Procedure of state examination in speciality “surgery with pediatric surgery” icon

Procedure of state examination in speciality “surgery with pediatric surgery”




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НазваProcedure of state examination in speciality “surgery with pediatric surgery”
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PROCEDURE of STATE EXAMINATION in SPECIALITY “SURGERY with PEDIATRIC SURGERY”


The clinical practice state examination is formed according to branch standard of higher education and corresponds to “Position about organization and procedure of governmental certification of students who study at higher institutions of the III – IV degrees of accreditation in “Medicine” (Order of Ministry of Public Health of Ukraine issued on 31.01.2005 № 53 registered in Ministry of Justice issued on 17.02.2005 № 244/10524).

The clinical practice state examination consists of two parts.

The first part of the exam

The first part of the examination comprises student’s examination of the patient when the members of the state board of examiners are present. According to the lot the student got the patient to and the lecture who will examine the student at patient's bedside. Selection of patients is carried out beforehand by the staff of the department of surgery. In the first part of the examination students’ skills to interview, objective patient’s investigation, make up the research plan, point out guiding disease syndrome, make and substantiate provisional diagnosis, determine therapeutic approach are estimated. Estimation of work with the patient is carried out in accordance with minutes and estimation of the first stage of the examination – “work with a patient” in which medical skills and execution sequence are determined. Estimation criteria of the first part of the examination are determined:

“excellent” – 12-14 points;

“good” – 10.5-11.5 points;

“satisfactory” – 8-10 points;

“unsatisfactory” – 7.5 points and less.

The second part of the exam

The second part of the examination consists of graduating student’s skill t diagnose and render emergency medical aid in urgent states by means of problem solving in urgent states of surgery. The second part of the examination comprises also the problem in children’s surgery while the student is solving the problem he must make a provisional diagnosis and determine a therapeutic approach. Besides, in the second part of the examination student’s skill to estimate and interpret laboratory and instrumental methods of investigation is assessed by means of problem solving. The second part of the examination includes performing five medical manipulations in surgery

The list of medical manipulations for the clinical practice exam:

  • performing artificial ventilation;

  • arrest of external hemorrhage;

  • transport immobilization;

  • urinary bladder catheterization;

  • rectal digital investigation;

  • blood grouping;

  • blood and blood substitutes transfusion. Blood quality assessment and blood suitability to transfusion.

  • carrying out biological test and blood histocompatibility matching;

  • performing closed-chest massage;

  • restoration of patency of airways.

Estimation of the second stage of the examination is carried out in accordance with minutes and mark for the second part of the exam.

Estimation criteria of the second part of the examination are determined:

“excellent” – 8-9 points;

“good” – 6-7.5 points;

“satisfactory” – 4.5-5.5 points;

“unsatisfactory” – 4 points and less.

The minutes of the first and second part of the state exams correspond to the minutes “Position about organization and procedure of governmental certification of students who study at higher institutions of the III – IV degrees of accreditation in “Medicine” (Order of Ministry of Public Health of Ukraine issued on 31.01.2005 № 53 registered in Ministry of Justice issued on 17.02.2005 № 244/10524). (The minutes are attached)

The minutes for students’ written answer for the first and the second part of the examination are developed (the minutes are attached).

Examination provision

  • performing artificial ventilation - training simulator;

  • arrest of external hemorrhage - training simulator, tourniquet;

  • transport immobilization - training simulator, Cramer's splint;

  • urinary bladder catheterization - training simulator, medical instruments;

  • rectal digital investigation - training simulator;

  • blood grouping - training simulator;

  • blood and blood substitutes transfusion. Blood quality assessment and blood suitability to transfusion – student’s test.

  • carrying out biological test and blood histocompatibility matching - student’s test;

  • performing closed-chest massage - training simulator;

  • restoration of patency of airways - training simulator.

The total estimation for clinical practice state examination is summarized from the mark for the first and the second part of the exam.

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