Explanation of the problem of pulmonary embolism in relation to the optimization of modern algorithms for the actions of the family doctor

The purpose of the work is to ensure the improvement of the quality of education and educational services at a level that meets the expectations and needs of the family doctor, contributes to the optimization of the educational process on the problem of pulmonary embolism. Determination of clinical probability is an important component of management of patients with suspected PE. In clinical practice, the Canadian (P.S. Wells) and Geneva scales are most often used for this. For a patient with a high clinical probability of PE, multispiral computer tomography (MSCT) is of primary importance. With suspected high-risk PE, evidenced by shock or hypotension, CT angiography or bedside transthoracic echocardiography should be performed for diagnostic purposes. Today, magnetic resonance imaging is not recommended for the diagnosis of PE. Outpatient treatment should be carried out with PESI class I-II. Inpatient treatment - with PESI III-V class. Anticoagulant therapy (ACT), which should be started as early as possible at the stage of diagnosis, is the basis of VE treatment. Thrombolytic therapy should be carried out in the clinic of shock or in the presence of hemodynamic instability. As a basis for planning the educational process, it is desirable to take the constructive alignment model, which consists of the following three logically interconnected components. First of all, these are learning outcomes that must be aligned with the goals of the curriculum. Secondly, educational activities should be related to expected learning outcomes. An important component is assessment and feedback. The professional training of a general practitioner - a family doctor is aimed at acquiring new knowledge, deepening professional competences and improving practical skills to maintain an appropriate level of training for today's urgent problem - pulmonary embolism, taking into account the realities of wartime and the threat of repeated outbreaks of covid infection (CI)

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Publication Details

Journal
ScienceRise Pedagogical Education
Published
2024-09-19
DOI
https://doi.org/10.15587/2519-4984.2024.310652
Primary Topic
Healthcare Systems and Public Health
Type
article
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article

Explanation of the problem of pulmonary embolism in relation to the optimization of modern algorithms for the actions of the family doctor

Svitlana Sheyko
ScienceRise Pedagogical Education
Healthcare Systems and Public Health
article

Explanation of the problem of pulmonary embolism in relation to the optimization of modern algorithms for the actions of the family doctor

Svitlana Sheyko
article en

Abstract

The purpose of the work is to ensure the improvement of the quality of education and educational services at a level that meets the expectations and needs of the family doctor, contributes to the optimization of the educational process on the problem of pulmonary embolism. Determination of clinical probability is an important component of management of patients with suspected PE. In clinical practice, the Canadian (P.S. Wells) and Geneva scales are most often used for this. For a patient with a high clinical probability of PE, multispiral computer tomography (MSCT) is of primary importance. With suspected high-risk PE, evidenced by shock or hypotension, CT angiography or bedside transthoracic echocardiography should be performed for diagnostic purposes. Today, magnetic resonance imaging is not recommended for the diagnosis of PE. Outpatient treatment should be carried out with PESI class I-II. Inpatient treatment - with PESI III-V class. Anticoagulant therapy (ACT), which should be started as early as possible at the stage of diagnosis, is the basis of VE treatment. Thrombolytic therapy should be carried out in the clinic of shock or in the presence of hemodynamic instability. As a basis for planning the educational process, it is desirable to take the constructive alignment model, which consists of the following three logically interconnected components. First of all, these are learning outcomes that must be aligned with the goals of the curriculum. Secondly, educational activities should be related to expected learning outcomes. An important component is assessment and feedback. The professional training of a general practitioner - a family doctor is aimed at acquiring new knowledge, deepening professional competences and improving practical skills to maintain an appropriate level of training for today's urgent problem - pulmonary embolism, taking into account the realities of wartime and the threat of repeated outbreaks of covid infection (CI)

ScienceRise Pedagogical Education(3(60))
Openalex Percentile: Top 76%
Healthcare Systems and Public Health
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