OF CONTINUOUS PROFESSIONAL EDUCATION

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In recent years, artificial intelligence (AI) tools have been integrated into medical education at an unprecedented pace. The article reveals the dual nature of AI. On the one hand, AI can be used to support  education and develop clinical thinking skills in medical students. On the other hand, it risks violating academic integrity. It is shown that students of medical universities refer to large language data (for example,  ChatGPT) while preparing for classes, exams and writing papers. Key challenges such as AI hallucinations  (generation of plausible but incorrect outputs), algorithmic bias in AI systems and potential unfair use of AI for fraud and plagiarism are discussed. Modern approaches to detect AI-generated texts including integration of  special algorithms into similarity detection systems (for example, Turnitin) and Russian tools (AURA-Text system produced by Saint Petersburg State University) are presented. Using generative AI to simulate ‘virtual patients’  and clinical situations in education is given particular attention because it allows to safely practice diagnostic,  decision-making and communication skills. Examples of Russian (the Polymorbid Patient Platform of Pirogov  University) and foreign initiatives displaying the potential of adaptive and personalized AI-based learning are  provided. Strategic and ethical aspects of introducing AI into medical education, including the need to develop  guidelines, teaching students the principles of responsible use of AI and maintaining the balance between  technological innovations and following academic integrity are discussed. 
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The article is devoted to the introduction of practice-oriented training of doctors, which is an urgent problem of modern medicine. The importance of both theoretical  education and improved practical skills is highlighted. Training of  specialists at leading clinical centers allows to expand knowledge of modern  treatment methods, master key practical competencies, and learn the skills of well-coordinated work from the staff. This is how young specialists acquire not only medical knowledge and skills, but also the subtleties of intra-team communication.  The flagship centers (FC) of Moscow have all the above characteristics. The FC at O. M. Filatov City Clinical Hospital No. 15 is the clinical database of the  Department of First and Emergency Medical Care at the Institute of Continuing  Education and Professional Development of N. I. Pirogov Russian National Research Medical University. Due to the availability of all conditions for providing urgent care  on the basis of this Federal Medical Center under the guidance of teachers of the  department who are doctors of the Center, residents and trainees are maximally involved in the clinical process and master the manipulations performed  by doctors of various specializations. They are also trained how to provide  psychological support and communicate with patients’ relatives, adapt to work in a  patient-oriented environment, and build optimal patient routing. Owing to this  approach, future doctors receive the most up-to-date practice-oriented education in an innovative clinical center, which allows them to immediately use their knowledge in real clinical practice.
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Popular articles

Anesthesiology and resuscitation (AR) are crucial among medical professions as their mastery requires high professionalism in three basic areas such as cognitive learning (knowledge), psychomotor (manual) skills and affective skills. Novel methods of interactive learning include online forums as social media where clinical issues and unordinary medical scenarios are discussed. Apart from positive aspects of modern training methods of AR professionals, negative aspects include excessive screen time. It results in vision impairment, headaches, increase of weight, obesity-related diseases, etc. During the last years, the issues of gender inequality, discrimination against women manifested in both micro and macro inequalities and medicine feminization are increasingly being raised globally while preparing AR professionals. Participation of students in research programs that allows primary access to new data, technologies, abilities and skills is essential for training of specialists. Apart from well-known and well-established methods of teaching professional mastery, AR faces some issues (educational research, gender-specific differences in teaching a profession, etc.) which currently remain out of sight of the professional community.
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