THE ASSESSMENT OF ANESTHESIOLOGIST-RESUSCITATORS’ KNOWLEDGE OF MODERN CLINICAL PRACTICE GUIDELINES, QUALITY CRITERIA AND LEGAL ASPECTS OF PROVIDING MEDICAL CARE
The purpose of the study was to assess the anesthesiologists-resuscitators’ knowledge of modern clinical practice guidelines on providing medical care to patients, quality criteria of medical care and legal aspects in the practical work of a doctor. We analyzed the results of testing 54 anesthesiologists-resuscitators who did a 144-hour refresher course during the certification cycle at the Faculty of Postgraduate Training of Doctors, Institute of Medicine, North-Eastern Federal University. The tests were based on 17 clinical practice guidelines, mainly developed by the Federation of Anesthetists-Resuscitators (FAR) of Russia and available free at far.org.ru site; order No. 203n of the Ministry of Health of the Russian Federation of 17 May 2017 "On approving the medical care quality assessment criteria"; and legal aspects in anesthesiology and resuscitation. The trainees answered 10 questions on 19 clinical topics. The answers were scored as follows: “true” - 10 points, “partially true” (inaccurate choice in cases with several answers) - 5 points, and “incorrect” - 0 points. The result of 90-100 points was rated as “excellent”, 80-89 - “good”, 70-79 - “satisfactory”, 69 and under - “unsatisfactory”. Positive results (70 points and over) were obtained for 10 out of 19 topics, i.e. in 52.6%. An analysis of individual scores of the trainees showed that the proportion of unsatisfactory marks for the 9 test assignments exceeds 30%. It was revealed that the worst results were noted in such areas of clinical medicine as impaired hemostasis and perioperative infusion therapy. The doctors also demonstrated poor legal literacy. The obtained results require attention and indicate the need to supplement the curricula of additional training of doctors with a review of modern clinical practice guidelines, topics on improving the quality of medical care and legal literacy of doctors.