DanarTi 32 sarezidento programa `saojaxo medicina~

M

muxli 24.
1. moduli II.5 modulis dasaxeleba, xangrZlivoba – `hematologia~, 1 Tve.

2. modulis mizani - sisxlis daavadebebis marTvis unar-Cvevebs gamomuSaveba pirvelad jandacvaSi.

3. literaturis nusxa:

a) klinikuri praqtikis erovnuli gaidlainebi infeqciuri sneulebebis sakiTxebze;

b) diagnostikuri Zieba Sinagan sneulebaTa klinikaSi, giorgi qavTaraZe, 2009, `codna~, Tbilisi, saqarTvel;

g) Williams Hematology. 7th edition, Marshall A. Lichtman et al. 2007; The McGraw-Hill Companies, Inc.;

d) HARRISON’S Manual of Medicine, 16th edition, 2005, The McGraw-Hill Companies, Inc. Medical Publishing Division;

e) Current Medical Diagnosis & Treatment 2010, Forty-Ninth Edition; Stephen J. McPhee, Maxine A. Papadakis, The McGraw-Hill Companies, Inc.;

v) Handbook of Signs & Symptoms, 4th Edition; 1010, Lippincott Williams & Wilkins;

z) Washington Manual(TM) of Medical Therapeutics, The, 32nd Edition, Editors: Cooper, Daniel H.; Krainik, Andrew J.; Lubner, Sam J.; Reno, Hilary E. L.; 2007, Department of Medicine, Washington University School of Medicine. Published by Lippincott Williams & Wilkins.

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

Teoriuli kursi	profesiuli unar-Cvevebi	Sesasrulebeli manipulaciis raodenoba	Sefasebis meTodebi
anemiebi; hemoragiuli diaTezebi; agranulocitozi; mwvave da qronikuli leikozi; eriTremia da eriTrocitozi; limfadenopaTia; limfogranulomatozi; limfoma; mielomuri daavadeba	detaluri anamnezis Segrovebis unar-Cveva hematologiuri daavadebebis dros; detaluri fizikuri gasinjvis unar-Cveva hematologiuri daavadebebis dros; instr. kvlevis Sedegebis interpretacia; lab. kvlevis Sedegebis interpretacia	gatarebuli pacientebis raodenoba – 5	Sesrulebuli samuSao dReebi; morigeobebi; gatarebuli pacientebi; modulze pasuxismgebeli piris Sefaseba; tutoris Sefaseba ukukavSiris sesiis dros

muxli 25.
1. moduli II.6. modulis dasaxeleba, xangrZlivoba – `paliatiuri medicina~, 1 Tve.

2. modulis mizani - modulis mizania gaacnos ojaxis eqimebs qronikuli ukurnebeli daavadebebis (avTvisebiani simsivneebi, filtvis, gulis, RviZlis, Tirkmlis qronikuli daavadebebi, aiv/Sidsi da sxva) terminaluri stadiiT (sicocxlis savaraudo xangrZlivoba 12 Tve da naklebi) Sepyrobili pacientebis janmrTelobis problemaTa marTvis Tanamedrove principebi.

3. literaturis nusxa:

a) paliatiuri mzrunveloba – samedicino da organizaciuli aspeqtebi; Tbilisi, 2003w 138gv. r. RvamiCavas redaqciiT;

b) paliatiuri mzrunveloba; Tbilisi, 2005; d. korZaias redaqciiT;

g) r. RvamiCava, m. Savdia “onkologia”; Tbilisi, 2010w, 674gv. (Tssu biblioTeka);

d) ბრძანება N 157/ნ - ქრონიკული ინკურაბელური დაავადებით შეპყრობილი პირების პალიატიური მზრუნველობით უზრუნველყოფის შესახებ ინსტრუქციის დამტკიცების თაობაზე (10.07.2008)

e) EPEC-O (Education in Palliative and End-of Life Care) – http://www.epec.net.

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

Teoriuli kursi	profesiuli unar-Cvevebi	Sesasrulebeli manipulaciis raodenoba	Sefasebis meTodebi
paliatiuri mzrunvelobis safuZvlebi; komunikacia gundis SigniT da pacientTan/ojaxTan; tkivilis Sefaseba; qronikuli tkivilis marTva; simptomTa marTva qronikul inkurabelur pacientebSi; sicocxlis bolo dReebi da saaTebi, danakargi, sevda, gaziareba	efeqturi komunikacia multidisciplinuri gundis SigniT, kolegebTan da pacientebTan maT ojaxTan; cudi ambebis miwodeba; qronikuli tkivilis Sefaseba da marTva; sxva mtanjveli simptomebis Sefaseba; sicocxlis bolo dReebisa da saaTebis efeqturi marTva; mZime danakargis SemTxvevaSi ojaxis sevdis gaziareba; samedicino dokumentaciis warmoeba; Jangbadis miwodeba (niRbiT, kanuliT); intravenuri ineqcia, venis kaTeterizacia da intravenuri infuzia; nazogastraluri zondireba; Sardis buStis kaTeterizacia; paracentezi; plevris punqcia; Wrilobebis, nawolebis movla	gatarebuli pacientebis raodenoba – 5; yoveldRiuri Sefaseba – 30; samedicino Canawerebis warmoeba – 30; Jangbadis miwodeba – 10; i/v kaTeterizacia, ineqcia, infuzia – 10; nazogastraluri zondireba – 3-5; Sardis buStis kaTeterizacia – 3-5; Wrilobs da nawolis movla – 5-10	Sesrulebuli samuSao dReebi; morigeobebi; gatarebuli pacientebi; modulze pasuxismgebeli piris Sefaseba; daskvniTi testuri Sefaseba; tutoris Sefaseba ukukavSiris sesiis dros

muxli 26.
1. moduli II.7. modulis dasaxeleba, xangrZlivoba – `gadaudebeli medicina~, 2 Tve.

2. modulis mizani – modulis mizania rezidentma/maZiebelma gamoimuSaos gadaudebeli mdgomareobebis, maT Soris travmis, amocnobis, Sefasebisa da marTvis Cvevebi prehospitalur etapze; agreTve, aiTvisos gadaudebeli mdgomareobebis prevenciis efeqturi meTodebi.

3. literaturis nusxa:

a) klinikuri praqtikis erovnuli gaidlainebi: gulmkerdSi tkivilis marTva zogad saeqimo praqtikaSi, gavrcelebuli gadaudebeli mdgomareobebis marTva zogad saeqimo praqtikaSi, miokardiumis infarqti ST elevaciiT, miokardiumis infarqti ST-segmentis elevaciis gareSe /arastabiluri stenokardia; axalSobilTa pirveladi reanimacia, gavrcelebuli gadaudebeli mdgomareobebis marTva zogadsaeqimo praqtikaSi da sxva klinikuri praqtikis gaidlainebi, romlebic moicaven gadaudebeli mdgomareobebis marTvas.

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);

g) Current Medical Diagnosis & Treatment 2010, Forty-Ninth Edition; Stephen J. McPhee, Maxine A. Papadakis, The McGraw-Hill Companies, Inc;

d) Washington Manual(TM) of Medical Therapeutics, The, 32nd Edition, Editors: Cooper, Daniel H.; Krainik, Andrew J.; Lubner, Sam J.; Reno, Hilary E. L.; 2007, Department of Medicine, Washington University School of Medicine. Published by Lippincott Williams & Wilkins.

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

Teoriuli kursi	profesiuli unar-Cvevebi	Sesasrulebeli manipulaciis raodenoba	Sefasebis meTodebi
sicocxlisaTvis saSiSi mdgomareobebi; kardiopulmonuri reanimaciis principebi; travmis marTva principebi; nevrologiuri gadaudebeli daxmareba fsiqiatriuli gadaudebeli daxmareba garemos faqtorebTan dakavSirebuli darRvevebi toqsikologiuri gadaudebeli daxmareba sameano-ginekologiuri gadaudebeli daxmareba Zaladobis msxverpli mwvave sicocxlisTvis saSiSi mdgomaareobis identificireba da menejmenti: mwvave respiratoruli daavadebebi, gul-sisxlZarRvTa mwvave daavadebebi, saswrafo toqsikologiuri daxmareba, masobrivi katastrofa, metaboluri daavadebebi/ mJava-tutovani wonasworoba, Soki (hipovolemiuri, neirogenuli, kardiogenuri, septikuri), gadaudebeli daxmareba mwvave infeqciebis dros sadiagnozo gamokvlevebi gadaudebeli mdgomareobebis dros; samrTlebrivi sakiTxebi; urgentuli mdgomareobebis prevencia	sicocxlisaTvis saSiSi mdgomareobebis amocnoba; ZiriTadi sasicocxlo funqciebis SenarCunebis da kardiopulmonuri reanimaciis teqnika (1 da 2 piris mier); defibrilacia; travmis mqone pacientis Sefaseba: pirveladi da meoreuli Sefaseba, dazianebis meqnizmis gansazRvra: sadiagnozo gamokvlevebi: ekg, radiologiuri kvleva; adgilobrivi anesTezia; periferiuli venebis kaTeterizacia; centraluri venebis kaTeterizacia da venaseqcia cxviridan sisxldenis SeCereba (wina da ukana tamponada) nazogastraluri zondireba da lavaJi Sardis buStis kaTeterizacia xerxemlis pirveladi imobilizacia motexi-lobis an amovardnilo-bis pirveladi imobilizacia; infuziuri Terapia; masobrivi katastro-febis dros daSave-bulTa `triaJi~; erTdorulad ramdenime pacientis marTva; gardacvlili pacientis axlobelTan urTierToba kritikul incidentTan dakavSirebuli stresis marTva	gatarebuli pacientebi – 50; kardiopulmonuri reanimacia – 1-5; defibrilacia – 1-5; tramvis mqone pacientis Sefaseba – 5; ekg – 15; adgilobrivi anesTezia – 5; periferiuli venis kaTeterizacia – 20; cxviridan sisxldenis SeCereba – 1-5; nazogastraluri zondireba da lavaJi – 5; Sardis buStis kaTeterizacia – 5-10; xerxemlis da Zvlebis pirveladi imobilizacia – 5-10	Sesrulebuli samuSao dReebi; morigeobebi; gatarebuli pacientebi; modulze pasuxismgebeli piris Sefaseba; tutoris Sefaseba ukukavSiris sesiis dros

muxli 27.
1. moduli II.8. modulis dasaxeleba, xangrZlivoba – `bavSvTa janmrTeloba~, 3 Tve.

2. modulis mizani – modulis mizania rezidentma gamoimuSaos bavSvTa janmrTelobis problemebis marTvis unari (ganviTarebis Sefaseba, daavadebaTa prevencia, janmrTelobis mwvave da qronikuli problemebis marTva), bavSvis ganviTarebis yvela etapze;

3. literaturis nusxa: klinikuri praqtikis erovnuli rekomendaciebi (gaidlainebi):

a) ZuZuTi kvebis marTva samSobiaro saxlSi adreul neonatalur periodSi, klinikuri praqtikis erovnuli rekomendacia;

b) simxuqnis marTva bavSvTa asakSi pirvelad jandacvaSi, klinikuri praqtikis erovnuli rekomendacia;

g) enurezis marTva pirvelad jandacvaSi, klinikuri praqtikis erovnuli rekomendacia;

d) adreuli asakis bavSvTa fizikuri ganviTareba, klinikuri praqtikis erovnuli rekomendacia;

e) mSoblis konsultireba bavSvis movlis sakiTxebze, klinikuri praqtikis erovnuli rekomendacia;

v) 2 wlamde asakis bavSvis kveba, klinikuri praqtikis nacionaluri rekomendacia;

z) bavSvis janmrTelobaze zedamxedvelobis ZiriTadi principebi, klinikuri praqtikis erovnuli rekomendacia;

T) raqitis diagnostika, marTva da prevencia, klinikuri praqtikis erovnuli rekomendacia;

i) saSarde gzebis infeqcia bavSvebSi, klinikuri praqtikis erovnuli rekomendacia;

k) axalSobilTa respiraciuli distres-sindromi, klinikuri prაqtikis erovnuli rekomendacia;

l) axalSobilTa hipoTermia, axalSobilTa hiperbilirubinemia, klinikuri preqtikis erovnuli rekomendacia;

m) hipokalcemiis diagnostika, marTva da prevencia, klinikuri praqtikis erovnuli rekomendacia;

n) Bannon M, Carter Y (Eds). Protecting Children from Abuse and Neglect in Primary Care Oxford: Oxford;

o) University Press, 2003;

p) British Medical Association, Royal Pharmaceutical Society of Great Britain, Royal College of Paediatrics;

J) and Child Health, The Neonatal and Paediatric Pharmacists Group BNF for Children London: BMA, 2005;

r) Chambers R Licence K, Looking after children in primary care Oxford: Radcliffe Medical Press, 2004;

s) Cohen BA Paediatric Dermatology London: Elsevier Mosby, 2005;

t) Donovan C, Suckling H Difficult Consultations with Adolescents Oxford: Radcliffe Medical Press, 2004;

u) Harndon A Sheikh A (Eds) Promoting Child Health in Primary Care London: RCGP, 2002;

f) Hall D, Elliman D. Health for All Children (4th Ed) Oxford: Oxford University Press, 2003;

q) Jones R, Britten N, Culpepper L, Gass DA, Grol R, Mant D, Silagy C (eds). Oxford Textbook of Primary;

R) Medical Care Oxford: Oxford University Press, 2004;

y) Keeley D Cot Death London: RCGP, 1995;

S) Lissauer T, Clayden G Illustrated Textbook of Paediatrics (2nd Ed) London: Mosby, 2001

C) McPherson A, Donovan C, McFarlane A Healthcare of Young People: Promotion in Primary Care Oxford: Radcliffe Medical Press, 2002;

c) Valman HB ABC of the first year London: BMJ Books, 2001;

Z) Valman HB ABC of One to Seven London: BMJ Books, 2002;

w) Viner R (Ed) ABC of Adolescence London: BMJ Books, 2002.

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

Teoriuli kursi	profesiuli unar-Cvevebi	Sesasrulebeli manipulaciis raodenoba	Sefasebis meTodebi
janmrTeli bavSvis ganviTarebis ZiriTadi aspeqtebi; imunizaciis nacionaluri kalendari; bavSvTa asakis gavrcelebuli daavadebebis da problemebis marTvis strategia da saSiSroebis niSnebi	bavSvis globaluri ganviTarebis Sefaseba; bavSvis jansaRi kvlebis Sesaxeb mSoblebis konkultireba; ZuZuTi kvlebis sirTuleebis SemTxvevaSi mSoblisTvis daxmarebis aRmoCena; saSiSroebis niSnebis Sefaseba, mSoblebisaTvis ganviTarebis xelSemწyobi rCevebis micema; bavSvTa asakis gavrcelebuli daavadebebis marTva, saSiSroebis niSnebis amocnoba; imunizaciis nacionaluri kalendris mixedviT vaqcinaciis Catareba	imunizacia; konsultaciis Cvevebi; bavSvis ganviTarebis Sefaseba-ganviTarebis testebis gamoyeneba	Sesrulebuli samuSao dReebi; morigeobebi; gatarebuli pacientebi; modulze pasuxismgebeli piris Sefaseba; tutoris Sefaseba ukukavSiris sesiis dros

M muxli 28.
1. moduli II.9. modulis dasaxeleba, xangrZlivoba – `qalTa janmrTeloba~, 2 Tve.

2. modulis mizani – modulis mizania rezidentma/maZiebelma gamoimuSaos qalTa janmrTelobis problemebis marTvis unari, normaluri orsulobis warmarTvis da sqesobrivad gadamdebi daavadebebis amocnobisa da marTvis CaTvliT.

3. literaturis nusxa: klinikuri praqtikis erovnuli rekomendaciebi (gaidlainebi):

ა) antenataluri meTvalyureoba fiziologiurad mimdinare orsulobis dros;

ბ) fiziologiuri mSobiarobis marTva;

გ) antenataluri meTvalyureoba;

d) preeklamfsia/eklamfsiis marTva;

ე)naadrevi mSobiarobis prevencia da marTva;

v) saSvilosnosgare orsuloba;

ზ) ojaxis dagegmva;

T) saSvilosnos yelis paTologiaTa citologiuri diagnostika papanikolaus meTodiT;

i) PAP-testis safuZvelze dafuZnebuli saSvilosnos yelis kibos skriningi da diagnostika;

k) ZuZuTi kvebis marTva samSobiaro saxlSi adreulneonatalur periodSi;

l) venuri Tromboemboliis prevencia da mkurnaloba;

m) Tromboembolizmis prevencia antenatalurad da mSobiarobis Semdgom periodSi;

n) mSobiarobis Semdgomi cxelebis marTva;

o) sqesobrivi gziT gadamdebi daavadebebis marTva zogadsaeqimo praqtikaSi;

o) Chlamydia Trachomatis iT gamowveuli ginekologiuri infeqciebis marTva pirvelad jandacvaSi.

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

Teoriuli kursi	profesiuli unar-Cvevebi	Sesasrulebeli manipulaciis raodenoba	Sefasebis meTodebi
fiziologiurad mimdinare orsulobis ZiriTadi aspeqtebi; nayofis da dedis janmrTelobis Sefasebis meTodebi; orsulobis, mSobiarobisa da postnataluri periodis gavrcelebuli problemebis marTvis gzebi; ojaxis dagegmvis meTodebi; klimaqteruli periodis marTva; sarZeve jikvlis gavrcelebuli problemebis Sefasebisa da marTvis meTodebi; prevenciis meTodebi, sqesobrivi gziT gadamdebi daavadebebis diagnostika da marTva; ginekologTan, onkologTan da qirurgTan referalis kriteriumebi. orsulobisa da ginekologiuri problemebis dros sagangaSo niSnebis codna da drouli reagirebis gzebi	orsulobis riskis Sefaseba, fiziologiurad mimdinare orsulobis dros; antenataluri meTvalyureobis ganxorcieleba; orsuli qalis konsultireba cxovrebis jansaRi wesis Sesaxeb; informaciis miwodeba orsulobisa da mSobiarobis periodze; orsulobis dros rutinuli skrining testebis Catareba da interpretacia; qalis konsultireba ojaxis dagegmvis sakiTxebze; pacientisaTvis misaRebi kontraceptivis SerCeva, gavrcelebuli ginekologiuri problemebis marTva da drouli referali saWiroebis SemTxvevaSi; sqesobrivi gziT gadamdebi daavadebebis diagnostika da analizebis interpretacia, infeqciis marTva da, saWiroebisas, drouli referali ganxorcieleba; orsulobisa da ginekologiuri problemebis dros sagangaSo niSnebis identificireba da drouli reagirebis ganxorcieleba. asakis mixedviT individualuri skrining gegmis miwodeba saSvilosnos yelis kibos da sarZeve jirkvlis kibos adreul etapze gamosavlenad; mamografiisa da pap-nacxis Sedegebis interpretacia	ginekologiuri gasinjva: sarkis Cadgma, nacxis aReba – 30; mcire menjis bimanualuri palpacia – 50; konsultaciis Cvevebi – 100; sarZeve jirkvlebis gasinjva – 50; pap-nacxis aReba – 30	Sesrulebuli samuSao dReebi; morigeobebi; gatarebuli pacientebi; modulze pasuxismgebeli piris Sefaseba; tutoris Sefaseba ukukavSiris sesiis dros

M
muxli 29.
1. moduli 2.10. modulis dasaxeleba, xangrZlivoba – `fsiqikuri janmrTeloba~, 1 Tve.

2. modulis mizani - modulis mizania rezidentma gamoimuSaos fsiqikuri janmrTelobis Sefasebis, fsiqikuri janmrTelobis sferoSi aRmocenebuli problemebis droulad amocnobis da pirveladi Sefasebis, drouli da adekvaturi mimarTvis da fsiqikuri daavadebebis xangrZlivi marTvis Cvevebi fsiqiatrTan mWidro TanaSmromlobis gziT.

3. literaturis nusxa:

a) klinikuri praqtikis erovnuli gaidlaini obsesiur-kompulsiuri aSliloba;

b) klinikuri praqtikis erovnuli gaidlaini panikuri aSliloba;

g) klinikuri praqtikis erovnuli gaidlaini guneba-ganwyobis (afeqturi) aSliloba;

d) `fsiqikur daavadebaTa diagnostika~, T. silagaZe, l. menTeSaSvili, 2010w;

e) `fsiqiatriis mokle kursi~, g.naneiSvili, 2006;

v) The treatment of common mental health problems in general practice, Family Practice 2006; 23: 53–59.

z) Journal: Mental Health in Family Medicine (WONCA).

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

Teoriuli kursi	profesiuli unar-Cvevebi	Sesasrulebeli manipulaciis raodenoba	Sefasebis meTodebi
normuli fsiqosocialuri ganviTareba cxovrebis ciklis ganmavlobaSi, misi variantebi da gadaxrebi; biologiuri, fsiqologiuri da socialuri faqtorebis urTierTkavSiri; mwvave da qronikuli daavadebebis gavlena pacientze da mis ojaxze; faqtorebi, romlebic zegavlenas axdenen mkurnalobis gegmis Sesrulebaze; ojaxis funqiebi da zogadi interaqtiuli modeli stresTan gamklavebisas; piradi damokidebulebebisa da faseulobebis Secnoba, rac zegavlenas axdens eqimis moqmedebis efeqturobaze da eqimiT kmayofilebaze; eqimze zemoqmedi stresuli faqtorebi da maTi efeqtis Tavidan acilebis gzebi; eTikuri sakiTxebi samedicino praqtikaSi, informirebuli Tanxmobis, pacientis avtonomiis, konfidencialurobisa da sicocxlis xarisxTan dakavSirebuli sakiTxebis CaTvliT. pirvelad gamovlinebuli fsiqikuri aSliloba Cvilebs, bavSvebsa da mozardebs Soris; aSlilobebi, romelTa arsebobaze eWvis mitana, pirveladi Sefaseba, referalis organizeba da fsiqiatrTan erTad marTva unda SeeZlos ojaxis eqims: deliriumi, demencia, amnezia da cnobierebis sxva darRvevebi, Sizofrenia da sxva fsiqikuri aSlilobebi, guneba-ganwyobis aSla, SfoTva, somatoformuli aSlilobebi, disociaciuri aSliloba, seqsualuri da sqesobrivi identurobis aSliloba, impulsis kontrolis darRveva, garemosTan Seguebis aSliloba, personalurobis darRveva, Zaladobasa da gulgrilobasTan dakavSirebuli problemebi, kvebasTan dakavSirebuli aSlilobebi, Zilis darRveva	arafsiqiatriuli aSlilobis emociuri aspeqtebis marTva; fsiqiatriuli gadaudebeli daxmarebis pirveladi organizeba (suiciduri pacienti, mwvave fsiqikuri aSlilobis mqone pacienti); fsiqofarmakologiuri mkurnalobis monitoringi, gverdiTi efeqtebi, wamalTa urTierTqmedeba; ojaxTan TanamSromloba, ojaxis Tanadgomis uzrunvelyofa; sazogadoebrivi resursebis gamoyeneba; rCevis micema krizisis SemTxvevaSi; referalis saWiroebis gansazRvra da referalis organizeba fsiqiatrTan, TanamSromloba fsiqiatrTan pacientis qr. problemebis marTvaSi	stacionarSi myofi pacientebi – 20; ambulatoriuli pacientebi – 40.	Sesrulebuli samuSao dReebi; morigeobebi; gatarebuli pacientebi; modulze pasuxismgebeli piris Sefaseba; tutoris Sefaseba ukukavSiris sesiis dros