FORMATION AND DEVELOPMENT OF CLINICAL THINKING OF FOREIGN STUDENTS IN THE STUDY OF RADIOLOGY

Marchenko V. Yu., Marchenko I. Ya., Boyko V. V., Zhukova T. O., Mukovoz O. E.

MEDICAL EDUCATION

Scentific article

. The article discusses the complexity of the formation and development of clinical thinking students – foreigners, subject to certain factors: poor language skills, difficulty in communicating with patients, the limited time that is given to the diagnosis and treatment of the patient in the polyclinic reception. Recommended individual approach of each Medical University teacher to foreign students taking into account cognitive styles that will secure the future of clinical thinking of physicians and improve the quality of radiology training. Clinical diagnosis is a variant of medical recognition, which means the assignment of pathological conditions, processes to a particular class. The most perfect stage of medical diagnosis is “patient diagnosis”, which reflects not only the name of a particular nosological unit, but also the etiological, pathogenetic, functional components of the diagnosis, severity and course of the disease in a particular patient. Students – foreigners who have just embarked on a difficult path of medical knowledge, need to analyze their personal subjective impressions, compare them with the results of objective methods of examination and on the basis of adequate interpretation to come to the only correct clinical diagnosis. effective treatment. At the Department of Oncology and Radiology with Radiation Medicine, when communicating with a patient, foreign students learn from a subjective examination to conduct a differentiated diagnosis on the characteristics of the pain syndrome. After studying the scheme of research which, they fill in the empty scheme, training not onlytheir memory, but also mastering the techniques of logical thinking, because the scheme is based on antagonism and subordination of pain characteristics (causal – involuntary; localized – irradiating; acute – aching, etc.). Differential diagnosis is an important step in the diagnostic process. It is based on comparison – a logical technique that makes it possible to establish the similarities and differences of objects or processes. In the diagnostic process of comparison involves the establishment of individual symptoms of a particular disease compared and knowledge of the symptoms of an abstract disease with which a particular disease is compared, analysis and subsequent synthesis of symptoms of a particular disease to compare diseases in general. Each doctor in making a diagnosis acts according to a certain scheme, which he was trained or developed himself in the course of his practice. Although most doctors think that they make a diagnosis intuitively, based on their “inner feeling”. But intuition is often based on deep knowledge and extensive experience. Therefore, in all cases, after appropriate analysis, it is possible to reproduce in sufficient detail the “path” to the diagnosis – all the actions and sequence of thinking of the doctor, which he performs in the process of diagnosis. pedagogical individual approach of each teacher of medical university to foreign students taking into account their cognitive styles will ensure the formation of clinical thinking of future doctors and improve the quality of training of radiologists.

clinical thinking, language skills, learning radiology, students – foreigners, cognitive style.

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«Bulletin of problems biology and medicine» Issue 4 (158), 2020 year, 225-228 pages, index UDK 378:615.84-054.6

10.29254/2077-4214-2020-4-158-225-228