International Medical Consensus Documents and Guidelines as the Basis for Getting Knowledge of Clinical Disciplines by Students
The latest data on the diagnosis and treatment of patients with specific diseases are primarily accumulated in the international consensus documents and guidelines according to scientific evidence. In Ukraine, these documents are used mainly by the scientists who present the results of their clinical trials at various congresses and professional association meetings. As for Ukrainian students, the textbooks remain the main source of their knowledge; due to a long process of their preparing and publishing, they do not keep pace with rapid changes in the international documents. One way to solve the problem described is to reorient the methodology of training students. The fundamental postulates of such training should be as follows: the study of each disease semiotics should be based on the universally accepted criteria for its diagnosis described in the latest consensus documents, and the study of treatment methods for each disease should be based on the most important international guidelines according to scientific evidence. The tasks mentioned above can be implemented through teachers’ focusing on information taken from the international guidelines and consensus documents, introducing references to these documents in the methodological materials for students, increasing students’ English proficiency, creating database for the exams on the basis of the international guidelines and consensus documents, and clear agreement of Ukrainian and international medical terminology. The implementation of all the above mentioned is not an easy task, as the introduction of any changes requires appropriate funding including labor compensation for those who provide this introduction. However, without an operative system of acquainting students with the latest achievements in medical science supported by consensus documents of the universally recognized international medical organizations, Ukrainian medicine will not be able to keep pace with global medicine, and medical graduates, at the start of their career, will lag behind their colleagues abroad.
Burgers JS, Grol R, Klazinga NS et al. Towards evidence-based clinical practice: an international survey of 18 clinical guideline programs. Int J Qual Health Care. 2011;15(1):31-34. DOI: https://doi.org/10.1093/intqhc/15.1.31 [PMid:12630799]
AGREE Collaboration. Development and validation of an international appraisal instrument for assessing the quality of clinical practice guidelines: the AGREE project. Qual Saf Health Care. 2003;12(1):18-23. DOI: https://doi.org/10.1136/qhc.12.1.18 [PMid:12571340 PMCid:PMC1743672]
Council of Europe. Developing a methodology for drawing up guidelines on best medical practice. Recommendation Rec13 and explanatory memorandum. Strasbourg: Council of Europe Publishing; c2002. 78p.
De Boeck K, Castellani C, Elborn JS. Medical consensus, guidelines, and position papers: A policy for the ECFS. Journal of Cystic Fibrosis. 2014.13(5):495-498. DOI: https://doi.org/10.1016/j.jcf.2014.06.012 [PMid:25053447]
Stupak FYa. Health development in Ukraine in the second half of the twentieth century. Grani. 2015;118(2):158-162. [published in Ukrainian]
Hanitkevych Ya. Ukraiinskyi medychnyi kalendar. Kyiv: Nationalna medychna biblioteka Ukraiiny; c2016. 220p.
Vashchuk FH. Intehratsiia v yevropeiskyi osvitnii prostir: zdobutky, problemy, perspektyvy: Monohrafiia. Vashchuk FH, editor. Yevrointehratsiia: ukraiinskyi vymir. c2011. 560p.
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