Mualliflar

  • Hikmatov J.S
  • Usmonov A.U
  • Allayorova D.S

DOI:

https://doi.org/10.71337/inlibrary.uz.tinnint.132728

Kalit so‘zlar:

Key words: medicine educational process stimulant mannequin trainer imitator

Annotasiya

Abstract.  Comprehensive  measures  are  being  implemented  in  our  country  to 
develop the health care system, ensure that the rights of citizens to health care are 
guaranteed by the state, create a healthy lifestyle for citizens, and create conditions for 
all layers of the population to use medical services. Today, modern trends in medical 
education suggest the wide use of simulation technology, which allows to achieve the 
maximum level of realism in simulating various clinical scenarios, as well as to develop 
technical skills for individual diagnostic and treatment manipulations. The introduction 
of  modern  training  complexes  of  the  new  generation,  the  creation  of  key  training 
centers will smoothly build a bridge from the simulation to the clinic to the real patient. 
Simulators allow to train the basic methods of open surgery with a small surgical field, 
endovascular  surgery  and  endoscopic  surgery,  and  to  train  the  surgeon  in  these 
methods, which allows to repeat various operational situations, and to evaluate the 
actions  performed  by  the  doctor-surgeon,  to  the  hardware-software  complex.  In 
addition, it provides an opportunity to disseminate information on simulation of new 
techniques and tools via the Internet, as well as distance learning. 


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THE ROLE OF VIRTUAL AND SIMULATION TECHNOLOGIES IN THE

ORGANIZATION OF QUALITY MEDICAL EDUCATION

Hikmatov J.S., Usmonov A.U., Allayorova D.S.

Bukhara State Medical Institute

dr.hikmatovjs@bsmi.uz

,

https://orcid.org/0000-0002-2793-8627


Abstract.

Comprehensive measures are being implemented in our country to

develop the health care system, ensure that the rights of citizens to health care are
guaranteed by the state, create a healthy lifestyle for citizens, and create conditions for
all layers of the population to use medical services. Today, modern trends in medical
education suggest the wide use of simulation technology, which allows to achieve the
maximum level of realism in simulating various clinical scenarios, as well as to develop
technical skills for individual diagnostic and treatment manipulations. The introduction
of modern training complexes of the new generation, the creation of key training
centers will smoothly build a bridge from the simulation to the clinic to the real patient.
Simulators allow to train the basic methods of open surgery with a small surgical field,
endovascular surgery and endoscopic surgery, and to train the surgeon in these
methods, which allows to repeat various operational situations, and to evaluate the
actions performed by the doctor-surgeon, to the hardware-software complex. In
addition, it provides an opportunity to disseminate information on simulation of new
techniques and tools via the Internet, as well as distance learning.

Key words:

medicine, educational process, stimulant, mannequin, trainer, imitator

SIFATLI TIBBIY TA'LIMNI TASHKIL ETISHDA VIRTUAL VA

SIMULYASIYA TEXNOLOGIYALARINING ROLI

Hikmatov J.S., Allayorova D.S., Usmonov A.U.

Buxoro davlat tibbiyot instituti

dr.hikmatovjs@bsmi.uz

,

https://orcid.org/0000-0002-2793-8627


Annotatsiya.

Mamlakatimizda sog‘liqni saqlash tizimini rivojlantirish,

fuqarolarning sog‘liqni saqlashga doir huquqlari davlat tomonidan kafolatlanishini
ta’minlash, fuqarolarda sog‘lom turmush tarzini shakllantirish, aholining barcha
qatlamlari tibbiy xizmatdan foydalanishi uchun sharoit yaratish borasida kompleks
chora-tadbirlar amalga oshirilmoqda.

Bugungi kunda tibbiyot ta'limining zamonaviy

tendentsiyalari simulyatsiya texnologiyasidan keng foydalanishni taklif qiladi, bu turli
xil klinik stsenariylarni taqlid qilishda realizmning maksimal darajasiga erishish,
shuningdek, individual diagnostika va davolash manipulyatsiyalari uchun texnik


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ko'nikmalarni rivojlantirish imkonini beradi. Yangi avlodning zamonaviy o'quv
majmualarini joriy etish, asosiy o'quv markazlarini yaratish simulyatsiyadan klinikaga
haqiqiy bemorga ko'prikni muammosiz quradi. Simulyatorlar kichik jarrohlik maydoni
bilan ochiq jarrohlikning asosiy usullari, endovaskulyar jarrohlik va endoskopik
jarrohlik va jarrohni ushbu usullarga o'rgatish imkonini beradi, bu esa turli xil
operatsion vaziyatlarni takrorlash imkonini beradi, va shifokor - jarroh tomonidan
amalga oshirilgan harakatlarni baholash, apparat-dasturiy kompleksga qo'shimcha
bo'lib, internet orqali yangi texnika va asboblarni simulyatsiya qilish bo'yicha
ma'lumotlarni tarqatish imkoniyatini beradi, shuningdek, masofaviy o'qitish imkonini
beradi.

Kalit so’zlar:

tibbiyot, o’quv jarayoni, stimulyator, maneken, trenajyor, imitator


Comprehensive measures are being implemented in our country to develop the

health care system, ensure that citizens' rights to health care are guaranteed by the state,
create a healthy lifestyle for citizens, and create conditions for all segments of the
population to use medical services.

In the past period, many decrees and decisions aimed at further development of the

field, increasing the scope and quality of medical services were adopted, and the
process from medical institutions to personnel activities in our country changed in a
new order and turned towards development. In Uzbekistan, comprehensive measures
aimed at providing high-quality medical services to the population and increasing the
coverage of the health care system have been implemented.

Today, Modern trends in medical education suggest the wide use of simulation

technology, which allows one

to achieve the maximum level of realism in simulating

various clinical scenarios, as well as to develop technical skills for individual
diagnostic and treatment manipulations [2].

Currently, many important problems that determine the quality of medical care for

the population in the world practice of training specialists and practical health care in
higher medical educational institutions in our country are clearly expressed:

- in the presence of biological material necessary for the training of surgeons and

other specialized doctors, and the process of direct work with patients, the possibility
of training is increasingly limited;

- the rate of introduction of advanced surgical methods and appropriate devices

into practice is insufficient;

- the impossibility of an objective and standardized assessment of the quality of

the operations performed by the intern, the impossibility of reliably taking into account
all the details of the performed manipulations, including hidden damage;


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Simulation is the art of imitating reality. It can be a sequence of events and actions

or a thought process. Simulation training is one of the effective ways to learn error
management [1].

It is very important that different types of simulation training are involved in

solving a specific task: activity, visualization, listening.

Currently, simulators are used for training and objective assessment of students in

many areas of human activity that involve high risks.

In the world, scattered research is being conducted to create 3D simulation systems

for various fields of science and industry. There is no active scientific and practical
research in the direction of integration of 3D simulation systems, simulation of physical
processes and properties, feedback systems and manipulators that provide two-way
interaction between the operator and the simulated system. Also, the issue of using
such integrated systems in education and other fields has not been resolved.

The use of phantoms and simulation learning is considered an acceptable and

necessary direction in the educational process. The presence of simulators alone is not
enough to ensure high quality of practical training for students. At all stages of student
education, it is necessary to use certain pedagogical technologies that ensure the
continuity of the system of training and improvement of practical skills and preparation
for professional activities [3].

The introduction of modern training complexes of the new generation, the creation

of key training centers will smoothly build a bridge from the simulation to the clinic to
the real patient. An important issue of organizing practical training is to exchange
quality and fast information between the educational institution and the employer, to
provide practical training with all the necessary resources, and to carefully define the
educational task. The classification of simulators is based on the practical application
and the technology behind the simulation.

Simulator types:
1) Computer dummies. The installed models can be canceled or changed at the

request of the instructor. Such simulators include physiological and pharmacological
computer models that automatically respond to interventions and medications.
Simulators for practicing practical skills. These devices allow to simulate the
performance of practical skills, usually with very high mechanical realism, they are
created in the form of div parts. These are simulators for practicing
fibrobronchoscopy, colonoscopy, gastroscopy, laparoscopy, spinal puncture, vein
access and other virtual reality. Computer monitors are used to display patient
information and other visual information.

2) Screen simulators. There are many computer programs available on personal

computers that simulate various clinical conditions. Models with specific tasks. These


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simulators are similar to the anatomical zones of the div, they include venopuncture
simulators, injections, mannequins for basic cardiopulmonary resuscitation, etc.

Advantages of training on mannequins, simulators, imitators:
- realistic exercises that do not pose a risk to the patient;
- the duration of the educational process is not limited;
- the number of repetitions is not limited;
- no initial stress for the student;
- objective assessment of the student's actions.
The use of training programs based on simulation technologies allows improving

the professional skills of medical personnel, which has a positive effect on the quality
of emergency medical care and patient care.

The hardware and software complex includes simulation of specialized

manipulators, imitators used in endovascular surgery and endoscopic surgery and open
surgery, and provides realistic feedback. A software package that allows visualization
of regions of the human div, simulation of tissues, organs and physical properties of
the human div, various states and reactions to operational actions, and supports
feedback. The hardware and software complex also includes educational and
methodological modules, including the basic methods of open surgery with a small
surgical field, endovascular surgery and endoscopic surgery, and allows the surgeon to
be trained in these methods, which allows for various operational allows to repeat the
situations, and evaluate the actions performed by the doctor-surgeon, in addition to the
hardware-software complex, provides the opportunity to distribute information on the
simulation of new techniques and devices via the Internet, as well as distance learning
allows.

The establishment of a hardware and software complex as a technical and

methodological basis for a qualitatively new level of training of surgeons at the
undergraduate and post-graduate stages of education made it possible to:

- use of virtual reality technologies and real sensory communication in teaching;
- creation of educational materials based on modern 3D modeling and interactive

technologies;

- to develop the possibility of individualizing the model of the human div based

on the information about the physiology and topography of a particular patient;

- expansion of opportunities for rapid dissemination of new surgical methods,

including virtual models of new instruments and operating situations in electronic form
via the Internet [7].

In addition, the created hardware and software complex can be the basis for

systems for training and improving the skills of specialists in other fields, where
equipment telemetry and manipulation control or partially requires the use of stationary


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devices, which requires the creation of manipulators, simulation of the necessary
control elements and It allows the use of a platform for 3D modeling [6].

Thus, the virtual simulator is certainly useful for watching lectures, video and

multimedia materials, assisting operations, etc. does not replace traditional forms of
training, but before allowing a young specialist to independently carry out surgical
interventions, it is necessary to develop practical skills and skills in the simulator.

References:

1.

Каган И.И. Рентгеноанатомические различия венечного синуса сердца по
данным прижизненной коронарной аортографии// Морфологические
ведомости. - 2011. - №3. - С. 39-44.

2.

Филимонов В.И. Анатомия живого человека: Руководство для врачей. - М.:
Медицина. - 2006, 368 с.

3.

Robert B. Trelese Anatomical Informatics// Millennial Perspectives on a Newer
Frontier – 2011. - Vol.9, - №2/11. – Р. 269-278.

4.

Reidenberg J.S. The new face of gross anatomy// Ana.Rec. – 2012. Vol.1, №1/35.
– Р. 29-34.

5.

Rosse C. Motivation and organizational principles for anatomical knowledge
representation// The Digital Anatomist symbolic knowledge base. – 2009. Vol.13,
№15. – Р. 103-104.

6.

Russell S. Artificial intelligence: A modern approach// Upper Saddle River, NJ:
Prentice-Hall. – 2008. Vol. 3, №1/5. – Р. 1103-1104.

7.

Schenk М.Р. Going digital: Image preparation for biomedical publishing// Anat.
Rec. (New Anat) . – 2010. - Vol.4, №3/5. – Р. 78-83.

8.

Schwartz E.L. Computational anatomy and functional architecture of striate cortex:
A spatial mapping approach to perceptual coding// Vision Res – 2008. - Vol.5,
№20/5. – Р. 645-649.

Bibliografik manbalar

References:

Каган И.И. Рентгеноанатомические различия венечного синуса сердца по

данным прижизненной коронарной аортографии// Морфологические

ведомости. - 2011. - №3. - С. 39-44.

Филимонов В.И. Анатомия живого человека: Руководство для врачей. - М.:

Медицина. - 2006, 368 с.

Robert B. Trelese Anatomical Informatics// Millennial Perspectives on a Newer

Frontier – 2011. - Vol.9, - №2/11. – Р. 269-278.

Reidenberg J.S. The new face of gross anatomy// Ana.Rec. – 2012. Vol.1, №1/35.

– Р. 29-34.

Rosse C. Motivation and organizational principles for anatomical knowledge

representation// The Digital Anatomist symbolic knowledge base. – 2009. Vol.13,

№15. – Р. 103-104.

Russell S. Artificial intelligence: A modern approach// Upper Saddle River, NJ:

Prentice-Hall. – 2008. Vol. 3, №1/5. – Р. 1103-1104.

Schenk М.Р. Going digital: Image preparation for biomedical publishing// Anat.

Rec. (New Anat) . – 2010. - Vol.4, №3/5. – Р. 78-83.

Schwartz E.L. Computational anatomy and functional architecture of striate cortex:

A spatial mapping approach to perceptual coding// Vision Res – 2008. - Vol.5,

№20/5. – Р. 645-649.