul samedicino daxmarebas, iyos uzrunvelyofili saukeTesod daxelovnebuli viwro specialistebis mier uaxles teqnologiebze dafuZnebuli srulyofili samedicino daxmarebiT. zogad pediatrTa amJamad arsebuli ricxvis Semcireba saWiro ar iqneba. bolo 20 wlis ganmavlobaSi eqimTa ricxvis zrdam gaaumjobesa eqimTa geografiuli gadanawileba, magram ver aRmofxvra soflis raionebSi arsebuli deficiti. momavalSi saWiro iqneba pediatrsa da bavSvTa populacias Soris arsebuli proporciis SenarCuneba. amasTan, mniSvnelovania iseTi strategiebis SemuSaveba, romelic uzrunvelyofs cudad momsaxurebul regionebSi pediatris momsaxure bavSvebTan Tanafardobis optimizacias da eTnikuri umciresobis pediatrTa ricxvis gazrdas. dReisaTvis samedicino skolis studentTa Soris eTnikuri umciresobis warmomadgenelTa simcire damafiqrebelia, gansakuTrebiT imitom, rom samedicino momsaxurebis SeRwevadoba eTnikuri umciresobis sazogadoebaSi dabalia. meti samuSaoa saWiro erovnuli umciresobis ricxvis gasazrdelad pediatrTa sarezidento mzadebis programebSi. erovnuli umciresobis warmomadgenelTa ricxvis gazrda pediatrTa Soris gaaumjobesebs erovnuli umciresobebiT kompaqturad dasaxlebul regionebSi maT dasaqmebasa da aqedan gamomdinare samedicino momsaxurebis xarisxs. ar SeiZleba xazi ar gaesvas erT garemoebasac. pediatriul sferoSi aRiniSneba mdedrobiTi sqesis warmomadgenlebis mkveTrad gamoxatuli siWarbe. amJamad samive wlis pediatr-rezidentTa Soris TiTqmis yvela qalia. amasTan, qali-pediatrebi ufro mcire dros uTmoben samu- Saos TavianT mamakac kolegebTan SedarebiT, rac pirvel rigSi imiT aris ganpirobebuli, rom isini samuSaos da ojaxur saqmianobas aTavseben erTmaneTTan. Se-
degad SeiZleba aRiniSnos specialobis `produqtiulobis~ TandaTanobiTi Semcireba. da bolos, miuxedavad imisa, rom SeiniSneba mcdeloba pediatriis dargis viwrospecializaciisa, aTviTcnobiereben ra, rom zogadi pediatrebi yvelaze ukeT arian daxelovnebulni bavSvTa kontigentisaTvis samedicino daxmarebis aRmoCenaSi, xolo zrdasrulTa janmrTeloba praqtikulad mTlianadaa damokidebuli bavSvTa janmrTelobaze, pediatris, rogorc bavSvTa kontigentisaTvis samedicino daxmarebis roli kvlavac ucvleli rCeba. amasTan, maT warmatebul saqmianobas pediatriuli samedicino daxmarebis yvela rgolSi mtkicebiT medicinaze dafuZnebuli gaidlainebi, protokolebi, samedicino daxmarebis donis Sesafasebeli meTodebis implementacia, uwyveti samedicino ganaTleba da profesiuli ganviTareba uzrunvelyofs. II . pediatriuli ganaTleba eqimis profesia, umaRlesi saswavleblis pirveli kursidan dawyebuli da misi saqmianobis bolo dRiT damTavrebuli, ar moiazreba ganaTlebis uwyvetobis gareSe. sayovelTaod aRiarebul profesiul da eTikur standartebze dafuZnebul warmatebul saeqimo saqmianobas safexureobrivi samedicino ganaTleba ganapirobebs. am “permanentuli” ganaTlebis procesi eqim-specialistisTvis moicavs Semdeg etapebs: 1. diplomamdel samedicino ganaTlebas - umaRlesi samedicino ganaTleba. 2. diplomisSemdgom samedicino ganaTlebas - rezidentura; - gadamzadeba momijnave specialobaSi; - subspecializacia. 3. uwyvet profesiul ganviTarebas - uwyveti samedicino ganaTleba; - uwyveti praqtikuli saqmianoba; - profesiuli reabilitacia. zemoaRniSnulidan gamomdinare, pediatriaSi, rogorc yvela sxva saeqimo specialobaSi, damoukidebeli saeqimo saqmianobis uflebis mosapoveblad metad rTuli gzaa gasavleli. kerZod, sajaro skolis damTavrebisa da erTiani erovnuli gamocdis Cabarebis Semdeg, aucilebelia 6-wliani umaRlesi samedicino ganaTlebis safuZvelze diplomirebuli medikosis akademiuri xarisxis mopoveba, xolo rezidenturaSi mzadebis gasagrZeleblad ki _ erTiani umaRlesisSemdgomi sakvalifikacio gamocdis Cabareba. amis Semdeg, pediatriaSi 3wliani sarezidento akreditebuli programiT profesiuli mzadebis dasruleba da saxelmwifo sasertifikacio gamocdebis Cabareba damoukidebeli saeqimo saqmianobis uflebis miniWebiT mTavrdeba. dReisaTvis, maT Soris saqarTvelo- Sic, udavo miRwevad unda CaiTvalos is, rom samedicino ganaTleba amJamad ganisazRvreba rogorc mravalganzomilebiani procesi. naTladaa gaTviTcnobierebuli agreTve efeqturi samedicino ganaTlebis safexureobrioba da uwyvetoba. yoveli saganmanaTleblo programis ZiriTadi mizani winaswar gansazRvrul saswavlo amocanebze dafuZnebuli kompetenciebis aTviseba an ganaxlebaa, radganac es kompetenciebi profesiuli saqmianobis standartia da aqedan gamomdinare, warmatebul programad CaiTvleba mxolod is, romelic uzrunvelyofs Sesabamisi kompetenciebis srulad da yovelmxriv aTvisebas. pediatriaSi mzadebis yovel safexurze SesaZeni kompentenciebis sxvadasxvaobidan gamomdinare, icvleba rogorc saswavlo midgoma da masala, ise mzadebis done, rac TavisTavad gansazRvravs saswavlo programebis diferenciacias samedicino skolis studentebisTvis, pediatr-rezidentebisTvis da uwyveti profesiuli ganviTarebisTvis. amasTan, gasaTvaliswinebelia isic, rom saganmanaTleblo procesma safuZvlian ganaTlebasTan da wvrTnasTan erTad, unda uzrunvelyos momijnave specialobis, subspecialobis dauflebis an specialobis Secvlis Sesa- Zlebloba, agreTve karieruli zrda da kompetenturi ganmanaTleblis Camoyalibebac. Sedegze orientirebuli ganaTleba, garda saswavlo programebiT gaTvaliswinebuli kompetenciebis miRwevisa, risTvisac gamoiyenebulia leqciebi, formaluri da araformaluri saswavlo sesiebi, klinikuri gamocdileba, TviTorientirebuli swavleba da sxv., moicavs iseT aucilebel komponentebs, rogoricaa: Sefasebis, maT Soris xarisxis Sefasebis sistemebis (Sida da gare auditis) gamoyeneba da ukukavSirebis damyareba, kompentenciebis ganxorcielebis unaris dadgena, programebis perioduli ganaxleba da maTi adaptacia da implementacia. studentis swavlebis safuZveli Teoriul codnasTan erTad, unda iyos Sem- Txvevebze da problemaze dafuZnebuli ganaTleba. amitomac, saWiroa iseTi kurikulumis gamoyeneba, romelic saSualebas miscems momaval pediatrs gaecnos daavadebis bunebriv mimdinareobas, Sexeba hqondes rTul fsiqo-socialur sakiTxebTan. kurikulumi unda moicavdes wvrTnas iseT sakiTxebSi, rogoricaa jgufis lideroba, konsultaciuri kavSirebi, klinikuri praqtika, gadawyvetilebebis faqtebze dayrdnobiT mi- Reba, moqmedeba kritikul mdgomareobebSi, resursebis, maT Soris finansuris gamoyeneba, sainformacio sistemebis menejmenti da sxv. bavSvTa kontingentis unikalobidan gamomdinare, sa- Wiroa pediatriuli ganaTlebis gafar- Toeba imisaTvis, raTa praqtikosma eqimma SeZlos amoicnos da marTos mTeli rigi qceviTi da socialuri problemebi, romlebic bavSvis normalur zrdaganviTarebas aferxebs. garda amisa, gansakuTrebuli aqcenti unda gakeTdes im saganmanaTleblo midgomis mniSvnelobaze, romliTac pediatr-rezidents gaacnobierebinebs ganaTlebis procesis uwyvetobas mTeli saeqimo saqmianobis manZilze. dReisaTvis evropaSi samedicino ganaTlebis xarisxis gaumjobeseba mimarTulia: - samedicino ganaTlebis Sesabamisobaze socialur pasuxismgeblobasTan (arsi/Sedegi/kompetencia); - samedicino programebSi problemaze dafuZnebuli swavlebis da misi msgavsi meTodebis danergvaze; - fundamenturi biomedicinisa da klinikuri disciplinebis integraciaze; - kvlevasTan integrirebuli komunikaciebisa da klinikuri Cvevebis ganvi- Tarebaze; - fokusirebaze uwyvet samedicino ganaTlebisadmi. diplomamdeli samedicino ganaTleba pediatriaSi, rogorc disciplinaSi, diplomamdeli samedicino ganaTlebis mizania aswavlos students pacientisadmi empaTiiT mopyroba da gamoumuSavos samedicino azrovnebis unari. studentma unda iswavlos anamnezis Segroveba, pediatriuli pacientis fizikuri gamokvleva, bavSvis normaluri zrda-ganviTarebis procesi, garemos gavlena bavSvis janmrTelobasa da misi SenarCunebis principebi, aiTvisos praqtikuli unar-Cvevebi. ramdenime aTwleulis ganmavlobaSi samedicino skolaSi swavleba ZiriTadad jer didaqtikur xasiaTs atarebda da pacientTan nakleb kontaqts gulisxmobda, xolo Semdgom Teoriuli da klinikuri ganaTlebis aspeqtebis kombinirebas moicavda. bolo dromde saswavlo kursi pirveli 2 wlis ganmavlobaSi gankuTvnili iyo sabaziso sagnebis aTvisebisaTvis, rac klinikuri medicinis swavlebis winapirobac iyo. amasTan, swavlebis wamyvan formas leqcia warmoadgenda. Semdgom kursebze ki leqciebs, klinikebSi (ZiriTadad stacionareb- Si) akademiuri personalis zedamxedvelobiT klinikuri ganaTlebis miReba enacvleboda. samedicino skolaSi pediatriuli ganTleba 6-8 kviriani rotaciiT Semoifargleboda, romlis ganmavlobaSic studenti saleqcio kursTan erTad muSaobis gamocdilebas Ziri- Tadad stacionaris pirobebSi iZenda, xolo klinikuri muSaobis ganmtkiceba ki xdeboda specifikuri didaqtikuri sesiebis saSualebiT. dReisaTvis samedicino skolebis kurikulumebSi saleqcio kursi kvlavac wamyvania. Tumca, bolo periodSi SemecnebiT, mxolod informaciis miwodebaze damyarebul, studentTa pasiuri monawileobiT didaqtikuri tipis leqciebs sul ufro enacvleba interaqtiuri swavlebis formebi, rac xels uwyobs Teoriuli codnis praqtikuli ganzogadebis unaris Camoyalibebas. garda amisa, yuradRebaa gamaxvilebuli iseTi kurikulimis gamoyenebaze, romelic upiratesad moicavs miznebze dafuZnebul sistemur, sabaziso, klinikur da socialuri disciplinebis integrirebul modulebs. klinikuri saqmianobis swavleba xorcieldeba pirvelive kursebidanve samecniero konteqstSi aqcentebiT sabaziso meqanizmebze, eTikur mosazrebebsa da mecnierul mtkicebulebebze dafuZnebul multidisciplinur klinikur praqtikaze, pacientis mkurnalobaSi studentis uSualo monawileobiT. samedicino skolis farglebSi aucilebelia zogadpediatriul departamenTTan erTad, mozardTa medicinisa da neonatologiis departamentebSi klinikuri praqtikis miReba. mniSvnelovania agreTve, arCevi- Ti (eleqtiuri) modulebis SeTavazeba, rogorc sabaziso, aseve klinikuri disciplinebSi. metad aqtualuria SemTxvevaze dafu- Znebuli ganaTlebis unikaluri midgoma, romelic saSualebas aZlevs students sabaziso da klinikuri sagnebis codna gamoiyenos pacientis problemebis gadasawyvetad. kerZod, akademiuri personalis xelmZRvanelobiT mcire jgufebSi diskusiebi imarTeba sailustracio SemTxvevis garSemo. amasTan, students eZleva damxmare literatura da masalebi, SemTxvevaze dafuZnebuli leqciebi, demonstraciebi da sxv. diskusiaSi aqtiuri monawileobisTvis. am meTodiT swavleba metad efeqturi aRmoCnda iseTi Cvevebis gamosamuSaveblad, rogoricaa varaudis Camoyalibeba, deduqciuri dasabuTeba da sxva profesionalebTan TanamSromloba. metad mniSvnelovania sabaziso da klinikuri sagnebis saswavlo programebSi kompiuteruli teqnologiebis gamoyeneba, romelic daavadebaTa SemTxvevebis simulirebis, manipulaciebis Catarebis, sadiagnostiko Cvevebis aTvisebis da samedicino gadawyvetilebebis miRebaSi wrTobis saSualebas iZleva. tradiciulad, samedicino skolis studentebisTvis klinikuri ganaTlebis misaRebad umTavresi adgili saavadmyofoa. avadmyofis sawolTan Catarebuli swavleba araCveulebrivi SesaZleblobaa klinikuri dakvirvebisa da diskusiisTvis. garda amisa, studentebs SesaZlebloba eZlevaT iswavlon diagnostikuri da Terapiuli teqnika akademiuri personalis da rezidentebis zedamxedvelobis qveS. Tumca, dReisaTvis stacionarSi ZiriTadad Tavsdebian mZime paTologiis mqone pacientebi, romelTac intensiuri mkurnaloba da meTvalyureoba esaWiroebaT, rac pirveladi samedicino daxmarebis, avadobis xasiaTis Secvlisa da samedicino teqnologiebisa da mkurnalobaSi miRweuli progresis Sedegia. garda amisa, Tanxebis dazogvis mizniT mcirdeba pacientis mier saavadmyofoSi gatarebuli dro da hospitalizebul avadmyofTa mxolod mcire nawili rCeba saavadmyofoSi srul gajanmrTelebamde, xolo diagnos- Tebervali 2010 gv.9 samedicino gazeTi specialoba da profesionalizmi tikuri procedurebis didi nawili da mkurnalobis gagrZeleba, avadmyofis Semdgomi movla ZiriTadad ambulatoriul pirobebSi xorcieldeba. aqedan gamomdinare, students, romelic swavlebas ZiriTadad stacionaris pirobeb- Si gadis, Sexeba aqvs kompleqsuri daavadebebis SedarebiT viwro speqtrTan, romlebic bavSvTa populaciis mxolod mcire nawils uviTardeba. amitomac, ambulatoriul garemoSi swavleba samedicino skolis klinikuri ganaTlebis kurikulumis nawili unda gaxdes da mas akademiuri personali unda axorcielebdes, radgan studentma unda gaiTavisos bavSvTa zrdisa da ganviTarebis Taviseburebebi da am procesebis gavlena janmrTelobasa da daavadebebze. aseve unda gaacnobieros bavSvTa kontingentis janmrTelobis problemebis unikaloba da SeiZinos maTTvis damaxasiaTebeli samedicino problemebis mogvarebis gamocdileba. treningi sazogadoebriv garemoSi, rogorc klinikuri samedicino ganaTlebis erT-erTi komponenti, pirveladi samedicino daxmarebis specialobebis m.S. pediatriisTvis, metad wonadi damatebaa. imisaTvis ki, rom studenti ar CamorCes pirveladi samedicino daxmarebis axal tendenciebs, ufro meti dro unda daeTmos pediatriuli gadaudebeli samedicino daxmarebis praqtikas. zemoaRniSnuli midgomiT, erTi mxriv studentis swavlebaSi gamoyenebul iqnebian pacientebi, romelTa problemebi da daavadebaTa speqtric bevrad warmomadgenlobiTia da ufro metadaa gavrcelebuli bavSvTa populaciaSi, xolo meore mxriv students eZleva saSualeba gaiTavisos da daafasos sazogadoebrivi jandacvis principebi. dReisaTvis samedicino skolebis umetesobaSi pediatriul ganaTlebaSi aqcentirebulia iseT sakiTxebze, rogoricaa: codna - janmrTelobaze zedamxedveloba; - zrda-ganviTareba; - populaciuri janmrTeloba; - daavadebaTa da dazianebaTa mkurnaloba da prevencia; - samedicino genetika da ganviTarebis Tandayolili anomliebi; - gavrcelebuli pediatriuli paTologiebi; - wyal-eleqtrolituri balansis mar- Tva; - pediatriuli gadaudebeli mdgomareobebi; - qceva; - kveba; - mozardTa jandacvisaTvis specifikuri problemebi; - axalSobilTa jandacvisaTvis specifikuri problemebi; - mowamvlebis prevencia/mkurnaloba; - Zaladoba bavSvebSi; - bavSvTa uflebebis dacva. Cvevebi (klinikuri problemebis gadawyveta) - detaluri anamnezis Sekreba pediatriuli pacientebisa da maTi ojaxis wevrebisgan; - klinikuri diagnostikis problemebi; - axalSobilTa, bavSvTa da mozardTa fizikuri gasinjva; - praqtikuli unar-Cvevebi; - kritikuli azrovneba; - informaciis menejmenti; - komunikaciuri unar-Cvevebi. amrigad, samedicino skolis upirvelesi mizania sazogadoebis samsaxurSi Caayenos kursdamTavrebuli, romelic Tavisi kompetenciis farglebSi iqneba mzad efeqturi, humanuri da eTikuri samedicino daxmarebis miwodebaSi, momzadebuli diplomisSemdgomi ganaTlebisTvis da motivirebuli uwyveti profesiuli ganviTarebisTvis mTeli Tavisi karieris ganmavlobaSi. dasasruli Semdeg nomerSi.
- Page 1 and 2: gamodis 1957 wlidan Tbilisis saxelm
- Page 3 and 4: profesori rima beriaSvili Sefasebis
- Page 5 and 6: magaliTi A miTiTeba: qvemoT moyvani
- Page 7: test-kiTxvarebis warmodgenis format
- Page 11 and 12: Tanamedrove saxelmZRvaneloebisa da
degad SeiZleba aRiniSnos specialobis<br />
`produqtiulobis~ Tan<strong>da</strong>TanobiTi Semcireba.<br />
<strong>da</strong> bolos, miuxe<strong>da</strong>vad imisa, rom SeiniSneba<br />
mcdeloba pediatriis <strong>da</strong>rgis viwrospecializaciisa,<br />
aTviTcnobiereben<br />
ra, rom zogadi pediatrebi yvelaze ukeT<br />
arian <strong>da</strong>xelovnebulni bavSvTa kontigentisaTvis<br />
samedicino <strong>da</strong>xmarebis aRmoCenaSi,<br />
xolo zr<strong>da</strong>srulTa janmrTeloba<br />
praqtikulad mTliana<strong>da</strong>a <strong>da</strong>mokidebuli<br />
bavSvTa janmrTelobaze, pediatris, rogorc<br />
bavSvTa kontigentisaTvis samedicino<br />
<strong>da</strong>xmarebis roli kvlavac ucvleli<br />
rCeba. amasTan, maT warmatebul saqmianobas<br />
pediatriuli samedicino <strong>da</strong>xmarebis<br />
yvela rgolSi mtkicebiT medicinaze<br />
<strong>da</strong>fuZnebuli gaidlainebi, protokolebi,<br />
samedicino <strong>da</strong>xmarebis donis Sesafasebeli<br />
meTodebis implementacia, uwyveti<br />
samedicino ganaTleba <strong>da</strong> profesiuli<br />
ganviTareba uzrunvelyofs.<br />
II . pediatriuli ganaTleba<br />
eqimis profesia, umaRlesi saswavleblis<br />
pirveli kursi<strong>da</strong>n <strong>da</strong>wyebuli <strong>da</strong><br />
<strong>misi</strong> saqmianobis bolo dRiT <strong>da</strong>mTavrebuli,<br />
ar moiazreba ganaTlebis uwyvetobis<br />
gareSe. sayovelTaod aRiarebul<br />
profesiul <strong>da</strong> eTikur stan<strong>da</strong>rtebze<br />
<strong>da</strong>fuZnebul warmatebul saeqimo saqmianobas<br />
safexureobrivi samedicino ganaTleba<br />
ganapirobebs. am “permanentuli”<br />
ganaTlebis procesi eqim-specialistisTvis<br />
moicavs Semdeg etapebs:<br />
1. diplomamdel samedicino ganaTlebas<br />
- umaRlesi samedicino ganaTleba.<br />
2. diplomisSemdgom samedicino ganaTlebas<br />
- rezidentura;<br />
- ga<strong>da</strong>mzadeba momijnave specialobaSi;<br />
- subspecializacia.<br />
3. uwyvet profesiul ganviTarebas<br />
- uwyveti samedicino ganaTleba;<br />
- uwyveti praqtikuli saqmianoba;<br />
- profesiuli reabilitacia.<br />
zemoaRniSnuli<strong>da</strong>n gamomdinare, pediatriaSi,<br />
rogorc yvela sxva saeqimo specialobaSi,<br />
<strong>da</strong>moukidebeli saeqimo saqmianobis<br />
uflebis mosapoveblad metad<br />
rTuli gzaa gasavleli. kerZod, sajaro<br />
skolis <strong>da</strong>mTavrebisa <strong>da</strong> erTiani erovnuli<br />
gamocdis Cabarebis Semdeg, aucilebelia<br />
6-wliani umaRlesi samedicino<br />
ganaTlebis safuZvelze diplomirebuli<br />
medikosis akademiuri xarisxis mopoveba,<br />
xolo rezidenturaSi mzadebis<br />
gasagrZeleblad ki _ erTiani umaRlesisSemdgomi<br />
sakvalifikacio gamocdis<br />
Cabareba. amis Semdeg, pediatriaSi 3wliani<br />
sarezidento akreditebuli<br />
programiT profesiuli mzadebis <strong>da</strong>sruleba<br />
<strong>da</strong> saxelmwifo sasertifikacio<br />
gamocdebis Cabareba <strong>da</strong>moukidebeli<br />
saeqimo saqmianobis uflebis miniWebiT<br />
mTavrdeba.<br />
dReisaTvis, maT Soris saqarTvelo-<br />
Sic, u<strong>da</strong>vo miRwevad un<strong>da</strong> CaiTvalos is,<br />
rom samedicino ganaTleba amJamad ganisazRvreba<br />
rogorc mravalganzomilebiani<br />
procesi. naTla<strong>da</strong>a gaTviTcnobierebuli<br />
agreTve efeqturi samedicino<br />
ganaTlebis safexureobrioba <strong>da</strong> uwyvetoba.<br />
yoveli saganmanaTleblo programis<br />
ZiriTadi mizani winaswar gansazRvrul<br />
saswavlo amocanebze <strong>da</strong>fuZnebuli kompetenciebis<br />
aTviseba an ganaxlebaa, radganac<br />
es kompetenciebi profesiuli<br />
saqmianobis stan<strong>da</strong>rtia <strong>da</strong> aqe<strong>da</strong>n gamomdinare,<br />
warmatebul programad CaiTvleba<br />
mxolod is, romelic uzrunvelyofs<br />
Sesaba<strong>misi</strong> kompetenciebis srulad <strong>da</strong><br />
yovelmxriv aTvisebas. pediatriaSi mzadebis<br />
yovel safexurze SesaZeni kompentenciebis<br />
sxva<strong>da</strong>sxvaobi<strong>da</strong>n gamomdinare,<br />
icvleba rogorc saswavlo midgoma<br />
<strong>da</strong> masala, ise mzadebis done, rac TavisTavad<br />
gansazRvravs saswavlo programebis<br />
diferenciacias samedicino skolis<br />
studentebisTvis, pediatr-rezidentebisTvis<br />
<strong>da</strong> uwyveti profesiuli<br />
ganviTarebisTvis. amasTan, gasaTvaliswinebelia<br />
isic, rom saganmanaTleblo<br />
procesma safuZvlian ganaTlebasTan <strong>da</strong><br />
wvrTnasTan erTad, un<strong>da</strong> uzrunvelyos<br />
momijnave specialobis, subspecialobis<br />
<strong>da</strong>uflebis an specialobis Secvlis Sesa-<br />
Zlebloba, agreTve karieruli zr<strong>da</strong> <strong>da</strong><br />
kompetenturi ganmanaTleblis Camoyalibebac.<br />
Sedegze orientirebuli ganaTleba,<br />
gar<strong>da</strong> saswavlo programebiT gaTvaliswinebuli<br />
kompetenciebis miRwevisa,<br />
risTvisac gamoiyenebulia leqciebi,<br />
formaluri <strong>da</strong> araformaluri saswavlo<br />
sesiebi, klinikuri gamocdileba,<br />
TviTorientirebuli swavleba <strong>da</strong> sxv.,<br />
moicavs iseT aucilebel komponentebs,<br />
rogoricaa: Sefasebis, maT Soris xarisxis<br />
Sefasebis sistemebis (Si<strong>da</strong> <strong>da</strong> gare<br />
auditis) gamoyeneba <strong>da</strong> ukukavSirebis<br />
<strong>da</strong>myareba, kompentenciebis ganxorcielebis<br />
unaris <strong>da</strong>dgena, programebis perioduli<br />
ganaxleba <strong>da</strong> maTi a<strong>da</strong>ptacia<br />
<strong>da</strong> implementacia.<br />
studentis swavlebis safuZveli Teoriul<br />
codnasTan erTad, un<strong>da</strong> iyos Sem-<br />
Txvevebze <strong>da</strong> problemaze <strong>da</strong>fuZnebuli<br />
ganaTleba. amitomac, saWiroa iseTi kurikulumis<br />
gamoyeneba, romelic saSualebas<br />
miscems momaval pediatrs gaecnos<br />
<strong>da</strong>avadebis bunebriv mimdinareobas,<br />
Sexeba hqondes rTul fsiqo-socialur<br />
sakiTxebTan. kurikulumi un<strong>da</strong> moicavdes<br />
wvrTnas iseT sakiTxebSi, rogoricaa<br />
jgufis lideroba, konsultaciuri<br />
kavSirebi, klinikuri praqtika, ga<strong>da</strong>wyvetilebebis<br />
faqtebze <strong>da</strong>yrdnobiT mi-<br />
Reba, moqmedeba kritikul mdgomareobebSi,<br />
resursebis, maT Soris finansuris<br />
gamoyeneba, sainformacio sistemebis<br />
menejmenti <strong>da</strong> sxv. bavSvTa kontingentis<br />
unikalobi<strong>da</strong>n gamomdinare, sa-<br />
Wiroa pediatriuli ganaTlebis gafar-<br />
Toeba imisaTvis, raTa praqtikosma eqimma<br />
SeZlos amoicnos <strong>da</strong> marTos mTeli<br />
rigi qceviTi <strong>da</strong> socialuri problemebi,<br />
romlebic bavSvis normalur zr<strong>da</strong>ganviTarebas<br />
aferxebs. gar<strong>da</strong> amisa, gansakuTrebuli<br />
aqcenti un<strong>da</strong> gakeTdes im<br />
saganmanaTleblo midgomis mniSvnelobaze,<br />
romliTac pediatr-rezidents gaacnobierebinebs<br />
ganaTlebis procesis<br />
uwyvetobas mTeli saeqimo saqmianobis<br />
manZilze.<br />
dReisaTvis evropaSi samedicino ganaTlebis<br />
xarisxis gaumjobeseba mimarTulia:<br />
- samedicino ganaTlebis Sesabamisobaze<br />
socialur pasuxismgeblobasTan<br />
(arsi/Sedegi/kompetencia);<br />
- samedicino programebSi problemaze<br />
<strong>da</strong>fuZnebuli swavlebis <strong>da</strong> <strong>misi</strong> msgavsi<br />
meTodebis <strong>da</strong>nergvaze;<br />
- fun<strong>da</strong>menturi biomedicinisa <strong>da</strong><br />
klinikuri disciplinebis integraciaze;<br />
- kvlevasTan integrirebuli komunikaciebisa<br />
<strong>da</strong> klinikuri Cvevebis ganvi-<br />
Tarebaze;<br />
- fokusirebaze uwyvet samedicino ganaTlebisadmi.<br />
diplomamdeli samedicino<br />
ganaTleba<br />
pediatriaSi, rogorc disciplinaSi,<br />
diplomamdeli samedicino ganaTlebis<br />
mizania aswavlos students pacientisadmi<br />
empaTiiT mopyroba <strong>da</strong> gamoumuSavos<br />
samedicino azrovnebis unari. studentma<br />
un<strong>da</strong> iswavlos anamnezis Segroveba,<br />
pediatriuli pacientis fizikuri<br />
gamokvleva, bavSvis normaluri<br />
zr<strong>da</strong>-ganviTarebis procesi, garemos<br />
gavlena bavSvis janmrTelobasa <strong>da</strong> <strong>misi</strong><br />
SenarCunebis principebi, aiTvisos praqtikuli<br />
unar-Cvevebi.<br />
ramdenime aTwleulis ganmavlobaSi<br />
samedicino skolaSi swavleba ZiriTa<strong>da</strong>d<br />
jer di<strong>da</strong>qtikur xasiaTs atareb<strong>da</strong><br />
<strong>da</strong> pacientTan nakleb kontaqts gulisxmob<strong>da</strong>,<br />
xolo Semdgom Teoriuli <strong>da</strong> klinikuri<br />
ganaTlebis aspeqtebis kombinirebas<br />
moicav<strong>da</strong>. bolo dromde saswavlo<br />
kursi pirveli 2 wlis ganmavlobaSi<br />
gankuTvnili iyo sabaziso sagnebis aTvisebisaTvis,<br />
rac klinikuri medicinis<br />
swavlebis winapirobac iyo. amasTan,<br />
swavlebis wamyvan formas leqcia warmoadgen<strong>da</strong>.<br />
Semdgom kursebze ki leqciebs,<br />
klinikebSi (ZiriTa<strong>da</strong>d stacionareb-<br />
Si) akademiuri personalis ze<strong>da</strong>mxedvelobiT<br />
klinikuri ganaTlebis miReba<br />
enacvlebo<strong>da</strong>. samedicino skolaSi pediatriuli<br />
ganTleba 6-8 kviriani rotaciiT<br />
Semoifarglebo<strong>da</strong>, romlis ganmavlobaSic<br />
studenti saleqcio kursTan<br />
erTad muSaobis gamocdilebas Ziri-<br />
Ta<strong>da</strong>d stacionaris pirobebSi iZen<strong>da</strong>,<br />
xolo klinikuri muSaobis ganmtkiceba<br />
ki xdebo<strong>da</strong> specifikuri di<strong>da</strong>qtikuri<br />
sesiebis saSualebiT.<br />
dReisaTvis samedicino skolebis kurikulumebSi<br />
saleqcio kursi kvlavac wamyvania.<br />
Tumca, bolo periodSi SemecnebiT,<br />
mxolod informaciis miwodebaze <strong>da</strong>myarebul,<br />
studentTa pasiuri monawileobiT<br />
di<strong>da</strong>qtikuri tipis leqciebs sul<br />
ufro enacvleba interaqtiuri swavlebis<br />
formebi, rac xels uwyobs Teoriuli<br />
<strong>codnis</strong> praqtikuli ganzogadebis unaris<br />
Camoyalibebas. gar<strong>da</strong> amisa, yuradRebaa<br />
gamaxvilebuli iseTi kurikulimis<br />
gamoyenebaze, romelic upiratesad<br />
moicavs miznebze <strong>da</strong>fuZnebul sistemur,<br />
sabaziso, klinikur <strong>da</strong> socialuri disciplinebis<br />
integrirebul modulebs.<br />
klinikuri saqmianobis swavleba xorcieldeba<br />
pirvelive kursebi<strong>da</strong>nve samecniero<br />
konteqstSi aqcentebiT sabaziso<br />
meqanizmebze, eTikur mosazrebebsa <strong>da</strong><br />
mecnierul mtkicebulebebze <strong>da</strong>fuZnebul<br />
multidisciplinur klinikur praqtikaze,<br />
pacientis mkurnalobaSi studentis<br />
uSualo monawileobiT. samedicino<br />
skolis farglebSi aucilebelia zogadpediatriul<br />
departamenTTan erTad,<br />
mozardTa medicinisa <strong>da</strong> neonatologiis<br />
departamentebSi klinikuri praqtikis<br />
miReba. mniSvnelovania agreTve, arCevi-<br />
Ti (eleqtiuri) modulebis SeTavazeba,<br />
rogorc sabaziso, aseve klinikuri disciplinebSi.<br />
metad aqtualuria SemTxvevaze <strong>da</strong>fu-<br />
Znebuli ganaTlebis unikaluri midgoma,<br />
romelic saSualebas aZlevs students<br />
sabaziso <strong>da</strong> klinikuri sagnebis<br />
codna gamoiyenos pacientis problemebis<br />
ga<strong>da</strong>sawyvetad. kerZod, akademiuri<br />
personalis xelmZRvanelobiT mcire<br />
jgufebSi diskusiebi imarTeba sailustracio<br />
SemTxvevis garSemo. amasTan,<br />
students eZleva <strong>da</strong>mxmare literatura<br />
<strong>da</strong> masalebi, SemTxvevaze <strong>da</strong>fuZnebuli<br />
leqciebi, demonstraciebi <strong>da</strong> sxv. diskusiaSi<br />
aqtiuri monawileobisTvis. am<br />
meTodiT swavleba metad efeqturi aRmoCn<strong>da</strong><br />
iseTi Cvevebis gamosamuSaveblad,<br />
rogoricaa varaudis Camoyalibeba,<br />
deduqciuri <strong>da</strong>sabuTeba <strong>da</strong> sxva<br />
profesionalebTan TanamSromloba.<br />
metad mniSvnelovania sabaziso <strong>da</strong> klinikuri<br />
sagnebis saswavlo programebSi<br />
kompiuteruli teqnologiebis gamoyeneba,<br />
romelic <strong>da</strong>avadebaTa SemTxvevebis<br />
simulirebis, manipulaciebis Catarebis,<br />
sadiagnostiko Cvevebis aTvisebis<br />
<strong>da</strong> samedicino ga<strong>da</strong>wyvetilebebis<br />
miRebaSi wrTobis saSualebas iZleva.<br />
tradiciulad, samedicino skolis<br />
studentebisTvis klinikuri ganaTlebis<br />
misaRebad umTavresi adgili saavadmyofoa.<br />
avadmyofis sawolTan Catarebuli<br />
swavleba araCveulebrivi SesaZleblobaa<br />
klinikuri <strong>da</strong>kvirvebisa <strong>da</strong> diskusiisTvis.<br />
gar<strong>da</strong> amisa, studentebs SesaZlebloba<br />
eZlevaT iswavlon diagnostikuri<br />
<strong>da</strong> Terapiuli teqnika akademiuri<br />
personalis <strong>da</strong> rezidentebis ze<strong>da</strong>mxedvelobis<br />
qveS. Tumca, dReisaTvis<br />
stacionarSi ZiriTa<strong>da</strong>d Tavsdebian mZime<br />
paTologiis mqone pacientebi, romelTac<br />
intensiuri mkurnaloba <strong>da</strong> meTvalyureoba<br />
esaWiroebaT, rac pirveladi<br />
samedicino <strong>da</strong>xmarebis, avadobis xasiaTis<br />
Secvlisa <strong>da</strong> samedicino teqnologiebisa<br />
<strong>da</strong> mkurnalobaSi miRweuli<br />
progresis Sedegia. gar<strong>da</strong> amisa, Tanxebis<br />
<strong>da</strong>zogvis mizniT mcirdeba pacientis<br />
mier saavadmyofoSi gatarebuli dro <strong>da</strong><br />
hospitalizebul avadmyofTa mxolod<br />
mcire nawili rCeba saavadmyofoSi srul<br />
gajanmrTelebamde, xolo diagnos-<br />
Tebervali 2010 gv.9 samedicino gazeTi<br />
specialoba <strong>da</strong> profesionalizmi<br />
tikuri procedurebis didi nawili <strong>da</strong><br />
mkurnalobis gagrZeleba, avadmyofis<br />
Semdgomi movla ZiriTa<strong>da</strong>d ambulatoriul<br />
pirobebSi xorcieldeba. aqe<strong>da</strong>n<br />
gamomdinare, students, romelic swavlebas<br />
ZiriTa<strong>da</strong>d stacionaris pirobeb-<br />
Si gadis, Sexeba aqvs kompleqsuri <strong>da</strong>avadebebis<br />
Se<strong>da</strong>rebiT viwro speqtrTan,<br />
romlebic bavSvTa populaciis mxolod<br />
mcire nawils uviTardeba.<br />
amitomac, ambulatoriul garemoSi<br />
swavleba samedicino skolis klinikuri<br />
ganaTlebis kurikulumis nawili un<strong>da</strong><br />
gaxdes <strong>da</strong> mas akademiuri personali un<strong>da</strong><br />
axorcielebdes, radgan studentma un<strong>da</strong><br />
gaiTavisos bavSvTa zrdisa <strong>da</strong> ganviTarebis<br />
Taviseburebebi <strong>da</strong> am procesebis gavlena<br />
janmrTelobasa <strong>da</strong> <strong>da</strong>avadebebze.<br />
aseve un<strong>da</strong> gaacnobieros bavSvTa kontingentis<br />
janmrTelobis problemebis unikaloba<br />
<strong>da</strong> SeiZinos maTTvis <strong>da</strong>maxasiaTebeli<br />
samedicino problemebis mogvarebis<br />
gamocdileba. treningi sazogadoebriv<br />
garemoSi, rogorc klinikuri samedicino<br />
ganaTlebis erT-erTi komponenti,<br />
pirveladi samedicino <strong>da</strong>xmarebis specialobebis<br />
m.S. pediatriisTvis, metad<br />
wonadi <strong>da</strong>matebaa. imisaTvis ki, rom studenti<br />
ar CamorCes pirveladi samedicino<br />
<strong>da</strong>xmarebis axal tendenciebs, ufro<br />
meti dro un<strong>da</strong> <strong>da</strong>eTmos pediatriuli<br />
ga<strong>da</strong>udebeli samedicino <strong>da</strong>xmarebis<br />
praqtikas.<br />
zemoaRniSnuli midgomiT, erTi mxriv<br />
studentis swavlebaSi gamoyenebul iqnebian<br />
pacientebi, romelTa problemebi<br />
<strong>da</strong> <strong>da</strong>avadebaTa speqtric bevrad warmomadgenlobiTia<br />
<strong>da</strong> ufro meta<strong>da</strong>a gavrcelebuli<br />
bavSvTa populaciaSi, xolo<br />
meore mxriv students eZleva saSualeba<br />
gaiTavisos <strong>da</strong> <strong>da</strong>afasos sazogadoebrivi<br />
jan<strong>da</strong>cvis principebi.<br />
dReisaTvis samedicino skolebis umetesobaSi<br />
pediatriul ganaTlebaSi aqcentirebulia<br />
iseT sakiTxebze, rogoricaa:<br />
codna<br />
- janmrTelobaze ze<strong>da</strong>mxedveloba;<br />
- zr<strong>da</strong>-ganviTareba;<br />
- populaciuri janmrTeloba;<br />
- <strong>da</strong>avadebaTa <strong>da</strong> <strong>da</strong>zianebaTa mkurnaloba<br />
<strong>da</strong> prevencia;<br />
- samedicino genetika <strong>da</strong> ganviTarebis<br />
Tan<strong>da</strong>yolili anomliebi;<br />
- gavrcelebuli pediatriuli paTologiebi;<br />
- wyal-eleqtrolituri balansis mar-<br />
Tva;<br />
- pediatriuli ga<strong>da</strong>udebeli mdgomareobebi;<br />
- qceva;<br />
- kveba;<br />
- mozardTa jan<strong>da</strong>cvisaTvis specifikuri<br />
problemebi;<br />
- axalSobilTa jan<strong>da</strong>cvisaTvis specifikuri<br />
problemebi;<br />
- mowamvlebis prevencia/mkurnaloba;<br />
- Zaladoba bavSvebSi;<br />
- bavSvTa uflebebis <strong>da</strong>cva.<br />
Cvevebi<br />
(klinikuri problemebis ga<strong>da</strong>wyveta)<br />
- detaluri anamnezis Sekreba pediatriuli<br />
pacientebisa <strong>da</strong> maTi ojaxis<br />
wevrebisgan;<br />
- klinikuri diagnostikis problemebi;<br />
- axalSobilTa, bavSvTa <strong>da</strong> mozardTa<br />
fizikuri gasinjva;<br />
- praqtikuli unar-Cvevebi;<br />
- kritikuli azrovneba;<br />
- informaciis menejmenti;<br />
- komunikaciuri unar-Cvevebi.<br />
amrigad, samedicino skolis upirvelesi<br />
mizania sazogadoebis samsaxurSi<br />
Caayenos kurs<strong>da</strong>mTavrebuli, romelic<br />
Tavisi kompetenciis farglebSi iqneba<br />
mzad efeqturi, humanuri <strong>da</strong> eTikuri<br />
samedicino <strong>da</strong>xmarebis miwodebaSi, momzadebuli<br />
diplomisSemdgomi ganaTlebisTvis<br />
<strong>da</strong> motivirebuli uwyveti<br />
profesiuli ganviTarebisTvis mTeli<br />
Tavisi karieris ganmavlobaSi.<br />
<strong>da</strong>sasruli Semdeg nomerSi.
Change language