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� zogadi praqtikis/saojaxo medicinis evropul ganmarteba (WONCA Europe [The European Society of General Practice / Family Medicine]: The European Definition of General Practice/Family Medicine; Barcelona: WONCA, 2002; www.wonca.org );
� ojaxis/zogadi praqtikis eqimTa maswavleblebis evropuli akademiis saganmanaTleblo programaSi (EURACT [European Academy of Teachers in General Practice] Education Agenda; EURACT, Leuven 2005; www.euract.org ).
Tavi I. specialobisa da specialistis gansazRvreba (definicia)Tavi I. specialobisa da specialistis gansazRvreba (definicia)Tavi I. specialobisa da specialistis gansazRvreba (definicia)Tavi I. specialobisa da specialistis gansazRvreba (definicia)
saojaxo medicinasaojaxo medicinasaojaxo medicinasaojaxo medicina – akademiuri da mecnieruli disciplina sakuTari saganmanaTleblo SinaarsiT, kvleviT, mtkicebiTi safuZvlebiT da klinikuri saqmianobiT; is pirvelad jandacvaze orientirebuli klinikuri specialobaa.
zogadi praqtikis/saojaxo medicinis evropis sazogadoebis (WONCA EUROPE) bolo ganmartebebis mixedviT (European Definition of Family Medicine, 2002) zogadi praqtikis/saojaxo medicinis rogorc disciplinis maxasiaTeblebi Semdegia:
a) Cveulebriv, samedicino personalTan pirveli Sexebis wertilia jandacvis sistemaSi; uzrunvelyofs Ria da SeduzRudav xelmisawvdomobas momxmareblisaTvis da dakavebulia misi janmrTelobis problemebiT asakis, sqesis an raime pirovnuli maxasiaTeblis miuxedavad;
b) racionalurad iyenebs jandacvis resursebs pirvelad jandacvaSi samedicino daxmarebis koordinaciis, sxva profesionalebTan erToblivi saqmianobis gziT, agreTve, sxva specialobebTan urTierTobis marTviT da advokatis rolis SesrulebiT im SemTxvevebSi, roca pacients es sWirdeba.
g) aviTarebs individze (pirovnebaze) orientirebul midgomas, orientirebuls Tavad individze, mis ojaxze da Temze.
d) aqvs unikaluri sakonsultacio procesi romelic afuZnebs droiT SeuzRudav urTierTobebs eqimsa da pacients Soris efeqturi komunikaciis gziT;
rezidenturis (diplomisSemdgomi samedicino ganaTlebis) programa “ojaxis eqimi”
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g)g)g)g) aviTarebs individze orientirebul midgomas, orientirebuls aviTarebs individze orientirebul midgomas, orientirebuls aviTarebs individze orientirebul midgomas, orientirebuls aviTarebs individze orientirebul midgomas, orientirebuls Tavad individze, mis Tavad individze, mis Tavad individze, mis Tavad individze, mis ojaxze da da Temze. ojaxze da da Temze. ojaxze da da Temze. ojaxze da da Temze.
saojaxo medicina exeba adamianebsa da maT problemebs maTi cxovrebis pirobebisa da garemoebebis konteqstSi da ara `impersonalur~ paTologiuri mdgomareobebsa da klinikur SemTxvevebs. saqmianobis amosavali punqtia pacienti. mniSvnelovania imisi gageba, Tu rogor aRiqvams pacienti daavadebas da daavadebis mimdinareobas. amosavali wertilia pirovneba, misi rwmeniT, SiSiT, molodiniTa da saWiroebebiT.
d)d)d)d) aqvs unikaluri sakunsaltacio procesi romelic afuZnebs droiT SeuzRudav aqvs unikaluri sakunsaltacio procesi romelic afuZnebs droiT SeuzRudav aqvs unikaluri sakunsaltacio procesi romelic afuZnebs droiT SeuzRudav aqvs unikaluri sakunsaltacio procesi romelic afuZnebs droiT SeuzRudav urTierTobebs efeqturi komunikaciis gziT eqimsa da pacients SorisurTierTobebs efeqturi komunikaciis gziT eqimsa da pacients SorisurTierTobebs efeqturi komunikaciis gziT eqimsa da pacients SorisurTierTobebs efeqturi komunikaciis gziT eqimsa da pacients Soris
pacienti xSirad momarTavs ojaxis eqims simptomebis aRmocenebisTanave; aseT adreul stadiaze diagnozis dasma Znelia. aseT SemTxvevebSi pacientisaTvis mniSvnelovani
rezidenturis (diplomisSemdgomi samedicino ganaTlebis) programa “ojaxis eqimi”
7
gadawyvetileba miRebuli unda iqnes SezRuduli informaciis safuZvelze da, amdenad, klinikuri da paraklinikuri gamokvlevis prognozuli mniSvneloba naklebad zustia. im SemTxvevebSic ki, rodesac ama Tu im daavadebis niSnebi kargad cnobilia, am daavadebis adreul stadiaze gamoxatuli niSnebi xSirad araspecifikuria da saerToa mravali daavadebisaTvis. aseT pirobebSi riskis marTva disciplinis ZiriTadi maxasiaTebelia. meyseuli seriozuli gamosavalis gamoricxvisas gadawyvetileba saboloo ar unda iqnes – is kidev erTxel unda iqns gadamowmebuli momavalSi. mxolod erTi konsultaciis Sedegi xSirad erTi an ramdenime simptomis konstataciaa, zogjer mxolod mosazreba ibadeba daavadebis arsebobis Sesaxeb; saboloo da sruli diagnozi iSviaTad aris SesaZlebeli.
i)i)i)i) xels uwyobs janmrTelobasa da keTildReobas saTanado da efeqturi CarevebiT.xels uwyobs janmrTelobasa da keTildReobas saTanado da efeqturi CarevebiT.xels uwyobs janmrTelobasa da keTildReobas saTanado da efeqturi CarevebiT.xels uwyobs janmrTelobasa da keTildReobas saTanado da efeqturi CarevebiT.
Carevebi adekvaturi, efeqturi unda iyos da efuZnebodes saTanado mtkicebulebebs, roca ki es SesaZlebelia. Careva, romelic ar aris saWiro, SesaZloa zianis momtani da jandacviTi resursebis umizno xarjvis ganmapirobebeli gaxdes.
disciplina aRiarebs rom is pasuxsimgebelia rogorc calkeuli pacientis, ise mTlianad Temis (sazogadoebis) janmrTelobis dacvisaTvis. zog SemTxvevaSi aman SeiZleba gamoiwvios daZabuloba da interesebis konfliqti, risi mogvarebac saTanadod aris saWiro.
l)l)l)l) dakavebulia janmrTelobis problemebiT maTi fizikuri, socialuri, kulturuli da dakavebulia janmrTelobis problemebiT maTi fizikuri, socialuri, kulturuli da dakavebulia janmrTelobis problemebiT maTi fizikuri, socialuri, kulturuli da dakavebulia janmrTelobis problemebiT maTi fizikuri, socialuri, kulturuli da egzistencialuri ganzomilebebis gaTvaliwinebiT.egzistencialuri ganzomilebebis gaTvaliwinebiT.egzistencialuri ganzomilebebis gaTvaliwinebiT.egzistencialuri ganzomilebebis gaTvaliwinebiT.
disciplina yvela am ganzomilebas erTdroulad iTvaliswinebs da TiToeuls Sesabamis mniSvnelobas aniWebs. daavadebaTa Taviseburebebi da maxasiaTeblebi cvalebadia am miTiTebul sakiTxebTan kavSirSi da xSirad warumatebloba imiTia ganpirobebuli, rom Carevis samizne problemis siRrmiseuli nawili ara aris.
Tavi IV. specialistis `ojaxis eqimi~ specifikuri kompetenciebi sxvadasxva daavadebebis Tavi IV. specialistis `ojaxis eqimi~ specifikuri kompetenciebi sxvadasxva daavadebebis Tavi IV. specialistis `ojaxis eqimi~ specifikuri kompetenciebi sxvadasxva daavadebebis Tavi IV. specialistis `ojaxis eqimi~ specifikuri kompetenciebi sxvadasxva daavadebebis pppprevenciis, amocnobis, Sefasebisa da marTvis sferoSirevenciis, amocnobis, Sefasebisa da marTvis sferoSirevenciis, amocnobis, Sefasebisa da marTvis sferoSirevenciis, amocnobis, Sefasebisa da marTvis sferoSi
Tavi Tavi Tavi Tavi V. sadiagnozo da samkurnalo manipulaciebiV. sadiagnozo da samkurnalo manipulaciebiV. sadiagnozo da samkurnalo manipulaciebiV. sadiagnozo da samkurnalo manipulaciebi
ojaxis eqims unda SeeZlos Semdeg sadiagnozo da samkurnalo manipulaciebis damoukideblad Catareba:
profesiuli mzadebis I etapiprofesiuli mzadebis I etapiprofesiuli mzadebis I etapiprofesiuli mzadebis I etapi modulebis raodenoba: modulebis raodenoba: modulebis raodenoba: modulebis raodenoba: sul 8 savaldebulo moduli
profesiuli mzadebis I profesiuli mzadebis I profesiuli mzadebis I profesiuli mzadebis I etapisetapisetapisetapis mizanimizanimizanimizani da amocanebi:da amocanebi:da amocanebi:da amocanebi:
rezidenturis I etapis (pirveli 6 Tve) bolos rezidenti ukve icnobs saojaxo medicinis principebsa da strategiebs. mas SeuZlia msjeloba ojaxis eqimis ZiriTad kompetenciebsa da specialobis maxasiaTeblebze. flobs saeqimo konsultaciis Catarebis meTodologias da komunikaciis Cvevebs. SeuZlia msjeloba ojaxis eqimis praqtikis organizaciul aspeqtebze. icnobs mtkicebulebiTi medicinis safuZvlebsa da meTodebs. SeuZlia gaaanalizos ama Tu im sadiagnozo meTodis validuroba da samkurnalo meTodis efeqturoba arsebuli literaturis Sefasebis safuZvelze. icnobs saqarTvelos kanonmdeblobas janmrTelobis dacvis sferoSi da eqimisa da pacientis urTierTobis samarTlebriv da eTikur aspeqtebs. SeuZlia kvlevis meTodebze msjeloba pirveladi jandacvis konteqstSi.
mzadebis es nawili unda Catardes ojaxis eqimis ofisSi da universitetis saojaxo medicinis saswavlo centrSi, rezidentis personaluri xelmZRvanelis (lokaluri xelmZRvanelis) meTvalyureobiT.
• jandacvis sferoSi arsebuli uTanabrobis gacnobiereba; • jandacvis sistemis struqturisa da misi ekonomikuri SesaZleblobebis SezRudulobis gacnobiereba;
• gacnobiereba imisa, rogor SeiZleba iqnes gamoyenebuli jandacvis sistema pacientisa da eqimis mier (referaluri procedurebi, Tanagadaxda, saavadmyofo furceli, sakanonmdeblo sakiTxebi da a.S.) maTi problemebis konteqstSi.
• samecniero kvlevis zogadi principebis, meTodebisa da koncefciis, agreTve statistikis safuZvlebis (sixSire, gavrceleba, progrnozuli mniSvneloba da sxv.) codna.
• samedicino literaturis moZiebis, kiTxvisa da kritikuli Sefasebis unari mzadebis I etapis modulebimzadebis I etapis modulebimzadebis I etapis modulebimzadebis I etapis modulebi
� unda icodes saojaxo medicinis Tanamedrove ganmarteba zogadi praqtikis/saojaxo medicinis evropis sazogadoebis (WONCA EUROPE) bolo ganmartebebis mixedviT (European Definition of Family Medicine, 2002);
� unda SeeZlos zemoaRniSnuli ganmartebis farglebSi ojaxis eqimis ZiriTad kompetenciebsa da maxasiaTeblebze msjeloba da maTi misadageba konkretuli SemTxvevebisadmi.
1. The European Definition of General Practice/Family Medicine; Barcelona: WONCA, 2002 2. The EURACT Educational Agenda of General Practice / Family Medicine; EURACT Leuven,
2005 3. Jones R (Ed). Oxford Textbook of Primary Medical Care Oxford: Oxford University Press, 2004 4. McWhinney IR A Textbook of Family Medicine Oxford: Oxford University Press, 2004 5. Rakel RE. Textbook of Family Practice 6th edition London: W.B. Saunders, 2001 6. Bordage G and Zacks R. The Structure of Medical Knowledge in the Memories of Medical
Students and General Practitioners: Categories and Prototypes. Medical Education 1984; 18: 406–16
7. Bordage G. Elaborated Knowledge: A Key to Successful Diagnostic Thinking Acad Med 1994; 69:883–5
8. Havelock P., Hasler J., Flew R., McIntyre D., Schofield T., Toby J. (1995) Professional Education for General Practice. Oxford General Practice Series 31. Oxford University Press, Oxford, New York, Toronto
9. Little M., Midtling J.E. (1989) Becoming a Family Physician. Springer – Verlag New York.
Sesasrulebeli saSesasrulebeli saSesasrulebeli saSesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba:muSaos moculoba da Casatarebeli manipulaciebis raodenoba:muSaos moculoba da Casatarebeli manipulaciebis raodenoba:muSaos moculoba da Casatarebeli manipulaciebis raodenoba:
• SeeZlos pacientis janmrTelobis problemis mimoxilva da vizitis mizezebis gansazRvra;
• SeeZlos Seafasos da mimoixilos pacientis gaTviTcnobierebuloba da damokidebuleba sakuTari janmrTelobis problemisadmi da misi marTvis sakiTxebisadmi;
• SeeZlos Seafasos da adekvaturad upasuxos pacientis wuxils, dards misi janmrTelobis problemebisa da am problemebis marTvis sakiTxebTan dakavSirebiT;
• SeeZlos miawodos pacients Sesaferisi ganmartebebi misi janmrTelobis problemebTan dakavSirebuli mosazrebebisa da kiTxvebis Sesaxeb;
• SeeZlos gansazRvra imisa, Tu ramdenad gaigo da sworad aRiqva eqimis mier miwodebuli ganmartebebi da ramdenad moaxerxa eqimma pacientis wuxilsa da dardze adekvaturad reagireba.
1. Mead N, Bower P. “Patient-centredness: a conceptual framework and review of the empirical literature.” Social Science & Medicine 2000; 51: 1087–1110
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3. Silverman J, Kurtz S, Draper J. Skills for communicating with patients (2nd edition). Oxford: Radcliffe Medical Press, 2004
4. Kurtz S, Silverman J, Draper J. Teaching and learning communication skills in medicine (2nd edition). Oxford: Radcliffe Medical Press, 2004
5. Maguire P, Pitceathly C. “Key communication skills and how to acquire them.” BMJ 2002; 325: 697–700 6. BMA. Communication skills and continuing professional development London, BMA, 1998 7. Midland Faculty of the Royal College of General Practitioners Consulting: Communication skills for
general practitioners Birmingham: Midland Faculty of the Royal College of General Practitioners 2005 8. Kjeldmand D Balint training makes GPs thrive better in their job. Patient Education and Counselling 2004;
55: 2: 230-235
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9. Smith RC, Marshall-Dorsey AA, Osborn GG, Shebroe V, Lyles JS, Stoffelmayr BE, Van Egeren LF, Mettler J, Maduschke K, Stanley JM, Gardiner JC. Evidence-based guidelines for teaching patient-centered interviewing. Patient Educ Couns. 2000 Jan; 39(1):27-36.
10. Pendleton D, Hasler J. Doctor Patient Communication, 1983 London. 11. Buckman R. How to Break Bad News, Macmillan Press, 1992. 12. Ungar L, Alperin M, Amiel GE, Beharier Z, Reis S. Breaking bad news: structured training for family
medicine residents. Patient Educ Couns. 2002 Sep; 48(1): 63-8. 13. Shapiro J, Lie D. Using literature to help physician-learners understand and manage ‘’difficult’’ patients.
Academic medicine, 2000; 75:765-768. 14. Steinmetz,D; Tabenkin,H; The difficult patient' as perceived by family physicians. Family Practice,
2001;18(5): 495-500. 15. Smith R.C. The patient's story: Integrated patient–doctor interviewing. Little, Brown and Company (now
Lippincott, Williams and Wilkins), Boston (1996). 16. Beckman HB, Frankel RM. The effect of physician behaviour on collection of data. Ann Intern Med,
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1996; 5(2): 71-76. 19. Rubin S.B, Zoloth L. Margin of error. The ethics and mistakes in the practice of medicine. University
Publishing group, Hagerstown, Maryland. 20. Rowland-Morin PA, Carroll JG. Verbal communication skills and patient satisfaction. A study of doctor-
patient interviews. Eval Health Prof., 1990; 13(2):168-185 Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba:Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba:Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba:Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba:
� rezidenti unda icnobdes saqarTvelos jandacvis sistemis ZiriTad maxasiaTeblebs, qveyanaSi avadobisa da sikvdilianobis ZiriTad mizezebs da monacemebs am mizezebiT gamowveuli xarjebis Sesaxeb, sxvadasxva paTologiuri mdgomareobebis pirvelad jandacvasa da, zogadad, saqarTveloSi sixSiresa da gavrcelebis specifikurobas;
� rezidents unda SeeZlos imsjelos saqarTvelos jandacvis ZiriTad prioritetebze, mis organizaciul safuZvlebze, pirveladi jandacvis rolze da am ukanasknelis saWiroebebsa da organizaciis Taviseburebebze.
• klinikur praqtikaSi mtkicebulebebze dafuZnebuli medicinis principebis gamoyeneba a. problemis da uzustobis gansazRvra b. Sesabamisi, fokusirebuli, klinikurad mniSvnelovani sakiTxebis
formulireba, romlebzec pasurxis gacema savaraudod SesaZlebelia g. mtkicebulebis moZebna da Sefaseba d. mtkicebulebebis klinikuri mniSvnelovnebis Sefaseba e. nebismieri rekomendaciisa Tu daskvnis klinikuri gamoyenebadobis
Sefaseba v. gadawyvetilebis miReba, imoqmedo Tu ara mtkicebulebebze
dayrdnobiT z. moqmedebis Sedegis Sefaseba T. momavali gamoyenebisTvis Canawerebis Sejameba da Senaxva
• mtkicebulebebze dafuZnebuli medicinis monacemTa resursebidan informaciis moZiebis da amoRebis unari a. koxreinis (Cochrane) monacemTa baza da sxva bazebi, romlebic
• 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.
• 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.
• Introduction to Research: Understanding and Applying Multiple Strategies, Elizabeth Depoy, Laura N. Gitlin , 2005, Elsevier Health Sciences
• Foundations of Clinical Research: Applications to Practice, Leslie Gross Portney, Mary P. Watkins, 1999, Pearson Education
• 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
• 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
• Basic and Clinical Biostatistics, Beth Dawson, Robert G. Trapp 2004, McGraw-Hill Companies
• Primer of Biostatistics Stanton A. Glantz 2005, McGraw-Hill Medical Publishing
• 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
• Evidence Based Medicine: How to Practice and Teach EBM Sharon E. Straus, R. Brian Haynes, W. Scott Richardson, Paul Glasziou 2005, Elsevier Health Sciences
• 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
• Evidence-Based Medicine Guidelines, Staff of Duodecim Medical Publications, Duodecim Medical Publications Staff, Ilkka Kunnamo , 2005, Wiley, John & Sons, Incorporated
• pacientis uflebebi da maTi ganxorcielebis meqanizmebi kiknaZe, javaSvili Tbilisi, 1999
• “Principles of modern medical ethics and Health care professionals; Relation between health and education: from declaration to implementation (Georgian Experience)” Kiknadze, Javashvili, Barkalaia; medicinis filoso-fosTa II msoflio kongresis masalebi, krakovi, 2000, 45
• “Through doctors' glasses: The story of one article of the law on organ transplantation or how could closed eyelids of the deceased person conceal our sins”, Javashvili, Kiknadze; medicinis filoso-fosTa II msoflio kongresis masalebi, krakovi, 2000, 41
• “Patients' rights legislation in Georgia” Kiknadze, Javashvili, Barkalaia; “Journal of Health Sciences and Publlic Health”, Volume 1, Number 1, 2000, 17-26
• “Ethics committees in Georgia”; Javashvili, Kiknadze “Ethics Committees in Central and Eastern Europe”, 2000, Charis – IMEB Fdn. Bratislava, Slovakia 179-185 ISBN 80-88743-40-0
• `pacientis ombudsmeni:ideidan realizaciamde~; javaSvili, kiknaZe saqarTvelos bioeTikis da jandacvis samarT-lerivi sakiTxebis Semswavleli sazogadoeba, Tbilisi, 2001. ISBN 99928-908-1-9
• `adamianis uflebebi biomedicinis sferoSi~; javaSvili, kiknaZe, barkalaia; saqarTvelos bioeTikis da jandacvis samarT-lerivi sakiTxebis Semswavleli sazogadoeba, Tbilisi, 2001. ISBN 99928-908-0-0
• `eqimis profesiuli saqmianobis samarTlebrivi safuZvlebi~; kiknaZe, javaSvili saqarTvelos bioeTikis da jandacvis samarT-lerivi sakiTxebis Semswavleli sazogadoeba, Tbilisi, 2002. ISBN 99928-908-5-1
• `jandacvis ombudsmeni:pirveli nabijebi~; javaSvili, kiknaZe saqarTvelos bioeTikis da jandacvis samarT-lerivi sakiTxebis Semswavleli sazogadoeba, Tbilisi, 2002. ISBN 99928-908-8-6
• “Georgian Legislation on Human Rights in the sphere of health care and biomedicine: Current trends and harmonisation with international developments”; Javashvili, Kiknadze; in “Europe and its impact on National Healthcare systems Yearbook 2001”, 2002, Erasmus University Press, Rotterdam, The Netherlands, 60-72, ISBN 90 807503 I X
• “Treatment and care at the end-of-life: Review of Georgian Legislation” Javashvili, Kiknadze; in “Ethical Eye”, 2003, Council of Europe Publishing, Strasbourg, France, In Press
• “A Clinician’s Commentary from a Post-Soviet Society on
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• Organizational Issues of Care for Alzheimer’s Disease”; Javashvili; in “Book on Alzheimers's Disease”, 2003, Johns Hopkins University Press. in press.
• `pacientis mkurnaloba da movla daavadebis terminalur stadiaze: saqarTvelos kanonmdeblobis mimoxilva~; javaSvili, kiknaZe; `Tanamedrove medicina~, tomi 1, #3.
• adgilmdebareoba a. regioni, raioni, qalaqi/sofeli b. mosaxleobis raodenoba da tipi
• saqmianobis da dawesebulebis tipi a. `solo~ an jgufuri praqtika b. soflis ambulatoria, poliklinika d. sxva
• xelSekrulebebi/kontraqtebi TanamSromlebTan a. kompensaciebi da SeRavaTebi b. samuSao datvirTva g. profesiuli pasuxismgeblobis dazRveva d. samarTlebrivi sakiTxebi e. eTikuri aspeqtebi
• daavadebebis gamovlenis sistemebi da prevenciuli momsaxureba
• mimRebi rgolis funqciebi
� samedicino Canawerebi
• Senaxvis sistema
• indeqsireba da kodireba
• informaciis gacema
• konfidencialuroba
• auditi da Tvalyuris devneba
• Canawerebis tipebi
• Canawerebis struqtura
� TanamSromelbi da personali
• urTierToba TanamSromlebTan a. xelfasebi da SeRavaTebi b. motivacia g. daqiraveba da SenarCuneba d. gaTavisufleba (termination) e. Sefaseba v. pasuxismgebloba an angariSgeba z. samuSaos aRweriloba
• beWdviTi wyaroebi a. Jurnalebi b. saxelmZRvaneloebi g. monografiebi d. gazeTebi e. sainformacio furceli / kvlevebi
• kompiuteruli wyaroebi a. kompaqt diskebi b. literaturis saZiebeli resursebi g. internetis resursebi d. usg-is teqnologiebi e. eleqtronuli sainforacio resursebis codna
• sakomunikacio teqnologiebi a. telekomunikaciebi b. xmovani Setyobineba g. elfosta d. eleqtronuli qseli samedicino dawesebulebaSi e. axali teqnologiebis gamoyenebis samarTlebrivi sakiTxebi
• interpersonuli a. sxva ojaxis eqimebi b. konsultantebi g. sxva personali d. farmaciis warmomadgenlebi
• praqtikuli gamocdileba
• mimoxilviTi statiebi
• orignaluri kvleva
• meta-analizuri mimoxilva
• praqtikuli saxelmZRvanelo principebi
• mtkiceulebebze dafuZnebuli medicinis da klinikuri Sedegebis analizi
• ojaxis eqimma unda icodes, romeli wyaroa saukeTeso informaciis misaRebad: a. pacientTan dakavSirebul kiTxvebze pasuxis gasacemad b. sakuTari codnis ganaxlebisaTvis, romelic araa dakavSirebuli
konkretul pacientTan; g. gamoyenebuli meTodis Rirebulebis da informaciis saWiroebis
dasabalanseblad;
• ojaxis eqims unda SeeZlos informaciis prioritetebis gamoyofa
• ojaxis eqims unda SeeZlos Sesabamisi klinikuri SekiTxvebis Camoyalibeba a. Sedegebisa da interesebis gansazRvra b. mniSvnelobis (Rirebulebis) gansazRvra
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qimiuri preparetebis zemoqmedebis efeqturi gamovlinebebi da daavadebaTa koreqciis zogadi principebi;
� tkivilisa da gautkivarebis funqciuri sistemis neirobiologiuri safuZvlebi; nocicepciis periferiuli da centraluri meqanizmebis neiroqimiuri safuZvlebi; endogenuri opioiduri da sxva peptidebis receptoruli sistemis roli analgeziis ganviTarebaSi;
� motivacia da emocia. limburi sistema (hipokampi, sartylebri xveuli, nuSisebri kompleqsi), striopaliduri sistema da integraciis Talamuri done adamianis qcevis organizaciaSi. hipoTalamusis roli integraciul moqmedebaSi da ZiriTad biologiur motivaciebis formirebaSi.
� fiziologiaSi, molekulur biologiaSi da Teoriul medicinaSi ukanasknel wlebSi (2000-2005) ganxorcielebuli mniSvnelovani kvlevis Sedegebis mimoxilva da analizi;
� fundamenturi da klinikuri imunologiis - imunuri sistemis organoebisa da ujredebis, imunoglobulinebis, antigenis gamomcnobi da warmdgeni molekulebis struqturisa da funqciis- Tanamedrove Teoriuli da praqtikuli aspeqtebi;
farmakoTerapia da mtkicebiTi medicina.farmakoTerapia da mtkicebiTi medicina.farmakoTerapia da mtkicebiTi medicina.farmakoTerapia da mtkicebiTi medicina. medikamentebis Sewovisa da organizmSi ganawilebis meqanizmebi
• Introduction to Research: Understanding and Applying Multiple Strategies, Elizabeth Depoy, Laura N. Gitlin , 2005, Elsevier Health Sciences
• Foundations of Clinical Research: Applications to Practice, Leslie Gross Portney, Mary P. Watkins, 1999, Pearson Education
• 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
• 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
• Basic and Clinical Biostatistics, Beth Dawson, Robert G. Trapp 2004, McGraw-Hill Companies
• Primer of Biostatistics Stanton A. Glantz 2005, McGraw-Hill Medical Publishing
• 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
• Evidence Based Medicine: How to Practice and Teach EBM Sharon E. Straus, R. Brian Haynes, W. Scott Richardson, Paul Glasziou 2005, Elsevier Health Sciences
• 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
profesiuli mzadebis II etapiprofesiuli mzadebis II etapiprofesiuli mzadebis II etapiprofesiuli mzadebis II etapi modulebis raodenobamodulebis raodenobamodulebis raodenobamodulebis raodenoba: : : :
profesiuli mzadebis II profesiuli mzadebis II profesiuli mzadebis II profesiuli mzadebis II etapis mizani:etapis mizani:etapis mizani:etapis mizani:
mzadebis II etapis bolosTvis rezidents gamomuSavebuli aqvs codna da unar-Cvevebi, rac aucilebelia pirvelad jandacvaSi arsebuli specifikuri problemebis marTvisaTvis, maT Soris gansakuTrebiT im problemebisa, romlebic umniSvnelovanesia saqarTvelosaTvis.
SeuZlia gavrcelebuli qronikuli daavadebebis diagnostika da marTva; icnobs gadaudebeli medicinisa da travmis marTvis principebs, SeuZlia gavrcelebuli samedicino problemebis marTva bavSvebSi, icnobs qalTa janmrTelobis dacvis ZiriTad principebs da SeuZlia specifikuri problemebis marTva sqesobrivi gziT gadamdebi daavadebebis CaTvliT; SeuZlia pacientis fsiqikuri janmrTelobis ZiriTadi maxasiaTeblebis Sefaseba da gavrcelebuli aSlilobebis amocnoba an maT arsebobaze eWvis mitana; SeuZlia garcelebuli daavadebebis amocnoba da pirveladi marTva Semdegi sferoebidan: yel-yur-cxviris daavadebebi, dermatologia, ofTalmologia, nevrologia, orTopedia, onkologia, qirurgia.
profesiuli mzadebis II etapis amocanebi: profesiuli mzadebis II etapis amocanebi: profesiuli mzadebis II etapis amocanebi: profesiuli mzadebis II etapis amocanebi:
rezidenturis (diplomisSemdgomi samedicino ganaTlebis) programa “ojaxis eqimi”
• simptomebisa da niSnebis, damatebiTi gamokvlevebis monacemebis pozitiuri da negatiuri prediktuli mniSvnelobisa da `samizne~ daavadebebis dros maTi sixSiris codna;
• sadiagnozo da samkurnalo RonisZiebebis xarjefeqturobisa da xarjsargeblianobis gacnobiereba.
� gulgulgulgul----sisxlZarRvTa sistemis anatomia da fiziologia.sisxlZarRvTa sistemis anatomia da fiziologia.sisxlZarRvTa sistemis anatomia da fiziologia.sisxlZarRvTa sistemis anatomia da fiziologia.
� gulgulgulgul----sisxlZarRvTa sistemis fiziologiuri maxasiaTeblebis cvlilebebi sisxlZarRvTa sistemis fiziologiuri maxasiaTeblebis cvlilebebi sisxlZarRvTa sistemis fiziologiuri maxasiaTeblebis cvlilebebi sisxlZarRvTa sistemis fiziologiuri maxasiaTeblebis cvlilebebi asakis Sesabamisad da orsulobis dros.asakis Sesabamisad da orsulobis dros.asakis Sesabamisad da orsulobis dros.asakis Sesabamisad da orsulobis dros.
• karotiduli da periferiuli sisxlZarRvebis sadiagnozo angiografia
• intrakoronaruli da periferiul sisxlZarRvebis invaziuri gamokvleva saTanado aRWurvilobiT
• sisxlZarRvTa Sida monitorirebis saSualebebi: – a. centraluri venuri da periferiuli arteriuli kaTeteri b. hemodinamikis monitoringi, balonuri flotaciuri kaTeteris gamoyenebiT.
• eleqtrofiziologiuri gamokvlevebi
• samkurnalo Carevebis Cvenebebi da ukuCvenebebi: a. aortokoronaruli Suntireba b. angioplastika da stentis Cayeneba g. riTmis wamyvanis (peismeikeris) Canergva d. sarqvelis Secvla/aRdgena, balonuri valvulotomia e. eleqtrofiziologiuri ablacia.
� laboratoriuli gamlaboratoriuli gamlaboratoriuli gamlaboratoriuli gamokvlevebis, maT Soris Sratis fermentebis, izoenzimebis okvlevebis, maT Soris Sratis fermentebis, izoenzimebis okvlevebis, maT Soris Sratis fermentebis, izoenzimebis okvlevebis, maT Soris Sratis fermentebis, izoenzimebis da lipidebis gansazRvris Sedegebis interpretacia: da lipidebis gansazRvris Sedegebis interpretacia: da lipidebis gansazRvris Sedegebis interpretacia: da lipidebis gansazRvris Sedegebis interpretacia:
• Tirkmlisa da saSarde gzebis Tandayolili anomaliebi
• prostatiti
• prostatis adenoma
• prostatis kibo
• Sardis buStis kibo
• fimozi, parafimozi
• kriptorqizmi
• Sardis Seukavebloba
• enurezi
• Tirkmlis mwvave da qronikuli ukmarisoba
• Tirkmlisa da saSarde gzebis tuberkulozi
sisxlisisxlisisxlisisxlissss da da da da sisxlmbadi sistemasisxlmbadi sistemasisxlmbadi sistemasisxlmbadi sistema
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� klinikuriklinikuriklinikuriklinikuri sindromebi,sindromebi,sindromebi,sindromebi, simptomebi da niSnebi:simptomebi da niSnebi:simptomebi da niSnebi:simptomebi da niSnebi:
• farisebri jirkvlis daavadebebi: a. Tireoiditi b. difuzuri toqsikuri Ciyvi g. farisebri jirkvlis kibo d. hipoTireozi (miqsedema)
• paraTireozi (hipo, hiper)
• kuSingis daavadeba da sindromi
• adisonis daavadeba
• feoqromocitoma
• simsuqne
• podagra
• hipo da avitaminozebi
SemarTebelqsovilovani da ZvalSemarTebelqsovilovani da ZvalSemarTebelqsovilovani da ZvalSemarTebelqsovilovani da Zval----kunTovani sistemakunTovani sistemakunTovani sistemakunTovani sistema
� normnormnormnormaluri Zvalaluri Zvalaluri Zvalaluri Zval----kunTovani sistema, misi anatomia da fiziologiakunTovani sistema, misi anatomia da fiziologiakunTovani sistema, misi anatomia da fiziologiakunTovani sistema, misi anatomia da fiziologia
� imunologiuri meqanizmis roli revmatuli daavadebebis paTogenezSiimunologiuri meqanizmis roli revmatuli daavadebebis paTogenezSiimunologiuri meqanizmis roli revmatuli daavadebebis paTogenezSiimunologiuri meqanizmis roli revmatuli daavadebebis paTogenezSi
• Zvlis da xrtilovani darRvevebi a. osteoporozi b. osteomalacia c. pejetis daavadeba d. avaskuluri nekrozi e. osteoqondrozi v. kviristavis qondromalacia
• eqstraartikuluri a. bursiti b. tendiniti g. tkivili zurgis qveda areSi
• fibromialgiis sindromi
• wamlismieri arTralgia
• sxva a. revmatuli polimialgia b. recidivuli panikuliti (veber-kristianis daavadeba) g. kvanZovani eriTema
• nela moqmedi antirevmatuli wamlebi a. malariis sawinaaRmdego b. sulfasalazini g. oqros preparatebi (oraluri an intramuskuluri) d. penicilamini e. citotoqsikuri preparatebi v. metotreqsati z. uaxlesi saSualebebi
• kortikosteroidebi
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a. sistemuri b. lokaluri
• podagris sawinaaRmdego wamlebi a. mwvave Seteva b. SardmJavas donis daqveiTeba
alergologia da imunologiaalergologia da imunologiaalergologia da imunologiaalergologia da imunologia
� imunuri pasuxi da zemgrZnobelobiTi reaqciebiimunuri pasuxi da zemgrZnobelobiTi reaqciebiimunuri pasuxi da zemgrZnobelobiTi reaqciebiimunuri pasuxi da zemgrZnobelobiTi reaqciebi
• imunuri pasuxis biologia: a. T limfocitebi b. B limfocitebi g. T da B limfocitebis funqciebi d. citokinebi
• IgEE-s imunologia • poxieri ujredebi da bazofilebis/mediatorebis gamoTavisufleba
• komplementi
• imunuri dazianebis klasifikacia: a. I tipi dauyovnebeli (anafilaqsiuri) reaqcia b. II tipi - citotoqsikuri reaqcia g. III tipi - artiusis reaqcia d. IV tipi - dayovnebuli reaqcia e. V tipi - antireceptoruli reaqcia (vkiTxo maia goTuas)
� imunodeficiti imunodeficiti imunodeficiti imunodeficiti ----–––– pirveladi da meoreuli pirveladi da meoreuli pirveladi da meoreuli pirveladi da meoreuli
� asTma:asTma:asTma:asTma:
• ganmarteba da simZimis Sefaseba
• pacientisa da Temis/sazogadoebis cxovrebis xarisxze da finansur mdgomreobaze gavlena
• sasunTqi gzebis obstruqciis ZiriTadi paTologiuri faqtorebi (adreuli da gviani fazebi): a. lorwovani garsis anTebiTi SeSupeba b. bronqokonstriqcia (gluvi kunTebi) g. naxvelis sekrecia (lorwovani sacobebi) d. sasunTqi gzebis remodelireba.
• simptomebis trigerebi (gamSvebi faqtorebi): a. infeqcia b. gamaRizianebeli faqtorebi:
� Tambaqos kvamli � haeris dabinZureba.
g. fizikuri datvirTva d. alergenebi g. medikamentebi e. gastro-ezofaguri refluqsi v. mwvave emociuri stresi.
• anTebis trigerebi (gamSvebi faqtorebi): a. alergenebi b. profesiuli zemoqmedeba d. infeqcia.
• diagnozi da diferencialuri diagnozi:
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a. anamnezi da fizikuri gamokvleva b. testebi filtvebis funqciuri mdgomareobis Sesafaseblad g. alergiis Sefaseba d. meTilqolinis testi
• paTofiziologiuri meqanizmebi a. genetikuri faqtorebi (IgE) b. avtonomiuri disfunqcia (adrenerguli da qolinerguli) g. bronquli hiperreaqtiuloba (qimiuri mediatorebis gamoTavisufleba)
• meTvalyureoba - pikfloumetria
• saprofilaqtiko mkurnaloba: a. gamomwvevi faqtorebis Tavidan arideba b. imunoTerapia.
• farmakoTerapia: a. B2 - agonistebi b. meTilqsantinebi (Teofilini) g. antiqolinerguli preparatebi d. poxieri ujredebis mastabilizebeli preparatebi d. sainhalacio steroidebi e. sistemuri steroidebi v. leikotrienebi z. sxva anTebis sawinaaRmdego preparatebi
• rCevebi pacientisaTvis, misi Tanamonawiled qceva a. ganaTleba (gansakuTrebiT inhalatoris gamoyeneba) b. maprovocirebeli garemo faqtorebi (mag., Tambaqos kvamlisaTvis Tavis arideba) d. adreuli Careva socialur da qceviT komponentebSi
• avadoba da sikvdilianoba
� riniti:riniti:riniti:riniti:
• simptomebi, niSnebi, paTofiziologia, cxovrebis xarisxi a. sezonuri alergiuli riniti b. qronikuli alergiuli riniti g. qronikuli araalergiuli riniti d. vazomotoruli riniti e. medikamenturi riniti.
• maprovocirebeli faqtorebi: a. inhalaciuri alergenebi (saojaxo, sacxovreblis gare) b. gamaRizianebeli faqtorebi (iritantebi) g. fiziologiuri faqtorebi d. endokrinuli faqtorebi e. profesiuli faqtorebi.
• diagnozi: a. cxviris Rrus nacxi b. kanis sinjebi g. in vitro testireba.
g. gamokvlevebis tipuri Sedegebi sxvadasxva mdgomareobebis dros d. fizikuri datvirTvis testi
moduli 2.2.moduli 2.2.moduli 2.2.moduli 2.2. `gadaudebeli medicina da travma~`gadaudebeli medicina da travma~`gadaudebeli medicina da travma~`gadaudebeli medicina da travma~
modulmodulmodulmodulis xangrZlivoba: is xangrZlivoba: is xangrZlivoba: is xangrZlivoba: 3 Tve
• prehospitaluri da hospitaluri gadaudebeli samedicino daxmareba: a) gadaudebeli samedicino daxmarebis sistema b) komunikaciis sistema da standartebi (protokolebi)
• prioritetebis gansazRvra da SerCeva (triaJi)
• reanimacia da stabilizacia
• kooridinacia, komunikacia, Canawerebi
• Sefaseba da monitoringi
• konsultacia
• ganTavseba
� Sefaseba da marTvaSefaseba da marTvaSefaseba da marTvaSefaseba da marTva
• sicocxlisaTvis saSiSi mdgomareobebis amocnoba;
• kardiopulmonuri reanimaciis principebi;
• ZiriTadi sasicocxlo funqciebis SenarCunebis da kardiopulmonuri reanimaciis teqnika: a. ZiriTadi sasicocxlo funqciebis SenarCunebis RonisZiebebis
dawyebis Cveneba da Tanmimdevroba; b. kardiopulmonuri reanimaciis teqnika; g. kardiopulmonuri reanimaciis warmoeba erTi da ori piris mier; d. zeda sasunTqi gzebis ucxo sxeuliT obstruqciisgan
gaTavisufleba;
• travma a. pirveladi da meoreuli Sefaseba b. dazianebis meqnizmis gansazRvra:
• dazianebis adgilis mixedviT a. Tavi da kiseri b. xerxemali da xerxemlis malebi g. saxe d. rbili qsovili e. gul-mkerdi v. muclis Rru z. kidurebi T. genitaliebi/ Sardis gamomyofi organoebi
• nevrologiuri gadaudebeli daxmareba a. darRveuli cnobiereba/koma b. cerebrovaskularuli daavadebebi
� anevrizma g. kranialuri nervebis dazianeba d. infeqciuri/ anTebiTi daavadebebi, meningitis CaTvliT e. gulyra v. mwvave Tavis tkivili z. xerxemlis malebis kompresia
• fsiqiatriuli gadaudebeli daxmareba a. azrovnebis moSla/mwvave gamovlinebebi b. guneb-ganwyobis moSla/ TviTmkvlelobis akviateba/ mkvlelobis
akviateba g. gamwvavebuli SiSis SegrZneba/panika d. somatoformuli aSliloba/isteria/hipoqondria e. narkomania/Warbi doza/ narkotikis Zieba v. deliriumi/demencia/Secvlili fsiqikuri statusi z. riskis Sefaseba da iZulebiT hospitalizacia
• garemos faqtorebTan dakavSirebuli darRvevebi a. damwvroba (qimiuri, Termuli, eleqtruli) b. sasikvdilo eleqtrotravma, mexis dacema g. sicxe da sicive d. nakbeni, adamianisa da cxovelis nakbenis marTva e. Sxamiani mcenareebi v. anafilaqsia
• toqsikologiuri gadaudebeli daxmareba
• sameano-ginekologiuri gadaudebeli daxmareba a. sqesobrivi agresia b. eqtopiuri orsuloba g. mosalodneli an spontanuri aborti d. naadrevi mSobiaroba/preeklamfsia/eklamfsia e. vaginaluri sisxldena v. saswrafo kontracefcia
• Zaladobis msxverpli
• mwvave sicocxlisTvis saSiSi mdgomaareobis identificireba da menejmenti a. mwvave respiratoruli daavadebebi
v. metaboluri daavadebebi/ mJava-tutovani wonasworoba z. Soki (hipovolemiuri, neirogenuli, kardiogenuri, septikuri) T. gadaudebeli daxmareba mwvave infeqciebis dros
• sadiagnozo gamokvlevebis Catarebis Cvenebebi maTi interpretacia a. eleqtrokardiograma b. radiologiuri gamokvleva
� Tavis qalas da xerxemlis da mwvave dazianebebi � gul-mkerdis paTologia � muclis Rrus mwvave paTologia � menjisa da kidurebis dazianeba
• samrTlebrivi sakiTxebi a. informirebuli Tanxmoba da gacnobierebuli gadawvetilebis miRebis
unari b. mkurnalobis ar dawyeba, mkurnalobis Sewyveta g. Sesabamisi kanonmdebloba d. profesiuli pasuxismgebloba
• urgentuli mdgomareobebis prevencia modulis bolos rezidents unda SeeZlos:
• kardiopulmonuri reanimaciis warmoeba erTi da ori piris mier;
• sunTqvis marTva a. sasunTqi gzebis gamavlobis gaumjobeseba, b. haimlikis manevri g. ventilacia ambus parkiT d. oraluri da nazotraqeuli intubacia e. meqanikuri ventilaciis dawyeba z. nemsiT Torakostomia T. krikoTireoidotomia
• sisxlis mimoqcevis aRdgena/SenarCuneba a. sisxlis mimoqcevis Sefaseba b. gulis garegani masaJi g. defibrilacia
� fetalurfetalurfetalurfetaluri da neonataluri periodii da neonataluri periodii da neonataluri periodii da neonataluri periodi
• orsulobis vadis Sesabamisi risk-faqtorebi
• dedis daavadebebis, orsulobisa da mSobiarobis gavlena Cvilze
• adaptacia saSvilosnos gare cxovrebasTan
• qvemoT CamoTvlili mdgomareobebis diagnostika da marTva: a. mekoniumis Semcveli amnionuri siTxe b. perinataluri asfiqsia g. respiratoruli distresi d. cianozi e. apnoe v. krunCxvebi z. hipoglikemia T. sefsisis ganviTarebis riskis Sefaseba i. displaziuri menj-barZayis saxsari k. samSobiaro travma l. anemia m. sisxlis SeuTavsebloba (rezus-faqtoris, jgufis mixedviT) n. policitemia o. siyviTle
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p. naadrevi da dagvianebuli mSobiaroba
� janmrTeli axalSobilis da bavSvis movlajanmrTeli axalSobilis da bavSvis movlajanmrTeli axalSobilis da bavSvis movlajanmrTeli axalSobilis da bavSvis movla
• dabadebidan 12 wlis asakamde rekomendebuli gasinjvebi da maTi Catarebis vadebi
• asakisa da ganviTarebis etapis Sesabamisi meTvalyureoba a. windacveTa b. kveba
• ojaxebis identifikacia sadac arsebobs mometebuli riski mSobelsa da bavSvs Soris urTierTobisaTvis an fsiqiatriuli problemebi
• qvemoT CamoTvlili mdgomareobebis Sefaseba, mkurnaloba da konsultaciaze gagzavna a. kvebis, Wamis da monelebis problemebi b. somaturi da Zilis darRvevebi g. akviatebisa da kompulsiuri sindromi d. guneba-ganwyobilebis darRveva e. hiperaqtiuri/impulsuri da uyuradRebo qceva
� socialuri da eTikuri sakiTxebisocialuri da eTikuri sakiTxebisocialuri da eTikuri sakiTxebisocialuri da eTikuri sakiTxebi
• Svilad ayvana
rezidenturis (diplomisSemdgomi samedicino ganaTlebis) programa “ojaxis eqimi”
� Cvilebis da bavSvebis samedicino problemebi:amocnoba, marTva da Sesabamis Cvilebis da bavSvebis samedicino problemebi:amocnoba, marTva da Sesabamis Cvilebis da bavSvebis samedicino problemebi:amocnoba, marTva da Sesabamis Cvilebis da bavSvebis samedicino problemebi:amocnoba, marTva da Sesabamis specialistebis gamoyenebaspecialistebis gamoyenebaspecialistebis gamoyenebaspecialistebis gamoyeneba
• alergiuli darRvevebi a. asTma b. atopia
• anTebiTi daavadebebi a. iuveniluri revmatoiduli arTriti b. vaskulitis sindromebi
• Tirkmlis anomaliebi
• urologiuri problemebi a. saSardi gzebis infeqciebi, pielonefriti b. Sardis buSt-SardsawveTis refluqsi g. hipospadia, Sarsadenis prolafsi, sasqeso bageebis Sexorceba d. sazardulis Tiaqari e. enurezi v. kriptorqizmi
• endokrinuli/metaboluri da kvebiTi problemebi a. hipo- da hiperTireoidizmi b. I tipis Saqriani diabeti g. simsuqne d. zrdis darRveva e. anomaluri zrda: maRali an dabali tani
• nevrologiuri problemebi a. krunCxvebi b. Tavis tkivili g. gulis wasvla d. CabJireba e. fsiqomotoruli darRvevebi/ cerebruli dambla v. sensoruli deficiti z. tiki da moZraobis darRvevebi
• xSiri dermatologiuri darRvevebi a. atopiuri dermatiti b. virusuli egzanTemebi da enanTemebi g. nakbenebi da naCxvletebi d. baqteriuli da sokovani infeqciebi e. tilebi da muni v. safeniT gamowveuli gamoyelva z. akne T. urtikaria da multiformuli eriTema i. damwvroba
• orTopediuli problemebi a. terfmrudoba b. displaziuri menj-barZayis saxsari
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g. rotaciuli problemebi � rotacia SigniT da gareT � Metatarsus adductus
d. skoliozi: idiopaTiuri da SeZenili e. barZayis Tavis aseptikuri nekrozi v. barZayis Tavis epifizeolizi z. daWimva, amovardniloba da motexiloba
• saWmlis momnelebeli sistema a. diarea, virusuli da baqteriuli gastroenteriti b. parazituli invazia g. yabzoba/ganavlis Seukavebloba d. hepatiti e. kolika v. gastroezofaguri refluqsi z. sakvebis autanloba da malabsorbcia T. pilorusis stenozi i. invagianacia k. apendiciti/peritoniti l. SebrunebiTi/qronikuli tkivili muclis areSi
• guli
a. gulis Tandayolili daavadeba b. asimptomuri Suilis Sefaseba g. tkivili gulmkerdis areSi
• sasunTqi sistema
a. zemo sasunTqi gzebis virusuli infeqcia b. sasunTqi gzebis reaqtiuli daavadeba/asTma g. kisturi fibrozi d. bronqioliti e. ucxo sxeulis aspiracia v. virusuli da baqteriuli pnevmonia z. yivanaxvela T. tonziliti/faringiti/sinusiti/xaxis ukana abscesi i. epiglotitis da krupis diferencireba
• yuri
a. Sua yuris anTeba:mwvave, gamonadeniT b. gareTa sasmeli milis anTeba g. smenis dakargva d. gogirdis sacobi da ucxo sxeuli yurSi
• Tvali a. ambliopia b. strabizmi g. sacremle sadinaris stenozi d. daqveiTebuli mxedvelobis simaxvile
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a. sefsisi da sefsisis sindromi b. meningiti, encefaliti g. streptokokuli da stafilokokuri infeqcia d. osteomieliti e. adamianis imunodeficitis virusi v. reis sindromi z. ucnobi etiologiis cxeleba
• neoplazia bavSvebSi
a. vilmsis simsivne b. retinoblastoma g. neiroblastoma
modulis bolos rezidents unda SeeZlos:
• asakis Sebamisad anamnezis Sekreba da fizikuri gamokvleva
� simaRlis, wonis da Tavis garSemowerilobis aRniSvna zrdis baraTze
• apgaris SkaliT Sefaseba
• yuradRebis darRvevis Sesafasebeli standartuli kiTxvarebis gamoyeneba da Sefaseba
• smenisa da mxedvelobis darRvevebis skrininguli testebi, agreTve, timpanogramebis interpretacia
• skoliozis skriningi da xerxemlis rentgenogramebis Sefaseba
• axalSobilebis, Cvilebis da bavSvebis reanimacia
• venapunqcia
• gadasasxmeli siTxis da eleqtrolitebis gamoangariSeba
literatura:literatura:literatura:literatura:
1. Bannon M, Carter Y (Eds). Protecting Children from Abuse and Neglect in Primary Care Oxford: Oxford
2. University Press, 2003 3. British Medical Association, Royal Pharmaceutical Society of Great Britain, Royal College of
Paediatrics 4. and Child Health, The Neonatal and Paediatric Pharmacists Group BNF for Children London:
BMA, 2005 5. Chambers R Licence K, Looking after children in primary care Oxford: Radcliffe Medical Press,
2004 6. Cohen BA Paediatric Dermatology London: Elsevier Mosby, 2005 7. Donovan C, Suckling H Difficult Consultations with Adolescents Oxford: Radcliffe Medical
Press, 2004 8. Harndon A Sheikh A (Eds) Promoting Child Health in Primary Care London: RCGP, 2002 9. Hall D, Elliman D. Health for All Children (4th Ed) Oxford: Oxford University Press, 2003. 10. Jones R, Britten N, Culpepper L, Gass DA, Grol R, Mant D, Silagy C (eds). Oxford Textbook of
Primary 11. Medical Care Oxford: Oxford University Press, 2004 12. Keeley D Cot Death London: RCGP, 1995 13. Lissauer T, Clayden G Illustrated Textbook of Paediatrics (2nd Ed) London: Mosby, 2001 14. McPherson A, Donovan C, McFarlane A Healthcare of Young People: Promotion in Primary
Care Oxford: Radcliffe Medical Press, 2002 15. Valman HB ABC of the first year London: BMJ Books, 2001
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16. Valman HB ABC of One to Seven London: BMJ Books, 2002 17. Viner R (Ed) ABC of Adolescence London: BMJ Books, 2002
moduli 2.4.moduli 2.4.moduli 2.4.moduli 2.4. `qalTa janmrTeloba da sqesobrivi gziT gadamdebi daavadebebi~`qalTa janmrTeloba da sqesobrivi gziT gadamdebi daavadebebi~`qalTa janmrTeloba da sqesobrivi gziT gadamdebi daavadebebi~`qalTa janmrTeloba da sqesobrivi gziT gadamdebi daavadebebi~
• qalis genitaluri traqtis keTilTvisebiani da avTvisebiani daavaadebebi. a. sarZeve jirkvlis fibrokisturi daavadebebi da avTvisebiani simsivneebi b. saSvilosnos simsivne g. endometriuli simsivne d. saSvilosnos yelis prekancerozuli da avTvisebiani daavadeba
• prenataluri samedicino momsaxurebis da Cvilis sikvdilobis epidemiologia
• qali da aiv infeqcia
• arasrulwlovanTa fexmZimobis prevencia
� orsuloba da mSobiarobaorsuloba da mSobiarobaorsuloba da mSobiarobaorsuloba da mSobiaroba
a. orsulobis dagegmva da konsultacia b. orsulobis marTva, riskis Sefaseba
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g. orsulobis garTulebebi d. mSobiaroba, nayofis miReba e. mSobiarobis Semdgomi movla v. janmrTeli axalSobilis movla z. dRenakli axalSobilis movla T. zogadi neonataluri problemebi i. analgeziisa da anesTeziis ZiriTadi principebi mSobiarobisa da
nayofis miRebisas k. sakeseisro kveTis Cvenebebi l. mSobiarobis garTulebebi da gadaudebeli daxmareba mSobiarobisas m. mSobiarobis Semdgomi samedicino momsaxureba n. laqtacia
• kanis dazianeba modulis bolos rezidents unda SeeZlos:modulis bolos rezidents unda SeeZlos:modulis bolos rezidents unda SeeZlos:modulis bolos rezidents unda SeeZlos:
• pirvelad gamovlinebuli fsiqikuri aSliloba Cvilebs, bavSvebsa da mozardebs Soris a. gonebrivi CamorCeniloba b. daqveiTebuli swavlis unari g. motoruli darRvevebi d. komunikaciis unaris darRveva e. ganviTarebis darRvevebi v. yuradRebis deficiti da qcevis darRvevebi z. kvebasTan dakavSirebuli darRvevebi Cvilebsa da adreuli asakis
bavSvebs Soris T. tikebi i. sxva saxis aSlilobebi Cvilebs, bavSvebsa da mozardebs Soris
• deliriumi, demencia, amnezia da cnobierebis sxva darRvevebi
• nivTierebebis arasworad gamoyenebasTan dakavSirebuli darRvevebi a. alkoholi
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b. amfetamini g. kofeini d. haSiSi e. kokaini v. halucinogeni z. inhalatorebi T. nikotini i. opioidebi k. fenciklidini l. sedaciuri, hipnozuri, SfoTvis momxsneli saSualebebis
gamoyenebasTan dakavSirebuli aSlilobebi m. polinarkomania
• Sizofrenia da sxva fsiqikuri aSlilobebi a. paranoia b. dezorganizebuloba g. katatonia d. aradiferencirebuli mdgomareoba e. narCeni movlenebi
• guneba-ganwyobis aSla a. didi depresia b. disTimia g. bipolaruli aSliloba hopomaniis, maniis, Sereuli da depresiuli
mdgomareobis CaTvliT
• SfoTva a. panika b. fobia g. akviateba, kompulsiuri aSliloba d. posttramvuli stresuli aSliloba e. mwvave stresuli aSliloba v. generalizebuli SfoTva
• somatoformuli aSlilobebi a. somatizacia b. konversia g. tkivili d. hipoqondiria
• xelovnuri aSliloba
• disociaciuri aSliloba
• seqsualuri da sqesobrivi identurobis aSliloba a. aSliloba, dakavSirebuli sqesobrivi kontaqtis survilTan b. sqesobrivi kontaqtis zizRi g. aSliloba, dakavSirebuli orgazmTan e. sqesobrivi disfunqciebi dakavSirebuli zogad samedicino
mdgomareobasTan v. parafilia z. genderuli identurobis aSliloba
• kvebasTan dakavSirebuli aSlilobebi a. anoreqsiuli nevrozi b. bulimia
• Zilis darRveva a. uZiloba b. Warbi Zili g. narkolefsia d. sunTqvasTan dakavSirebuli Zilis darRveva e. Zilis cirkaduli riTmis darRveva v. parasomnia
• impulsis kontrolis darRveva (iam unda hkiTxos rezo korinTels)
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• garemosTan Seguebis aSliloba a. depresiuli ganwyoba b. SfoTva g. Sereuli SfoTvisa da depresiis ganwyoba d. qceevis darRveva
• personalurobis darRveva a. paranoiduli b. Sizoiduri g. Sizotipuri d. antisocialuri e. mosazRvre v. narcisuli z. Tavis TavSi Caketiloba T. damokidebuli i. akviateba, kompulsiuri aSliloba
• Zaladobasa da gulgrilobasTan dakavSirebuli problemebi
• sxva mdgomareobebi a. daumorCilebloba b. avadmyofobis simulacia g. zRvruli inteleqtualuri funqcionireba d. gonebrivi SesaZleblobebis asakTan dakavSirebuli daqveiTeba e. mZime danakargi v. akademiuri problemebi z. profesiuli problemebi T. identurobis problema i. religiuri problema k. ukulturobis problema l. cxovrebis fazis (stadiis) problema
• referaluri sistema mkurnalobis uwyvetobis uzrunvelsayofad, informaciis gaziarebis mizniT da pacientze zemoqmedebis gasaumjobeseblad a. Cvenebebi b. procesi g. Semdgomi dakvirveba da Sefaseba
profesiuli mzadebis II etapis modulebi (SerCeviTi profesiuli mzadebis II etapis modulebi (SerCeviTi profesiuli mzadebis II etapis modulebi (SerCeviTi profesiuli mzadebis II etapis modulebi (SerCeviTi ----eleqtiuri)eleqtiuri)eleqtiuri)eleqtiuri)
rezidentis kompetencia dermatologiis sferoSi unda moicavdes Semdeg sakiTxebs:
• dermatologiis ZiriTadi Semadgenlebi
− normaluri anatomia, ganviTareba da fiziologia
− riskfaqtorebi a. Tandayolili b. SeZenili g. asakobrivi
− prevencia: a. pacientis ganaTleba b. Tanxmoba
− sadiagnozo saxelmZRvanelo rekomendaciebi a. dazianebis lokalizacia, tipi da xasiaTi b. dazianebis tipi: pirveladi/meoreuli makularuli/papularuli/vezikuluri/kvanZovani simsivne g. dazianebis specifikuri lokalizacia d. sezonuri variacia/dasawyisi
− mkurnaloba
− sistemuri gamokvleva (Cvenebis mixedviT)
• xSiri dermatologiuri problemebi
− kanis paTologiebi a. papuloskvamozuri daavadebebi seborea da qertli
fsoriazi
vardisferi pitiriazi
miliumi
brtyeli liqeni
liqeni
b. vezikulobulozuri daavadebebi 1. impetigo
2. martivi herpesi
3. herpes zosteri
4. wiTela
5. pemfigoidi
6. pemfigusi
7. dishidrozi
8. multiformuli eriTema
9. hermetoformuli dermatiti
10. epidermuli nekrolizi
11. bulozuri epidermolizi
g. dermatiti 1. kontaqturi
2. atopiuri
3. generalizebuli exqsfolaciuri
4. numularuliNegzema
5. stazdermatiti
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6. safeniT gamowveuli gamoyelva
d. makularuli gamonayari 1. virusuli egzanTema 2. wamlismieri reaqcia
ე. urtikariuli gamonayari 1. WinWris cieba 2. dermografizmi
v. kvanZebi kvanZovani eriTema
dermatofibroma
beWdiseburi granuloma
sarkoidi
kistebi
z. qaviliT Tanxlebuli sxva mdgomareobebi 1. zogadi a. muni b. kanis simSrale (asteatozi) g. meoradi sistematuri daavadeba 2. lokalizebuli a. qronikuli martivi liqeni (lokalizebuli neirodermatiti) b. analuri qavili g. pedikulozi (datilianeba) d. rwyilis da sxva mwerebis nakbeni
T. kanis infeqciebi baqteriuli
a. impetigo b. wiTeli qari g. limfangiti d. celuliti
e. furunkuli (mag Zirmagara,, pustula, folikuliti, abscesi, karbunkuli, eqtima) v. eriTrazma
2. mikobaqteriuli
a. atipuri mikrobaqteria 3. sokovani
a. sada kanis sokovani infeqcia b. Rrma mikozi
virusuli
a. martivi herpesi b. herpes zosteri g. meWeWi d. kontagiozuri moluski
riketsiozuli
a. laimis daavadeba b. tkipismieri cxeleba (Rocky Mountain spotted fever)
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8. keloidi 9. hiperhidrozi
k. kanis dazianeba 1. damwvroba a. Termuli b. qimiuri g. mziT 2. buStukebi 3. nakawri 4. kanis naxeTqi 5. daJeJiloba a. tramva b. spontanuri purpura 6. nakbenebi l. pigmenturi darRvevebi 1. hiperpigmentacia 2. hipopigmentacia a. TeTri pitiriazi b. vitiligo 3. dermatomikozuri gamonayari m. axali warmonaqmnebi 1. keTilTvisebiani a. anTebiTi dazianeba
aknes gamonayari
furunkuli
hidradentiti
piogenuri granuloma
b. hiperplazia meWeWi
kontagiozuri moluski
koJiJi
epidermuli kista
akroqordoni
qsanTelazma
g. neoplazia
seboreuli keratozi
xali, nevusi (intradermuli, Serwymuli da sxva)
lipoma
dermatofibroma
keloidi
hemangioma
neirofibroma
2. simsivnis winare a. skvamozuri ujredovani karcinoma in situ (bouenis daavadeba) b. aqtinuri keratozi g. zedapiruli gavrcelebuli aqtinuri prokeratozi d. leikoplakia e. keratoakanToma v. eriTroplakia z. premelanoma
i. avTvisebiani lentigo
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ii. giganturi Tandayolili xali iii. displaziuri xalis sindromi
T. radiaciuli efeqtebi 3. avTvisebiani a. bazalurujredovani karcinoma b. skvamozur ujredovani karcioma g. melanoma
i. ZiriTadi klinikuri kategoriebi ii. prognozuli da Terapiuli saxelmzRvanelo
rekomendaciebi d. pejetis daavadeba e. kanis limfoma v. kapoSis sarkoma z kanis metastazebi
n. sistemuri daavadebis kanismieri manifestaciebi, aiv-is da aTaSangis CaTvliT o. kanis profesiuli daavadebebi 1. Tmis problema a. sokovani daavadebeibi b. alopecia, romelic ar aris dakavSirebuli nawiburTan
i. androgenetika (mamrobiTi saxis) ii. alopecia budobrivi/totaluri/universaluri iv. traqciuli alopecia da triqotilomania v. endokrinuli efeqtebi vi. diskoiduri wiTeli mglura vii. folikuluri keratozi g. Cazrdili Tma (fsevdokolikuliti) d. hipertriqozi i. lokalizebuli ii. virilizaciiT gamowveuli hirsutizmi e. struqturis cvla (Tmis distrofia)
2. frCxilis problema a. travma b. dermatozebTan asocirebuli paTologiebi g. sxva sistemur daavadebebTan asocirebuli paTologiebi d. struqturis cvla e. sokovani infeqciebi v. frCxilis budisa da frCxilqveSa aris mdgomareoba
i. Cazrdili frCxili ii. paroniqia iii. hematoma
z. feradi frCxili T. axali wamonazardebi i. keTilTvisebiani
i. anTebiTi ii. neoplazia
k. avTvisebiani i. melanoma ii. skvamozurujreduli karcinoma 3. lorwovani garsis dazianeba 4. piris Rrus dazianeba
a. rZiana
b. piris Rrus afTebi
g. piris simSrale
d. geografiuli ena
e. Savi Tmiani ena
rezidenturis (diplomisSemdgomi samedicino ganaTlebis) programa “ojaxis eqimi”
− Tvalis dazianebis da mxedvelobis dakargvis prevencia unarunarunarunar----CvevebiCvevebiCvevebiCvevebi
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• gamokvleva:gamokvleva:gamokvleva:gamokvleva: 1. specifikuri procedurebis Catareba da Sedegebis interpretacia
a. mxedvelobis simaxvilis, mxedvelobis velis da Tvalis mamoZravebeli funqciis gamokvleva b. pirdapiri ofTalmoskopia g. mxedvelobis gamokvleva sinaTlis sxiviT d. rqovanas SeRebva fluoresciniT e. tonometria
a. zeda da qveda motoruli neironebis darRvevebi b. koordinaciis darRveva g. moZraobiTi darRvevebi
1. hipokineziuri
a. parkinsonis daavadeba b. parkinsonizmis sindromi
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2. hiperkineziuli
a. aTetozi b. qorea g. distonia d. tikebi e. tremori
2. mgrZnobelobis darRvevebi a. centraluri b. periferiuli
3. mxedvelobis darRveva a. mxedvelobis velis defeqtebi b. monokularuli an binokularuli sibrmave g. diplopia da mzeris SezRudva d. nistagmi e. gugis anomaliebi
4. cerebrovaskularuli daavadebebi a. iSemiuri insulti
1. Trombolizuri saSualebebi a. Cveneba da gamoyeneba b. riski da sargebeli
b. hemoragiuli insulti g. vaskulitebi d. gardamavali iSemia e. simptomuri/asimptomuri karotiduli stenozi v. anevrizma
5. Tavis da zurgis tvinis travma a. Sefaseba b. marTva g. Sedegebi da prognozi
1. gafantuli sklerozi
a. sadiagnozo kriteriumebi b. paraklinikuri gamokvlevebi g. marTva
2. Tavbruxveva da smenis darRvevebi
a. centraluri da periferiuli genezis smenis dakargva 1. mwvave 2. qronikuli
b. centraluri da periferiuli genezis vertigo 1. mwave 2. qronikuli 3. gaRizianebiT testireba 4. Suili yurebSi
3. SemecnebiTi funqciis da komunikaciis darRvevebi
a. demencia 1. diferciuli diagnozi 2. Sefaseba 3. marTva
b. encefalopaTia (mwvave, qronikuli) 1. toqsikuri 2. metaboluri
g. afazia, apraqsia 4. cnobierebis darRvevebi
a. gulis wasvla b. epilefsia
1. krunCxvebi generalizebuli dasawyisiT
rezidenturis (diplomisSemdgomi samedicino ganaTlebis) programa “ojaxis eqimi”
a. Sakiki da mis variantebi b. klasteruli tkivili g. wnevasTan dakavSirebuli Tavis tkivili d. struqturul dazianebasTan dakavSirebuli Tavis tkivili e. keTilTvisebiani intrakranialuri hipertenzia v. qronikuli tkivilebi dRis ganmavlobaSi z. Tavis tkivili gadaudebeli mdgomareobebis dros
2. metastazuri 7. infeqciebi (meningiti da encefaliti)
a. baqteriuli b. virusuli an retrovirusuli (adamianis imunodeficitis virusi) g. sokovani d. tuberkulozi e. prionis ciliT gamowveuli daavadebebi
8. zurgis tvinis daavadebebi
a. anatomia da procesis lokalizacia b. garegani kompresiuli dazianeba g. Sinagani dazianeba
9. Zilis darRveva
10. periferiuli nervebis, nerv-kunTovani gadacemis da kunTebis dazianebebi
a. kunTovani distrofia b. periferiuli neiropaTia g. mravlobiTi mononevriti d. miopaTia e. gilen-bares sindromi v. didi miasTenia z. pleqsopaTia T. radikulopaTia i. diagnostikuri gamokvlevebi (mag., nervSi impulsis gatarebis siCqare, eleqtromiografia, kunTis biofsia)
11. Tandayolili daavadebebi
a. Tavis da zurgis tvinis ganuviTarebloba
rezidenturis (diplomisSemdgomi samedicino ganaTlebis) programa “ojaxis eqimi”
a. gonebrivi CamorCena b. metyvelebis darRveva g. swavlis uuanroba (mag., disleqsia) d. yuradRebis deficitis sindromi hiperaqtiurobiT an mis gareSe e. ganviTarebis gavrcelebuli darRvevebi (mag., autizmi)
a. araepilefsiuri Setevebi (mag., fsevdokrunCxvebi) b. depresiasTan dakavSirebuli demencia (mag., fsevdodemencia) g. konversia d. simulacia e. somatizacia da ipoqondria
14. tkivilis marTvis principebi
a. farmakologiuri preparatebi b. qirurgiuil marTva
d. pacientis marTvis fsiqologiuri aspeqtebi da reabilitacia, gansakuTrebiT qronikuli an xangrZlivi nevrologiuri daavadebebis dros. e. zogierTi nevrologiuri daavadebis genetikuri safuZveli da ojaxis ganaTleba genetikuri konsultaciis mniSvnelobis Sesaxeb v. xanSiSesul pacientebs Soris nevrologiuri uuanrobis gacnobiereba da maTi funqciuri SesaZleblobebis Sefasebis, aRdgenis da SenarCunebis mniSneloba z. sistemuri daavadebebis nevrologiuri garTulebebi T. nervuli daavadebebis prevencia unar Cvevebiunar Cvevebiunar Cvevebiunar Cvevebi
• sadiagnozo unar-Cvevebi 1. nevrologiuri problemis gamovlena da gansazRvra 2. anamnezis Sekreba da sruli nevrologiuri da gonebrivi statusis gansazRvra 3. klinikuri codnis gamoyeneba dazianebis lokalizaciis dasadgenad da diferenciuli diagnostikisaTvis 4. klinikuri problemis simZimis da prognozis Sefaseba, ramdenad aucilebelia gadaudebeli daxmareba da specialistis Careva 5. Semdgomi gamokvlevebisa da marTvis gegmis Camoyalibeba 6. qvemoT CamoTvlili gamokvlevebis Cvenebebis, ukuCvenebebis, riskisa da mniSvnelobis codna
a. lumbaluri punqcia, misi Catarebis codna b. eleqtroencefalograma g. vizualuri, Tavis tvinis Reros da somatosensoruli sapasuxo
potencialebi d. nervis gamtareblobis gamokvleva da eleqtromiografia e. kunTis da nervis biofsia
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v. kompiuteruli tomografia kontrastirebiT an mis gareSe z. magnitur-rezonansuli gamokvleva kontrastirebiT an mis gareSe T. magnitur rezonansuli angiografia i. angiografia k. mielografia l. karotiduli sinusis ultrabgeriTi gamokvleva m. Zilis gamokvleva n. genetikuri testireba o. pozitronul-emisiuri tomografia (PET) p. SPECT skanireba
• marTva 1. sadiagnozo da marTvis gegmis formulireba da specialistis konsultacis
saWiroebis Sefaseba konsultaciis riskis, sargeblis da Rirebulebis gaTvaliswinebiT
Sesabamis specialistTan TanamSromlobis gziT: a. insulti b. koma g. meningiti da encefaliti d. epilefsiuri statusi e. centraluri nervuli sistemis travmuli dazianeba v. momatebuli qalasSida wneva z. mxedvelobis mwvave dakargva T. swrafad progresirebadi nevrologiuri deficiti i. mwvave sisuste k. Secvlili gonebrivi statusi
5. ojaxuri da fsiqosocialuri sakiTxebis marTva, rac Tan axlavs xangrZlivi drois ganmavlobaSi nevrologiuri daavadebiT Sepyrobili pacientis movlas da rac moicavs saojaxo movlas, sazogadoebis (Temis) resursebis gamoyenebas, mravalprofiluri gundis monawileobas, romelSic ojaxis eqims xangrZlivi movlis koordinatoris roli ekisreba.
6. samkurnalo saSualebebis urTierTqmedebis da maTi gverdiTi moqmedebis codna, gansakuTrebiT xanSiSesul pacientebSi.
− eTikuri da samarTlebrivi sakiTxebi a. informirebuli Tanxmoba b. cxovrebis xarisxi g. sikvdilis wina mdgomareobasTan dakavSirebuli problemebi
• operaciamdeli gamokvleva
− operaciis riskis Sefaseba
− Tanmxlebi daavadebebi
− antibiotikebis saprofilaqtiko daniSvna
− pacientis momzadeba (nawlavebis momzadeba da sxva)
• movla operaciis msvlelobisas
− aseptikisa da sterilobis ZiriTadi principebi
− pacientis monitoringi
− siTxeebis gadasxma
− sisxlis saWiroebis gansazRvra
− sxeulis temperaturis kontroli
− ZiriTadi qirurgiuli instrumentebis gamoyeneba
• postoperaciuli movla
− rutinuli a. Wrilobis movla b. pacientis fizikuri gaaqtiureba g. kveba d. tkivilis marTva e. drenaJebi
− xSiri garTulebebi a. cxeleba da misi marTva b. Wrilobis gaxsna g. Sardis Sekaveba d. sisxldena e. pnevmonia v. ateleqtazi z. siTxeebiT gadatvirTva T. posttransfuziuli reaqciebi i. Tromboflebiti k. filtvis arteriis embolia l. oliguria m. sunTqvis ukmarisoba n. nawlavTa gauvaloba o. infeqcia p. Soki
− xangrZlivi meTvalyureoba
• ambulatoriuli qirurgia
− pacientebis SerCeva
− sedacia cnobierebis SenarCunebiT
rezidenturis (diplomisSemdgomi samedicino ganaTlebis) programa “ojaxis eqimi”
− swor nawlavis fistula, naxeTqi an perianaluri abscesi
− karcinoma
− saylapavis venebis varikozi
− asciti
− CaWedili Tiaqari
− invaginacia
− malabsorbcia
− obstruqcia
− pankreasis daavadebebi
− polipozi
− regionuli enteriti
− Sinagani organos perforacia
− wylulovani koliti
• organoebis donoroba da transplantacia unar Cvevebiunar Cvevebiunar Cvevebiunar Cvevebi
• operaciamdeli gamokvleva
− operaciis riskis Sefaseba
− fizikuri gamokvleva
− radiologiuri gamokvleva
− arainvaziuri sadiagnozo procedurebi
− invaziuri sadiagnozo procedurebi a. nazogastruli lavaJi b. Sardis buStis gamorecxva
• gadaudebeli qirurgiuli procedurebis Catareba
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− kriko Tireoidotomia
− nemsiT Torakostomia
• postoperaciuli movla
− nakeris moxsna
− naxvevis Secvla
− drenaJis amoReba
• mcire qirurgiuli operaciebis Catareba
− adgilobrivi anesTezia
− martivi ganakveTi
− kistisa da abscesis gakveTa da drenireba
− aspiracia
− yuris bibilos gaxvreta
− ucxo sxeulis amoReba
− mcire damwvroba
− Wrilobis sanacia
− zedapiruli Wrilobis gakerva
profesiuli mzadebis III etapiprofesiuli mzadebis III etapiprofesiuli mzadebis III etapiprofesiuli mzadebis III etapi modulebis raodenobamodulebis raodenobamodulebis raodenobamodulebis raodenoba::::
mzadebis III etapi moicavs 10 moduls.
profesiuli mzadebis III profesiuli mzadebis III profesiuli mzadebis III profesiuli mzadebis III etapisetapisetapisetapis mizani:mizani:mizani:mizani:
profesiuli mzadebiprofesiuli mzadebiprofesiuli mzadebiprofesiuli mzadebis III etapis amocanebi: s III etapis amocanebi: s III etapis amocanebi: s III etapis amocanebi:
• codna imisa, ra SesaZleblobebi da faseulobebi gaaCnia eqims – eTikuri aspeqtebis identificireba klinikur praqtikaSi (prevencia/diagnozi/Terapia/cxovrebis stilze gavlenis momxdeni faqtorebi)
• sakuTari Tavis Secnoba: imisi gacnobiereba, rom sakuTari midgomebi da SegrZnebebi praqtikis mniSvnelovani ganmsazRvreli faqtorebia;
• piradi cxovrebasa da profesiul saqmianobas Soris kavSiris arsebobis gacnobiereba maT Soris saTanado balansis damyareba.
modulebis CamonaTvali, aRweriloba da daxasiaTeba:modulebis CamonaTvali, aRweriloba da daxasiaTeba:modulebis CamonaTvali, aRweriloba da daxasiaTeba:modulebis CamonaTvali, aRweriloba da daxasiaTeba:
rezidenturis (diplomisSemdgomi samedicino ganaTlebis) programa “ojaxis eqimi”
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1. modulis ganxorcielebis I dRe daeTmoba saerTo Sekrebas Tssu saojaxo medicinis centrSi, sadac programis direqtori an mis mier SerCeuli piri rezidentebs gaacnobs moduls da gaanawilebs mzadebis bazebze (saojaxo medicinis centrebsa da klinikebSi); amave dros rezidentebs miecemaT saerTo davaleba;