DanarTi 32 sarezidento programa `saojaxo medicina~

M muxli 16.
1. moduli I.2. modulis dasaxeleba, xangrZlivoba – `jandacvis sistema da praqtikuli saqmianobis organizacia~, 1.5 Tve.

2. modulis mizani - modulis mizania (a) saqarTvelos jandacvis sistemis, misi funqcionirebis, dagegmvisa da marTvis Taviseburebebis, saqarTvelos mosaxleobis janmrTelobis problemebis specifikurobisa da maTi gadaWris SesaZlo gzebis gacnoba rezidentisaTvis., (b) gamoumuSaos rezidents ojaxis eqimis praqtikis marTvis Cvevebi (maT Soris, gansxvavebul garemoSi; saxelmwifo da kerZo seqtorSi, qalaqad, urbanizebul raionebSi da soflad, jandacvis ganviTarebuli infrastruqturis mqone regionebSi da mwiri resursebis pirobebSi).

3. literaturis nusxa:

a) saqarTvelos Sromis, janmrTelobisa da socialuri dacvis saministros debuleba da Semdegi dokumentebi:

a.a) jandacvis sistemis strategiuli ganviTarebis Sesaxeb;

a.b) pirveladi jandacvis da hospitaluri seqtoris ganviTarebis Sesaxeb;

a.g) specialobaTa nusxis Sesaxeb;

a.d) xarisxis marTvis, licenzirebisa da sertificirebis, uwyveti profesiuli ganviTarebis Sesaxeb;

a.e) statistikis, epidzedamxedvelobis da angariSgebis Sesaxeb;

b) `saqarTvelos jandacva~ – yovelwliuri angariSebi;

g) `saqarTvelos kanonmdebloba janmrTelobis dacvis sferoSi (mokle qr onologiuri mimoxilva, ZiriTadi etapebi)~; kiknaZe, javaSvili, barkalaia; jandacvis marTvis nacionaluri centris samecniero SromaTa krebuli, tomi I, 1998, 15-20;

d) pacientis uflebebi da maTi ganxorcielebis meqanizmebi – kiknaZe, javaSvili Tbilisi, 1999.

4. Sesasrulebeli samuSaos moculoba, Casatarebeli manipulaciebis raodenoba da modulis Sefasebis meTodebi:

Teoriuli kursi	profesiuli unar-Cvevebi	Sesasrulebeli manipulaciis raodenoba	Sefasebis meTodebi
saqarTvelos jandacvis sistemis Taviseburebebi da prioritetebi; pirveladi janadcva; hospitaluri seqtori; jandacvis dafinanseba; samedicino dazRvevis sistema; samedicino momsazurebis xarisxi; jandacvis sferos regulireba; sistemis Sefaseba; klinikuri praqtikis gaidlainebi; klasifikatorebi; wamlis politika; sazogadoebrivi jandacva; Sromis, janmrTelobisa da socialuri dacvis saministro: funqciebi, struqturebi, marTvis meTodebi	saqarTvelos jandacvis sistemis ZiriTad maxasiaTeblebze msjelobis unari; informaciis moZiebis unari jandacvis sistemis regulaciis sferoSi, maT Soris, Sesabamisi normatiuli aqtebis moZiebis unari; qveyanaSi avadobisa da sikvdilianobis ZiriTad mizezebis Sesaxeb msjeloba da Sesabamisi informaciis moZiebis unari; klasifikatorebis moZiebis da gamoyenebis unari.	daswreba konsultaciebze – 100; anamnezis SekrebaSi monawileoba – 30; fizikuri gasinjva – 20; samedicino Canawerebis warmoebaSi monawileoba – 100; referalis organizebaSi monawileoba – 20; sxvdasxva specialistebTan koordinacia-komunikacia – 5; pacientis ganaTlebaSi monawileoba – 20; ojaxis eqimis angariSebis momzadebaSi monawileoba – 5; klinikaSi organizebul klinikur garCevebze daswreba – 4-8; moxsenebis gakeTebas xelmZRvanelis mier SerCeul Temaze – 1; sxvadasxva	Sesrulebuli samuSao dReebi; Catarebuli konsultaciebi; ese; modulze pasuxismgebeli piris Sefaseba; tutoris Sefaseba daskvniTi sesiis dros;

Teoriuli kursi	profesiuli unar-Cvevebi	Sesasrulebeli manipulaciis raodenoba	Sefasebis meTodebi
profesiuli saqmianobis saxis, adgilis, garemos Sefaseba; dawesebulebis tipebi, Taviseburebebi; ofisis organizacia (Sida komunikaciis jaWvi, ganrigi, damxmare personalis raodenoba da tipi, kompiuteruli sistemebi, momarageba da inventaris movla) dawesebulebis saqmianoba: pacientebi, momwodebelebi, dazRveva da a.S. samedicino Canawerebis organizacia konsultaciebis organizeba, pacientebis ganaTlebis organizeba daavadebebis gamovlenis sistemebi da prevenciuli momsaxureba mimRebi rgolis funqciebi riskis marTva da sakanonmdeblo sakiTxebi kompiuteruli resursebis gamoyeneba; urTierTobebi personals Soris dafinansebis modelebi; gadaxdis sistemebi	piradi da profesiuli interesebis balansireba; praqtikis tipis SerCeva; molaparakebis warmoeba eTikuri principebis gamoyenebiT; konsultantebisa da momwodeblebis windaxeduli SerCeva da gamoyeneba; kompiuteruli programebis praqtikis marTvisTvis gamoyeneba; drois marTva; komunikaciis warmoeba individebTan da organizaciebTan (sityvieri, werilobiTi) resursebis marTva.	daswreba konsultaciebze – 100; anamnezis SekrebaSi monawileoba – 30; fizikuri gasinjva – 20; samedicino Canawerebis warmoebaSi monawileoba – 100; referalis organizebaSi monawileoba – 20; sxvdasxva specialistebTan koordinacia-komunikacia – 5; pacientis ganaTlebaSi monawileoba – 20; ojaxis eqimis angariSebis momzadebaSi monawileoba – 5; klinikaSi organizebul klinikur garCevebze daswreba – 4-8; moxsenebis gakeTebas xelmZRvanelis mier SerCeul Temaze – 1; sxvadasxva	Sesrulebuli samuSao dReebi; Catarebuli konsultaciebi; ese; modulze pasuxismgebeli piris Sefaseba; tutoris Sefaseba daskvniTi sesiis dros.

M

muxli 17.
1. moduli I.3. modulis dasaxeleba, xangrZlivoba – `mtkicebulebebze dafuZnebuli medicina da biosamedicino kvlevis safuZvlebi~, 1.5 Tve.

2. modulis mizani - modulis mizania (a) gaacnos rezidents mtkicebulebiTi medicinis safuZvlebi, gamoumuSaos mas unari gamoiyenos mtkicebulebiTi medicinis meTodebi da resursebi konkretuli samedicino problemis gadasaWrelad da (b) miawodos informacia rezidents pirveladi jandacvis sferoSi biosamedicino kvlevebis warmoebis Taviseburebebis Sesaxeb, kvlevis SesaZlo mimarTulebebis, Temebisa da midgomebis Taobaze; gamoumuSaos unari rezidents SearCios kvlevis sagani arsebuli problemebis analizis safuZvelze da miusadagos mis mier dasaxul mizans kvlevis Tanamedrove da adekavturi meTodebi.

3. literaturis nusxa:

a) mtkicebulebebze dafuZnebuli medicinis sakiTxebi:

a.a) Haynes RB, Sackett RB, Gray JMA, Cook DC, Guyatt GH. Transferring evidence from research into practice: 1. The role of clinical care research evidence in clinical decisions. ACP Journal Club. 1996 Nov-Dec;125:A-14-15;

a.b) Guyatt GH, Sackett DL, Cook DJ for the Evidence-based Medicine Working Group. Users' guides to the medical literature. II - How to use an article about therapy or prevention. Part B. What were the results and will they help me in caring for my patients. JAMA 1994:271:59-63;

a.g) Introduction to Research: Understanding and Applying Multiple Strategies, Elizabeth Depoy, Laura N. Gitlin , 2005, Elsevier Health Sciences;

a.d) Foundations of Clinical Research: Applications to Practice, Leslie Gross Portney, Mary P. Watkins, 1999, Pearson Education;

a.e) Interpreting the Medical Literature, Stephen H. Gehlbach 2002 McGraw-Hill Companies, The Studying a Study and Testing a Test: How to Read the Medical Evidence 5e, Richard K. Riegelman, 2004 Lippincott Williams & Wilkins;

a.v) Data Monitoring and Case Studies in Clinical Trials, David L. Demets (Editor), Lawrence Friedman (Editor), Curt D. Furberg (Editor), 2005, Springer-Verlag New York, LLC;

a.z) Basic and Clinical Biostatistics, Beth Dawson, Robert G. Trapp 2004, McGraw-Hill Companies;

a.T) Primer of Biostatistics Stanton A. Glantz 2005, McGraw-Hill Medical Publishing;

a.i) Biostatistics: A Foundation for Analysis in the Health Sciences, Wayne, W. Daniel, Noel A. C. Cressie (Editor), David J. Balding (Editor), Ian M. Johnstone (Editor) 2004, Wiley, John & Sons, Incorporated;

a.k) Evidence Based Medicine: How to Practice and Teach EBM Sharon E. Straus, R. Brian Haynes, W. Scott Richardson, Paul Glasziou 2005, Elsevier Health Sciences;

a.l) Users' Guides to the Medical Literature: Essentials of Evidence-Based Clinical Practice, Evidence-Based Medicine Working Group, Drummond Rennie, Preface by Gordon H. Guyatt 2002 American Medical Association;

a.m) Evidence-Based Medicine Guidelines, Staff of Duodecim Medical Publications, Duodecim Medical Publications Staff, Ilkka Kunnamo , 2005, Wiley, John & Sons, Incorporated;

a.n) mtkicebulebebze dafuZnebuli medicinis sferoSi gamoyenebul terminTa ganmartebani (Semdg. givi javaSvili): http://www.afdg.ge/index.php?act=page&id=6 .

b) pmd-Si biosamedicino kvlevis warmoebis sakiTxebi:

b.a) Introduction to Research: Understanding and Applying Multiple Strategies, Elizabeth Depoy, Laura N. Gitlin , 2005, Elsevier Health Sciences;

b.b) Foundations of Clinical Research: Applications to Practice, Leslie Gross Portney, Mary P. Watkins, 1999, Pearson Education;

b.g) Interpreting the Medical Literature, Stephen H. Gehlbach 2002 McGraw-Hill Companies, The Studying a Study and Testing a Test: How to Read the Medical Evidence 5e, Richard K. Riegelman, 2004 Lippincott Williams & Wilkins;

b.d) Data Monitoring and Case Studies in Clinical Trials, David L. Demets (Editor), Lawrence Friedman (Editor), Curt D. Furberg (Editor), 2005, Springer-Verlag New York, LLC;

b.e) Basic and Clinical Biostatistics, Beth Dawson, Robert G. Trapp 2004, McGraw-Hill Companies;

b.v) Primer of Biostatistics Stanton A. Glantz 2005, McGraw-Hill Medical Publishing;

b.z) Biostatistics: A Foundation for Analysis in the Health Sciences, Wayne, W. Daniel, Noel A. C. Cressie (Editor), David J. Balding (Editor), Ian M. Johnstone (Editor) 2004, Wiley, John & Sons, Incorporated;

b.T) Evidence Based Medicine: How to Practice and Teach EBM Sharon E. Straus, R. Brian Haynes, W. Scott Richardson, Paul Glasziou 2005, Elsevier Health Sciences;

b.i) Users' Guides to the Medical Literature: Essentials of Evidence-Based Clinical Practice, Evidence-Based Medicine Working Group, Drummond Rennie, Preface by Gordon H. Guyatt 2002 American Medical Association.

4. Sesasrulebeli samuSaos moculoba, Casatarebeli manipulaciebis raodenoba da modulis Sefasebis meTodebi:

Teoriuli kursi	profesiuli unar-Cvevebi	Sesasrulebeli manipulaciis raodenoba	Sefasebis meTodebi
mtkicebulebebze dafuZnebuli medicinis safuZvlebi; klinikur praqtikaSi mtkicebulebebze dafuZnebuli medicinis principebis gamoyeneba: (a) proble-mis gansazRvra da kl. kiTxvis formulireba; (b) mtkicebulebis moZieba; (g) mtkicebu-lebebis Sefaseba; (d) gadawyvetilebis miReba; (e) moqmedebis Sedegis Sefaseba; klinikuri praqtikis `gaidlainebis~ da `protokolebis~ arsi, mniSvneloba, SemuSavebisa da gamoyenebis gzebi da sferoebi; klinikuri literaturis kritiruli Sefaseba	Zveli da mimdinare klinikuri praqtikis analizis unari da miRebuli gamocdilebiT momavali samedicino momsaxurebis gaumjobeseba; saTanado kiTxvis dasmis unari; literaturis Ziebis unari nabeWdi da eleqtronuli resursebis gamoyenebiT literaturis gamoyenebis unari konkretuli pacientis klinikur problemasTan dakavSirebiT.	daswreba konsultaciebze – 100; anamnezis SekrebaSi monawileoba – 30; fizikuri gasinjva – 20; samedicino Canawerebis warmoebaSi monawileoba – 100; referalis organizebaSi monawileoba – 20; sxvdasxva specialistebTan koordinacia-komunikacia – 5; pacientis ganaTlebaSi monawileoba – 20; ojaxis eqimis angariSebis momzadebaSi monawileoba – 5; klinikaSi organizebul klinikur garCevebze daswreba – 4-8; moxsenebis gakeTebas xelmZRvanelis mier SerCeul Temaze – 1; sxvadasxva	Sesrulebuli samuSao dReebi; Catarebuli konsultaciebi; ese; modulze pasuxismgebeli piris Sefaseba; tutoris Sefaseba daskvniTi sesiis dros

Teoriuli kursi	profesiuli unar-Cvevebi	Sesasrulebeli manipulaciis raodenoba	Sefasebis meTodebi
biosamedicino kvlevis arsi; kvleva da auditi; kvlevis elementebi; kvlevis dizaini da misi formebi; sakvlevis masala; Sedegebis damuSavebis da analizis meTodebi; kvlevis sakiTxis SerCeva	kvlevis mniSvnelobaze msjeloba pirvelad jandacvaSi; kvlevis prioritetebi pirvelad jandacvaSi; kvlevis sakiTxis SerCeva; literaturis moZieba da analizi; msjeloba kvlevis dizanze	daswreba konsultaciebze – 50; anamnezis SekrebaSi monawileoba – 15; fizikuri gasinjva – 10; samedicino Canawerebis warmoebaSi monawileoba – 50; referalis organizebaSi monawileoba – 10; sxvdasxva specialistebTan koordinacia-komunikacia – 5; pacientis ganaTlebaSi monawileoba – 10; ojaxis eqimis angariSebis momzadebaSi monawileoba – 5; klinikaSi organizebul klinikur garCevebze daswreba – 2-4; moxsenebis gakeTebas xelmZRvanelis mier SerCeul Temaze – 1; sxvadasxva	Sesrulebuli samuSao dReebi; Catarebuli konsultaciebi; ese; modulze pasuxismgebeli piris Sefaseba; tutoris Sefaseba daskvniTi sesiis dros

muxli 18.
1. moduli I.4. modulis dasaxeleba, xangrZlivoba – `praqtikuli unar-Cvevebi da tkivilis marTvis safuZvlebi~, 1 Tve.

2. modulis mizani - modulis mizania (a) ojaxis eqimis saqmianobisaTvis aucilebeli praqtikuli unar-Cvevebis gamomuSaveba da (b) tkivilis medicinis, rogorc saeqimo saqmianobis Semadgenelis, tkivilis diagnozisa da mkurnalobis safuZvlebis gacnoba.

3. literaturis nusxa:

a) praqtikuli unar-Cvevebi:

a.a) სამედიცინო მანიპულაციები; სახელმძღვ. სტუდ., რეზიდენტ. და ექიმებისათვის / ჰ. ჩენი, ჯ. სოლა, ქ. ლილემო ; თარგმანის რედ.: გივი ჯავაშვილი. - თბ. : მთაწმინდელი, 2004;

a.b) Oxford Textbook of Primary Medical Care Oxford: Oxford University Press, 2004Jones R, Britten N, Culpepper L, Gass DA, Grol R, Mant D, Silagy C (eds);

a.g) Procedures for Primary Care, 3rd Ed, Pfenninger and Fowler, 2011.

b) tkivilis medicina:

b.a) AMDA Clinical Practice Guideline (CPG) for Pain Management (2007, For detailed information go to: www.amda.com;

b.b) Practical Pain Management 2009 (Michael H. Moskovith, Md, MPH);

b.g) Алгоритм терапии острого вертеброгенного болевого синдрома (кафедра неврологии и нейрохирургии Российского государственного медицинского университета, Москва 2009 г.).

4. Sesasrulebeli samuSaos moculoba da modulis Sefasebis meTodebi:

Teoriuli kursi	profesiuli unar-Cvevebi	Sesasrulebeli manipulaciis raodenoba	Sefasebis meTodebi
ZiriTadi sasicocxlo funqciebis SenarCuneba da kardiopulmonuri reanimacia; specializebuli kard. daxmareis elementebi: eleqtro-kardiografia, defibrilacia. otoskopia da gareTa sasmeni milis `gamorecxva~; Tvalis gamokvleva da oTalmoskopia; Sardis buStis kaTeterizacia; intravenuri, intramuskuluri da kanqveSa ineqciebi; periferiuli venebis kaTeterizacia; Wrilobis pirveladi Sefaseba, damuSaveba, nakerebas dadeba da moxsna; nazogastraluri zondis Cadgma; ginekologiuri saSosmxrivi gasijnva: sarkis Cadgma, pap-testis aReba; barZayis displaciis gamovlena; pikfloumetria da glukometria; sarqvlovani pnevmoToraqsis gadayvana Ria pnevmoToraqsSi	kardiopulmonuri reanimaciis teqnikis codna; otoskopiis teqnikis Catarebis Cvenebebi da ukuCvenebebis codna, Catareba, dafis apkisa da gareTa sasmeni milis Sefasebis unari; 1ofTalmoskopiis teqnikis Catarebis Cvenebebisa da ukuCvenebebis codna; “wiTeli refleqsis” danaxva; mxedvelobis nervis dvrilisa da sisxlZarRvebis mdgomareobis Sefaseba. Sardis buStis kaTeterizaciis Catarebis Cvenebebisa da ukuCvenebebis codna, procedurisaTvis saWiro aRWurvilobis sworad gamoyeneba da saptikisa da antiseptikis wesebis dacva, proceduris Catarebis dros sirTuleebisa da maTi Tvidan acilebis gzebis codna, proceduris SesaZlo garTulebebis codna. venis kaTeterizaciis Cvenenbebisa da ukuCvenebis codna, saineqcio venis SerCeva, manipulaciis etapebis Tanmimdevrobis dacva. xalSobilis barZayis amovardnilobis gamovlenis meTodebis codna, displaziis sirTulis Sefaseba da gamokvlevebis Tanmimdevrobis dasaxva, referalis Cvenebebis codna. nazogastraluri zondis Cadgmis Cvenebebi da ukeCvenebebis codna, gamosayenebeli zondis momzadeba, misi sigrZis gansazRvra, proceduris SesaZlo garTulebebis codna. ineqciebis Catarebis teqnika; Wrilobis moculobisa da sirTulis Sefaseba, nakerebis dadebisa da moxsnis unar-Cvevebi, Wrilobis daxurvisas SesaZlo garTulebis da maTi Tavidan acilebis unari	TiTo manipulacias rezidenti atarebs manam, sanam ar gamoiricxeba Secdomebi, saSualod saWiroa TiToeuli manipulaciis, sul mcire, 5-jer Catareba.	unar-Cvevis demonstrireba rezidentis mier mulaJze; Sefaseba kiTxvaris saSualebiT (chek-list)