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Graduate Model Program Passport Compulsory disciplines Elective disciplines Professional practices INTERNSHIP

The learning outcomes of the internship program.

The graduate will be able to:

EO 1

1.1 Apply established and emerging scientific principles from the basic biomedical sciences that are fundamental to patients and populations in the health care system

1.1.1 Explain the structure and functions of the human body normally

1.1.2 Justify manifestations of major diseases in the area of specialization from the standpoint of basic sciences

1.1.3 Justify the choice of appropriate research methods from the standpoint of the basic sciences

1.1.4 Explain the fundamental principles underlying the research methods chosen

1.1.5 Demonstrate knowledge of the mechanism of drug action, therapeutic effect and pharmacokinetics , side effects and drug interactions, effects of long-term treatment, including effects at the population level.

1.1.6 Conduct a critical analysis of clinical data from the perspective of the basic sciences.

1.2.Apply established and emerging clinical science principles to the diagnostic and therapeutic process, clinical problem solving, and other aspects of evidence-based medicine

1.2.1 Use a standard pattern of questioning and physical examination of the patient

1.2.2 Demonstrate an understanding of the principles of evidence-based practice and apply these principles in dealing with patients and medical care

1.2.3 Demonstrate an understanding of the differential diagnosis algorithm for syndromes and conditions most commonly encountered in practice

1.2.4 Explain indications, contraindications, risks, and diagnostic value of examination methods

1.2.5 Explain the mechanism of action and risks of relevant treatments and preventions for underlying diseases

1.2.6 Use knowledge of diagnostic criteria for diseases to verify and substantiate a preliminary/clinical diagnosis

1.2.7 Demonstrate knowledge of the basics of rational pharmacotherapy from the standpoint of evidence-based medicine.

1.3. Apply the principles of the epidemiological sciences to identify health problems, risk factors, treatment strategies, resources and disease prevention, health promotion of patients and populations

1.3.1 Discuss basic principles for improving health, including common determinants of health and risks

1.3.2 Be aware of the role of environmental and occupational risks in the development of the disease and discuss ways to overcome them

1.3.3 Discuss the role of nutrition in maintaining health

1.3.4 Discuss the principles of primary, secondary and tertiary prevention of the most common diseases

1.3.5 Explain and apply the basic principles of infectious disease control in the hospital setting and in the community

1.3.6 Assess and apply the basic principles of analysis of patient and community epidemiological data.

1.4. Apply the principles of the social behavioral sciences to provide quality patient care, including assessment of psychosocial and cultural impacts that affect health, treatment, confidentiality and treatment attitudes

1.4.1 Explain normal human behavior at the individual level and in society

1.4.2 Discuss psychological and social concepts of health and illness

1.4.3 Apply the theoretical concepts of psychology and sociology to explain the different responses of the patient, population groups and society to diseases

1.4.4 Explain the psychological and social factors that contribute to disease progression and treatment success

1.4.5 Discuss the psychological and social aspects of behavioral change and treatment adherence.

EO 2

2.1. Communicate effectively with patients, their families and the public, as appropriate, taking into account socioeconomic and cultural backgrounds

2.2 Demonstrate honesty and compassion in difficult conversations, including reporting deaths, adverse events, bad news, medical errors and other sensitive topics

2.3. Demonstrate empathy and understanding of emotions and human reactions to emotions that allow you to build and manage interpersonal interactions

2.4. Communicate effectively with colleagues or other healthcare professionals

2.5.Work effectively with others as a team member or leader of a healthcare or other professional group

2.6. Demonstrate the ability to participate in an interprofessional team in a manner that optimizes safe, effective patient and community care

2.7. Maintain medical records, reflect in a timely, accurate and concise way information about the patient’s health in writing

2.8. Use effectively available information technologies to optimize patient care and communication with colleagues (Appendix 3.6 to the internship graduate competencies)

EO 3

3.1. Perform all medical, diagnostic and surgical procedures deemed necessary in the area of practice

3.2. Collect important and accurate information about patients and their general condition through history taking, physical examination and use of laboratory data, imaging tests and other research methods

3.3. Interpret laboratory data, analyze visual and other research methods related to the field of practice

3.4. Develop and implement patient care plans for diseases most commonly encountered in practice

3.5. Counsel and educate patients and their families to enable them to participate in their care and ensure shared decision making

3.6. Recognize and provide first aid for the most common medical emergencies that threaten the life of the patient at the prehospital stage

3.7. Ensure proper referral of patients to required treatment, including ensuring continuity of care during transitions from one specialist to another, monitor progress and outcomes of treatment

EO 4

4.1. Prioritize safe, effective and skilled patient care

4.2. Perform duties commensurate with their roles, abilities and qualifications, become an example to follow

4.3. Demonstrate dependability that makes colleagues feel safe when caring for patients

4.4. Use feedback in daily practice

4.5. Demonstrate compassion, integrity, and respect for others

4.6. Demonstrate responsiveness to patient needs as a substitute for self-interest

4.7. Demonstrate respect for privacy and autonomy patients

4.8. Demonstrate responsibility to patients, society and the profession

4.9. Demonstrate sensitivity and responsiveness to various patients regardless of gender, age, culture, nationality, religion, disability, sexual orientation and other characteristics

4.10. Demonstrate commitment to ethical principles regarding the provision of patient care, privacy, informed consent and business practices, including compliance with relevant laws, policies and regulations

4.11. Participate in creating and maintaining a climate of mutual respect, dignity, diversity, ethical integrity and trust

4.12 Participate in the education of patients, families, students, trainees, colleagues and other healthcare professionals

4.13 Demonstrate healthy coping mechanisms

4.14. Manage conflict between personal interests and professional responsibilities

EO 5

5.1. Develop the ability to self-assess one’s own knowledge, skills and limitations in order to seek help from colleagues

5.2. Set goals for further learning and self-improvement, address gaps in knowledge, skills and approaches through training

5.3 Systematically analyze own practice and implement changes to improve

5.4. Show flexibility and maturity in adapting to changes, develop the ability to change their behavior

5.5. Demonstrate leadership qualities that improve team performance, learning environments, and healthcare delivery

5.6 Demonstrate self-confidence that encourages patients, families, and healthcare team members to interact seamlessly

5.7 Use knowledge of your own role and that of other health professionals to properly assess and meet health care needs health care for patients and populations

5.8. Work as a team to create, develop and continuously improve interprofessional teams to provide patient-centered care that is safe, timely, efficient and fair

5.9 Recognize that ambiguity is part of clinical care and respond with appropriate resources to deal with ambiguity

EO 6

6.1. Work effectively in the existing system of medical care related to the clinical specialty

6.2. Coordinate patient care in the healthcare system, based on the current legal and regulatory framework for the provision of medical care

6.3. Pay special attention to awareness of the costs, analysis of risks and benefits of treating patients and population groups within the framework of the current legal system, including determining the status of the patient, the types and volumes of medical care provided within the framework of the CSMI system

6.4 Protect the quality of patient care and optimal patient care systems

6.5. Participate in the identification of system errors and the implementation of potential system solutions, including those requiring revision of existing norms

6.6. Perform administrative and operational leadership duties in the health care system commensurate with their role, abilities and qualifications

EO 7

7.1 Perform an effective search for information on modern evidence-based methods of treatment and diagnosis in information databases

7.2 Establish, evaluate and assimilate data based on scientific research related to patient health problems

7.3 Make informed decisions about diagnostic and therapeutic interventions based on information about patients and their preferences, current scientific evidence, and clinical judgment

7.4 Demonstrate an exploratory and analytical approach to clinical situations

7.5 Systematize and scientifically summarize information about individual patients, their families or communities in which patients belong, in order to improve the quality of medical care

7.6 Facilitate the creation, dissemination, application and translation of new health knowledge and practices, including guidelines, standards, technologies and services needed to improve outcomes

Profile disciplines/university component

Module - General Medical Practice

Number of credits — 30
Type of control — Exam
Description : Organization of medical care by a family doctor. Screening, identification of risk factors, primary and secondary prevention, therapy, staged outpatient rehabilitation, dynamic monitoring and education of patients and relatives in patient care. Diagnosis differential diagnosis, treatment, indications for specialized consultation: adult patients, children, adolescents, pregnant women, the elderly with common diseases. Clinical protocols for diagnosis and treatment.

Module - Psychoneurological health

Number of credits — 6
Type of control — Exam
Description : Psychiatry (including the WHO Program for GPs ( mhGAP -IG)): Identification of risk groups, clinical examination, screening. Carrying out preventive work in psychiatry. WHO’s Mental Health Gap Programs ( mhGAP ), expansion of services for the treatment of mental, neurological, and drug and substance use disorders. The program allows PHC to provide psychosocial support and drug treatment.
Neurology for adults, children: Identification of risk groups, clinical examination, screening. Carrying out preventive work in neurology. Organization of health schools at different levels of PHC individual patient education. Preventive work in educational institutions.

Module - Infectious Diseases

Number of credits — 8
Type of control — Exam
Description : Infectious diseases in adults: Infectious diseases in adults. Acute intestinal infections. Yersiniosis , Listeriosis . Meningococcal infection and others. Clinical protocols for diagnosis and treatment, orders M3 of the Republic of Kazakhstan, WHO recommendations. Infectious diseases in adults. Children’s infectious diseases: Acute intestinal infections, Yersiniosis , Listeriosis Clinical protocols for diagnosis and treatment, orders M3 of the Republic of Kazakhstan. WHO recommendations. Measles, Rubella. Mumps infection. Scarlet fever, chicken pox. Emergency conditions in infectious diseases in children. Phthisiology: Methods for detection and diagnosis, prevention of tuberculosis in children, adolescents, pregnant women and adults in PHC. Type definition.

Module - Particular issues of PHC

Number of credits — 13
Type of control — Exam
Description : Oncology adult, children’s: Oncological diseases of various organs and tissues. Tumors of the skin, tumors of the female genital organs, tumors of the mammary gland, volumetric formations of the neck, malignant tumors of the head and neck, gastrointestinal tract, prostate lungs. Dermatovenereology for adults and children: Principles of diagnosis and therapy of dermatovenereology . Skin infections and sexually transmitted infections. Psoriasis, Skin diseases in children, Dermatitis, Eczema. Clinical pharmacology: ATC drug NOMENCLATURE funds. Pharmacodynamics and pharmacokinetics of drugs, their interaction. Indications, contraindications and side effects, Evidence-based medicine. Radiation methods of diagnostics in the practice of general practitioners: The discipline forms knowledge and skills of radiation diagnostics, their application in children with oncological and hematological diseases. Students should be able to choose safe and effective methods of radiation diagnostics with an assessment of potential risks. Simulation course » Simulation technologies in the work of GPs»: Simulation course » Simulation technologies in the practice of GPs». The discipline will allow you to master the practical and manual skills necessary in the daily activities of a general practitioner. Practical training is carried out without risk for patients and trainees in a virtual environment or a simulated situation using highly realistic simulators, simulators and patient robots.

Elective disciplines

Module - Selectable Component . Scientific project on social determinants in areas

Number of credits — 5
Type of control — Exam
Description: The scientific project allows you to teach scientific work related to scientific research, research, experiments in order to expand existing and acquire new knowledge, test scientific hypotheses, establish patterns, scientific generalizations, scientific justification of projects in PHC (in obstetrics and gynecology, in general medical practice, surgery, determinants in pediatrics, therapy)