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The review of the curricula of post-diploma education program for health care professionals "Psychological, social and legal aspects of outpatient and inpatient medical care"

Alexander Wolf

National Medical Academy of Postgraduate Education (Institute of Family Medicine, Department of  Palliative and Hospice Care); Association of palliative and hospice care

Organization of medical care in Ukraine  is growing rapidly, which requires special approaches to postgraduate education of health care professionals (firstly physicians). The main global trends are development of teamwork in working with citizens (not only in health care); multidisciplinary work style, which aims to provide complex support; paradigm shift in health care and its reorientation to the provision of medical services, not just support (and this means that services should have price; of course this is a serious challenge for former Soviet countries); increased role of civil society, non-for-profit as well as for-profit organizations in the provision of such services; increased role and popularity of psychological support. In Ukraine these signs of the times are added with aggravation of social problems caused by the relentless and rapid aging of the population, increasing number of incurable patients with cancer, severe complications of chronic non-communicable diseases, HIV / AIDS, tuberculosis, viral hepatitis, birth defects and other illnesses, and armed conflict in the East, which already caused the appearance of more than 1 million internally displaced persons and other acute social problems.

Aiming to improve quality of life of patients and keep the public health in Ukraine in accordance with the best international standards and practices, the Department of Palliative and Hospice Medicine of the National Medical Academy of postgraduate education has developed the certified program "Psychological, social and legal aspects of outpatient and inpatient medical care".
The curriculum, designed for 78 hours (2 weeks) is available for general practitioners and family physicians, professionals from primary care facilities, institutions of palliative and hospice medicine etc. Its aim is to introduce students to the basic psychological, social and legal aspects of medical care to  population, psycho-social characteristics and needs of different population groups (firstly vulnerable), present the best experience of providing psychological, social, and other services in Ukraine and worldwide. Moreover, the special blok “Palliative and hospice care (medicine) as an innovative type of medical and psycho-social support of the population” is regarded.

The working group to develop the program included well-known in Ukraine leaders of palliative and hospice care: prof. Y.Gubskiy, director of the State educational and scientific center of hospice and palliative medicine; assistant professor  A.Tsarenko, head of the Department of palliative and hospice care withi the Academy; A.Wolf, Master of Social Work, junior researcher in the  State educational and scientific center of hospice and palliative medicine and assistant in the  Department of palliative and hospice care and other health care professionals and experts.

 

The  program includes: lectures, various seminars and workshops. At the end of each academic blok, control test to check learning is provided.


The program includes specific topics:
- Empathic attitude to the patient (2 hrs.);
- Burnout and its prevention (2 hrs.);

- Grief (2 hrs);

- Effective communication with patients and their relatives (2 hrs);
- Abuse, accidents or other issues that are regulated by joint orders of the Ministry of Health and Ministry of Interior, Ministry of Social Policy, Ministry of Education, Ministry of family etc. The role of health workers in combating these phenomena (4 hrs.);
- The concept of medical and social patronage (4 hrs.);
- Social and psychological aspects of prevention work (2 hrs.);
- Psychological, Social and Legal Principles of medical support people with socially dangerous diseases (4 hrs.);
- Psychological, Social and Legal Principles of medical support people with drug dependence (4 hrs.);
- Psychological, Social and Legal Principles of medical support people with alcohol dependence (4 hrs.);
- Psychological, Social and Legal Principles of medical support of victims of Anti-terrorist operation  in Eastern Ukraine (4 hrs.);
- Psychological, Social and Legal Principles of medical support people with cancer (4 hrs.)
- Psychological, Social and Legal Principles of medical support people without a specific residence (4 hrs.);
- Psychological, Social and Legal Principles of medical support persons with disabilities (4 hrs.);
- Psychological, Social and Legal Principles of Family Planning (2 hrs.);
- Cooperation with NGOs (including religious organizations) (2 hrs.);
- Patients' rights and their protection (2 hrs.);
- The rights of health care providers and their protection (2 hrs.) and other topics.


While studying the students, according to the curriculum, shall get the practical communication skills of dealing with patients, relatives and colleagues in multidisciplinary teams, skills of collaboration with institutions of social protection, clergy and NGOs, palliative and hospice care to patients in terminal stages of cancer and chronic non-communicable diseases and their relatives.

 

At the end of the cycle, the special test shall be done to evaluate theoretical knowledge and practical skills. Those who have passed the test, receive a certificate of appropriate form.
Set the group to undergo cycle planned for November 2015.

 



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