COMPARATIVE REVIEW OF EDUCATIONAL PROGRAMS IN FAMILY MEDICINE IN KAZAKHSTAN AND IN THE WORLD
Introduction. High-quality family medicine (FM) education programs are needed to efficiently and safely manage integrated care delivery and meet patient care needs at the primary health care level. In countries with less developed primary health care systems, statements of teaching standards for postgraduate education in family medicine are less common. The aim of this study was to review the international standards for family medicine residency training for use as a standard best practice guide for family medicine training programs in the Republic of Kazakhstan. Methods. Literature searches were conducted in Medline and Google Scholar databases. The inclusion criteria were the following publications: the research topic should be related to the FM, access to the full text of the publication. Postgraduate education, educational residency programs in FM, competencies and practical skills of FM residents, methods of assessing the knowledge of FM residents. The search used the following keywords (MeSH) and their combinations: family medicine; residency, postgraduate education / training, educational standard and educational programs. Results. It was difficult to obtain standardized information about educational programs in countries with a developing PHC system, for example, in the post-Soviet countries. Information from seven EU countries showed that family medicine is widely recognized as a separate discipline. In these countries, academic recognition has led to rapid development over the past two decades. Conclusion. The position of general medical practice in the Republic of Kazakhstan is formally acceptable, but still it will take a lot of effort to achieve the desired level of recognition and quality.
Nurgul A. Abenova¹, https://orcid.org/0000-0003-0395-9025 Gaukhar S. Dilmagambetova¹, Lazzat M. Zhamaliyeva¹, Alima R. Kashkinbayeva¹, Julia A. Zame¹, Gulbakit K. Koshmaganbetova¹ 1 NСJSC «West Kazakhstan Marat Ospanov Medical University», Aktobe city, Republic of Kazakhstan.
1. Order of the Minister of Health of the Republic of Kazakhstan dated December 15, 2020 No. RK DSM-263/2020 "On approval of the rules for the implementation of strategic partnership in the field of medical education and science." https://online.zakon.kz/Document/?doc_id=38466590 (accessed 21 Apr 2021). 2. Order of the Minister of Education and Science of the Republic of Kazakhstan dated December 29, 2016 No. 729 "On approval of the Strategic Plan of the Ministry of Education and Science of the Republic of Kazakhstan for 2017-2021". https://online.zakon.kz/Document/?doc_id=34068592 (accessed 21 Apr 2021). 3. Sharma M.A., Cheng N., Moore M., Coffman M., Bazemore A.W. Patients with high-cost chronic conditions rely heavily on primary care physicians. The Journal of the American Board of Family Medicine. 2014;27(1):11–12. doi: 10.3122/jabfm.2014.01.130128. 4. Flum E., Berger S., Szecsenyi J., Marquard S., Steinhaeuser J. Training Standards Statements of Family Medicine Postgraduate Training – A Review of Existing Documents Worldwide. PLoS ONE. 201611(7): e0159906. doi:10.1371/journal. pone.0159906. 5. Švab I., Pavlič D.R., Radić S., Vainiomäki P. General Practice East of Eden: an Overview of General Practice in Eastern Europe. Croatian medical journal. 2004;45(5):537-542. PMID:154 95276. 6. World Health Organization. Framework for professional and administrative development of general practice / family medicine in Europe. https://apps.who.int/iris/handle/10665/108066 (accessed 21 Apr 2021). 7. WFME Global Standards. https://wfme.org/standards/ (accessed 21 Apr 2021). 8. WFME Global Standards for Quality Improvement: Continuing Professional Development of Medical Doctors, 2015. https://wfme.org/standards/cpd/ (accessed 21 Apr 2021). 9. WFME Global Standards for Quality Improvement : Postgraduate Medical Education, 2015. https://wfme.org/standards/pgme/ (accessed 21 Apr 2021). 10. WONCA Global Standards for Postgraduate Family Medicine Education, 2013 https://www.researchgate.net/publication/317600970_WONCA_Global_Standards_for_Postgraduate_Family_Medicine_Education (accessed 21 Apr 2021). 11. European Training Requirements for GP/FM specialist training, 2018. https://www.woncaeurope.org/kb/european-training-requirements-for-gp-fm-specialist-training-%E2%80%93-euract-document-2018 (accessed 21 Apr 2021) 12. Michels N.R., Maagaard R., Buchanan J., Scherpbier N. Educational training requirements for general practice/family medicine specialty training: recommendations for trainees, trainers and training institutions. Educ Prim Care. 2018;29(6):322-326. doi: 10.1080/14739879.2018.1517391. 13. O'Shea E. Extension of training for general practice: a review of the evidence. Education for Primary Care. 2009;20(1):15-20. doi: 10.1080/14739879.2009.11493750. 14. Agius S., Lewis B., Kirk B., Hayden J. The perceived benefits of a two-year period of extended specialty training in general practice: the trainees' perspective. Education for Primary Care 2014;25(1):26-35. doi: 10.1080/14739879.2014.11494238. 15. Zarbailov N., Wilm S., Tandeter H., Carelli F., Brekke M. Strengthening general practice/family medicine in Europe - advice from professionals from 30 European countries. BMC Family Practice 2017;18(1):80. doi: 10.1186/s12875-017-0653-x. 16. Council directive 93/16 of 5 April 1993 to facilitate the free movement of doctors and the mutual recognition of their diplomas, certificates and other evidence of formal qualifications. Official Journal of the European Communities. https://eur-lex.europa.eu/legal-content/EN/TXT/?uri=celex:31993L0016 (accessed 21 Apr 2021). 17. Directive 2005/36/ec of the European Parliament and of the Council of 7 September 2005 on the recognition of professional qualifications (Text with EEA relevance). Official Journal of the European Union. https://eur-lex.europa.eu/eli/dir/2005/36/oj (accessed 21 Apr 2021). 18. Papadakis M.A., Paauw D.S., Hafferty F.W., Shapiro J., Byyny R.L. Perspective: the education community must develop best practices informed by evidence-based research to remediate lapses of professionalism. Acad Med. 2012;87(12):1694–1698. doi:10.1097/ACM.0b013e318271bc0b. 19. American Board of Internal Medicine. Project Professionalism. Philadelphia: ABIM, 1995. 20. Blank L., Kimball H., McDonald W., Merino J. Medical profes- sionalism in the new millennium: a physician charter 15 months later. Ann Intern Med. 2003;138(10):839-841. doi: 10.7326/0003-4819-138-10-200305200-00012. 21. Doctors in society: medical professionalism in a changing world. Working Party of the Royal College of Physicians. Clin Med (Lond). 2005;5(6 Suppl 1):S5-40. PMID: 16408403. 22. Goold S.D., Lipkin M. The doctor–patient relationship. J Gen Intern Med. 1999;14(S1):S26–33. doi: 10.1046/j.1525-1497.1999.00267.x.
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Abenova N.A., Dilmagambetova G.S., Zhamaliyeva L.M., Kashkinbayeva A.R., Zame J.A., Koshmaganbetova G.K. Comparative review of educational programs in family medicine in Kazakhstan and in the world // Nauka i Zdravookhranenie [Science & Healthcare]. 2021, (Vol.23) 4, pp. 190-198. doi 10.34689/SH.2021.23.4.021