© Borgis - New Medicine 1/2002, s. 32-33
çĚŐŰËĎ ě.÷., ćĹÄĎŇĎ× ó.÷., íÁËĎ×ĹĂŘËÁ ô.?., ďÓÔŇĎ×ÓŘËÉĘ í.í., âĹŇĹÚĎ×ÓŘËÁ ě.á.
ďĐÔÉÍiÚÁĂiŃ ÎÁ×ŢÁĚŘÎĎÇĎ ĐŇĎĂĹÓŐ ĚiËÁŇi× ÚÁÇÁĚŘÎϧ ĐŇÁËÔÉËÉ ÎÁ
ĂÉËĚi „ËÁŇÄiĎĚĎÇiŃ” ŰĚŃČĎÍ ×ÉËĎŇÉÓÔÁÎÎŃ ÓŐŢÁÓÎÉČ iÎĆĎŇÍÁĂiĘÎÉČ
ÔĹČÎĎĚĎÇiĘ
?×ÁÎĎ-ćŇÁÎË?×ÓŘËÁ ÄĹŇÖÁ×ÎÁ ÍĹÄÉŢÎÁ
ÁËÁÄĹÍ?Ń, Í. ?×ÁÎĎ-ćŇÁÎË?×ÓŘË
Summary
The demands made to quality of training physicians to be are defined in the programs and directives of the Ministry of Public Health and Education of Ukraine. One of the factors directed to profound medical subjects studying is subsequent optimizing the training process, namely raising use of information technologies in teaching. This article gives facts and figures concerning forming postgraduate medical training of general practicioners in cardiology cycle using the modern information technologies.
úÂĹŇĹÖĹÎÎŃ ÔÁ ÚÍ?ĂÎĹÎÎŃ ÚÄĎŇĎ×´Ń ÎÁÓĹĚĹÎÎŃ őËŇÁ§ÎÉ – ÇĎĚĎ×ÎÁ ÍĹÔÁ
×?ÔŢÉÚÎŃÎϧ ÓÉÓÔĹÍÉ ĎČĎŇĎÎÉ ÚÄĎŇĎ×´Ń. đŇ?ĎŇÉÔĹÔÎÉÍ ÎÁĐŇŃÍËĎÍ ĐŇĎ×ÁÄÖĹÎÎŃ
ĎŇÇÁÎ?ÚÁĂ?ĘÎϧ ĐĎĚ?ÔÉËÉ íďú őËŇÁ§ÎÉ ¤ ŇĹĆĎŇÍŐ×ÁÎÎŃ ĐĹŇ×ÉÎÎϧ ÍĹÄÉËĎ-ÓÁÎ?ÔÁŇÎϧ
ÄĎĐĎÍĎÇÉ, ŃËĹ ŇŐÎÔŐ¤ÔŘÓŃ ÎÁ ĎÓÎĎ×ÎÉČ ŢĎÔÉŇŘĎČ ĐŇÉÎĂÉĐÁČ:
– ĎŇ?¤ÎÔÁĂ?Ń ÎÁ Ó?Í´Ŕ;
– ÚÁÂĹÚĐĹŢĹÎÎŃ ĐĎÓÔ?ĘÎϧ ÍĹÄÉŢÎϧ ÄĎĐĎÍĎÇÉ;
– ĐŇĎĆ?ĚÁËÔÉŢÎÁ ÓĐŇŃÍĎ×ÁÎ?ÓÔŘ;
– ×ÉÚÎÁŢĹÎÎŃ ? ŐŇÁČŐ×ÁÎÎŃ ×ĐĚÉ×Ő ÎÁ ÚÄĎŇĎ×´Ń ËĎÎËŇĹÔÎĎÇĎ ĐÁĂ?¤ÎÔÁ
ÓĎĂ?ÁĚŘÎĎ-ĹËĎÎĎÍ?ŢÎÉČ, ĹËĎĚĎÇ?ŢÎÉČ, ÓĐÁÄËĎ×ÉČ, ĐÓÉČĎĚĎÇ?ŢÎÉČ ÔÁ ?ÎŰÉČ ŢÉÎÎÉË?×
(1).
÷ÁÖĚÉ×ÉÍ ĹĚĹÍĹÎÔĎÍ ÓÔÁÎĎ×ĚĹÎÎŃ ÎĎ×ϧ ĆĎŇÍÉ ÓÉÓÔĹÍÉ ÎÁÄÁÎÎŃ ÍĹÄÉŢÎÉČ ĐĎÓĚŐÇ
ÎÁÓĹĚĹÎÎŔ, ŃË ×ÉÄÎĎ ?Ú ÓËÁÚÁÎĎÇĎ ×ÉÝĹ, ¤ ĆĎŇÍŐ×ÁÎÎŃ ?ÎÓÔÉÔŐĂ?Ę Ó?ÍĹĘÎÉČ Ě?ËÁŇ?×.
÷?ÄŇÁÄÎĎ, ÝĎ Ú ËĎÖÎÉÍ ŇĎËĎÍ × őËŇÁ§Î? ÚŇĎÓÔÁ¤ ŢÉÓĚĎ ÚÁËĚÁÄ?× ĎČĎŇĎÎÉ ÚÄĎŇĎ×´Ń,
ŃË? ĐŇÁĂŔŔÔŘ ÎÁ ÚÁÓÁÄÁČ Ó?ÍĹĘÎϧ ÍĹÄÉĂÉÎÉ, ÔÁ ĆÁËÔÉŢÎÁ Ë?ĚŘË?ÓÔŘ Ě?ËÁŇ?×
ÚÁÇÁĚŘÎϧ ĐŇÁËÔÉËÉ. đĹŇŰ? Đ?ÄÓŐÍËÉ ×ĐŇĎ×ÁÄÖĹÎÎŃ ×?ÔŢÉÚÎŃÎϧ Ó?ÍĹĘÎϧ ÍĹÄÉĂÉÎÉ
Ó×?ÄŢÁÔŘ ĐŇĎ ĹĆĹËÔÉ×Î?ÓÔŘ Ă?¤§ ĎŇÇÁÎ?ÚÁĂ?ĘÎϧ ĆĎŇÍÉ ŇĎÂĎÔÉ, ŃËÁ ĎÂŐÍĎ×ÉĚÁ
ÚÍĹÎŰĹÎÎŃ Ë?ĚŘËĎÓÔ? ÎÁĐŇÁ×ĚĹÎŘ ÄĎ „×ŐÚŘËÉČ” ÓĐĹĂ?ÁĚ?ÓÔ?×, ÚÎÉÖĹÎÎŃ Ň?×ÎŃ
ÇĎÓĐ?ÔÁĚ?ÚÁĂ?§, ÓËĎŇĎŢĹÎÎŃ Ë?ĚŘËĎÓÔ? ×ÉËĚÉË?× „Ű×ÉÄËϧ ÍĹÄÉŢÎϧ ÄĎĐĎÍĎÇÉ”
(1).
÷?ÄĎÍĎ, ÝĎ Đ?ÄÇĎÔĎ×ËÁ Ě?ËÁŇŃ ĐĎ×ÉÎÎÁ ÂŐÔÉ ÚĎŇ?¤ÎÔĎ×ÁÎÁ ÎÁ ĐŇ?ĎŇÉÔĹÔÎ?
ĐŇĎÂĚĹÍÉ ĎČĎŇĎÎÉ ÚÄĎŇĎ×´Ń × ËŇÁ§Î? ÔÁ ÎÁ ÎÁĐŇŃÍËÉ ×ÉŇ?ŰĹÎÎŃ ĂÉČ ĐŇĎÂĚĹÍ ŢĹŇĹÚ
ĐĹ×Î? ŇĹĆĎŇÍÁÔĎŇÓŘË? Ä?§ × ÍĹÄÉŢÎ?Ę ÇÁĚŐÚ? (2). ôĎÍŐ, ×ÁÖĚÉ×ÉÍ ¤ ĆĎŇÍŐ×ÁÎÎŃ
ÓÉÓÔĹÍÉ ÎÁ×ŢÁÎÎŃ ŃË?ÓÎĎ ÎĎ×ĎÍŐ ĆÁČŐ – Ě?ËÁŇŃ ÚÁÇÁĚŘÎϧ ĐŇÁËÔÉËÉ.
÷ĐŇĎÄĎ×Ö ĎÓÔÁÎÎ?Č ÔŇŘĎČ ŇĎË?× ÎÁ ËÁĆĹÄŇ? ÔĹŇÁĐ?§ ? Ó?ÍĹĘÎϧ ÍĹÄÉĂÉÎÉ
ĆÁËŐĚŘÔĹÔŐ Đ?ÓĚŃÄÉĐĚĎÍÎϧ ĎÓ×?ÔÉ ?×ÁÎĎ-ćŇÁÎË?×ÓŘËϧ ÄĹŇÖÁ×Îϧ ÍĹÄÉŢÎϧ ÁËÁÄĹÍ?§
ĐŇĎ×ĎÄÉÔŘÓŃ Đ?ÄÇĎÔĎ×ËÁ ÔÁ ĐĹŇĹĐ?ÄÇĎÔĎ×ËÁ Ó?ÍĹĘÎÉČ Ě?ËÁŇ?×. ÷ÁÖĚÉ×Ĺ Í?ÓĂĹ Ő
ÎÁ×ŢÁĚŘÎĎÍŐ ĐŇĎĂĹÓ? ÚÁĘÍÁ¤ ĂÉËĚ ËÁŇÄ?ĎĚĎÇ?§, Ú×ÁÖÁŔŢÉ ÎÁ ÔĎĘ ĆÁËÔ, ÝĎ Č×ĎŇĎÂÉ
ÓĹŇĂĹ×Ď-ÓŐÄÉÎÎϧ ÓÉÓÔĹÍÉ ÓËĚÁÄÁŔÔŘ ÎÁĘÂ?ĚŘŰ ĐĎŰÉŇĹÎŐ ÇŇŐĐŐ × ÓÔŇŐËÔŐŇ?
ÚÁČ×ĎŇŔ×ÁÎĎÓÔ?, ?Î×ÁĚ?ÄÉÚÁĂ?§ ÔÁ ÓÍĹŇÔÎĎÓÔ? ÎÁÓĹĚĹÎÎŃ ŇĎÚ×ÉÎŐÔÉČ ËŇÁ§Î Ó×?ÔŐ, ×
ÔĎÍŐ ŢÉÓĚ? ? őËŇÁ§ÎÉ (3).
ôÁÂĚÉĂŃ 1. ÷ŇĎÄÖĹÎ? ×ÁÄÉ ŇĎÚ×ÉÔËŐ ĐĚĎÄŐ, ÎĹÓŐÍ?ÓÎ? Ú ÖÉÔÔŃÍ, ĐĎ Í.őÖÇĎŇĎÄŐ ÚÁ ĐĹŇ?ĎÄ 1998-1999 ŇŇ.
| No Đ/Đ | óÔÁÔŘ | äÁÔÁ ÎÁŇĎÄÖĹÎÎŃ/ÓÍĹŇÔ? | í?ÓĂĹ ÓÍĹŇÔ? | ä?ÁÇÎĎÚ | őúä ÚÁËĚŔŢĹÎÎŃ ÔÁ ÍĎÖĚÉ×?ÓÔŘ őúä Ä?ÁÇÎĎÓÔÉËÉ |
| 1. | ö. | 12.07.98-14.07-98 | íäě | đŐČĚÉÎÁ ÓĹŇĂĹ×ĎÇĎ Í´ŃÚŐ | îÁ ĎÂĚ?ËŐ ÎĹ ĐĹŇĹÂŐ×ÁĚÁ |
| 2. | ţ | 17.05.98-17.08.98 | íäě | íĹÚĹÎÔĹŇÁĚŘÎÁ ËÉĚÁ | îÁ ĎÂĚ?ËŐ ÎĹ ĐĹŇĹÂŐ×ÁĚÁ |
| 3. | ţ | 5.10.98-22.10-.98 | íäě | ÷ŇĎÄÖĹÎÁ ÄĹĆĎŇÍÁĂ?Ń Ë?ÓÔĎË ŢĹŇĹĐÁ Spina bifida | őúä-ÎÁ 25-26 ÔÉÖÎ? |
| 4. | ţ | 2.07.98-5.11.98 | íäě | ëĎÁŇËÔÁĂ?Ń ÁĎŇÔÉ | ä×?ĘÎŃ.őúä ÎĹ ÍĎÖĚÉ×Á |
| 5. | ţ | 16.11.98-17.11.98 | íäě | äĹĆĹËÔ Í?ÖĐĹŇĹÄÓĹŇÄÎϧ ĐĹŇĹÔÉÎËÉ | őúä ÎÁ 33-34 ÔÉÖÎ? |
| 6. | ţ | 6.10.99 | đĎĚĎÇĎ×ÉĘ ÂŐÄÉÎĎË | ÷ÁÄÁ ÓĹŇĂŃ (÷÷ó) | őúä ÎÁ 12 ÔÉÖÎ? |
| 7. | ţ | 9.1.99-13.8.99 | íäě | ÷÷ó | îÁ ĎÂĚ?ËŐ ÎĹ ĐĹŇĹÂŐ×ÁĚÁ |
ôÁÂĚÉĂŃ 2. óÔŇŐËÔŐŇÁ ÷÷ňđ Ő Ä?ÔĹĘ 1998-1999ŇŇ. ÎÁŇĎÄÖĹÎÎŃ, ×ÉĐÉÓÁÎÉČ Ú ĐĎĚĎÇĎ×ĎÇĎ ÂŐÄÉÎËŐ Í. őÖÇĎŇĎÄÁ
| No Đ/Đ | äÁÔÁ ÎÁŇĎÄÖĹÎÎŃ | ä?ÁÇÎĎÚ | őúä ÚÁËĚŔŢĹÎÎŃ |
| 1998 |
| 1. | 9.2.98 | úÁŃŢÁ ÇŐÂÁ, ŇĎÚÝĹĐĚĹÎÎŃ Ô×ĹŇÄĎÇĎ ÎĹÂÁ | îÁ ĎÂĚ?ËŐ ÎĹ ĐĹŇĹÂŐ×ÁĚÁ |
| 2. | 20.01.98 | ÷÷ó | îÁ ĎÂĚ?ËŐ ÎĹ ĐĹŇĹÂŐ×ÁĚÁ |
| 3. | 3.04.98 | č. äÁŐÎÁ | îÁ ĎÂĚ?Ë ÓÔÁĚÁ Đ?ÚÎĎ.őúä ÎĹ ĐŇĎČĎÄÉ ĚÁ |
| 4. | 24.4.98 | Spina bifida | îÁ ĎÂĚ?ËŐ ÎĹ ĐĹŇĹÂŐ×ÁĚÁ |
| 5. | 20.09.98 | ÷÷ó | őúä ÎÁ 26 ÔÁ 33 ÔÉÖÎ? |
| 1999 Ň?Ë ÎÁŇĎÄÖĹÎÎŃ |
| 6. | 27.4.99 | Spina bifida | đĹŇĹÂŐ×ÁĚÁ ÎÁ ĎÂĚ?ËŐ,őúä ÎĹ ĐŇĎČĎÄÉĚÁ |
| 7 | 21.6.99 | ĺÍÂŇ?ĎÎÁĚŘÎÁ ËÉĚÁ | îÁ ĎÂĚ?ËŐ ÎĹ ĐĹŇĹÂŐ×ÁĚÁ |
| 8. | 5.09.99 | ÷÷ó | őúä ÎÁ 22 ÔÉÖÎ? âÁÇÁÔĎ×ĎÄÄŃ, Ç?ÄŇĎÎĹĆŇĎÓ ĐŇÁ×ϧ ÎÉŇËÉ 2 ÓÔŐĐĹÎŃ Ő ×ÁÇ?ÔÎϧ |
| 9. | 4.10.99 | ÷÷ó | őúä ÎÁ 24 ÔÉÖÎ? čŇĎÎ.Đ?¤ĚĎÎĹĆŇÉÔ ×ÁÇ?ÔÎϧ |
| 10. | 18.09 | ÷÷ó | őúä ÎÁ 23 ÔÉÖÎ? |
ôÁÂĚÉĂŃ 3. đĎËÁÚÎÉËÉ ŐĚŘÔŇÁÚ×ŐËĎ×ϧ Ä?ÁÇÎĎÓÔÉËÉ ×ÁÇ?ÔÎÉČ ÚÁ 1998 -1999 ŇŇ.
| úÄĎŇĎ×? | ôŇÉÍĹÓÔŇÉ |
| đĹŇŰÉĘ | äŇŐÇÉĘ | ôŇĹÔ?Ę | ÷ÓŘĎÇĎ | ňÁÚĎÍ |
114
53% | 85
56% | 670
71% | 529
77% | 216
52% | 169
65% | 1000
63% | 783
71% | 1783
66% |
| úÁÇŇĎÚÁ ĐĹŇĹŇÉ×ÁÎÎŃ | 40 | 21 | 30 | 33 | 16 | 2 | 86 | 56 | 142 |
| ÷ÁÇ?ÔÎ?ÓÔŘ Ć?ÂŇĎÍ?ĎÍÁ | 13 | 6 | 17 | 9 | 17 | 7 | 47 | 22 | 69 |
| ë?ÓÔÁ | | 9 | 8 | 4 | 7 | 1 | 15 | 14 | 29 |
| ÷ÁÇ?ÔÎ?ÓÔŘ Ä×ĎŇĎÇÁ ÍÁÔËÁ | 16 | 5 | 4 | 1 | 2 | | 22 | 6 | 28 |
| óÁÍĎ×?ĚŘÎÉĘ ĐĎŢÁÔĎË | 15 | 13 | | | | | 15 | 13 | 28 |
| áÎĹÍÂŇ?ĎÎ?Ń | 17 | 5 | | | | | 17- | 5 | 22 |
| ó?ÄÎÉŢÎĹ ĐĹŇĹÄĚĹÖÁÎÎŃ | | | 7 | 4 | 14 | 18 | 21 | 22 | 43 |
| î?ÖÎĹ | | | | | 1 | 1 | 1 | 1 | 2 |
| ä×?ĘÎŃ | | 3 | 11 | 4 | 3 | 1 | 14 | 8 | 22 |
| đ?¤ĚĎÎĹĆŇÉÔ | | | 57 | 25 | 35 | 7 | 92 | 32 | 124 |
| ňŐÂĹĂŘ ÎÁ ÍÁÔĂ? | | 3 | 24 | 9 | 16 | 7 | 40 | 19 | 59 |
| ?ÓÔÍÉËĎ-ĂĹŇ×ÉËÁĚŘÎÁ ÎĹÄĎÓÔÁÔÎ?ÓÔŘ | | | | 5 | 4 | | 4 | 5 | 9 |
| íÁĚĎ×ĎÄÄŃ | | | 6 | 1 | 7 | | 13 | 1 | 14 |
| âÁÇÁÔĎ×ĎÄÄŃ | | | 35 | 17 | 29 | 20 | 64 | 37 | 101 |
| čŇĎÎ. Ç?ĐĎËÓ?Ń ĐĚĎÄŐ | | | 11 | 1 | 22 | 6 | 33 | 7 | 40 |
| áÎÔĹÎÁÔÁĚŘÎÁ ÚÁÇÉÂĹĚŘ ĐĚĎÄŐ | | | 3 | 3 | | | 3 | 3 | 6 |
| ÷ŇĎÄÖĹÎ? ×ÁÄÉ ĐĚĎÄŐ | | | 14 | 11 | 1 | 2 | 15 | 13 | 28 |
| ňĹÚŐÓ-ËĎÎĆĚ?ËÔ | | | | | 1 | | 1 | | 1 |
| ó-Í ÚÁÔŇÉÍËÉ ŇĎÚ×ÉÔËŐ | | | 3 | 3 | | 2 | 3 | 5 | 8 |
| îÉÚŘËĹ ĐŇÉËŇ?ĐĚĹÎÎŃ ĐĚÁĂĹÎÔÉ | | | 38 | 22 | 4 | 1 | 42 | 23 | 65 |
| ăĹÎÔŇÁĚŘÎĹ ĐĹŇĹÄ ĚĹÖÁÎÎŃ | | | | 1 | | 1 | | 2 | 2 |
| đĹŇĹÄŢÁÓÎĹ ÄĎÚŇ?×ÁÎÎŃ ĐĚÁĂĹÎÔÉ | | | 2 | 2 | 17 | 13 | 19 | 15 | 34 |
| ţÁÓÔËĎ×Ĺ ×?ÄŰÁŇŐ×ÁÎÎŃ ĐĚÁĂĹÎÔÉ | | | 3 | 2 | 1 | 2 | 4 | 4 | 8 |
| ç?ĐĎÔŇĎĆ?Ń ĐĚĎÄŐ | | | | | 2 | | 2 | | 2 |
215 150 943 686 415 260 15731096
÷óřďçď 1998+1999 = 2669 ×ÁÇ?ÔÎÉČ
ôÁÂĚÉĂŃ 4. ÷ŇĎÄÖĹÎ? ×ÁÄÉ ŇĎÚ×ÉÔËŐ ĐĚĎÄÁ, Ä?ÁÇÎĎÓÔĎ×ÁÎ? ÚÁ 1993-1999 ŇŇ. × Ö?ÎĎŢ?Ę ËĎÎÓŐĚŘÔÁĂ?§ Í.őÖÇĎŇĎÄÁ
| ä?ÁÇÎĎÚ | 1993 | 1994 | 1995 | 1996 | 1997 | 1998 | 1999 | ÷ÓŘĎÇĎ |
| áÎĹÎĂĹĆÁĚ?Ń | 4 | | 1 | 1 | 1 | 6 | 3 | 16-18,4% |
| ç?ÄŇĎĂĹĆÁĚ?Ń | 3 | 1 | 1 | 1 | 4 | 4 | 3 | 17-19,5% |
| í?ËŇĎĂĹĆÁĚ?Ń | 1 | | | 1 | | 1 | | 3-3,4% |
| ë?ÓÔĎÚÎÁ Ç?ÇŇĎÍÁ Űɧ | | 1 | | | | | 2 | 3-3,4% |
| ä?ÁĆŇÁÇÍÁĚŘÎÁ ËÉĚÁ | | | 1 | | | | | 1-1,1% |
| óĐÉÎÎĎÍĎÚËĎ×Á ËÉĚÁ | | 2 | 2 | 1 | 6 | | | 11-12,6% |
| óĹŇĂĹ×Ď-ÓŐÄÉÎÎ? ×ÁÄÉ | | | | 2 | | 1 | 1 | 4-4,6% |
| ďÍĆÁĚĎĂĹĚĹ | 1 | 1 | | | 1 | 1 | 2 | 6-6,89% |
| çÁÓÔĎŰÉÚÉÓ | | 1 | 2 | | | 1 | | 4-4,6% |
| áÔŇĹÚ?Ń ĐĹÔĹĚŘ ËÉŰĹŢÎÉËÁ | | | 1 | 1 | 2 | | | 4-4,6% |
| đÁÔĎĚĎÇ?Ń ÎÉŇĎË | 2 | 2 | 1 | 2 | 3 | | 2 | 12-13,8% |
| đŐČĚÉÎÁ ŢĹŇĹ×Á | 1 | | | | | | | 1-1,1% |
| čĎÎÄŇĎÄÉÓÔŇĎĆ?Ń | | 2 | 2 | | | 1 | | 5-5,7% |
| ÷ÓŘĎÇĎ | 12-0,75% | 10-0,72% | 11-0,69% | 9-0,6% | 17-1,22 | 15-0.95% | 13-1,2% | 87-0,86% |
| đĹŇĹŇ×ÁÎĎ | 10 -83,3% | 8-80% | 9-81,8% | 8-88,9% | 15-88,2% | 14-93,3% | 11-84,6% | 75-86,2% |
| ÷ÓŘĎÇĎ ĎÂÓÔĹÖĹÎĎ ×ÁÇ?ÔÎÉČ | 1602 | 1394 | 1588 | 1504 | 1388 | 1573 | 1096 | 10145 |
îÁ×ŢÁÎÎŃ ÚÄ?ĘÓÎŔ¤ÔŘÓŃ ÎÁ ËĚ?Î?ŢÎÉČ ÂÁÚÁČ ËÁĆĹÄŇÉ – × ËÁŇÄ?ĎĚĎÇ?ŢÎĎÍŐ
×?ÄÄ?ĚĹÎÎ? ĂĹÎÔŇÁĚŘÎϧ Í?ÓŘËϧ ËĚ?Î?ŢÎϧ Ě?ËÁŇÎ? Í. ?×ÁÎĎ-ćŇÁÎË?×ÓŘËÁ ÔÁ
×?ÄÄ?ĚĹÎÎŃČ ĎÂĚÁÓÎĎÇĎ Ë?Ě?Î?ŢÎĎÇĎ ËÁŇÄ?ĎĚĎÇ?ŢÎĎÇĎ ÄÉÓĐÁÎÓĹŇŐ. đĎŇŃÄ ?Ú
ÔŇÁÄÉĂ?ĘÎÉÍÉ ĆĎŇÍÁÍÉ ĐŇĎ×ĹÄĹÎÎŃ ÎÁ×ŢÁĚŘÎĎÇĎ ĐŇĎĂĹÓŐ (ÓĹÍ?ÎÁŇÉ, ĐŇÁËÔÉŢÎ?
ÚÁÎŃÔÔŃ, ËĚ?Î?ŢÎ? ŇĎÚÂĎŇÉ Č×ĎŇÉČ ÔĎÝĎ) ÎÁ ËÁĆĹÄŇ? ŰÉŇĎËĎ ×ÉËĎŇÉÓÔĎ×ŐŔÔŘÓŃ
ÓŐŢÁÓÎ? ?ÎĆĎŇÍÁĂ?ĘÎ? ÔĹČÎĎĚĎÇ?§.
ăĹ, ÎÁÓÁÍĐĹŇĹÄ, ÓÔĎÓŐ¤ÔŘÓŃ ËĎÍĐ´ŔÔĹŇÎĎÇĎ ËĎÎÔŇĎĚŔ ÚÎÁÎŘ Ě?ËÁŇ?×-?ÎÔĹŇÎ?× ?
ËŐŇÓÁÎÔ?× (×Č?ÄÎĎÇĎ, ĐĎÔĎŢÎĎÇĎ ÔÁ ×ÉČ?ÄÎĎÇĎ), ŃËÉĘ ĐŇĎ×ĎÄÉÔŘÓŃ ×ĐŇĎÄĎ×Ö ŐÓŘĎÇĎ
ĐĹŇ?ĎÄŐ ÎÁ×ŢÁÎÎŃ ÎÁ ĂÉËĚ?. đĎŇŃÄ Ú ĂÉÍ, ÎÁ ËÁĆĹÄŇ? ŇĎÚŇĎÂĚĹÎ? ?ÎÔĹŇÁËÔÉ×Î?
ĚĹËĂ?§ ?Ú ĎÓÎĎ×ÎÉČ ĐÉÔÁÎŘ Ä?ÁÇÎĎÓÔÉËÉ ÔÁ Ě?ËŐ×ÁÎÎŃ ÚÁČ×ĎŇŔ×ÁÎŘ ÓĹŇĂĹ×Ď-ÓŐÄÉÎÎϧ
ÓÉÓÔĹÍÉ, ÝĎ ÄĎÚ×ĎĚѤ ĐĎËŇÁÝÉÔÉ ÚÁÓ×ϤÎÎŃ ÚÎÁÎŘ ?Ú ĂŘĎÇĎ ŇĎÚÄ?ĚŐ ÍĹÄÉĂÉÎÉ.
îÁ ĐĎŢÁÔĎË ÔŇĹÔŘĎÇĎ ÔÉÓŃŢĎĚ?ÔÔŃ Ő ÓÁÍĎÓÔ?ĘÎĹ ÖÉÔÔŃ ×ÓÔŐĐÉĚĎ ÎĎ×Ĺ ĐĎËĎĚ?ÎÎŃ
Ě?ËÁŇ?×, ŃË? ×Í?ŔÔŘ ĐŇÁĂŔ×ÁÔÉ × ÍĹŇĹÖ? Internet. ăĹ ÄÁ¤ §Í ÚÍĎÇŐ ĎĐĹŇÁÔÉ×ÎĎ
ĎÔŇÉÍŐ×ÁÔÉ ÍĹÄÉŢÎŐ ?ÎĆĎŇÍÁĂ?Ŕ ÎÁ×?ÔŘ × ĹËÓÔŇÉÍÁĚŘÎÉČ ×ÉĐÁÄËÁČ. úŇĎÚŐÍ?ĚĎ, ÝĎ
ÓŘĎÇĎÄÎ? Ě?ËÁŇ Ő ×?ÄÄÁĚĹÎÉČ Ç?ŇÓŘËÉČ ŇĹÇ?ĎÎÁČ ÂĹÚ ÄĎÓÔŐĐŐ ÄĎ ?ÎĆĎŇÍÁĂ?§ ÂŐÄĹ
×?ÄÓÔÁ×ÁÔÉ Ő Ó×ϤÍŐ ŇĎÚ×ÉÔËŐ. ëŐŇÓÉ ÓĐĹĂ?ÁĚ?ÚÁĂ?§, ŃË? ĐŇĎ×ĎÄŃÔŘÓŃ ÎÁ ËÁĆĹÄŇ?
ÔĹŇÁĐ?§ ? Ó?ÍĹĘÎϧ ÍĹÄÉĂÉÎÉ, ÄÁŔÔŘ ÚÍĎÇŐ Î?×ĹĚŔ×ÁÔÉ, × ĐĹ×Î?Ę Í?Ň?, ĂŔ
ĐŇĎÂĚĹÍŐ.
ďÓË?ĚŘËÉ, ×ĚÁÓÎÁ ËĎÍĐ´ŔÔĹŇÎÁ ÍĹŇĹÖÁ ÍÁ¤ ÄĎÓÔŐĐ ÄĎ ?ÎÔĹŇÎĹÔŐ, ÓĐ?×ŇĎÂ?ÔÎÉËÉ
ËÁĆĹÄŇÉ Ő Ó×Ď§Ę ĐĎ×ÓŃËÄĹÎÎ?Ę Đ?ÄÇĎÔĎ×Ă? ÄĎ ĐŇĎ×ĹÄĹÎÎŃ ĐŇÁËÔÉŢÎÉČ ÚÁÎŃÔŘ ?
ÓĹÍ?ÎÁŇ?× Ú ËÁŇÄ?ĎĚĎÇ?§ ŰÉŇĎËĎ ËĎŇÉÓÔŐŔÔŘÓŃ ÍĹÄÉŢÎÉÍÉ ŇĹÓŐŇÓÁÍÉ ÓÉÓÔĹÍÉ. óĚ?Ä
ÄĹÔÁĚŘÎĎ ÚŐĐÉÎÉÔÉÓŘ ÎÁ ÄĹŃËÉČ ?Ú ÎÉČ.
ňĹÓŐŇÓ „Medscape” (
www.medscape.com), ÚÇ?ÄÎĎ Ú ÄŐÍËĎŔ Â?ĚŘŰĎÓÔ? ĆÁČ?×Ă?×, ¤
ÍĹÄÉŢÎÉÍ ÓÁĘÔĎÍ No1. ÷?Î ÄĎÚ×ĎĚѤ ÚĹËĎÎĎÍÉÔÉ ŢÁÓ, ÓĐŇŃÍĎ×ÁÎÉĘ ÎÁ ĐĎŰŐË ÎĹĎÂČ?ÄÎϧ
ÍĹÄÉŢÎϧ ?ÎĆĎŇÍÁĂ?§, ÔÁ ÚÁÂĹÚĐĹŢŐ¤ ËĚ?Î?ĂÉÓÔ?× ÎĹĎÂČ?ÄÎÉÍÉ ÚÎÁÎÎŃÍÉ, ÝĎ ÄĎÓÉÔŘ
×ÁÖĚÉ×Ď ÄĚŃ ĐŇÁËÔÉŢÎϧ Ä?ŃĚŘÎĎÓÔ?. Medscape – ĂĹ:
ĎĐÔÉÍ?ÚĎ×ÁÎÉĘ ÔÁ ÓÉÓÔĹÍÁÔÉÚĎ×ÁÎÉĘ ĐĎŰŐË ?ÎĆĎŇÍÁĂ?§ × ÓÉÓÔĹÍ?
Medline;
ĐĎÎÁÄ 250 on-line ÍĹÄÉŢÎÉČ ÔĎ×ÁŇÉÓÔ×;
ĐŇĎ×ĹÄĹÎÎŃ ÔĹÍÁÔÉŢÎÉČ ËĎÎĆĹŇĹÎĂ?Ę (× ÔĎÍŐ ŢÉÓĚ? × ŇĹÖÉÍ? ŇĹÁĚŘÎĎÇĎ
ŢÁÓŐ);
ÝĎÄĹÎÎ? ĆÁČĎ×? ÍĹÄÉŢÎ? ÎĎ×ÉÎÉ;
ĐĎÎÁÄ 50 ĐĎ×ÎĎÔĹËÓÔĎ×ÉČ ÍĹÄÉŢÎÉČ ÖŐŇÎÁĚ?× ÔÁ ĐĎÓ?ÂÎÉË?×;
ÄÉÓËŐÓ?§ on-line ÔÁ off-line.
îÁ ÓÔĎŇ?ÎĂ?, ĐŇÉÓ×ŃŢĹÎ?Ę ĐŇĎÂĚĹÍÁÍ ËÁŇÄ?ĎĚĎÇ?§, ĐĎŇŃÄ ?Ú ÁÎĎÎÓÁÍÉ ŢÉÓĚĹÎÎÉČ
ĐŐÂĚ?ËÁĂ?Ę ?Ú ×ËÁÚÁÎϧ ÔĹÍÁÔÉËÉ, ĎÓĎÂĚÉ×Ő Ő×ÁÇŐ ĐŇÉ×ĹŇÔÁŔÔŘ ŇĎÚÄ?ĚÉ „ĺëç ÔÉÖÎŃ”
ÔÁ „ĺČĎëç ÔÉÖÎŃ”. ÷ËÁÚÁÎ? ŇĎÚÄ?ĚÉ Ń×ĚŃŔÔŘÓŃ Ó×ϤŇ?ÄÎÉÍÉ ?ÎÔĹŇÁËÔÉ×ÎÉÍÉ
ÔŇĹÎ?ÎÇÁÍÉ, ŃË? ÄÁŔÔŘ ÚÍĎÇŐ ŃË ×ÉËĚÁÄÁŢÁÍ, ÔÁË ? ÓÔŐÄĹÎÔÁÍ ÎĹ Ô?ĚŘËÉ ×?ÄĐĎ×?ÓÔÉ
ÎÁ ĐĎÓÔÁ×ĚĹÎ? ÚÁĐÉÔÁÎÎŃ, ÁĚĹ ? ĐŇÉÎŃÔÉ ŐŢÁÓÔŘ × ÄÉÓËŐÓ?§ ÓÔĎÓĎ×ÎĎ ËĎÖÎĎÇĎ
ËĎÎËŇĹÔÎĎÇĎ ËĚ?Î?ŢÎĎÇĎ ×ÉĐÁÄËŐ.
÷ÁÖĚÉ×Ĺ Í?ÓĂĹ × ĐŇĎĂĹÓ? Đ?ÄÇĎÔĎ×ËÉ Ě?ËÁŇ?× ÚÁÇÁĚŘÎϧ ĐŇÁËÔÉËÉ Ú ËÁŇÄ?ĎĚĎÇ?§
ÎÁĚĹÖÉÔŘ ĐŇÁËÔÉŢÎÉÍ ÎÁ×ÉŢËÁÍ, ÚĎËŇĹÍÁ ŐÍ?ÎÎŔ ×?ŇÎĎ ×ÉÓĚŐČĎ×Ő×ÁÔÉ ÔÁ
?ÄĹÎÔÉĆ?ËŐ×ÁÔÉ ÓĹŇĂĹ×? ÔĎÎÉ ? ŰŐÍÉ, ŃË? ×ÉÓĚŐČĎ×ŐŔÔŘÓŃ ÎÁÄ Ä?ĚŃÎËĎŔ ÓĹŇĂŃ. đĎŇŃÄ
?Ú ĐŇĎ×ĹÄĹÎÎŃÍ Ć?ÚÉËÁĚŘÎĎÇĎ ĎÂÓÔĹÖĹÎÎŃ Č×ĎŇÉČ ÎÁ ËÁĆĹÄŇ? ×ÉËĎŇÉÓÔĎ×ŐŔÔŘÓŃ
×?ŇÔŐÁĚŘÎ? ĐŇĎÇŇÁÍÉ-ÔŇĹÎ?ÎÇÉ, ÚÁĐĎÚÉŢĹÎ? Ú ?ÎÔĹŇÎĹÔŐ – ÓÁĘÔÉ „Virtual
stetoscope” (
www.sprojects.mmi.mcgill.ca/dir/mvs.html) ÔÁ „Virtual Heart”
(
www.medic.bgu.ac.il./mededu/software/virt/virtualheart.html).
îÁ ×ËÁÚÁÎÉČ Web-ÓÔĎŇ?ÎËÁČ Ú?ÂŇÁÎÁ ÂÁÇÁÔÁ ËĎĚĹËĂ?Ń ×ĹŇÂÁĚŘÎÉČ ÄÁÎÉČ, ŃË?
ÓÔĎÓŐŔÔŘÓŃ ĆĎŇÍŐ×ÁÎÎŃ ÔĎÎ?× ÓĹŇĂŃ, ĎŇÇÁÎ?ŢÎÉČ ÔÁ ĆŐÎËĂ?ĎÎÁĚŘÎÉČ ÓĹŇĂĹ×ÉČ ?
ĐĎÚÁÓĹŇĂĹ×ÉČ ŰŐÍ?×.
óĐĹĂ?ÁĚ?ÚĎ×ÁÎÉĘ ÓÁĘÔ, ĐŇÉÓ×ŃŢĹÎÉĘ ĹČĎËÁŇÄ?ĎÇŇÁĆ?§ (
www.mmip.mcgill.ca/ heart/medecho.html), ĎÚÎÁĘĎÍĚŔ¤ ?Ú
ĎÓÎĎ×ÁÍÉ ×ËÁÚÁÎĎÇĎ ÍĹÔĎÄŐ Ä?ÁÇÎĎÓÔÉËÉ, ÎÁ ÎŘĎÍŐ ÔÁËĎÖ ĐŇĹÄÓÔÁ×ĚĹÎÉĘ ÁŇČ?×
ĹČĎËÁŇÄ?ĎÇŇÁÍ.
Web-ÓÔĎŇ?ÎËÉ áÍĹŇÉËÁÎÓŘËĎÇĎ ËÁŇÄ?ĎĚĎÇ?ŢÎĎÇĎ ËĎĚĹÄÖŐ (
www.acc.org), „HeartLinx.com” (
www.heartlinx.com), „HeartWeb”
(
www.heartweb.com) ÔÁ
ÓĐĹĂ?Ě?ÚĎ×ÁÎ? ŇĹÓŐŇÓÉ, ĐŇÉÓ×ŃŢĹÎ? ×É×ŢĹÎÎŔ ĎËŇĹÍÉČ ÎĎÚĎĚĎÇ?Ę, ÚÁÂĹÚĐĹŢŐŔÔŘ ?
×ÉËĚÁÄÁŢ?×, ? ÓÔŐÄĹÎÔ?× ÓŐŢÁÓÎĎŔ ?ÎĆĎŇÍÁĂ?¤Ŕ ÓÔĎÓĎ×ÎĎ Ä?ÁÇÎĎÓÔÉËÉ ÔÁ Ě?ËŐ×ÁÎÎŃ
ÚÁČ×ĎŇŔ×ÁÎŘ ÓĹŇĂĹ×Ď-ÓŐÄÉÎÎϧ ÓÉÓÔĹÍÉ.
ôÁËÉÍ ŢÉÎĎÍ, ÚÁÓÔĎÓŐ×ÁÎÎŃ ÓŐŢÁÓÎÉČ ?ÎĆĎŇÍÁĂ?ĘÎÉČ ÔĹČÎĎĚĎÇ?Ę Ő ÎÁ×ŢÁĚŘÎĎÍŐ
ĐŇĎĂĹÓ? ÄÁ¤ ÍĎÖĚÉ×?ÓÔŘ ?ÎÔĹÎÓÉĆ?ËŐ×ÁÔÉ ĐŇĎĂĹÓ ÎÁ×ŢÁÎÎŃ ÔÁ ĐĎĚĹÇŰŐ¤ ŇĎÂĎÔŐ
×ÉËĚÁÄÁŢÁ, ÎÁÄÁ¤ §Ę Â?ĚŘŰϧ ĹĆĹËÔÉ×ÎĎÓÔ? ? Ă?ĚĹÓĐŇŃÍĎ×ÁÎĎÓÔ?.
Piśmiennictwo
1. ëĎÎĂĹĐÔŐÁĚŘÎ? ĎÓÎĎ×É ŇĎÚ×ÉÔËŐ ÔÁ ×ĐŇĎ×ÁÄÖĹÎÎŃ Ó?ÍĹĘÎϧ
ÍĹÄÉĂÉÎÉ × őËŇÁ§Î?. äĎĐĎ×?ÄŘ Í?Î?ÓÔŇÁ ĎČĎŇĎÎÉ ÚÄĎŇĎ×´Ń őËŇÁ§ÎÉ ÷.ć.íĎÓËÁĚĹÎËÁ ÎÁ
? Ú´§ÚÄ? Ó?ÍĹĘÎÉČ Ě?ËÁŇ?×, 7-9 ĚÉÓÔĎĐÁÄÁ 2001 ŇĎËŐ, ěŘ×?×. –ëɧ×-ěŘ×?×, 2001.
–31 Ó. 2. ÷ĎŇĎÎĹÎËĎ ŕ.÷. đŇĎÂĚĹÍÉ ĎČĎŇĎÎÉ ÚÄĎŇĎ×´Ń ÔÁ ĎÂÇŇŐÎÔŐ×ÁÎÎŃ
ĐĹŇÓĐĹËÔÉ× ŇĎÚ×ÉÔËŐ ×ÉÝϧ ÍĹÄÉŢÎϧ ĎÓ×?ÔÉ × őËŇÁ§Î? //íĹÄÉŢÎÁ ĎÓ×?ÔÁ. –1999.
-No1. –ó.6-11. 3. ëĎ×ÁĚĹÎËĎ ÷.í. óÔÁÎ ? ÎÁĐŇŃÍËÉ ŇĎÚ×ÉÔËŐ ËÁŇÄ?ĎĚĎÇ?§ ×
őËŇÁ§Î? //íÁÔĹŇ?ÁĚÉ VI ËĎÎÇŇĹÓŐ ËÁŇÄ?ĎĚĎÇ?× őËŇÁ§ÎÉ. –ëɧ×. –2000.
–ó.22-24..
