Проведено сравнительное исследование, целью которого был анализ субъективной и объективной оценки знаний врачами-педиатрами первичного звена здравоохранения вопросов клиники туберкулеза и организации противотуберкулезной помощи детям и подросткам. Проанкетировано 50 педиатров общей лечебной сети до и после образовательной лекции по фтизиатрии. Изучены субъективная оценка уровня знаний по вопросам фтизиатрии (самооценка) и результаты объективной оценки, проведено сравнение этих двух оценок. Анкетирование показало недостаточный уровень теоретических знаний у врачей общей лечебной сети по разделу фтизиатрии (90% - уровень низкий и ниже среднего), в 30% случаев самооценка этих знаний завышена. Изучение стандартов обследования на туберкулез органов дыхания должно быть включено в программы повышения квалификации врачей всех специальностей. A comparative study was carried out. The purpose: to analyze the subjective and objective assessment of the knowledge by pediatricians of primary health care of the issues of tuberculosis clinic and organization of anti-tuberculosis care for children and adolescents. 50 pediatricians of the general medical network were questioned before and after an educational lecture on phthisiology. The subjective assessment of the level of knowledge on phthisiology issues (self-assessment) and the results of an objective assessment have been studied, and these two assessments have been compared. The questionnaire survey showed an insufficient level of theoretical knowledge among doctors of the general medical network in the area of phthisiology (90% - the level is low and below average), in 30% of cases the self-esteem of this knowledge is overestimated. The study of respiratory tuberculosis testing standards should be included in the medical education programs for all medical specialists.
The aim of study is to explore the possibilities of information techniques in teaching TB specialists in short-cycle training. Methods: collection of published data, preparation of guidelines, questioning of learners and analysis of the results. The section of distance learning (24 hours, 17%) was included in outgoing training in Phthisiatrics (144 hours). Interactivity was conducted by e-mail. Video training, information materials and computer systems of test control were applied. Testing knowledge of the studied topics were made distantly. Difficulties were related to the absence of the majority of students access to the Internet these students access to the network provided by the organization, the employer and in some cases training materials are available in electronic form. TB-specialists gave positive evaluation of the implementation of distance learning at the skills upgrading cycle. Further application of distance learning requires complete equipment of regional healthcare institutions with personal computers and Internet access for all specialists.
Growth of birth rate and reduction of mortality are registered in the Smolensk region. However, death rate prevails on birth rate and high percentage of elderly people is still observed. Decrease of ТВ-incidence was reached, but increased incidence of oncological diseases and mental disorders is seen in all area of Smolensk region. There are certain differences of demographic rates changes in the Northern, Southern, Western, Central and Eastern geographic areas of the region.
