Up to now in dye-departments of instrument making industries there are no provisions for safe and harmless conditions that result in the increase of morbidity among workers. The prevailing forms in the pattern of diseases associated with temporary disability are those caused by adverse industrial factors. Health examinations identified symptoms of skin lesions, increased level of gynaecological pathology. To reduce morbidity among workers health promoting activities are recommended.
According to the results of a comprehensive socio-hygienic survey, a characteristic of the health status of physicians in Tatarstan is provided. The health status was studied by computation using the specially designed statistical cards of primary sick lists, death certificates, primary disability. The materials were processed on AT personal computers according to the programme developed by us. The findings would permit one to scientifically substantiate measures aimed at promoting health of physicians.
The development of medical education is associated with scientific elaboration of a system of periodically renewed requirements for specialists training quality, introduction of new methods and means for objective assessment of their professional competence. The present dectarative, non-constructive and non-classifying nature of qualification characteristics for graduates of medical and pharmaceutical institutes necessitated the carrying out of investigations aimed at the elaboration of a new system of qualification characteristics capable to fulfill the function of scientifically substantiated quality standards of higher medical education for every specialty. The paper describes the evolution of methodological approaches to the making of these documents, considers their new structural peculiarities, provides the technology of their projecting, determines their place in the target system of continuous medical education. The major peculiarity of a new system of qualification characteristics is the adequacy of targets to the requirements for the performance of specialists in applied public health, the possibility of estimating or evaluating the achievement of targets, the possibility of projecting these targets with the help of through programmes of specialties in the educational process by their specification in intermediate targets of training which are the basis for improving the system of training at all stages. The authors analyse the international experience and outline the prospects for the use of new ideas in future work on qualification characteristics. Recommendations are made to use the proposed methodology for correcting qualification characteristics in the system of secondary medical education and in the system of postgraduate training of physicians and pharmacists.
The methodology of delivering lectures and practical studies on the subject of "new economic mechanism in public health" used at the chair is most efficient. The application of tasks for economic estimates and the assessment of physician's performance at polyclinics, hospitals, emergency care stations, the determination of differentiated norms for medical care financing of 1 inhabitant per year, the organisation of territorial health association activity promote the assimilation of such knowledge, the development of proper skills.
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