diplomisSemdgomi samedicino ganaTlebis programa

« nevrologia »______________________________________________________________________

/xangrZlivoba – 3 w. - 33 Tve/

I. zogadi debulebebi.

• programis mizani da amocanebi

evrokavSiris rig qveynebSi jandacvis sistemaSi gatarebulma reformebma da am sivrceSi aRiarebadi specialistis trenirebis damadasturebeli sertifikatis moTxovnam, dRis wesrigSi daayena cvlilebebis aucilebloba postdiplomur ganaTlebaSi. sarezidento ganaTleba warmoadgens samedicino ganaTlebis kontinuumis nawils, romelsac win uswrebs prediplomuri (bazisuri) samedicino ganaTleba Sesabamisi kvalifikaciis miniWebiT (diplomirebuli medikosi, Medical Doctor) da mandatorulad mosdevs uwyveti samedicino ganaTleba/uwyveti profesiuli ganviTareba. samedicino ganaTlebis/treiningis es faza eqvemdebareba specifikur regulaciebsa da wesebs. treiningi mimdinareobs klinikur garemoSi, sadac axalgazrda eqimi wrTobas gadis ufro gamocdili kolegis meTvalyureobis qveS. es ukanaskneli pasuxismgebelia rezidentis klinikuri da akademiuri muSaobis mTels procesze.

warmodgenili sarezidento programa Sedgenilia saerTaSoriso standartebis Sesabamisad da iTvaliswinebs saqarTveloSi arsebul viTarebas, kerZod socialur-ekonomikur mdgomareobas, jandacvis sistemis specifikas, mosaxleobis nevrologiuri janmrTelobisa da avadobis speqtrs, nevrologiis swavlebis did tradicias. programis qvakuTxeds nevrologiur pacientebze organizebuli da pasuxismgeblobiani zrunva warmoadgens. aRniSnuli miiRweva klinikis/universitetis Sesabamisi gamocdilebis mqone akademiuri personalis (Faculty) zedamxedvelobis da xelmZRvanelobis pirobebSi. nevrologiuri unar-Cvevebi igeba rogorc gantoteba ZiriTadi samedicino codnis xisa. sarezidento programis farglebSi bazisur da klinikur samecniero saqmianobaSi monawileobis gamocdilebidan gamomdinare saswavlo kursis dasrulebisaTvis rezidents ukve Camoyalibebuli aqvs zrdasruli nevrologis klinikuri azrovneba, gaaCnia interesi samecniero saqmianobis mimarT, kargad aqvs ganviTarebuli akademiuri, anu saganmanaTleblo unar-Cvevebi. wrTobis procesi, romelSic monawileobs rezidenti, emsaxureba ara mxolod swavlebis obieqtisaTvis (damwyebi rezidenti) codnis gadacemas, aramed aumjobesebs rezidentis didaqtikur unarebs, ganamtkicebs dargobriv codnas da exmareba mas klinikur saqmianobaSic. sarezidento ganaTlebis uwyvetoba programis mniSvnelovani prioritetia. igi amzadebs rezidents samedicino saqmis Seswavlis uwyvetobis koncefciisaTvis da safuZvels uyris “mTeli cxovrebis ganmavlobaSi swavlis” (life-long learning) principebs. amgvari tipis rezidentura uzrunvelyofs srulyofil saganmanaTleblo sivrces didaqtikuri da klinikuri komponentebis sruli speqtriT.

sarezidento programis umTavresi mizani da amocanebia:

• maRali kvalifikaciis, eqspertis Tvisebebis mqone, eqim-specialistis momzadeba damoukidebeli nevrologiuri praqtikisaTvis maqsimaluri pasuxismgeblobiT hospitaluri da ambulatoruli pacientebis mimarT trenirebis SeTavazebiT klinikur garemoSi gamocdili akademiuri gundis meTvalyureobiT; didaqtikuri da klinikuri gamocdilebis kontinuumis uzrunvelyofa, rac saSualebas miscems rezidents iyos yovlemxriv momzadebuli kvalificirebuli da damoukidebeli saqmianobisaTvis;

• profesiuli standartis Sesabamisad specialobis maZieblis mzadeba samedicino praqtikis sakvanZo kompetenciebSi: pacientze zrunva (meurveoba), samedicino codna, interpersonaluri da komunikaciuri unarebi, praqtikaze dafuZnebuli swavleba da misi srulyofa, profesionalizmi, sistemaze dafuZnebuli praqtika.

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• bazisuri neiromecnierebebis safuZvliani da organizebuli swavlebis procesis SeTavazeba;

• bazisuri neiromecnierebebis da klinikuri nevrologiis sferoSi mkvlevaris karieris xelSewyoba da ganviTareba;

• nevrologiis istoriis da dargis mdidari tradiciebis gacnoba; • warmatebul, patiosan, gulisxmier, komunikabelur eqimad CamoyalibebisaTvis

aucilebeli personaluri Tvisebebis SeZena. nevrologiuri daavadebiT pacientebze zrunvisaTvis aucilebeli algoriTmuli taqtikis alRos Camoyalibeba da holisturi midgomis danergva. eqim-hospitalistis Cvevebis, azrovnebisa da gadawyvetilebebis miRebis unarebis gamomuSaveba da maRali pasuxismgeblobiT ganxorcieleba;

• Tanamedrove samedicino debulebebisa da Sexedulebebis aTviseba, rac uzrunvelyofs srulyofili klinikuri azrovnebis ganviTarebas;

• ZiriTadi samecniero tendenciebis mimarT interesis Camoyalibeba;• “mTeli cxovrebis ganmavlobaSi swavlis” (life-long learning) unar-Cvevebis gamomuSaveba;• nevrologiuri daavadebis mqone pacientebis mimarT integraluri (multidisciplinuri)

midgomis principebis gamomuSaveba.

• specialobis aRweriloba (programiT gaTvaliswinebuli)

nevrologi – aris eqimi specialisti, romelic axorcielebs nervuli sistemis (nevrologiuri) daavadebebis diagnozirebas, mkurnalobas da aqvs saqarTvelos kanonmdeblobiT gaTvaliswinebuli kvalifikacia da licenzia. igi movalea ganaxorcielos nevrologiuri daavadebebis efeqturi da eTikuri marTva sabaziso da klinikuri neiromedicinis srulyofili codnis, praqtikuli unar-Cvevebis flobisa da komunikaciuri, organizatoruli SesaZleblobebis demonstrirebis safuZvelze.

umaRlesi xarisxis pasuxismgeblobiani nevrologiuri meurveobis miRweva profesiuli standartis ekvivalentia. eqimis profesiuli qceva eyrdnoba tradiciul samedicino eTikur normebsa da nevrologiuri praqtikis specifikidan gamomdinare standartebs. es standartebia: nevrologisa da pacientis urTierToba, diferencirebuli midgoma gansxvavebuli kategoriis pacientebTan (pacientebi tvinis sikvdiliT, vegetatiuri mdgomareobiT, dementuri, fizikurad unarSezRuduli da a.S. ), eqimis qceva da morali, interesTa konfliqti, urTierToba samedicino sferos sxva profesionalebTan, kavSirebi mikrosocialur garemosTan, sazogadoebrivi urTierTobebi, klinikuri kvlevebi da akademiuri saqmianoba.

eqimi – nevrologi valdebulia daeuflos da ixelmZRvanelos: • saqarTvelos kanoniT “janmrTelobis dacvis Sesaxeb”;• saqarTvelos kanoniT “saeqimo saqmianobis Sesaxab”;• saqarTvelos kanoniT “pacientis uflebebis Sesaxeb”;• profesiuli pasuxismgeblobis standartebiT, kargi samedicino praqtikis (good medical

practice) meTodologiiT da gamijnos igi uxarisxo (malpractice) praqtikisagan;• zogad samedicino menejments, maT Soris krizisuli situaciebis marTvis, drois

menejments, jgufuri muSaobis principebs, klinikuri SemTxvevisadmi multidisciplinur midgomas; gaiTvaliswinos nevrologiuri paTologiis ekonomikuri aspeqtebi;

• samedicino dokumentaciis warmoebis wesebs;• inovaciur teqnologiebs, axal samkurnalo saSualebebs da kritikuli analizis Semdeg

gamoiyenos isini; • iuridiuli aspeqtebiT informirebuli Tanxmobis miRebisas pacientis CasarTavad klinikur

kvlevebSi; • monacemTa bazis Segrovebis meTodologias, statistikas, mtkicebiTi medicinis monacemTa

interpretacias;• adamianebTan (kolegebi, pacientis axloblebi, xelisuflebis warmomadgenlebi da sxv.)

urTierTobis qcevis wesebs, konfliqturi situaciebis menejments;• werilobiTi da eleqtronuli komunikaciis saSualebebs.

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rezidenturis programis dasrulebis Semdeg specialobis maZiebeli unda flobdes profesiuli saqmianobis sakvanZo kompetenciebs, ganaxorcielos efeqturi muSaoba rogorc gamocdilma eqimma, romelsac SeuZlia klinikuri daskvis Camoyalibeba, gaaCndes efeqturi komunikaciis unari, jgufuri muSaobis Cvevebi (kolaboratori), gaxdes garkveulwilad menejeri, jandacvis advokati, scholar-i (moswavle) da profesionali. specialobis maZiebels moeTxoveba:

• pacientis meurveobisas gamoavlinos diagnostikuri da Terapiuli unarebi eTikuri normebis dacviT da efeqturad;

• moiZios Sesabamisi informacia da gamoiyenos klinikur praqtikaSi;• pacientis meurveobis kanonier CarCoebSi awarmoos efeqturi sakonsultacio saqmianoba;• gamoimuSaos klinikuri da teqnikuri saqmianobis unar-Cvevebi, kerZod:

srulyofili nevrologiuri anamnezi (saWiroebis SemTxvevaSi damatebiTi monacemebis mopoveba), misi Sefaseba da analizi;

srulfasovani fizikaluri gamokvleva;

nevrologiur darRvevaTa srulyofili, mecnierulad dasabuTebuli da efeqturi diagnozireba da marTva;

nevrologiuri da mentaluri statusis gamokvleva; sindromuli da lokalizaciuri diagnostikis warmoeba;

winaswari da diferencialuri diagnozis formulireba;

Sesabamisi damatebiTi gamokvlevebis dagegmva, warmoeba da Sedegebis swori interpretacia (lumbaluri punqciis warmoeba; prozerinis testis Sesruleba; mxedvelobis simaxvilis gansazRvra, perimetria da Tvalis fskeris daTvaliereba; koloriuli sinjebis warmoeba; CT, MRT-ul tomogramebze, rentgenogramebze, eeg-ze, enmg-ze paTologiuri cvlilebebis gamoavlena; gamowveuli potencilebis da ultrabgeriTi diagnostikis monacemebis Sefaseba);

nervul daavadebaTa optimaluri mkurnalobis SemuSaveba klinikuri farmakologiis gaTvaliswinebiT.

• klinikuri kompetenturoba da safuZvliani samedicino codis daufleba:

ZiriTad nevrologiur daavadebaTa klinikuri niSnebSi; daavadebis debiutis simptomatika, mimdinareoba da prognozi;

ZiriTadi fsiqiatriuli sindromebis klinikuri niSnebi maTi neiroqimiuri safuZvlebiT;

nervuli sistemis embrionaluri ganviTareba da am etapze kongenitaluri anomaliebis aRmoceneba;

nervuli sistemis, nervuli fesvebis, periferiuli nervebis, kunTebis, nervuli sistemis sisxlZarRvebis mikro da makroskopuli anatomia;

mielinis anatomia, fiziologia, Semadgenloba;

mosvenebis potencialis, moqmedebis potencialis da sinafsuri transmisiis meqanizmebi;

aqsonaluri transporti;

ZiriTadi neirotransmiterebi, neiromodulatorebi da maTi klinikuri mniSvneloba. nervuli sistemis trofuli faqtorebis mniSvneloba;

Tav-zurg-tvinis siTxis produqcia da cirkulacia;

hemato-encefaluri, hemato-liqvoruli, hemato-nervuli barierebis biologiuri safuZveli da maTi klinikuri mniSvneloba normasa da paTologiaSi;

cerebruli sisxlnakadi da cerebruli metabolizmi;

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imunuri sistemis roli nevrologiur darRvevaTa genezSi;

cnobierebis, Zil-RviZilis anatomiuri da fiziologiuri safuZvlebi;

metyvelebis, mexsirebis, daswavlis da qcevis anatomiuri da fiziologiuri safuZvlebi;

sensoruli, specialuri sensoruli, motoruli, avtonomuri, limburi da retikuluri gamaaqtivebeli sistemebis anatomiuri da fiziologiuri safuZvlebi;

Tavis tvinis qerqis, qerqqveSa birTvebis, Talamusis, naTxemis, retikuluri gamaaqtivebeli sistemis, sunTqvis centrebisa da limburi centrebis fiziologia;

normaluri nevrologiuri statusis anatomiuri da fiziologiuri safuZvlebi asakis faqtoris gaTaliswinebiT;

ZiriTadi nevrologiuri daavadebebis, pirveladi da meoradi nevrologiuri darRvevebis (gulyra, spastika, tremori, afazia da sxv.) simptomebisa da niSnebis paTofiziologia;

ZiriTadi klinikuri gamokvlevebis Sedegebis interpretaciis safuZvlebi (lumbaluri punqcia, mxedvelobis simaxvile, perimetria, Tvalis fskeri, koloriuli sinjebi, CT, MRI, X-ray, eeg, enmg, gamowveuli potencialebi, ultrabgeriTi diagnostika); klinikuri mdgomareobis gaTvaliswinebiT gamokvlevis Cvenebebi, SesaZleblobis potenciali, ukuCvenebebi;

nevrologiur praqtikaSi gamoyenebadi ZiriTadi preparatebis Cvenebebi, gverdiTi movlenebi, usafrTxoeba da dozireba,Mmoqmedebis meqanizmi, teratogenuri efeqti;

plazmaferezis moqmedebis meqanizmi, misi gonivruli gamoyeneba specifiuri nevrologiuri daavadebebis dros;

neiroqirurgiis roli nervul daavadebaTa mkurnalobaSi, Cvenebebi da ukuCvenebebi;

neiroreabilitaciis da okupaciuri Terapiis roli nervul daavadebaTa mkurnalobaSi;

histopaTologiuri reaqciebis safuZveli, paTologiuri cvlilebebi ZiriTadi nevrologiuri daavadebebis dros;

nervuli sistemis infeqciuri daavadebebi;

klinikuri genetikis safuZvlebi, qromosomuli paTologiebi, memkvidreobiTobis tipebi, genuri lokalizaciis diagnostikuri mniSvneloba. metabolizmis Tandayolili defeqtebiT ganpirobebul ZiriTad nevrologiur sindromTa bioqimiuri safuZvlebi;

klinikuri epidemiologiis safuZvlebi; nevrologiur darRvevaTa klinikuri epidemiologia;

ZiriTadi neirotoqsiuri agentebi da maTi zegavlena nervul sistemaze. radiaciis Terapiuli da toqsiuri zegavlena nervul sistemaze. Mmisi samkurnalo roli da kavSiri nevrologiuri daavadebis ganviTarebasTan.

• komunikaciuri SesaZleblobebis gamovlena. eTikis normebis dacviT efeqturi urTierToba pacientTan, maT ojaxis wevrebTan (an sxva meurveebTan), samedicino personalTan:

pacietebisagan, maTi ojaxis wevrebisa da axloblebisagan Sesabamisi informaciis mopoveba da sinTezireba;

yuradRebisa da gulmowyaleobis gamovlena;

efeqturad mosmena;

pacientebTan, maTi ojaxis wevrebTan, medpersonalTan aqtualuri sakiTxebis

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ganxilva;

aqtiuri TanamSromloba kolegasTan (an personalTan), romelic awarmoebs dakveTil gamokvlevas, da misgan saTanado informaciis miReba;

pacientebis da maTi ojaxis wevrebis konsultireba daavadebis prevenciis gzebis, risk-faqtorebis, genetikuri da gare faqtorebis Taobaze, amasTanave samkurnalo strategiis ganxilva specifiuri samedicino da qirurgiuli intervenciis CaTvliT; genetikuri konsultacia risk-faqtorebis gamovleniT.

• pacientis meurveobis procesSi multidisciplinuri profesiuli gundis CarTva, interdisciplinuri aqtivobis algoriTmis efeqturi dagegmva da ganxorcieleba:

efeqturi sakonsultacio saqmianoba jandacvis sxva profesionalebTan;

pacientebTan da profesiuli team-is sxva wevrebTan (maT Soris studentebi, binaze momvlelebi, jandacvis muSakebi) sadamrigeblo saqmianobis gaweva. pacientis efeqturi meurveobis xelSewyobis mizniT studentebis da personalis instruqtireba maTi klinikuri ganaTlebisa da profesiuli kompetenciis Sesabamisad, codnis xalisiT gaziareba.

• rogorc menejerma efeqturad gamoiyenos da daabalansos resursebi pacientis meurveobis sferoze, saganmanaTleblo moTxovnebze da gare saqmianobaze. gonivrulad gankargos jandacvis resursebi, efeqturad iTanamSromlos jandacvis organoebTan. gamoiyenos sainformacio teqnologia pacientebis meurveobis, life-long learning da sxva aqtivobebis gansaxorcieleblad:

gamoavlinos profesiuli Cvevebis moqnili floba;

drois menejmentis sakiTxSi ixelmZRvanelos profesiuli unar-CvevebiT: punqtualoba da dagegmareba (drois efeqturi gamoyenebis TvalsazrisiT), dadgenili wesiT regularuli saqmianobis warmoeba da misi mkacrad dacva, sizuste da operatiuloba klinikur CvevebSi, samecniero literaturis gasacnobad drois gansazRvra;

amomwuravi da zusti samedicino Canawerebis warmoeba (pacientis anamnezi, nevrologiuri aRmoCenebi, diferencialuri da winaswari diagnozebi, menejmentis gegma, daavadebis ganviTarebis asaxva) da pacientis gawerisas yovelmxriv gamarTuli daskvnis Camoyalibeba;

medikosTa jgufis muSaobis efeqturi koordinireba: umcrosi kolegebis da studentebis organizeba da zedamxedveloba pacientis meurveobis an konsultirebis sakiTxebSi; aRiareba, rom optimaluri mkurnalobis gansaxorcieleblad jgufuri midgomis proncipi aucilebelia.

• samedicino sferoSi pacientis interesebis damcvelis (health advocate) statusiT gamoavlinos daavadebuli piris janmrTelobis mniSvnelovani determinantebi, efeqturad iTanamSromlos pacientebisa da sazogadoebis janmrTelobis gasaumjobeseblad, gamoavlinos da reagireba moaxdinos im sakiTxebze, romelic misi mxridan “advokatobas” moiTxovs:

moiZios da Seiswavlos sazogadoebrivi resursebi dakavSirebuli pacientis mxardamWer jgufebTan (hospitali binaze, okupaciuri Terapia da sxv.) da aqtiurad iTanamSromlos maTTan;

pacientebs miawodos informacia nevrologiuri daavadebis Sesaxeb;

pacientis keTildReobidan gamomdinare daarwmunos igi pasuxismgeblobis aRebis mniSvnelobaze da gamoavlinos mTavari determinantebi, romlebic xels uwyoben daavadebis gamovlenas (mag. risk-faqtorebis roli insultis ganviTarebaSi);

gaiTavisos erovnuli da saerTaSoriso organizaciebis (mag. insultis, gafantuli sklerozis da sxv. asociaciebi) roli daavadebaTa prevenciis, deteqciis, mkurnalobis, nevrologiuri janmrTelobis xelSewyobis sakiTxebSi.

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• rogorc Scholar-s (“moswavles”) moeTxoveba xangrZlivi individualuri saganmanaTleblo strategiis Camoayalibeba, misi implementacia, ganviTareba da monitorireba. samedicino informaciis wyaroebis kritikuli Sefaseba. aqtiuri Cabma pacientebis, samedicino personalis, studentebis, da sxva profesionalebis gasanmanaTleblo saqmianobaSi. axali samedicino informaciis gavrcelebis xelSewyoba, monawileoba klinikur da samecniero kvlevebSi.

• rogorc profesionals mas moeTxoveba maRali xarisxis da sruli moculobis meurveobis gaweva, pativiscemisa da gulmowyalebis gamovlena. misi statusis Sesabamisi personaluri da interpesonaluri profesiuli qceva, samedicino praqtikis warmarTva eTikis normebis dacviT, rac eqimisaTvis obligatulia. am amocanebis gansaxorcieleblad:

periodulad akontrolos personaluri profesiuli saqmianobis Sesabamisoba standartebTan;

waaxalisos pacientebi diskusiaSi CarTviT diagnostikisa da menejmentis sakiTxebTan dakavSirebiT;

gamoamJRavnos pativiscema axalgazrda kolegis, pirveladi da meoreuli jandacvis rgolebis eqimebis mimarT da misces ganmarteba gansxvavebuli azris Taobaze;

gaaCndes survili da unari awarmoos Tavisi samedicino praqtika uwyveti samedicino ganaTlebis (Continuing medical education) CarCoebSi da gamoimuSaos Cveva SesabamisobaSi moiyvanos klinikuri unarebi da codna “mTeli cxovrebis ganmavlobaSi swavlis” gziT.

• profesiuli mzadebis struqtura

saganmanaTleblo da yoveldRiur praqtikul saqmianobaSi mecnierul-teqnikuri progresis da inteleqtis mZlavrma invaziam, nevrologiis subspecialobebis avtonomur dargebad Camoyalibebam ganapirobes postdiplomuri ganaTlebis produqtis eqim- specialistis kompetenciis gazrda drois moTxovnilebis Sesabamisad. bunebrivia, rom mxolod sarezidento etapi ar aris sakmarisi maRali kompetenciis misaRwevad. amitom, gamoikveTa kompetenciebis gadanawilebis tendencia uwyveti samedicino ganaTlebisa da uwyveti profesili ganviTarebis safexurebze. diplomisSemdgomi (sarezidento) ganaTlebis koncefcia Camoyalibda xangrZlivi saswavlo da mecnieruli Ziebis Sedegad. misi prioritetebia janmrTelobis xelSewyoba da pacientis cxovrebis xarisxis gaumjobeseba, daavadebaTa epidemiologiuri kriteriumebis nozografiuli Sefaseba daavadebis globaluri tvirTis parametrebis gansazRvriT, mikroinvaziuri teqnologiebis mobilizeba, funqciuri nevrologiis principebis danergva daavadeba-modificirebis Terapiul arsenalSi (Disease modifying), cns-is reaqciebis modulireba fizikuri zemoqmedebis gamoyenebiT (fizikuri Terapia, fotonuri Terapia, eleqtro da magnituri Terapia), okupaciuri da kognitur-qceviTi Terapiis adaptireba sareabilitacio mkurnalobis kompleqsSi, anu arafarmakologiuri mkurnalobis xerxebis prioritetuli CarTva rogorc organul, aseve funqciur darRvevaTa mkurnalobis arsenalSi. sarezidento ganaTlebis procesi moicavs Teoriuli treiningis fazas (bazisuri samedicino mecnierebebi, ZiriTad yvelaze eqstensiur profesiuli (Vocational) treiningis fazas, winaswar gansazRvruli saeqsperto funqciebis/kompetenciebis mqone specialistis da subspecialistis treiningis fazas da sxva formalizebul treining programebs. sarezidento programa efuZneba kurikulumis axleburad gaazrebas. anatomiis, fiziologiis, bioqimiis saswavlo programebidan gamoiyo nervuli sistemisadmi miZRvnili Tavebi da gaerTianda erTian saswavlo sabaziso sagnad fundamenturi neiromecnierebis saxiT. neiromecniereba nervul sistemas ganixilavs integrirebulad rogorc normis, ise paTologiis dros misi struqturuli, neirofiziologiuri, neiroqimiuri da funqciuri erTianobidan gamomdinare, riTac qmnis klinikuri nevrologiis efeqturi dauflebis myar safuZvels. rezidenturis programis struqtura iTvaliswinebs swavlebis procesis ganxorcielebas klinikaSi, pacientis sawolTan. programis Catarebaze pasuxismgebelia programis

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direqtori, romelic gamoyofs dros rezidentebTan pedagogiuri saqmianobisaTvis. yoveli rotaciis Catarebaze pasuxismgebelia modulze pasuxismgebeli piri, romlis funqciaa procesis praqtikuli warmarTva. klinikis akademiuri personalis (Faculty) rezidentebze gaazrebuli zedamxedveloba qmnis swavlebis SesaniSnav atmosferos. programis ZiriTadi nawili eTmoba rezidentis praqtikul saqmianobas: praqtikuli unar-Cvevebis ganviTareba, muSaoba pacientis sawolTan, laboratoruli medicinis mobilizeba, sadiagnozo saSualebebis daufleba, mtkicebiTi medicinis principebze damyarebuli axali samkurnalo teqnologiebis (farmakologiuri da arafarmakologiuri) aTviseba, interaqtiuli dialogi yoveldRiur Semovlebze, konferenciebze. saswavlo procesSiGgamoiyeneba swavlebis tradiciuli formebi: leqciebi, seminarebi, kolokviumebi. arCeviTi fakultaturi saaTebi eTmoba rezidentis piradi interesebis realizebas momavali karieris Sesaqmnelad. profesiuli mzadebis procesSi mniSvnelovnad gazrdilia Tanamedrove informaciuli teqnologiebis da axali saswavlo meTodologiebis roli (problemaze orientirebuli swavleba, SemTxvevaze orientirebuli swavleba, eleqtronuli swavleba, swavleba video-masaliT, konsultaciebis modelireba). programis rafinirebis da mudmivi reviziis aucileblobidan gamomdinare sistematiurad xdeba rezidentebis azris gaTvaliswineba. swavlebis bolo weli daeTmoba nevrologiis subspecialobis arCeviT dauflebas. dargis srulyofili saeqsperto funqciebis/kompetenciebis misaRwevad axalgazrda eqimi klinikur wrTobas gadis ufro gamocdili kolegis meTvalyureobis qveS (programis direqtori, modulze pasuxismgebeli piri). sarezidento programis erTerTi novaciaa ufrosi rezidentis statusis SemoReba. es ukanaskneli damamTavrebeli wlis rezidentebTan erTad ganaxorcielebs axalbeda maZieblebis tutoris movalebebs (aucileblobis SemTxvevaSi iTvaliswinebs da gamoxatavs maT azrs), dakavebulia klinikuri da saswavlo konferenciebis saorganizacio sakiTxebiT.

sarezidento programis kurikulumis komponentebi:

• saganmanaTleblo mizani da amocanebi (yovelwliurad miewodeba rezidentebsa da akademiur personals); saganmanaTleblo process safuZvlad udevs rezidentebis klinikuri saqmianoba bazisur neiromecnierebaSi organizebuli instruqtirebis gziT mkacri zedamxedvelobis pirobebSi, maqsimaluri pasuxismgebloba hospitaluri da ambulatoruli pacientebis mimarT;

• yvela saganmanaTleblo safexurze warmodgenili rotaciis kompetenciaze dafuZnebuli mizani da amocanebi (yovelwliurad miewodeba rezidentebsa da akademiur personal)s;

• dagegmili didaqtikuri sesiebi;

bazisuri mecnierebis kurikulumi moicavs klinikuri nevrologiis fundamentur safuZvlebs;

rezidentebs moeTxoveba daswreba seminarebsa da konferenciebze, monawileoba samecniero diskusiebSi (“journal club”);

seminarebi da konferenciebi moicaven nevrologiur daavadebaTa srul speqtrs;

rezidentebi pasuxismgeblobiT ekidebian konferenciebis dagegmvasa da zedamxedvelobas;

rezidentebi amzadeben da warmoadgenen SemTxvevebis garCevebs: informacia sainteresi SemTxvevis Sesaxeb, Rrma diskusia samedicino literaturis moZiebiT da misi interpretaciiT.

• rezidentebis pasuxismgebloba pacientis meurveobis sakiTxebSi da maTze supervaizoroba programis ganmavlobaSi;

• ZiriTadi kompetenciebi (pacientze zrunva, samedicino codna, praqtikaze dafuZnebuli swavleba da misi gaumjobeseba, interpersonaluri da komunikaciuri unarebi,

7

profesionalizmi, sistemaze dafuZnebuli praqtika, akademiuri saqmianoba).

• sarezidento programa Sedgeba (zogadi da specifiuri nawilebi), programis

modulebad dayofa da modulebis ganxorcielebis oganizacia

dasaxuli miznebis gansaxorcieleblad sarezidento ganaTlebis procesi aris rezidentze orientirebuli, iTvaliswinebs saerTaSoriso standartul swavlebis principebs, qmnis sakuTar Tavze muSaobis da praqtikuli saqmianobis procesSi gamocdilebis SeZenis optimalur pirobebs. sarezidento programis Taviseburebebia:

• rotaciebi neiroradiologiaSi, neirofiziologiaSi, paTomorfologiur diagnostikaSi, pediatriul nevrologiaSi, fsiqiatriaSi, okupaciur medicina/reabilitaciaSi, neiroqirurgiaSi;

• myari didaqtikuri kurikulumi yovelkvireuli konferenciebiTa da formaluri leqciebiT;• intensiuri ambulatoruli gamocdileba;• eleqtiuri rotaciebi nevrologiis subspecialobebSi;• samedicino Canawerebis eleqtronuli sistema;

profesiuli mzadebis I weli

sam wliani sarezidento programis farglebSi pirveli weli gaTvaliswinebulia rezidentis klinikur trenirebaze Sinagani medicinis ganxriT. swavlebis pirveli weli moicavs 6 Tvian wrTobas Sinagan medicinaSi pacientis savaldebulo meurveobiT, or-orTvian rotaciebs pediatriaSi, urgenetul mdgomareobaTa menejmentSi, nevrologiaSi. mizani: swavlebis pirveli weli moicavs Teoriuli da praqtikuli trenirebis fazebs. gamomdinare im mosazrebidan, rom prediplomuri ganaTlebis periodSi zogadTerapiuli paTologia SedarebiT safuZvlianad ganixileba, am etapze profesiuli mzadebis mTavari mizania ZiriTadi somaturi paTologiebis Tanamedrove diagnostikuri algoriTmis gacnoba. gansakuTrebuli yuradReba eqceva im nozologiebis ganxilvas, sadac xSiria nervuli sistemis dazianeba. rezidentebi euflebian nevrologiuri simptomatikiT pacientebis Sefasebas (“interviu”, neirostatusi), gamokvlevis Sedegebis interpretacias da Sesabamisi diagnostikuri kvlevebis daniSnvas (eeg, enmg, gp, lumbaluri punqcia, Tavisa da xerxemlis CT da MRI). wrTobis procesSi aqcenti gadatanilia klinikur saqmianobaze - anamnezis Sefasebisa da analizis unaris Camoyalibebaze, algoriTmuli taqtikis alRos gamomuSavebaze da holisturi midgomis danergvaze. axalbeda specialistima unda ganaviTaros eqim-hospitalistis Cvevebi, azrovnebisa da gadawyvetilebis miRebis unari.

profesiuli mzadebis II weli

sarezidento programis meore weli eTmoba mozrdilTa klinikur nevrologias; axalgazrda eqimi klinikur wrTobas gadis ufro gamocdili kolegis meTvalyureobis qveS da iZens hospitaluri saqmianobis gamocdilebas. mizani: anamnezis mopovebisa da analizis unarebis daxvewa, nevrologiuri gamokvleva. weriTi da komunikaciuri unar-Cvevebis gamomuSaveba. zogadi nevrologiuri problemebis Sefaseba da mkurnaloba: gadaudebeli mdgomareobebi (koma, cnobierebisa da mentaluri statusis cvlilebebi, insulti, gulyra) da ambulatoruli praqtikis gavrcelebuli problemebi (Tavis tkivili, Tavbruxveva, welisa da kisris tkivili, periferiuli neiropaTia). epilefsiis, gafantuli sklerozis, parkinsonis daavadebis da sxva moZraobiTi darRvevebis, nerv-kunTovani daavadebebis, demenciis, cns-is infeqciebis, nervuli sistemis simsivneebis diagnozireba, Sefaseba da mkurnaloba. nervuli sistemis ganviTarebis anomaliebis Sefaseba da mkurnaloba. rezidentebi Seiswavlian okupaciuri medicinis da reabilitaciis ZiriTad principebs; maTi uSualo monawileobiT ganxorcieldeba insultiT, zurgis tvinis dazianebiT, Tavis travmuli dazianebiT, welis da kisris tkiviliT pacientebis Sefaseba da samkurnalo arsenalSi arafarmakologiuri meTodebis

8

CarTva. klinikuri neirofiziologiis safuZvlebis daufleba; eeg, nervis gamtareblobis gamokvlevis damoukideblad Catareba da eleqtrofiziologiuri diagnostikuri kvlevebis (gp, Eenmg-s CaTvliT) monacemTa interpretacia.swavlebis periodSi gansakuTrebuli aqcenti keTdeba rezidentebis algoriTmuli klinikuri azrovnebisa da msjelobis unar-Cvevebis gamomuSavebaze, maT mzadyofnaze CaerTon diskusiaSi mravalferovani diagnozuri da Terapiuli taqtikuri problemebis irgvliv.

profesiuli mzadebis III weli

sarezidento programis mesame wlis pirveli 2 Tve eTmoba mozrdilTa klinikuri nevrologiis hospitalur meurveobas da 3 Tve - mozrdilTa klinikuri nevrologiis ambulatorul serviss; rezidentebi uSualod monawileoben pacientebis SefasebaSi gavrcelebuli da aratipuri nevrologiuri problemebiT, garCevebSi, yoveldRiur saswavlo raundebSi, konferenciebSi. amave wels gaTvaliswinebulia 1 Tviani wrToba pediatriul nevrologiaSi, 1 Tve klinikur fsiqiatriaSi, 1 Tve neiroqirurgiaSi, 2 kvira stroukologiaSi da 2 kvira neiroradiologiaSi. 1 Tve daeTmoba nevrologiuri darRvevebiT pacientebis meurveobas intensiuri da gadaudebeli Terapiis ganyofilebebSi (maT Soris neiroqirurgiuli paTologiiT). amave wels gaTvaliswinebulia 1 Tviani eleqtiuri sagnis modulebi.

mizani: mesame wlis rezidenti unda iyos mzad farTe speqtris nevrologiuri darRvevebiT pacientebis (hospitaluri, ambulatoruli) damoukidebeli Sefasebisa da menejmentisaTvis. Cvil da bavSvTa asakis pacientebSi anamnezis mopovebisa da nevrologiuri gamokvlevis unar-Cvevebis daxvewa, nevrologiuri problemebis diagnozireba da mkurnaloba. amasTanave damwyebi rezidentebis zedamxedveloba hospitalur nevrologiur servisSi da studentTa saganmanaTleblo procesebSi CarTva. kompetenciis gaRrmaveba nevrologiis subspecialobebSi, rogoricaa klinikuri eleqtroencefalografia, klinikuri eleqtroneiromiografia, klinikuri epileftologia, neiromiologia, moZraobiTi aSlilobebi, neiroonkologia, neiroinfeqciuri daavadebebi, klinikuri da laboratoriul-instrumentuli diagnostika, neirokritikuli mdgomareobebis menejmenti (maT Soris neiroqirurgiuli pacientebis). fsiqiatriuli da neirofsiqiatriuli rotaciebis dros rezidentebi swavloben pacientisa da eqimis urTierTobis fsiqologiur aspeqtebs, daavadebis paTogenezSi personuli, kulturuli da socialuri faqtorebis mniSvnelobas, fsiqopaTologiis principebs, fsiqiatriul diagnozsa da Terapias, medikamenturi Terapiis Cvenebas da garTulebebs. uSualod iReben monawileobas pacientebis SefasebaSi. nevrologiuri anamnezis, gamokvlevebis, Sesabamisi Terapiis warmoebis unar-Cvevebis daxvewisa da nervul daavadebaTa ZiriTad kategoriebze Rrma codnis SeZenis Sedegad, rezidenti moqmedebs rogorc dargis damoukidebeli eqsperti. gansakuTrebuli aqcenti keTdeba epilefsiaze, komasa da cnobierebis darRvevebze, moZraobiT darRvevebze, nerv-kunTovan paTologiebze, mademielinizirebel daavadebebze, nervuli sistemis infeqciebze, simsivneebze, qala-tvinis travmasa da demenciaze. amasTanave rezidenti iZens gamocdilebasNnevrologiuri diagnostikuri gamokvlevebis daniSvnisa da interpretaciis sferoSi, maT Soris Tavisa da xerxemlis CT da MRI, eeg, enmg, gp, neirovaskuluri testireba. mimdinareobs weriTi da oraluri komunikaciis unar-Cvevebis daxvewa da gaumjobeseba. rezidenti gadis trenirebas stroukologiis subspecialobiT - mwvave iSemiuri insultis, TIA, intracerebruli da subaraqnoiduli sisxlCaqcevis niSnebisa da simptomebis gamovlena, risk-faqtorebis gamomJRavneba, pacientebis Sefaseba insultis skalebiT (mag. National Institute of Health Stroke Scale), mkurnaloba Tanamedrove gaidlainis rekomendaciebis mixedviT (wnevis menejmenti, antikoagulacia, antiagregacia, qirurgia), daavadebis prevencia. intensiuri da gadaudebeli nevrologiis rotaciis periodSi rezidenti iRrmavebs codnas da Rebulobs gamocdilebas momatebuli intrakraniuli wnevis menejmentis da samkurnalo strategiis sakiTxebSi. amasTanave mas ekisreba pirveli wlis rezidentebis supevaizoroba, Nnevrologiuri departamentis saswavlo konferenciebis organizeba da maTSi aqtiuri monawileoba.

modulebis CamonaTvali:

9

programis zogadi nawili

profesiuli mzadebis I welimod.# modulis dasaxeleba xangrZlivoba1.1. Sinagani medicina 6 Tve1.2 nevrologia 2 Tve1.3. pediatria 2 Tve1.4. urgenetul mdgomareobaTa menejmenti 1 Tve

programis specifiuri nawiliprofesiuli mzadebis II welimod.# modulis dasaxeleba xangrZlivoba2.1. mozrdilTa klinikuri nevrologia 10 Tve 2.2 klinikuri neirofiziologia 1 Tveprofesiuli mzadebis III welimod.# modulis dasaxeleba xangrZlivoba3.1. mozrdilTa klinikuri nevrologia;

hospitaluri da ambulatoruli servisi 5 Tve

3.2. intensiuri da gadaudebeli nevrologia 1 Tve3.3. klinikuri pediatriuli nevrologia 1 Tve3.4. fsiqiatria. 1 Tve3.5. neiroqirurgia 1 Tve3.6. stroukologia 2 kvira3.7 neiroradiologia 2 kviraeleqtiuri modulebi: – 1Tveklinikuri epileftologia 1 Tveneiromiologia (nerv-kunTovani daavadebebi) 1 Tveneiroonkologia 2 kviraneiroofTalmologia 1 kviraTavis tkivili 2 kviraZilis medicina 2 kviragafantuli sklerozi da mademielinizebeli daavadebebi 2 kviraklinikuri neirofiziologia 1 Tveneiroradiologia 2 kviramoZraobiTi darRvevebi 2 kviraneirootologia 1 kvirastroukologia 2 kviraneirofsiqiatria 2 kvira

• akademiuri personali, kvalifikacia da saganmanaTleblo resursebi

sarezidento ganaTlebis procesi orientirebulia rezidentze da uzrunvelyofs sakvanZo kompetenciebis dauflebas: pacientis meurveoba, samedicino codna, praqtikaze dafuZnebuli swavleba da misi gaumjobeseba, intepersonaluri da komunikaciuri unar-Cvevebi, profesionalizmi, sistemaze dafuZnebuli praqtika, akademiuri saqmianoba.programxelmZRvaneli mTeli saswavlo procesis ganmavlobaSi ganaxorcielebs rezidentebis pirdapir da adeqvatur meurveobas, uzrunvelyofs maTTan swraf da efeqtur komunikacias modulze pasuxismgebeli piris da akademiuri personalis (Faculty) meSveobiT, avrcelebs meurveobis detalur da ganaxlebul strategias werilobiTi formiT gundis yvela wevrze. akademiuri personalis muSaoba rezidentebis meurveobis garda moicavs klinikur da intensiur sakonsultacio saqmianobasac.akademiuri personali Tavisi ricxobrivi odenobiT da gansxvavebuli interesiT nevrologiis sxvadasxva sferos mimarT srulad akmayofilebs moTxovnilebas, raTa jerovnad ganaxorcielos rezidentebis instruqtireba-meurveoba.program-xelmZRvaneli da aranakleb eqvsi moqmedi nevrologi gansakuTrebul interess iCenen da sakmaris dros uTmoben rezidentebis saganmanaTleblo process, asruleben supervaizorisa da maswavleblis funqciebs. saswavlo procesSi agreTve CarTulia specialistebi muSaobis gamocdilebiT nevrologiis subspecialobebSi, mag. stroukologia, epilefsia, neiromiologia, neiroofTalmologia, klinikuri

10

neirofiziologia da sxv.akademiuri personalis yvela wevrs unda hqondes dokumentirebuli kvalifikacia (pedagogiuri staJi), specialobis moqmedi sertifikati, klinikuri saqmianobis da swavlebis kompetencia, akademiuri gamocdileba - recenziebi, publikaciebi, monografiebi (avtoroba, Tanaavtoroba), monawileoba lokalur da saerTaSoriso konferenciebSi.akademiuri personali saganmanaTleblo saqmianobas ganaxorcielebs klinikuri SesaZleblobebis maqsimaluri mobilizebiT da uzrunvelyofs rezidentebis permanentul instruqtirebas seminarebis, konferenciebis da saswavlo raundebis meSveobiT. amavdroulad, klinikur diskusiebSi da konferenciebSi regularuli monawileobiT Faculty uzrunvelyofs adekvatur pirobebs rezidentebis akademiuri saqmianobisaTvis (axali literaturuli monacemebis moiZieba da gavrceleba, informacia regionuli, erovnuli, saerTaSoriso konferenciebis masalebis Taobaze). rezidentebis saswavlo procesis da praqtikuli saqmianobis efeqturad warmarTvisaTvis sarezidento programa uzrunvelyofilia adeqvaturi saganmanaTleblo resursebiT, Ppacientebis populaciiT nevrologiur daavadebaTa sruli speqtriT, hospitaluri da ambulatoruli servisebiT, saswavlo auditoriebiT, sakonferencio sivrciT, laboratoriebiT, akademiuri personalisa da rezidentebis saofise farTiT, adeqvaturi diagnozuri resursebiT da Terapiuli servisiT.

• xarisxis uzrunvelyosi meqanizmebi

rezidentebis Sefasebis sistemaakademiuri personali TiToeuli rotaciis periodSi awarmoebs rezidentebis saqmianobis obieqtur Sefasebas bazisur kompetenciebSi - pacientis meurveoba, samedicino codna, praqtikaze dafuZnebuli swavleba da misi gaumjobeseba, interpersonaluri da komunikaciuri unarebi, profesionalizmi da sistemaze damyarebuli praqtika. gansakuTrebuli yuradReba eqceva intervius, nevrologiur gasinjva-gamokvlevas, konsultaciis unar-Cvevebs, rezidentis humanurobas, profesionalizms, mis SesaZleblobas warmoadginos da gaaanalizos klinikuri SemTxvevebi. amavdroulad Sefasebis procesi iTvaliswinebs sadamrigeblo strategias da sTavazobs rezidents konstruqciul ukukavSirs. Sefasebis procesSi akademiuri personalis garda monawileoben sxva rezidentebi, pacientebi da maTi ojaxis wevrebi, samedicino personali. yoveli rotaciis dasrulebisTanave rezidents aqvs ufleba gaecnos Sefasebis dokuments, da mis safuZvelze moamzados personaluri saswavlo gegma, romelsac regularulad mimoixilavs programis direqtorTan erTad.weliwadSi orjer rezidents waredgineba misi saqmianobis dokumentirebuli Sefaseba. rogorc wesi es dokumenti asaxavs rezidentis winsvlas da misi unar-Cvevebis gaumjobesebis xarisxs. saganmanaTleblo ciklis dasrulebis Semdeg program-xelmZRvaneli warmoadgens TiToeuli rezidentis saboloo jamur Sefasebas sakvanZo kompetenciebis analiziT da daskvniT am ukanasknelis mzadyofnis Taobaze damoukidebeli praqtikuli saqmianobisaTvis. sakvanZo kompetenciebis Sesafaseblad gamoiyeneba ramodenime komponentisagan Semdgari Sefasebis validuri sistema. es komponentebia:

• treininguli gamocda; TviT-Sefasebis instrumenti, mowodebuli nevrologiis da neiromecnierebis sferoSi codnis Sesafaseblad, romelic asaxavs rezidentis potenciur winsvlas, garkveulwilad rekomendaciebs sTavazobs mas da intensiuri ganxilvis sagani xdeba. kiTxvari moicavs nevrologiis da neiromecnierebis Semdeg dargebs: anatomia, fiziologia, qceviTi mecniereba/fsiqiatria, mozrdilTa da bavSvTa nevrologia, neirovizualizacia, paTomorfologia, farmakologia/bioqimia, neiromedicinis Tanamedrove problemebi. treininguli gamocda tardeba profesiuli mzadebis me-3 wels. yoveli monawile iRebs individualur angariSs misi reitingis Sesaxeb. yvela rezidentis reitinguri maCveneblebi Tavs iyris program-xelmZRvanelTan.

• klinikuri unarebis Sefaseba; specialistis sertifikatis mopovebis erT-erTi mTavari moTxovnaa klinikuri unar-Cvevis kompetenciis demonstrireba Semdeg sferoSi: samedicino interviu,

11

nevrologiuri gasinjva-gamokvleva, humanizmi, profesionalizmi da msjelobis unari. am kompetencias rezidenti eufleba saganmanaTleblo programis periodSi.klinikuri unar-Cvevebis Sesafaseblad mowodebulia pacientis saaTi. rezidenti amJRavnebs pacientis Sefasebis kompetencias akademiuri personalis 2 wevris zedamxedvelobiT, msjelobis unars diferencialuri diagnozis, gamokvlevisa da mkurnalobis Taobaze. programiT gaTvaliswinebulia 5 pacientis (maT Soris 1 kritikuli, 1 nerv-kunTovani, 1 ambulatoruli, 1 neirodegeneraciuli, 1 bavSvTa asakis) Sefaseba. pacientis saaTi gaTvaliswinebuli programis yvela etapze. efeqturi ukureagirebis misaRwevad (feedback) akademiuri personali rezidentis TandaswrebiT ganixilavs misi Sefasebis Sedegs. savaldebuloa yvela pacientis saaTis warmatebiT gadalaxva.

pacientis saaTi

rezidenti ............. swavlebis weli ............

modulze pasuxismgebeli piri............

dabali maRali

interviu 1 2 3 4 5

nevrologiuri gamokvleva 1 2 3 4 5

gamokvlevis gegma 1 2 3 4 5

dif. diagnozi da diagnozi 1 2 3 4 5

mkurnalobis gegma 1 2 3 4 5

jamuri Sefaseba

komentarebi

xelmZRvanelis xelmowera ...............................................

rezidentis xelmowera ..............................................

• daavadebis istoriis mimoxilva; profesiuli unar-Cvevebis (algoriTmuli klinikuri msjeloba, holisturi azrovneba da sxv.) Sesafaseblad weliwadSi orjer rezidenti waradgens mis mier gatarebuli ramodenime pacientis daavadebis istorias (ambulatoruli da hospitaluri). gansakuTrebuli yuradReba iqneba gamaxvilebuli wamyvan Civilze da

12

konsultaciis mizezze, arsebuli daavadebis istoriaze da warsulSi gadatanil daavadebebze, nevrologiur gamokvlevaze, pacientis Sefasebasa da dif.diagnozze, diagnostikur da samkurnalo strategiaze.

daavadebis istoriis Sefaseba

rezidenti ............. swavlebis weli ............

modulze pasuxismgebeli piri............ rotacia ................

damakmayofilebeli aradamakmayofilebeli

ZiriTadi Civilebi

amJamindeli anamnezi

warsuli anamnezi

nevrologiuri gamokvleva

Sefaseba da dif.diagnozi

diagnozirebis da mkurnalobis gegma

komentarebi

xelmZRvanelis xelmowera

rezidentis xelmowera

• rezidentis dRiuri; yoveldRiurad rezidenti awarmoebs pacientebis registracias mis personalur dRiurSi. aRniSnuli CanawerebiT ganisazRvreba klinikuri gamocdilebis diapazoni, misi Tavsebadoba programis specifikur moTxovnebTan. dRiurSi Setanili informacia gamoiyeneba rezidentis saboloo jamuri Sefasebisas, Tumca pacientebis raodenoba yovelTvis ar asaxavs kompetencias.

• rotaciuli Sefaseba;retrospeqtulad garkveuli drois monakveTSi (mag, klinikuri rotaciis dasrulebisas) saerTo STabeWdilebis safuZvelze zogadad fasdeba pacientis meurveobis unari, samedicino codna, interpersonaluri da komunikaciuri unarebi. informaciis wyaroa modulze pasuxismgebeli piris uSualo dakvirveba da rezidentTan urTierToba, akademiuri personali, sxva rezidentebi, pacientebi da maTi ojaxis wevrebi, weriTi masalebi, raundebi, moxsenebebi konferenciebze.

13

program-xelmZRvaneli naxevarwliani auditis dros mimoixilavs yoveli rezidentis rotaciul Sefasebas.

rezidentis rotaciuli Sefasebis formarezidentis saxeli ................. rotacia .......................

swavlebis weli .................. xelmZRvaneli ....................

1.pacientis meurveoba

arasrulyofili interviu, nevr. gasinjva da sxva monacemebi; aucilebeli procedurebis arasruli aRsruleba; klinikur monacemebs ver aanalizebs da daskvnis gamotanisas pacients ar aniWebs upiratesobas.

2.samedicino codna

klinikuri da sabaziso mecnierebebis SezRuduli codna; swavlisadmi minimaluri interesi; ar icis daavadebis ganviTarebis meqanizmebi.

3.praqtikaze dafuZnebuli swavleba da misi srulyofa.

ar gaaCnia TviTSefasebis unari; ver Cauwvdeba azrs, ar gaaCnia iniciativa, ignorirebs ukureagirebas; ar iyenebs sainformacio teqnologias rom gaaumjobesos pacientis meurveoba an aamaRlos Tavisi done.

4.interpersonaluri,/komunikaciuri unarebi

ver amyarebs minimalurad efeqtur urTierTobas pacientebTan da maT ojaxis wevrebTan; ver avlens urTierTobis damyarebis survils mosmenis, verbaluri an araverbaluri unarebis gziT; ver uzrunvelyofs pacientebis da maT ojaxis wevrebis, kolegebis konsultirebas, ganaTlebas.

5.profesionalizmi

ar gaaCnia pativiscema,

aradam. dam. umaRlesi

1 2 3 4 5 6 7 8 9

1 2 3 4 5 6 7 8 9

1 2 3 4 5 6 7 8 9

1 2 3 4 5 6 7 8 9

1 2 3 4 5 6 7 8 9

yovelmxriv srulyofili interviu, nevr. gasinjva, sxva monacemebi da proceduruli unarebi. yovelTvis iRebs diagnozur da Terapiul gadawyvetilebas mtkicebebze, srulyofil msjelobaze dayrdnobiT da pacientis prioritetis gaTvaliswinebiT.

klinikuri da sabaziso mecnierebebis gansakuTrebuli codna; gaaCnia codnis ganviTarebis didi resursi; yovelmxriv gaTviTcnobierebulia daavadebis ganviTarebis meqanizmebSi.

mudmivad afasebs Tavis Tavs, ukureagirebas iyenebs saqmianobis gasaumjobeseblad, informaciis mosapoveblad pacientis meurveobisa da TviT-ganaTlebis sakiTxebSi. efeqturad iyenebs teqnologiebs

amyarebs Zalze efeqtur Terapiul urTierTobas pacientebTan da maT ojaxis wevrebTan; amJRavnebs urTierTobis agebis gansakuTrebul unars mosmenis gziT, verbaluri da araverbaluri xerxis gamoyenebiT; saukeTesoa pacientebis da maT ojaxis wevrebis, kolegebis sakonsultacio da saganmanaTleblo saqmianobaSi.

yovelTvis amJRavnebs gulwrfelobas, pativiscemas, mowyalebas, patiosnebas, pasuxismgeblobas. TviTSefaseba misTvis ar aris ucxo, siamovnebiT

14

mowyaleba, gulwrfeloba, patiosneba; ignorirebs TviTSefasebas, Secdomebs; ar iTvaliswinebs pacientebis da maTi ojaxis wevrebis, kolegebis moTxovnebs, ar gaaCnia pasuxismgebloba

6.sistemaze dafuZnebuli swavleba

ar SeuZlia gare resursebis mobilizeba. aqtiurad ewinaaRmdegeba meurveobis sistemis gaumjobesebis mcdelobebs; ar iyenebs sistemur midgomebs rom Seamciros Secdomebi da gaaumjobesos pacientis meurveobis xarisxi.

rezidentis kompetenciebis jamuri rotaciuri Sefaseba .

1 2 3 4 5 6 7 8 9

1 2 3 4 5 6 7 8 9

iRebs SeniSvnebs da aRiarebs Secdomebs. yovelTvis iTvaliswinebs pacientebis da maTi ojaxis wevrebis, kolegebis moTxovnebs.

efeqturad iRebs/gamoiyenebs gare resursebs; efeqturad iyenebs sistemur midgomebs Secdomebis Sesamcireblad, pacientis meurveobis xarisxis gasaumjobeseblad; enTuziazmiT ekideba sistemuri gaumjobesebis mxdelobas.

xelmZRvanelis xelmowera .........................rezidentis xelmowera .........................

• rezidentis portfolioportfoloi rezidentis mier momzadebul saswavlo gegmis ganxorcielebasTan dakavSirebul masalebs moicavs. Cveulebriv es weriTi dokumentebia video, audio CanawerebTan, fotosuraTebTan da informaciis sxva formebTan erTad. portfolios komponentebia: Curriculum vitae, momzadebuli prezentaciebi, kvleviTi proeqtis Sedegebi, klinikuri SemTxvevebis ganxilvebi, saerTaSoriso da erovnul konferenciebze warmodgenili abstraqtebi, gamoqveynebuli publikaciebi, samecniero konferenciebze daswrebis wliuri angariSi.naxevarwliani Semajamebeli Sexvedrebisas program-xalmZRvaneli rezidentTan erTad mimoixilavs mis protfolios.

• 360° Sefasebarezidentis Sefasebis erTerTi forma – kiTxvarebi, Sevsebuli rezidentis garemocvidan ramodenime piris mier, mag. pacientebi da maTi ojaxis wevrebi, sxva rezidentebi, samedicino personali. kiTxvarSi aisaxeba informacia rezidentis profesiuli saqmianobis, konkretulad Zireuli kompetenciebis flobis Sesaxeb.

pacientis kiTxvari

Tqven xarT pacienti. fiqrobT rom gaqvT janmrTelobis seriozuli problema. ras elodebiT Tqveni mkurnali eqimisagan?

mkurnalma eqimma pirveli Sexvedrisas gamogiwodaT xeli, gagiRimaT, dagijdaT da yuradRebiT moismina Tqveni Civilebi.

pacietis meurveoba gulmowyaleT da TanagrZnobiT

1 2 3 4 5

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mkurnalma eqimma TqveTan saubrisas daadgina ra gawuxebT. man icis Tu ra gamokvlevebi aris saWiro diagnozis dasadgenad.

samedicino codna 1 2 3 4

5

mkurnali eqimi yuradRebiT gismenT Tqven da Tqveni ojaxis wevrebs. mas SeuZlia ganixilos Tqveni mdgomareoba maqsimaluri gulwrfelobiT da efeqturad TqvenTan, Tqvens axloblebTan da im pirebTan visac momavalSi evaleba Tqveni meurveoba.

interpersonaluri da komunikaciuri unarebi1 2 3 4 5

mkurnali eqimi sakmaod kvalificiuria imisaTvis, rom gagiwioT daxmareba. is am movaleobas ganaxorcielebs konfidencialurad, eTikuri da moraluri standartis CarCoSi.

Pprofesionalizmi1 2 3 4 5

mkurnali eqimi flobs uaxles

informacias Tavis dargSi da mTeli cxovrebis

manZilze swavlis gziT imaRlebs kvalifikacias.

Ppraqtikaze-dafuZnebuli swavleba da misi gaumjobeseba1 2 3 4 5

Ppacieti ............................................................................... rotacia ..................................................................

rezidentis Sefasebis meodebi

kompetencia treininguli gamocda

klinikuri unarebi

daavadebis istoria

rezidentis dRiuri

rotaciuli Sefaseba

360°Sefaseba

pacientis meurveoba

X X X X X

samedicino codna X X X X X

praqtikaze dafuZnebuli swavleba

X X

interpersonaluri/ komunikaciuri unarebi

X X X X

profesionalizmi X X X

sistemaze dafuZnebuli praqtika

X X

akademiuri personalis Sefasebis sistema

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yovelwliurad fasdeba rezidentebis saganmanaTleblo procesTan dakavSirebuli akademiuri personalis saqmianoba. Semajamebeli dokumenti moicavs akademiuri personalis klinikuri swavlebis potencials, mis Tavsebadobas saganmanaTleblo programasTan, klinikuri kompetenciis dones, profesionlizms, akademiur saqmianobas. dokumentSi asaxulia rezidentebis yovelwliuri konfidencialuri werilobiTi daskvnebi programis ganxorcielebis xarisxze, akademiuri personalis yoveli wevris pedagogiuri saqmianobisa da klinikuri kompetenciis Taobaze.

akademiuri personalis Sefasebis forma

dabali maRali

1 2 3 4 5

interesi saswavlo procesis mimarT ................................................................

specialobis miRma swavleba ...............................................................

eqimis Sesabamisi Tvisebebis gamovlena ..............................................................

swavleba pacientis sawolTan: interviu,gasinjva ..............................................................

bazisuri mecnierebis korelacia ...............................................................

diagnozuri msjelobis swavleba ...............................................................

samedicino faqtebiT swavleba ..............................................................

Semovlebi (Sesabamisi CarTuloba) .............................................................

axali codnis SeZenis xelSewyoba .............................................................

Canawerebis mimoxilva da komentarebi .............................................................

jamuri reitingi .................................................................

programis Sefaseba da daxvewaprogramis debulebiT gaTvaliswinebulia kurikulumis yovelwliuri Sefaseba. programa ganaxorcielebs rezidentis saqmianobis, akademiuri personalis ganviTarebis, swavlebis xarisxis, saswavlo procesis dasrulebis, sasertifikacio gamocdebis warmatebiT gadalaxvis monitorirebas da yvela Semadgeneli debulebis aRsrulebas. rezidentebs da akademiur personals yovelwliurad aqvT SesaZlebloba konfidencialurad Seafason programa da waradginon angariSi werilobiTi formiT. maTi da programis sxva Semfaseblebis azri unda iyos gaTvaliswinebuli programis gaumjobesebis da ganaxlebis procesSi. gansakuTrebuli aqcenti keTdeba programis miznebsa da amocanebze, Tu ramdenad aRsrulebadia isini, Pprogramis susti mxareebis gamovlenaze. naklis aRmoCenis SemTxvevaSi program-xelmZRvaneli akademiur personalTan konstruqciuli TanamSromlobiT amzadebs specialur gegmas programis gaumjobesebis da daxvewis gzebis Taobaze da warudgens saqarTvelos Sromis, janmrTelobisa da socialuri dacvis saministros profesiuli ganviTarebis sabWos werilobiTi formiT. rezidenturis programis xarisxis erT-erTi specifiuri markeria sasertifikacio gamocdebis warmatebiT gadalaxuli rezidentebis ricxvi, romelic saganmanaTleblo procesis efeqturi Sefasebs SesaZleblobas iZleva.

• programis marTva da administrireba

sarezidento programa ZiriTad aqcents akeTebs im unar-Cvevebze, romlebic aucilebelia daxelovnebisaTvis praqtikul nevrologiaSi, pacientebis meurveobisadmi, ganaTlebisa da kvlevisadmi interesisa da enTuziazmis gaRvivebaze. programis Catarebaze pasuxismgebelia program-xelmZRvaneli, romelic rezidentebTan pedagogiuri saqmianobisaTvis gamoyofs dros. nevrologiuri rezidenturis periodSi xorcieldeba rezidentis saqmianobis frTxili monitorireba mis mier codnis aTvisebis da Sesabamisi unar-Cvevebis SeZenis TvalsazrisiT. yovel rezidents hyavs personaluri

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modulze pasuxismgebeli piri (supervaizori), romlis funqciaa procesis praqtikuli warmarTva. programis ZiriTadi nawili eTmoba rezidentis praqtikul muSaobas. mTeli wlis didaqtikuri masala winaswar gawerilia da miewodeba rezidentebs leqciebis, seminarebis, kolokviumebis, raundebis da konferenciebis meSveobiT. yoveli klinikuri rotaciis dasrulebis Semdeg akademiuri personali formalurad afasebs rezidentebs.

program-xelmZRvanelis movaleobebi rezidenturis programas uZRveba xelmZRvaneli, dargis avtoritetuli pirovneba - program-xelmZRvaneli. igi pasuxismgebelia programis ganxorcielebaze. program-xelmZRvanels unda ekavos wamyvani pozicia im klinikaSi/institutSi, sadac ganxorcieldeba sarezidento programa. am Tanamdebobaze xangrZlivi drois manZilze misi uwyvetad yofna da lideris funqciebi programis stabilurobis garantia. program-xelmZRvanelis kvlifikacia unda iyos dadasturebuli specialuri, misi ganaTlebisa da administraciuli gamocdilebis amsaxveli dokumentiT. mas unda hqondes specialobis moqmedi sertifikati, moqmedi samedicino licenzia da ekavos Sesabamisi samedicino Tanamdeboba. program-xelmZRvanelma unda uxelmZRvanelos da ganaxorcielos rezidentebis saganmanaTleblo procesi bazisur kompetenciebSi – pacientis meurveoba, samedicino codna, praqtikaze dafuZnebuli swavleba da misi gaumjobeseba, interpersonaluri da komunikaciuri unarebi, profesionalizmi, sistemaze dafuZnebuli praqtika, akademiuri saqmianoba. program-xelmZRvaneli valdebulia:

• Tvalyuri adevnos da uzrunvelyos didaqtikuri da klinikuri ganaTlebis xarisxi programaSi monawile yvela saitze;

• daamtkicos yoveli monawile saitis modulze pasuxismgebeli piri;• daamtkicos akademiuri personalis arCeuli wevrebi;• Seafasos akademiuri personali da daamtkicos maTi xangrZlivi monawileoba programaSi;. • monitorireba gauwios rezidentebis zedamxedvelobas yvela monawile saitze;• moamzados da xeli moaweros saganmanaTleblo procesTan dakavSirebul nebismier

informacias, rac iqneba moTxovnili saqarTvelos Sromis, janmrTelobisa da socialuri dacvis saministros profesiuli ganviTarebis sabWos mier;

• TiToeul rezidents warudginos misi saqmianobis naxevarwliani Sefasebis dokumenti, masze ukureagirebiT;

• ganaxorcielos yvela rezidentis sarezidento ganaTlebis verifikacia (maT Soris vinc programa ver daasrula);

• daeTanxmos ukmayofilebis nebismier sababs da sponsori klinikis/institutis mier aRsrulebul jerovan samarTlebriv procedurebs;

• dadgenili da programuli moTxovnebis Tanaxmad moaxdinos rezidentebis morigeobasTan da samuSao garemosTan dakavSirebuli politikisa da procedurebis implementacia;

• monitorireba gauwios da uzrunvelyos pacientebis damatebiTi momsaxureoba rTuli an prolongirebuli meurveobis dros;

• daemorCilos rezidentebis seleqciis, supervaizorobis, Sefasebis, mxardaWeris procesebTan da disciplinarul sanqciebTan dakavSirebul sponsori klinikis/institutis gaweril politikasa da procedurebs;

• gaecnos da daeTanxmos saqarTvelos Sromis, janmrTelobisa da socialuri dacvis saministros profesiuli ganviTarebis sabWos politikasa da procedurebs;

akademiuri personalis movaleobebiakademiuri personali unda iyos warmodgenili program-xelmZRvaneliT da aranakleb eqvsi eqimiT, romlebic klinikur saqmianobasTan erTad ganaxorcieleben pedagogiur muSaobas. aRsaniSnavia, rom rezidentebisa da akademiuri personalis Tanafardoba unda Seadgendes 1:1. akademiuri personalis yvela wevrs unda gaaCndes specialobis moqmedi sertifikati daD dokumentirebuli kvalifikacia.akademiuri personalis wevrebma unda gamoavlinon interesi rezidentebis saganmanaTleblo procesis mimarT da dauTmoben sakmarisi dro maT sabaziso da klinikur ganaTlebas. akademiurma personalma unda Seuqnas rezidentebs xelsayreli klinikuri garemo da uzrunvelyos uwyveti instruqtireba seminarebis, konferenciebis da saswavlo raundebis

18

meSveobiT.akademiuri personalis wevrebi Tavisi gansxvavebuli interesiT nevrologiis sxvadasxva sferos mimarT unda akmayofilebdnen sarezidento programis specifikur moTxovnebs. amasTanave, rezidentebis gankargulebaSi unda iyos eqimebis Stati specialuri kvalifikaciiT nevrologiasTan dakavSirebul yvela disciplinaSi. garda amisa, rezidentebs unda hqondeT konsultaciis miRebis SesaZlebloba medicinis yvela sferoSi. eqim-konsultants unda ekavos Sesabamisi samedicino Tanamdeboba, hqondes moqmedi samedicino licenzia da iyos kompetenturi rogorc klinikur, aseve pedagogiur saqmianobaSi. Aakademiurma personalma xeli unda Seuwyos rezidentebis akademiur saqmianobas da waaxalisos maTi CarTva mecnierul saqmianobaSi. miiRos aqtiuri monawileoba klinikur raundebsa da diskusiebSi, konferenciebis organizebaSi. akademiuri personalis wevrebs unda hqondeT akademiuri saqmianobis gamocdileba: recenziebi, publikaciebi, monografiebi, monawileoba lokalur da saerTaSoriso konferenciebSi.

resursebisarezidento programam da klinikam/hospitalma erToblivad unda uzrunvelyon saganmanaTleblo procesi adeqvaturi resursebiT:

• rezidentebis saswavlo procesisaTvis aucilebeli pacientebis populacia nevrologiuri darRvevebis farTe speqtriT, maT Soris hospitaluri, ambulatoruli, gadaudebeli da intensiuri;

• ambulatoruli da hospitaluri saqmianobis adekvaturi pirobebi, oTaxebi gamokvlevisaTvis, sakonferencio sivrce, saofise farTi rezidentebisa da akademiuri personalisaTvis;

• adeqvaturi diagnostikuri SesaZleblobebi da Terapiuli servisi. unda arsebobdes Sesabamisi kavSiri radiologiis, Sinagani medicinis, pediatriuli nevrologiis da fsiqiatriis akademiur personalTan, mWidro urTierToba neiroqirurgiul servisTan. amasTanave, programaSi unda iyos CarTuli da gamoyenebuli Semdeg diagnostikur subspecialobaTa personali da aRWurviloba: CT, MRI, eeg, enmg, mielografia, angiografia, paTomorfologiuri laboratoria.

• internetiT xelmisawvdomi eleqtronuli samedicino literatura.

rezidentis daniSnva. rezidentis movaleoba

• program-xelmZRvaneli unda daemorCilos dadgenili wesebiT gansazRvrul rezidentis CarTvis kriteriumebs;

• program-xelmZRvanels ar SeuZlia CarTos ufro meti rezidenti, vidre es gaTvaliswinebulia saqarTvelos Sromis, janmrTelobisa da socialuri dacvis saministros profesiuli ganviTarebis sabWos mier akreditaciis Sedegad. programis saganmanaTleblo resursebi unda iyos rezidentebis raodenobis adeqvaturi.

• program-xelmZRvanels ar SeuZlia miiRos sxva programidan gadmosuli rezidenti misi saganmanaTleblo gamocdilebisa da kompetenciaze dafuZnebuli saqmianobis jamuri Sefasebis werilobiT verifikaciamde;

• program-xelmZRvanelma unda warmoadginos rezidentis ganaTlebis drouli verifikacia da im rezidentebis saqmianobis jamuri Sefaseba vinc programa ver daasrula;

• rezidenti movalea daemorCilos klinikis/institutis Sinaganawess da ganaxorcielos saqmianoba program-xelmZRvanelis mkacri kontrolisa da zedamxedvelobis pirobebSi.

• programis xangrZlivoba

sarezidento programis mTavari mizania eqim nevrologis momzadeba damoukidebeli praqtikisaTvis klinikuri nevrologiis dargSi. nevrologiis specialobiT sarezidento programis xangrZlivoba 3 welia; am periodSi programa uzrunvelyofs rezidentebis klinikur ganaTlebas, maT Soris Sinagan medicinaSic. rezidentebis saganmanaTleblo programa harmoniulad aerTianebs rezidentis mier pacientebis ambulatoriul da hospitalur meorveobas, sakonsultacio muSaobas, saswavlo process da akademiur saqmianobas.

19

swavlebis pirveli weli moicavs savaldebuli 6 Tvian wrTobas Sinagan medicinaSi, orTvian rotaciebs pediatriaSi, urgentul mdgomareobaTa menejmentsa da nevrologiaSi. amave wels gaTvaliswinebulia fakultaturi modulebi epidemiologiasa da jandacvis ekonomika/politikaSi, mtkicebiT medicinasa da samedicino informatikaSi, eqimisa da pacientis urTierTobis samarTlebriv-eTikur safuZvlebSi (1 Tve) .wrTobas klinikur nevrologiaSi eTmoba 22 Tve; kurikulumi moicavs rogorc ZiriTad nevrologiur, aseve eleqtiur modulebs nevrologiis subspecialobebSi. amavdroulad programa uzrunvelyofs wrTobas nevrologiis momijnave disciplinebSi – pediatriuli nevrologia, fsiqiatria, neiroqirurgia, okupaciuri medicina da reabilitacia.

• programis ganaxlebis perioduloba

programa ganaxorcielebs rezidentis saqmianobis, akademiuri personalis ganviTarebis, swavlebis xarisxis, saswavlo procesis saboloo dasrulebis da sasertifikacio gamocdebis warmatebiT gadalaxvis monitorirebas da debulebebis Sesabamis aRsrulebas. programis debulebiT gaTvaliswinebulia kurikulumis yovelwliuri Sefaseba, romelic unda iyos dadasturebuli specialurad Sedgenili dokumntiT. es dokumenti moicavs rezidentebis da akademiur personalis konfidencialur yovlewliurad angariSs programis Taobaze swavlebis miznebsa da amocanebis, maTi Tavsebadobis SefasebiT, programis susti mxareebis analiziT. maTi da programis sxva Semfaseblebis azri iqneba gaTvaliswinebuli programis reviziis procesSi. naklis aRmoCenis SemTxvevaSi program-xelmZRvaneli akademiuri personalTan erTad amzadebs specialur gegmas programis gaumjobesebis da daxvewis gzebis Sesaxeb da warudgens saqarTvelos Sromis, janmrTelobisa da socialuri dacvis saministros profesiuli ganviTarebis sabWos werilobiTi formiT.

• programis Sesabamisoba (evropis, amerikis SeerTebuli Statebis da kanadis Sesabamis programebTan, aseve saqarTveloSi arsebul programebTan)

evropil sivrceSi postdiplomuri (sarezidento) ganaTlebis reformis implementacia jandacvis politikis cvlilebis, sayovelTao kriticizmisa da eqimis profesiisadmi rwmenis Selaxvis Sedegia da uciloblad gulisxmobs saganmanaTleblo struqturis daxvewas da samedicino swavlebis xarisxze, kompetenciaze, saswavlo programebze zedamxedvelobis gamkacrebas. saganmanaTleblo sferos reformirebis mTavar prioritetad moiazreba samedicino swavlebis standartizacia, rac ganapirobebs eqimebisa da staJiorebis mobilurobis da arCevanis Tavisuflebas evropul sivrceSi. dReis mdgomareobiT samedicino sarezidento ganaTleba orientirebulia ZiriTadi kompetenciebis dauflebaze da saswavlo procesis efeqturoba am moTxovnaTa Tanaxmad rezidentebis kompetenciis SefasebiT ganisazRvreba.reformis pirveli etapis - axalgazrda eqimebis wrTobis gaumjobesebis Sedegad miviReT struqturirebuli saswavo procesi da supervaizoruli swavleba. amJamad yovel specialobas aqvs ufro mkafiod gawerili kurikulumi, maZieblebs SeuZliaT supervaizor-damrigeblisgan miiRon regularuli rCeva da mxardaWera, akreditacia ki gaicema mxolod kompetenciis Sefasebis safuZvelze. aRsaniSnavia, rom reformam moaxdina saswavlo procesis gaumjobeseba, standartizacia da koordinacia, supervaizorulma swavlam ki waaxalisa damoukidebloba (avtinomuroba) TviTganaTlebis saqmeSi, rasac moyva Teoriuli swavlebisa da praqtikis gaumjobeseba. warmodgenili nevrologiuri sarezidento programa am reformis Sesabamisad aigo. Semcirda swavlis xangrZlivoba. kurikulumi gansazRvrulia dokumentis saxiT da periodulad ganaxlebadia, moicavs subspecialobebs nevrologiis dargSi da efuZneba rotaciebs ramodenime saswavlo samedicino centrSi (hospitalSi). programis mTavari moTxovnaa swavlebis xarisxis gaumjobeseba da akademiuri personalis TviTSefasebis danergva. damoukideblobis miRwevis da samedicino sferoSi wrTobis (momzadebis) gagrZelebis saukeTeso xerxad moiazreba TviTswavlebis danergva, amavdroulad saswavlo procesis periodSi samecniero-kvleviTi saqmianobis warmoeba, rogorc samedicino

20

progresisa da pacientebis srulyofili meurveobis mTavari stimuli.

• programis Tavsebadoba (momijnaveobis principi)

postdiplomuri ganaTlebis reforma globaluri tendenciis nawilia, romelic miznad isaxavs sazogadoebis ndobaze agebul da mis winaSe angariSvaldebul samedicino struquturebis dafuZnebas. es procesi uciloblad gulisxmobs sarezidento ganaTlebis transformirebas mosaxleobis janmrTelobis moTxovnaTa Tanaxmad da saswavlo programebis Tavsebadobas jancdacvisa da ganaTlebis politikasa da resursebTan. mosaxleobis populaciaSi nevrologiuri daavadebebiT gamowveuli unarSezRudva, romelic sicocxlis bolomde rCeba, Seadgens 28% da amitom nevrologiuri ganaTleba samedicino kurikulumis mniSvnelovani nawilia.cnobilia faqtia, rom neirofobiiT Sepyrobil medikos studentebs nevrologiis Teoriuli sakiTxebis gaazreba sxva disciplinebTan SedarebiT eZnelebaT. mravalricxovani gamokiTxvebiT dadgenilia, rom swavlebis arsebuli sistema jer isev xarveziania da mTavari mizezi cudi xarisxis da araadekvaturi swavlebaa. ase rom wamowyebuli reforma saswavlo procesis gaumjobesebis erTaderTi gzaa. nevrologia specifiuri klinikuri disciplinaa, romelic moicavs mravalferovan mdgomareobebs da xSirad scildeba specialobis sazRvrebs. Sesabamisad sarezidento programis kurikulumSi aqcentirebulia nevrologiis rogorc Sinagani medicinis erTerTi dargis swavlebis mniSvneloba, saswavlo procesSi klinicistebis multidisciplinuri gundis CarTva da aqtiuri samecniero-kvleviTi saqmianoba. problemaze fokusirebuli nevrologiuri gamokvleva, romelsac yvela axalbeda eqimi eziareba, TandaTan inergeba saerTo gasinjvis struqturaSi (procedurebSi) da rutinul xasiaTs iZens. problemaze orientirebuli swavleba da kompetenciaze dafuZnebuli Sefaseba, gamyarebuli klinikuri unar-CvevebiT, gonivruli msjelobiTa da Sesabamisi qceviT aRiarebulia safuZvliani swavlebis leitmotivad.Cveni azriT, kurikulumSi warmodgenili yvela aucilebeli elementis efeqturi miwodeba rezidentebisadmi garkveulwilad iqneba uzrunvelyofili erTi akadmiuri personalis CarTviT swavlebis prediplomur da postdiplomur etapebze. amasTanave, saswavlo procesiT nawilobriv dakavebuli pedagogebi dasaxul amocanebs ver gadaWrian. sarezidento programaSi gansakuTrebiT xazgasmulia pedagogebis wrTobis sakiTxi, maTSi damrigeblis survilis gaRviveba da ara mxolod dargis eqspertad aRiareba, saganmanaTleblo xelovnebis, iseve rogorc samecniero-kvleviTi an praqtikuli saqmianobis waxaliseba.cxadia, rom daxvewas moiTxovda rezidentebis ukureagirebisa da induqciis meqanizmebi, saWiro gaxda rezidentebis Sefasebis sistemis srulyofa da gamkacreba. seriozuli gamowveva da garkveulwilad tvirTi iyo ZiriTadi kompetenciebis swavlebis da Sefasebis moTxovna, Tumca dRes am process samedicino ganaTlebis Zirfesviani da efeqturi reformis rangSi ganixilaven. dReis mdgomareobiT kompeteciaze dafuZnebuli klinikuri unarebisa da praqtikuli Cvevebis Sefasebisa aseve Cadebulia uwyveti samedicino ganaTlebis programebSi, eqimTa sertificirebis da licenzirebis procesebSi. did mniSvneloobas aniWeben mTeli sicocxlis manZilze swavlebis Cvevis gamomuSavebas, aqcentis gadataniT pasiuri meTodebidan amJamad gavrcelebul aqtiuri swavlebis meTodikebze (TviT-warmarTuli da damoukidebeli swavleba, tutoriuli meTodi). warmodgenili sarezidento programa, misi kurikulumi da Sefasebis sistema awyobilia imdagvarad, rom miRwevadia ara mxolod informaciis Senaxva da misi moxmareba, aramed eqimis profesiuli kompetencia da socialuri Rirebulebebi. sarezidento programaSi mkafiod ikveTeba ganaTlebisa da mecnierebis, ganaTlebisa da praqtikis Tavsebadoba. kurikulumis erTerTi moTxovnaa saganmanaTleblo sivrcis gafarToveba sazogadoebrivi jandacvis yvela resursis da ara mxolod klinikis/hospitlis gamoyeneba. uaryofilia Sexeduleba, rom nevrologiis swavleba specialistebis erTi jgufis eqskluziuri prioritetia. gansxvavebuli saganmanaTleblo garemos SeqmniT (swavleba palataSi, intensiur an reabilitaciis ganyofilebebSi, ambulatoriaSi da sxva) rezidentebis wrTobaSi CarTulia multidisciplinuri gundi, pirveladi rgolis eqimebi, Terapevtebi, pediatrebi, ojaxis eqimebi da jandacvis sxva profesionalebi. kurikulumi Seesabameba nacionaluri jandacvis prioritetebsa da resursebs, morgebulia qveynis jandacvis sistemaze da mosaxleobis nevrologiuri janmrTelobis moTxovnebze.

21

masSi asaxulia sazogadoebis nevrologiuri janmrTelobis aspeqtebi, lokaluri prioritetebi. didi yuradReba eqceva xSir, preventabelur, kurabelur da mwvaved ganviTarebul nevrologiur daavadebebs. pacientebis menejmentis sakiTxebSi mniSvnelovani adgili ukavia maT instruqtirebas aqcentis gadataniT daavadebis prevenciaze, janmrTelobis xelSewyobaze. sruli diapazoniT CarTulia prevenciuli, Terapiuli da reabilitaciuri strategia. kurikulumis aucilebeli komponentebia epidemiologiuri da qcevaT-mecnierebaTa sakiTxebi, amavdroulad sabaziso mecnierebebi integrirebulia klinikur disciplinebTan. kurikulumi ar aris datvirTuli ararealuri da ganuxorcielebadi amocanebiT an miznebiT. masSi kargad ikveTeba jandacvis sistemis SezRuduloba arsebuli resursebiTa da nacionaluri ekonomiuri zrdiT da muxedavad am viTarebisa optimaluri meurveobis imperatiuli moTxovna.

II. programis zogadi nawili

profesiuli mzadebis I wlis modulebi

moduli 1.1.

• modulis dasaxeleba, xangrZlivoba - Sinagani medicina (6Tve)• modulis mizania - ZiriTadi somaturi paTologiebis Tanamedrove diagnostikuri

algoriTmis gacnoba; gansakuTrebuli yuradRebis eqceva im nozologiebs sadac xSiria nervuli sistemis dazianeba. klinikaSi Semosuli pacientebis meurveoba modulze pasuxismgebeli piris supervaizorobiT.

• literaturis nusxa –

• Harrison's Principles of Internal Medicine” 17th Edition• The Merck Manual of Diagnosis and Therapy, 17th Edition.• Mandell`s Principles and Practice of Infectious Diseases. 5 th Edit. 2004.• Fundamental Immunology by William E Paul. Lippincott Williams & Wilkins; Sixth Edition edition (May 1, 2008).• Roitt, I., Brostoff, J. and Male, D. Immunology (7th edn.) Mosby. 2003.

• Sesasrulebeli samuSaos moculoba, Casatarebeli manipulaciebis raodenoba da modulis Sefasebis meTodebi. (mocemulia cxrili # 1-is saxiT).

cxrili # 1Teoriuli kursi profesiuli

unar-Cvevebi Sesasrulebeli manipulaciis raodenoba

Sefasebis meTodebi

ciklebi:

kardiologia2 Tve, 1.kardiologiis zogadi safuZvlebi;2.arteriuli hipertenzia;3.gulis iSemiuri daavadeba;4.gulis SeZenili mankebi;5.gulis kunTis

anamnezis Sefasebisa da analizis unari; algoriTmuli taqtikis alRo; holisturi midgoma; eqim-hospitalistis Cvevebi; gadawyvetilebis miReba klinikuri azrovnebisa da msjelobis safuZvelze.

klinikaSi Semosuli pacientebis meurveoba modulze pasuxismgebeli piris supervaizorobiT, dilis konferenciebis, klinikuri raundebis da garCevebis daswreba; Ramis morigeoba; moxseneba dilis konferenciebze; samedicino Canawerebis warmoeba.

pacientebis meurveoba kardiologiuri problemiT, kardiogenuli etiologiis nevrologiuri daavadebebis CaTvliT, paTogenezis, klinikuri gamovlinebebis ganxilviT, diferenciuli diagnozi

ix. me-6 Tavi

22

daavadebebi;6.gulis ukmarisoba;7.ariTmiebi;8.gadaudebeli kardiologia.

endokrinologia1 Tve, 1.endokrinologiissafuZvlebi.endokrinuljirkvalTagamokvlevismeTodebi;2.hipoTalamus-hipofizis sistemis daavadebebi;3.Tirkmelzeda jirkvlis d-bi;4.kuWqveSa jirkvlis kunZulovani aparatis d-bi; 5.farisebri jirkvlis d-bi; 6.simsuqne; 7.sasqeso jirkvlebis paTologiis endokrinuli aspeqtebi;8.hipofizuri warmoSobis naadrevi sqesobrivi momwifeba;9.osteoporozi.

revmatologia– 1 Tve,1. SemaerTebeliqsovilissistemuridaavadebebi: sistemuriwiTelimglura, sklerodermia, dermatomioziti,Segrenis daavadeba, revmatoiduli arTrti, SemaerTebeli qsovilis Sereuli daavadebebi, revmatiuli polimialgia, morecidive poliqondriti;4. sistemuri vaskulitebi;5. araspecifikuri aorto-arteriiti;6. aankilozirebadi spondiloarTriti, reaqtiuli arTritebi, da aradiferencirebuli spondiloarTropaTia; A7. Sereuli krioglobulinemia.

da mkurnaloba. ekg (30 manipulacia) da eqokardioskopiis (10 manipulacia) Sesruleba da monacemTa klinikuri interpretacia; koagulogramis, sisxlis bioqimiuri parametrebis klinikuri interpretacia.

pacientebis meurveoba endokrinuli paTologiiT: gamokvleva-gasinjva, daavadebis paTogenezisa da klinikuri gamovlinebis, maT Soris nevrologiuri sindromis, ganxilva, diferenciuli diagnozi da mkurnaloba. eqoskopiis, CT/MRI, laboratoruli, radioizotopuri da citologiurigamokvlevebis monacemTa interpretacia da klinikuri gamoyeneba.

pacientebis meurveoba SemaerTebeli qsovilis da saxsrovani paTologiiT: gamokvleva-gasinjva, daavadebis paTogenezisa da klinikuri gamovlinebis, maT Soris nevrologiuri sindromis ganxilva, diferenciuli diagnozi da mkurnaloba. rentgenografiuli kvlevis, densitometriis, laboratorul monacemTa interpretacia da klinikuri gamoyeneba

23

maabliterirebeli Trombangiiti, behCetis sindromi;8. spondiloarTritebTan Serwymuli arTritebi;9. nawlavebis qronikul araspecifikur daavadebasTan, infeqciur daavadebebTan asocirebuli arTritebi;10. mikrokristaluri arTritebi;11. osteoarTrozebi;12. saxsargareSe rbili qsovilebis daavadebebi.

infeqciuri sneulebebi - 1 Tve 1. enteroinvaziuri paTogenebiT gamowveuli diareuli daavadebebi;2. arainvaziuri enterotoqsigenuri paTogenebiT gamowveuli diareuli daavadebebi;3.saqarTveloSi gavrcelebuli protozoozebi da helminTozebi;4.enteraluri hepatitebi ( Ada E). siyviTliT mimdinare zoonozebi;5.parenteruli virusuli hepatitebi da Sidsi;6.meningealuri sindromiT da nevropaTologiuri simptomebiT mimdinare infeqciebi;7.xaxis dazianebiTa da respiratoruli sindromiT mimdinare infeqciebi; 8. limfuri kvanZebisa da kanis dazianebiT (egzanTemiT) mimdinare infeqciebi;9. gaxangrZlivebuli cxelebiT mimdinare infeqciebi;10. saqarTveloSi gavrcelebuli zoonozebi.

klinikuri imunologia - 1 Tve1.cneba organizmis alergiuli reaqtiulobis Sesaxeb, imuniteti, imunuri sistemis centraluri da periferiuli organoebi, alergia, anafilaqsia,

pacientebis meurveoba infeqciuri paTologiiT: gasinjva, daavadebis paTogenezisa da klinikuri gamovlinebis, maT Soris nevrologiuri sindromis ganxilva, diferenciuli diagnozi, gamokvlevis monacemTa interpretacia da klinikuri gamoyeneba, mkurnaloba.

pacientebis meurveoba imunuri sistemis darRvevebiT: gasinjva, daavadebis paTogenezisa da klinikuri gamovlinebis, maT Soris nevrologiuri sindromis ganxilva, diferenciuli diagnozi, gamokvlevis monacemTa interpretacia da klinikuri gamoyeneba, mkurnaloba.

24

atopia. antigeni da alergeni. alergenebis klasifikacia;2. alergiuli reaqciis tipebi;3. alegiuli daavadebebis specifikuri diagnostika, alergiuli daavadebebis mkurnalobis meTodebi (araspecifikuri da specifikuri Terapiis principebi);3. bronquli asTma;4. polinozi;5. medikamenturi alergia;6. anafilaqsiuri Soki;7. Sratis daavadebebi;8. kvebiTi alegia;9. kanis alergiuli daavadebebi;10. alergiuli riniti;11. alergiuli reaqciebi mwerebze;12. imunodeficiti – pirveladi, meoradi, klasifikacia, specifikuri da araspecifikuri imunodeficiti.

moduli 1.2.

• modulis dasaxeleba, xangrZlivoba - nevrologia (2 Tve)• modulis mizania - medicinis fundamenturi da klinikuri kvlevis Tanamedrove

principebis ganxilva. aRniSnuli moduli kompleqsuria da Sedgeba oTxi - imunologiis, klinikuri farmakologiis, fiziologiis da paTfiziologiis – qvemodulisagan. amave periodSi rezidentebi euflebian nevrologiuri simptomatikiT pacientebis Sefasebas (“interviu”, neirostatusi), gamokvlevis Sedegebis interpretacias da Sesabamisi diagnostikuri kvlevebis daniSnvas (eeg, enmg, gp, lumbaluri punqcia, Tavisa da xerxemlis CT da MRI)..

• literaturis nusxa –

• Textbook of Medical Physiology, Arthur C. Guyton, Saunders; 11 edition ,1 Sep, 2005.• Basic & Clinical Pharmacology ,Bertman G. Katzung. McGraw-Hill Medical; 11 edition (July 1, 2009).• C.A.Janeway, P.Travers, M. Walport, M.Shlomchik. Immunobiology. 6th edition., 2005• Pharmacology, fourth edition (H.P. Rang, M.M. Dale)• Anatomy and Psysiology, third edition, reviced printing (Seeley Stephens Tate)• Textbook of Medical Physiology, ninth edition• Human Anatomy and Physiology, fifth edition (Elaine N. Marieb• Handbook of Contemporary Neuropharmacology by David R. Sibley, Israel Hanin, Michael Kuhar, and Phil Skolnick.

Wiley-Interscience; 1 edition (March 30, 2007). t 1,2,3.• Principles of Pharmacology – The Pathophysiologic Bases of Drug Therapy, by David E. (Author, Editor), M.D. Golan

(Author, Editor), Armen H. (Editor), Jr. (Editor), M.D. Tashjian (Editor), Ehrin J. (Editor), M.D. Armstrong (Editor), Lippincott William & Wilkins, 2008

• Sesasrulebeli samuSaos moculoba, Casatarebeli manipulaciebis raodenoba da

25

modulis Sefasebis meTodebi. (mocemulia cxrili # 2 -is saxiT). cxrili # 2

Teoriuli kursi profesiuli unar-Cvevebi

Sesasrulebeli manipulaciis raodenoba

Sefasebis meTodebi

Ffundamenturi medicini safuZvlebi

1.organizmis funqciebis regulacia da fiziologiuri integracia;2. neironTaSorisi komunikaciis safuZvlebi;3. tkivilis fiziologia;4. motivacia da emocia;5. organizmis sxvadasxva funqciur-struqturul doneze ganviTarebuli paTologiuri procesebis urTierTobisa da integraciis kanonzomierebani;6. saregulacio sistemebis roli adaptaciuri procesebis ganviTarebaSi;7.mexsierebis roli adaptaciuri qcevis ganxorcielebaSi;8.specifiuri adaptaciis meqanizmebi. stres-reaqcia. zogadi adaptaciuri sindromi;9. eqstremaluri mdgomareobis zogadi paTogenezi. Soki;10. imunuri sistemis zogadi daxasiaTeba; 11. imunuri pasuxis regulacia;12. simsivnis imunologia;13. autoimuniteti da autoimunuri d-bi;14. imunuri sistemis klinikuri da laboratoriuli Sefaseba;15. klinikuri farmakokinetikisa da klinikuri farmakodinamikis ZiriTadi principebi, racionaluri farmakoTerapia;16. arasasurveli wamlismieri reaqciebi. klinikuri farmakoekonomika, farmakoepidemiologia;17. farmakoTerapia da mtkicebiTi medicina.18.farmakoTerapiis saxeebi-etiotropuli, paTogenezuri;19. farmakoTerapiis saxeebi - simptomaturi, profilaqtikuri.20. gadaudebel mdgomareobaTa klinikaSi gamoyenebul medikamentTa farmakokinetikuri da farmakodinamikuri daxasiaTeba.

fundamenturi da klinikuri medicinis Tanamedrove principebis aTviseba da gamoyeneba praqtikul saqmianobaSi.anamnezis Sefasebisa da analizis unari; algoriTmuli taqtikis alRo; holisturi midgoma; eqim-hospitalistis Cvevebi; gadawyvetilebis miReba klinikuri azrovnebisa da msjelobis safuZvelze

klinikaSi Semosuli pacientebis meurveoba modulze pasuxismgebeli piris supervaizorobiT: srulyofili nevrologiuri interviu, fizikaluri gamokvleva, daavadebis simptomebisada niSnebis organulian fsiqologiuri bunebis dadgena, gamokvlevebis gegmis dasaxva.dilis konferenciebis, klinikuri raundebis da garCevebis daswreba; Ramis morigeoba; moxseneba dilis konferenciebze; samedicino Canawerebis warmoeba.leqcia/seminarebis daswreba.

ix. me-6 Tavi.

26

moduli 1.3..

• modulis dasaxeleba, xangrZlivoba - pediatria (2 Tve)• modulis mizania - perinataluri da Cvili asakis paTologiis gacnoba, mozardi asakis

daavadebebis Sefaseba da menejmenti. • literaturis nusxa –

• NELSON ESSENTIALS of PEDIATRICS by Richard E. Behrman and Robert M., M.D. Kliegman (Paperback - Jan 15, 2002).

• Evidence-Based Pediatrics and Child Health with CD-ROM (Evidence-Based Medicine) (Hardcover) by Virginia Moyer (Editor), Elizabeth Elliott (Editor). BMJ Books; 2 Har/Cdr edition (July 30, 2004).

• Sesasrulebeli samuSaos moculoba, Casatarebeli manipulaciebis raodenoba da modulis Sefasebis meTodebi. (mocemulia cxrili # 3-is saxiT).

cxrili # 3Teoriuli kursi profesiuli

unar-Cvevebi Sesasrulebeli manipulaciis raodenoba

Sefasebis meTodebi

1.perinataluri fiziologia da axalSobilis movla. bavSvis zrda da ganviTareba;2.axalSobil da Cvil bavSTa asakis paTologia;3..Tandayolili anomaliebi;4.ganviTarebis paTologia;5.bavSvTa infeqciuri sneulebebi;6.axalwarmonaqmnebi;7.filtvis paTologia;8.kuW-nawlavis traqtis daavadebebi;9.alimentaruli paTologia;10.endokrinul-metaboluri darRvevebi;11.kunTsaxsrovani sistemis da SemaerTebeli qsovilis daavadebebi;12.bavSvTa da mozardi asakis fsiqikuri darRvevebi;13.mozardi asakis samedicino problemebi.

anamnezis Sefasebisa da analizis unari; agadawyvetilebis miReba problemis skurpulozuri Seswavlis, informaciis moZiebis, klinikuri msjelobis safuZvelze.

klinikaSi Semosuli pacientebis meurveoba modulze pasuxismgebeli piris supervaizorobiT: axalSobilis sruli samedicino gamokvleva da Sefaseba; Cvil da bavSvTa asakis pacientebSi anamnezis mopoveba da obieqturi gamokvleva, samedicino problemebis diagnozireba da mkurnaloba.dilis konferenciebis, klinikuri raundebis da garCevebis daswreba; Ramis morigeoba; moxseneba dilis konferenciebze; samedicino Canawerebis warmoeba.

ix. me-6 Tavi.

moduli 1.4.

• modulis dasaxeleba, xangrZlivoba - urgentul mdgomareobaTa menejmenti (1 Tve).• modulis mizania - gadaudebeli mdgomareobebis swrafi gamocnoba da swori marTva,

manipulaciuri unarebis daufleba (lumbaluri punqcia, nazogastraluri zondis Cadgma, intubaciisa da viningis elementebi, laviwqveSa venis kaTeterizacia).

• literaturis nusxa –

• Rosen’s Emergency Medicine: Concepts and Clinical Practice. Marx JA, Hockberger RS, Walls RM, Adams J, Rosen P. 7th ed. Philadelphia, Pa.: Mosby/Elsevier, 2009.

• Roberts J, Hedges J. Clinical Procedures in Emergency Medicine. 5th ed. Philadelphia, Pa. Elsevier Saunders, 2010.• The ICU book by Paul L. Marino. Lippincott Williams & Wilkins Publishers (September 2006).• Critical Care Medicine by John J Marini and Arthur P Wheeler. Lippincott Williams & Wilkins; Fourth Edition edition

(November 1, 2009).• Sesasrulebeli samuSaos moculoba, Casatarebeli manipulaciebis raodenoba da

modulis Sefasebis meTodebi. (mocemulia cxrili # 4-is saxiT).

27

cxrili # 4Teoriuli kursi profesiuli

unar-Cvevebi Sesasrulebeli manipulaciis raodenoba

Sefasebis meTodebi

1. urgentul mdgomareobaTa menejmentis ZiriTadi principebi;2. travmuli dazianebis, fizikuri da sxva gare faqtorebis zemoqmedebis, gadaudebeli mean-ginekologiuri da fsiqiatriuli mdgomareobis Sefaseba da menejmenti; 3.mwvave nevrologiuri, respiratoruli, kardio-vaskuluri, endokrinuli, gastro-intestinuli, uro-genitaluri, kunT-saxsrovani paTologiis dadgena da menejmenti;4.mwvave intoqsikaciis dadgena da menejmenti;5. diagnostikuri testebis Cveneba da interpretacia urgentuli da gadaudebeli mdgomareobis dros.

anamnezis Sefasebisa da analizis unari; gadawyvetilebis miReba problemis skurpulozuri Seswavlis, informaciis moZiebis, klinikuri msjelobis safuZvelze.

urgentuli pacientebis swrafi Sefaseba da informaciis moZieba, lokalur xelmZRvanelTan erTad samkurnalo gegmis dasaxva da Sesabamisi procedurebis warmoeba mdgomareobis stabilizaciis misaRwevad; laboratoruli, radiologiuri da sxva damatebiTi gamokvlevebis monacemTa, specialistTa konsultaciis gamoyeneba.;lumbaluri punqciis(5 manipulacia), nazogastraluri zondirebis (5 manipulacia), intubaciisa da viningis, laviwqveSa venis kaTeterizaciis warmoeba (3 manipulacia).

ix. me-6 Tavi.

III. programis specifiuri nawili

profesiuli mzadebis me-2 wlis modulebi

moduli 2.1.

• modulis dasaxeleba, xangrZlivoba - mozrdilTa klinikuri nevrologia - (10 Tve),

• modulis mizani - anamnezis mopovebisa da analizis unaris, nevrologiuri gamokvleva-gasinjvis teqnikis daxvewa, srulfasovani diferencialuri diagnozi da Sesabamisi Terapiis arCeva. weriTi da komunikaciuri unar-Cvevebis gamomuSaveba. zogadi nevrologiuri problemebis Sefaseba da mkurnaloba: gadaudebeli mdgomareobebi (koma, cnobierebisa da mentaluri statusis cvlilebebi, insulti, gulyra) da ambulatoruli praqtikis gavrcelebuli problemebi (Tavis tkivili, Tavbruxveva, welisa da kisris tkivili, periferiuli neiropaTia). epilefsiis, gafantuli sklerozis, parkinsonis daavadebis da sxva moZraobiTi darRvevebis, nerv-kunTovani daavadebebis, demenciis, cns-is infeqciebis, nervuli sistemis simsivneebis diagnozireba, Sefaseba da mkurnaloba. nervuli sistemis ganviTarebis anomaliebis Sefaseba da mkurnaloba. okupaciuri medicinis da reabilitaciis ZiriTadi principebis Seswavla.; pacientebis Sefaseba da samkurnalo arsenalSi arafarmakologiuri meTodebis CarTva. wrTobis periodSi gansakuTrebuli aqcenti keTdeba rezidentebis algoriTmuli klinikuri azrovnebisa da msjelobis unar-Cvevebis gamomuSavebaze, maT mzadyofnaze CaerTon diskusiaSi mravalferovani diagnozuri da Terapiuli taqtikuri problemebis irgvliv.

• literaturis nusxa –

• Ropper A and Samuels M: Adams and Victor’s Principles of Neurology. (9th ed.), New York, McGraw-Hill

28

Professional, 2009 • Rowland LP: Merritt’s Textbook of Neurology. (12th ed.), Baltimore, Lippincott Williams & Wilkins, 2009 • Clinical Neurology. 8/E by David Greenberg, Michael Aminoff and Roger Simon. 2012• Brazis P, Masdeu J, and Biller J, Localization in Clinical Neurology. (5th ed.), Lippincott Williams & Wilkins, 2006 • Posner JB, Saper CB, Schiff N, and Plum F, Diagnosis of Stupor and Coma. (4th ed.), Oxford University Press, USA,

2007 • Clinical Neurology. 27/E. Stephan Waxman. 2013• Aminoff M, Neurology and General Medicine (4th ed.), Churchill Livingstone, New York, 2007 • Griggs RC and Joynt RJ, Baker’s and Joynt’s Clinical Neurology. Lippincott, Williams and Wilkins, Philadelphia, 2004 • Campbell WW, DeJong’s the Neurologic Examination (6th ed.), Lippincott Williams & Wilkins, 2005 • DeMyer W, Technique of the Neurological Examination (5th ed.), McGraw-Hill Professional, 2003 • Brain, Aids to the Examination of the Peripheral Nervous System (4th ed.), Saunders Ltd., 2000

• Sesasrulebeli samuSaos moculoba, Casatarebeli manipulaciebis raodenoba da modulis Sefasebis meTodebi. (mocemulia cxrili # 5-is saxiT).

cxrili # 5Teoriuli kursi profesiuli

unar-Cvevebi Sesasrulebeli manipulaciis raodenoba

Sefasebis meTodebi

1.nervuli sistemis klinikuri da funqciuri anatomia;2.neiromedicinis safuZvlebi;3.nervuli sistemis daavadebebis topikuri diagnostika;4.ZiriTad nervul daavadebaTa diagnostikuri algoriTmi;5.nervul daavadebaTa klinikuri farmakologia.6.Tavis travmuli dazianeba;7.Tavis tkivili;8.cnobierebis darRveva;9.Zilis darRveva;10.umaRlesi qerquli funqciis da qceviTi darRvevebi;11.epilefsia;12.cerebro-vaskuluri d-bi;13.nervuli sistemis simsivne, sistemuri kibos nevrologiuri garTuleba, kibos mkurnalobis garTulebebi;14.nervuli sistemis infeqciebi;15.Tzts, liqvorocirkulaciis darRvevebi;16.MS da mademielinizebeli d-bi; 17.nervuli sistemis vaskuliti 18.imunuri darRvevebi da nervuli sistema;19.parkinsonizmi da moZraobaTa aSlilobebi;20.motoneironis d-ba;21.metaboluri da toqsiuri darRvevebi;22.mxedvelobis sistemis

klinikuri monacemebis mopovebisa da registrirebis unar-Cvevebis gamomuSaveba;diagnozuri msjeloba da diferencialuri diagnozi; bazisuri mecnierebis gamoyeneba;daavadebis paTfiziologiis codna da Tanamedrove mecnieruli Sexedulebebis gaziareba;pacientis personaluri da socialuri problemebis gamovlena;saqmianoba samedicino eTikis farglebSi;laboratoruli monacemebis utilizacia; konsultantebis adekvaturi gamoyeneba; Terapiuli strategiis detaluri gansazRvra da preparatebis moqmedebis meqanizmis codna, preveciuri RonisZiebebis CarTva, pacientze Semdgomi dakvirvebis gegmis SemuSaveba;mTeli sicocxlis manZilze swavlebis Cvevis gamomuSaveba

klinikaSi Semosuli pacientebis meurveoba modulze pasuxismgebeli piris supervaizorobiT;yoveldRiuri dilis konferenciebisa da klinikuri raundebis, yovelkvireuli klinikuri konferenciebisa da garCevebis daswreba;dasvenebis dReebSi Semovlebze daswreba; Ramis morigeoba;moxseneba dilis konferenciebze; samedicino Canawerebis warmoeba (pacientis istoria da Semajamebeli amonaweri, morigeobis Jurnali, rezidentis dRiuri);Tanatoli rezidentis ar yofnis SemTxvevaSi misi Senacvleba; mzadeba modulze pasuxismgebeli piris an profesoris raundisTvis (warmodgenili informacia unda iyos amomwuravi da zusti, logikurad dasabuTebuli

ix. me-6 Tavi

29

darRvevebi;23.kraniuli nervebis darRvevebi;24.xerxemlis, zurgis tvinis, fesvebis dazianebani da zurgis tvinis travma;25.periferiuli nervebis d-bi;26.autonomuri nervuli sistemis d-bi;

yoveldRiurad Teriuli wyaros damuSavebiT, imformaciis moZiebiT da codnis garRmavebiT im daavadebebis Sesaxeb rac praqtikul saqmianobaSi xvdeba.

diagnozuri da Terapiuli strategia rentabelurobasa da mtkicebiTi medicinis gaTvaliswinebiT);okupaciuri Terapiisa da reabilitaciis CarTva samkurnalo arsenalSi. manipulaciebi: eeg (35), enmg(10), lumbaluri punqcia (15), gp(3),

moduli 2.2.

• modulis dasaxeleba, xangrZlivoba - klinikuri neirofiziologia 1 Tve) • modulis mizani - nevrologiur klinikaSi gamoyenebadi neirofiziologiuri gamokvlevis

meTodebis (eeg, enmg, gp) detaluri gacnoba. • literaturis nusxa

• An Atlas of EEG Patterns by John M. Stern and Jerome Engel Jr., Lippincott Williams & Wilkins; 1 edition, 2004 • Atlas of EEG & Seizure Semiology Bassel Abou-Khalil, Karl E. Misulis, Butterworth-Heinemann, 2005• Preston D and Shapiro B, Electromyography and Neuromuscular Disorders. Butterworth-Heineman, Boston, 1998

• Sesasrulebeli samuSaos moculoba, Casatarebeli manipulaciebis raodenoba da modulis Sefasebis meTodebi. (mocemulia cxrili # 8 -is saxiT).

cxrili # 8Teoriuli kursi profesiuli

unar-Cvevebi Sesasrulebeli manipulaciis raodenoba

Sefasebis meTodebi

neirofiziologiuri gamokvlevis meTodebis roli, praqtikuli Rirebuleba da gamoyeneba nervuli sistemis daavadebaTa diagnozur algoriTmSi.

neirofiziologiuri gamokvlevis meTodebis eeg, enmg, gp monacemTa interpretacia;eeg da nervis gantareblobis gamokvlevis teqnikuri Sesruleba.

eeg teqnikuri Sesruleba, Canawerebis interpretacia (normaluri da paTologiuri paternebis identificireba), daskvnis momzadeba lokalur xelmZRvanelTn erTad (15);nervis gantareblobis gamokvleva, monacemTa interpretacia (10);lokalur xelmZRvanelTn erTad enmg gamokvlevis monacemTa interpretacia da gvirabovani sindromebis, periferiuli neiropaTiis, motoneironis daavadebis, nerv-kunTovani gadacemis da kunTis dazianebis diagnozireba (5);gp gamoyeneba gafantuli sklerozis diagnozirebis procesSi (2).

ix. me-6 Tavi

profesiuli mzadebis me-3 wlis modulebi

moduli 3.1.

• modulis dasaxeleba, xangrZlivoba - mozrdilTa klinikuri nevrologia;

hospitaluri da ambulatoruli servisi (5 Tve).• modulis mizani - farTe speqtris nevrologiuri darRvevebiT hospitaluri da

30

ambulatoruli pacientebis damoukidebeli Sefaseba da menejmenti. kompetenciis gaRrmaveba nevrologiis subspecialobebSi: klinikuri epileftologia, klinikuri neiromiologia, moZraobaTi aSlilobebi, gafantuli sklerozi da madeniemlinizirebeli daavadebebi, neiroonkologia, neiroinfeqciuri daavadebebi, neirodegeneraciuli daavadebebi. damwyebi rezidentebis zedamxedveloba hospitalur nevrologiur servisSi da CarTva studentTa saganmanaTleblo procesSi.

• literaturis nusxa –

• Ropper A and Samuels M: Adams and Victor’s Principles of Neurology. (9th ed.), New York, McGraw-Hill Professional, 2009

• Rowland LP: Merritt’s Textbook of Neurology. (12th ed.), Baltimore, Lippincott Williams & Wilkins, 2009 • Brazis P, Masdeu J, and Biller J, Localization in Clinical Neurology. (5th ed.), Lippincott Williams & Wilkins, 2006 • Posner JB, Saper CB, Schiff N, and Plum F, Diagnosis of Stupor and Coma. (4th ed.), Oxford University Press, USA,

2007 • Aminoff M, Neurology and General Medicine (4th ed.), Churchill Livingstone, New York, 2007 • Griggs RC and Joynt RJ, Baker’s and Joynt’s Clinical Neurology. Lippincott, Williams and Wilkins, Philadelphia, 2004 • Campbell WW, DeJong’s the Neurologic Examination (6th ed.), Lippincott Williams & Wilkins, 2005 • DeMyer W, Technique of the Neurological Examination (5th ed.), McGraw-Hill Professional, 2003 • Brain, Aids to the Examination of the Peripheral Nervous System (4th ed.), Saunders Ltd., 2000 • Seigel, Basic Neurochemistry. Lippincott-Raven, Philadelphia. • Kandel ER, Schwartz JH, Jessell TM: Principles of Neural Science (4th ed.), New York: McGraw Hill, 2000 • Rowland, Parkinson’s Disease: a general practice approach. 2nd ed. Parkinson's Association of WA, Subiaco (WA),

1997 • Watts and Koller, Movement Disorders: neurologic principles and practice. McGraw Hill, New York, 1997 • Cook S, Handbook of Multiple Sclerosis. Dekker, New York, 1996 • McAlpine, Multiple Sclerosis. Churchill Livingstone, New York , WB Matthews ed., 1991

• Sesasrulebeli samuSaos moculoba, Casatarebeli manipulaciebis raodenoba da modulis Sefasebis meTodebi. (mocemulia cxrili # 7-is saxiT).

cxrili # 7Teoriuli kursi profesiuli unar-Cvevebi rezidentis movaleobebi Sefaseb

is meTodebi

1.neiromiologiis safuZvlebi;2.tkivili;3.neiroendokrinologia;4.neirogenetikis safuZvlebi;5.neirootologia;6.neirofsiqologiis safuZvlebi;7.uro-nevrologiis safuZvlebi.

gavrcelebuli da aratipuri nevrologiuri problemiT pacientebis Sefaseba; algoriTmuli taqtikis alRos aTviseba da holisturi strategiis mimdevroba; diagnozuri msjeloba da mis safuZvelze gadawyvetilebis miReba; nervul daavadebaTa ZiriTadi kategoriebis fundamenturi codna, gansakuTrebiT epilefsiis, moZraobaTa darRvevebis, nerv-kunTovani da mademielinizirebeli d-bis, nervuli sistemis infeqciebis, simsivneebis, Tavis travmisa da demenciis.mTeli sicocxlis manZilze

pacientebis ambulatoruli da hospitaluri momsaxureba zogadi nevrologiis da nevrologiur subspecialobaTa profiliT;yoveldRiuri dilis konferenciebisa da klinikuri raundebis, yovelkvireuli klinikuri konferenciebisa da garCevebis daswreba;dasvenebis dReebSi Semovlebze daswreba, Ramis morigeoba;moxseneba dilis konferenciebze; samedicino Canawerebis warmoeba (pacientis istoria da Semajamebeli amonaweri, morigeobis Jurnali, rezidentis dRiuri);

ix.me-6 Tavi

31

swavlebis Cvevis gamomuSaveba yoveldRiurad Teriuli wyaros damuSavebiT, imformaciis moZiebiT da codnis garRmavebiT im daavadebebis Sesaxeb rac praqtikul saqmianobaSi xvdeba.

Tanatoli rezidnetis ar yofnis SemTxvevaSi misi Senacvleba; mzadeba modulze pasuxismgebeli piris an profesoris raundisTvis (warmodgenili informacia unda iyos amomwuravi da zusti, logikurad dasabuTebuli diagnozuri da Terapiuli strategia rentabelurobasa da mtkicebiTi medicinis gaTvaliswinebiT);

moduli 3.2.

• modulis dasaxeleba, xangrZlivoba - intensiuri da gadaudebeli nevrologia (1 Tve)

• modulis mizani - insultis, subaraqnoiduli da intracerebruli sisxlCaqcevis, qala-tvinis travmis, medikamenturi intoqsikaciebis, epilefsiuri statusis, miasTeniuri krizis, landris damblis da sicocxlisTvis saSiSi sxva mwvave nevrologiuri da neiroqirurgiuli problemiT gamowveuli mdgomareobis swrafi gamocnoba da swori marTva. komis menejmenti (mizezebi, gamokvlevebi, mkurnaloba). vegetaturi mdgomareobis, tvinis sikvdilis diagnozireba. somaturi daavadebebiT, wamlebiT, sefsisiT, qirurgiuli CareviT ganpirobebuli nevrologiuri garTulebebis menejmenti.

• literaturis nusxa –

• Wijdicks EFM, The Clinical Practice of Critical Care Neurology (2nd ed.), Oxford University Press, USA, 2003 • Wijdicks EFM, Catastrophic Neurologic Disorders in the Emergency Department (2nd ed.), Oxford University Press,

2004 • Sesasrulebeli samuSaos moculoba, Casatarebeli manipulaciebis raodenoba da

modulis Sefasebis meTodebi. (mocemulia cxrili # 17-is saxiT).

cxrili # 17Teoriuli kursi profesiuli

unar-Cvevebi Sesasrulebeli manipulaciis raodenoba

Sefasebis meTodebi

cnobierebis anatomia da fiziologia da darRveuli cnobierebis paTfiziologia: ganmartebebi, mizezebi, klinikuri niSnebi, prognozi.tvinis sikvdilis, komis, vegetatiuri mdgomareobis iuridiuli da eTikuri sakiTxebi.

intensiuri da gadaudebeli nevrologiuri problemis mqonepacientebTan da maT ojaxis wevrebTan interpersonaluri urTierTobisa da komunikaciis unari.

ugono mdgomareobaSi pacientis Sefaseba (30), gamokvlevebisa da menejmentis gegmis formulireba (kardiovaskuluri da respiratoruli uzrunvelyofa, artificialuri kveba, intrakraniuli hipertenziis marTva, epilefsiuri statusis mkurnaloba) prognozis gansazRvra (vegetatiuri mdgomareoba, Caketili „kacis“ sindromi, tvinis sikvdili);tvinis sikvdilis diagnozireba (kriteriumebi, testebi (2).

ix. me-6 Tavi.

32

moduli 3.3.

1. modulis dasaxeleba, xangrZlivoba - klinikuri pediatriuli nevrologia

(1 Tve)• modulis mizani - Cvil da bavSvTa asakis pacientebSi anamnezis mopovebisa da

nevrologiuri gamokvlevis unar-Cvevebis daxvewa, nevrologiuri problemebis diagnozireba da mkurnaloba. nervuli sistemis normaluri ganviTarebis, normaluri da paTologiuri ganviTarebis urTierTkavSirebis Seswavla;

• literaturis nusxa

• Menkes, Textbook of Child Neurology. 5th ed., Williams & Wilkins, Baltimore, 1995• Fenichel, Clinical Pediatric Neurology: a signs and symptoms approach. 3rd ed., Saunders, Philadelphia, 1997• David RB, Child and Adolescent Neurology. Mosby, St. Louis, 1998• Swaiman and Wright, Pediatric Neurology: principles and practice. Vol. 1 & 2, Mosby, St. Louis, 1994• Aicardi J, Epilepsy in Children. 2nd ed., Raven Press, New York, 1994• Dodson E and Pellock J, Pediatric Epilepsy: diagnosis and therapy. 1st ed., Demo Publications, New York, 1993• Sesasrulebeli samuSaos moculoba, Casatarebeli manipulaciebis raodenoba da

modulis Sefasebis meTodebi. (mocemulia cxrili # 9 -is saxiT). cxrili # 9

Teoriuli kursi profesiuli unar-Cvevebi

Sesasrulebeli manipulaciis raodenoba

Sefasebis meTodebi

1.perinataluri probelebi dRenaklul da droul axalSobilebSi;2.normaluri ganviTarebis Seferxeba da mentaluri retardacia;3.degeneraciuli daavadebebi;4.gulyrebi;5.Tavis tkivili bavSvTa asakSi;6.yuradRebis deficitis darRveva,. swavlebis problemebi;7.qceviTi problemebi;8.cns infeqciebi;9.moZraobaTa darRvevebi;10.Tavis travmuli dazianeba;11.cns simsivneebi.

Cvili da bavSvTa asakis pacientebis nevrologiuri interviu, nevrologiuri gamokvleva-gasinjva. TviTswavlebis Cvevis gamomuSaveba yoveldRiurad Teriuli wyaros damuSavebiT, imformaciis moZiebiT da codnis garRmavebiT im daavadebebis Sesaxeb rac mas praqtikul saqmianobaSi xvdeba.

aqtiuri monawileoba pacientebis hospitaluri (maT Soris urgentuli) da ambulatoruli meurveobis saqmeSi; gavrcelebuli da naklebad xSiri (insulti, cns disgenezi, bavSvTa sistemuri daavadebebis da imunizaciis garTulebebi) nevrologiuri problemebis menejmenti;daswreba konferenciebze, Semovlebze, Ramis morigeoba;samedicino Canawerebis warmoeba (pacientis istoria da Semajamebeli amonaweri, morigeobis Jurnali, rezidentis dRiuri).

ix. me-6 Tavi

moduli 3.4.

• modulis dasaxeleba, xangrZlivoba - fsiqiatria (1 Tve)• modulis mizani - fsiqiatriis fundamenturi sakiTxebis Seswavla. monawileoba

fsiqiatriuli paTologiiT pacientebis Sefasebisa da mkurnalobis procesSi. pacientisa da eqimis urTierTobis fsiqologiuri aspeqtebis, daavadebis paTogenezSi personuli, kulturuli da socialuri faqtorebis mniSvnelobis, fsiqopaTologiis principebis, fsiqiatriuli diagnozisa da Terapiis, medikamenturi Terapiis Cvenebebisa da garTulebebis Seswavla.

• literaturis nusxa –

33

• Kaplan and Sadock's Synopsis of Psychiatry: Behavioral Sciences/Clinical Psychiatry by Benjamin J. Sadock and Virginia A. Sadock, Lippincott Williams & Wilkins; Tenth edition, 2007

• Shorter Oxford Textbook of Psychiatry, Fifth Edition by Michael Gelder, Philip Cowen and Paul Harrison, Oxford University Press, 5 edition, 2006.

• Kaplan and Sadock's Comprehensive Textbook of Psychiatry (2 Volume Set) by Benjamin J. Sadock, Virginia Alcott Sadock and Pedro Ruiz, Lippincott Williams & Wilkins; 9th edition, 2009.

• Sesasrulebeli samuSaos moculoba, Casatarebeli manipulaciebis raodenoba da modulis Sefasebis meTodebi. (mocemulia cxrili # 10-is saxiT).

cxrili # 10Teoriuli kursi profesiuli

unar-Cvevebi Sesasrulebeli manipulaciis raodenoba

Sefasebis meTodebi

cneba pirovnebis Sesaxeb.cneba fsiqikis Sesaxeb; fsiqikuri sferoebi; aRqma, aRqmis paTologia. mexsiereba; mexsierebis paTologia.azrovneba; azrovnebis paTologia.inteleqtis zogadi paTologia.emociuri sfero; nebiTi sfero.cnobiereba, cnobierebis paTologia.sindromogenezisa da sindromodinamikis ZiriTadi Teoriuli principebi.Sizofrenia, Sizotipiuri, Sizoafeqturi da bodviTi aSlilobebi.afeqturi, emociuri sferos paTologiiT mimdinare aSlilobebi (bipolaruli).SfoTviTi da SfoTviT-depresiuli Sereuli aSlilobebi.pirovnuli da qceviTi aSlilobebi zrdasrul asakSi. gonebrivi CamorCena.fsiqikuri ganviTarebis CamorCena.bavSvTa da mozard asakSi dawyebuli qceviTi da emociuri aSlilobebi.fsiqosocialri reabilitacia.fsiqikuri daavadebebis mkurnalobis safuZvlebi. sakanonmdeblo baza fsiqiatriaSi; fsiqiatriuli daxmarebis organizacia.

pirdapiri intervius meTodikiT monacemTa swrafi mopoveba; fsiqiatriuli problemis filtracia da Sefaseba;

farTe speqtris individebis sxva da sxva xarisxis paTologiiT Sefaseba lokalur xelmZRvanelTan erTad da SeZlebisamebr efeqturi Careva.

ix.me-6 Tavi.

Mmoduli 3.5.

• modulis dasaxeleba, xangrZlivoba - neiroqirurgia (1 Tve)• modulis mizani - neiroqirurgiuli praqtikis gansakuTrebiT gavrcelebuli nervuli

sistemis daavadebebis, maTi qirurgiuli mkurnalobis Tanamedrove principebis gacnoba.• literaturis nusxa –

• Greenberg, MS. Handbook of Neurosurgery, 7th Edition, Thieme, Chicago, IL 2010.• Congress of Neurological Surgeons. Diagnosis and Treatment of Cervical Spondylosis. Neurosurgery 60(suppl. 1),

January 2007.• Congress of Neurological Surgeons. Guidelines for the Diagnosis and Treatment of Traumatic Brain Injury.

Neurosurgery 58 (suppl. 3), March 2006

34

• Kline, D (ed.): Peripheral Nerve Surgery. Neurosurgery 65 (suppl. 4), October 2009.• Posner, JB, Saper, CB, Schiff ,ND, Plum, F. Plum and Posner’s Diagnosis of Stupor and Coma, 4th Edition, Oxford,

New York, 2007• Sesasrulebeli samuSaos moculoba, Casatarebeli manipulaciebis raodenoba da

modulis Sefasebis meTodebi. (mocemulia cxrili # 13-is saxiT). cxrili # 13

Teoriuli kursi profesiuli unar-Cvevebi

Sesasrulebeli manipulaciis raodenoba

Sefasebis meTodebi

1.Tavis da zurgis tvinis neiroanatomiuri safuZvlebi neiroqirurgiuli perspeqtividan. neiroqirurgiuli manipulaciebi (supratentoriuli kraniotomia, ventrikulostomia da sxva);2.nervuli sistemis Tandayolili dazianebebis diagnozi da neiroqirurgiuli mkurnalobis principebi;3.hidrocefalia da fsevrotumorozuli pacientebis diagnozi da neiroqirurgiuli taqtika;4.cns simsivneebis diagozi da neiroqirurgiuli mkurnalobis principebi; 5.insultis neiroqirurgiuli mkurnalobis principebi;6.subaraqnoiduli hemoragia – diagnozi da neiroqirurgiuli mkurnalobis taqtika. Tavisa da zurgis tvinis malformaciebis diagnozi da neiroqirurgiuli mkurnalobis principebi;intervenciuli neiroradiologia7.qala-tvinisa da zurgis tvinis travmebi;8.periferiuli nervebze qirurgiuli Carevis Taviseburebebi;9.rezistentuli tkivilis neiroqirurgiuli marTva;10.nervuli sistemis infeqciuri daavadebebis neiroqirurgiuli aspeqtebi.

gavrcelebuli neiroqirurgiuli daavadebebis klinikuri niSnebis (Tavisa da zurgis tvinis travmuli dazianeba, subaraqnoiduli sisxlCaqceva, intracerebruli sisxlCaqceva, insulti, Tavisa da zurgis tvinis pirveladi da metastazuri simsivneebi, xerxemlis degeneraciuli daavadebebi) gamovlena;neiroqirurgiuli paTologiis CT/MRI diagnostika.

rotaciis sawyis etapze daswreba dilis konferenciebsa da raundebze, Semdgom pacientebis damoukidebeli Sefaseba da ganxilva lokalur xelmZRvanelTa erTad;daswreba operaciebze;Ramis morigeoba.

ix. me-6 Tavi

moduli 3.6.

• modulis dasaxeleba, xangrZlivoba - stroukologia (2 kvira)• modulis mizani - trenireba stroukologiis subspecialobiT.• literaturis nusxa –

• Bogousslavsky J, Caplan L: Stroke Syndromes Cambridge University Press, New York 1996 • Sesasrulebeli samuSaos moculoba, Casatarebeli manipulaciebis raodenoba da

modulis Sefasebis meTodebi. (mocemulia cxrili # 14-is saxiT). cxrili # 14

Teoriuli kursi

profesiuli unar-Cvevebi

Sesasrulebeli manipulaciis raodenoba Sefasebis

35

meTodebi

insultis, TIA,intracerebruli da subaraqnoiduli sisxlCaqcevis menejmentis gamocdileba; ultrabgeriTi diagnostikis gamoyeneba.

mwvave iSemiuri insultis, TIA,intracerebruli sisxlCaqcevis, subaraqnoiduli sisxlCaqcevis niSnebisa da simptomebis gamocnoba, risk-faqtorebis gamovlena, pacientebis Sefaseba insultis skalebiT, diagnozireba neirovizualizaciis da ultrabgeriTi diagnostikis gamoyenebiT, mkurnaloba Tanamedrove gaidlainis rekomendaciebis mixedviT (wnevis menejmenti, antikoagulacia, antiagregacia, qirurgia) da daavadebis prevencia.

ix. me-6 Tavi.

moduli 3.7.

• modulis dasaxeleba, xangrZlivoba - neiroradiologia (2 kvira)• modulis mizani - kvlevis algoriTmSi neiroradiologiuri meTodebis swori SerCeva

(Cvenebis gaTvaliwinebiT) da miRebuli Sedegebis interpretireba.• literaturis nusxa –

• Grossman RI, Yousem DM, Neuroradiology: The Requisites (2nd ed.), Mosby, 2003 • Sesasrulebeli samuSaos moculoba, Casatarebeli manipulaciebis raodenoba da

modulis Sefasebis meTodebi. (mocemulia cxrili # 18-is saxiT). cxrili # 18

Teoriuli kursi profesiuli unar-Cvevebi Sesasrulebeli manipulaciis raodenoba

Sefasebis meTodebi

neiroradiologiuri kvlevis meTodebis fizikuri principebi, diagnostikuri Rirebuleba.ZiriTad nervul daavadebaTa klinikur-radiologiuri korelatebi.

kritikul viTarebaSi neiroradiologiuri meTodebis monacemTa winaswari interpretacia;neiroradiologiuri meTodis SezRudvisa da riskis winaswar gansazRvra.

Tavis, kisris da xerxemlis gamokvlevaTa arsenalSi CT daMRI CarTva Cvenebis da ukuCvenebis gaTvaliswinebiT, monacemTa winaswari interpretireba;cerebruli angiografiis da mielografiis daniSnvis algoriTmuli strategiis gamoyeneba da monacemTa winaswari interpretireba.

ix. me-6 Tavi

eleqtiuri modulebi

moduli

• modulis dasaxeleba, xangrZlivoba - neirofsiqiatria (2 kvira)• modulis mizani - qceviTi nevrologiisa da organuli fsiqiatriis aqtualobis, miznebis

gacnoba. rezidentebis monawileoba neirofsiqiatriuli paTologiiT pacientebis Sefasebisa da mkurnalobis procesSi.

• literaturis nusxa –

36

• Psychiatric Management in Neurological Disease by Edward C., M.D. Lauterbach - American Psychiatric Publishing 2000

• Non-Epileptic Seizures edited by John R. Gates, A. James Rowan, Butterworth-Heinemann; 2 edition, 2000• Synopsis of Neuropsychiatry by Barry S. Fogel, Randolph B. Schiffer and Stephen M. Rao, Lippincott Williams &

Wilkins; 2000• Neuropsychiatry and Behavioral Neuroscience by Jeffrey L. Cummings, Michael S. Mega, Oxford University Press,

2003• Organic Psychiatry: the Psychological Consequences of Cerebral Disorder by William Alwyn Lishman,

Wiley-Blackwell; 3 edition 1998• Sesasrulebeli samuSaos moculoba, Casatarebeli manipulaciebis raodenoba da

modulis Sefasebis meTodebi. (mocemulia cxrili # 11-is saxiT). cxrili # 11

Teoriuli kursi profesiuli unar-Cvevebi Sesasrulebeli manipulaciis raodenoba

Sefasebis meTodebi

1.nevrologiuri simptomebi organuli dazianebis gareSe – konversia da somatizacia. 2.somatoformuli aSlilobebi.3.depresia nevrologiuri paTologiebis dros (postinsulturi, gafantuli sklerozis, parkinsonis daavadebisa da epilefsiis dros). 4.mwvave fsiqoturi mdgomareobebi tvinis organuli dazianebis dros.5.fsiqogenuri gulyrebi da maTi diferenciacia epilefsiuri Setevebisagan.

fsiqiatriuli problemis Sefaseba da filtracia;samedicino da nevrologiuri problemebis fsiqiatriuli darRvevasTan urTierTkavSiris gageba; interpersonaluri da komunikaciuri unarebi.

lokalur xelmZRvanelTan erTad pacientebis Sefaseba da mkurnalobis taqtikis gansazRvra.

ix. me-6Tavi

moduli

• modulis dasaxeleba, xangrZlivoba - klinikuri epileftologia (1 Tve)• modulis mizani - gulyrebisa da epilefsiuri sindromebis saxeobebis klinikuri

maxasiaTeblebisa da maTi mkurnalobis Seswavla; gulyrebis etiologiasa da paTofiziologiuri meqanizmebis irgvlis codnis gaRrmaveba; epilefsiis mqone pacientis Sefasebisa da meurveobis unaris Camoyalibeba; gulyrebis fsiqosocialuri gavlenisa da SezRudvebis gaTvaliswinebiT epilefsiis globaluri tvirTis Sefaseba da pacientis mimarT TanagrZnobis gamovlena.

• literaturis nusxa -

• The Treatment of Epilepsy by Simon D. Shorvon, Emilio Perucca and Jerome Engel Jr., Wiley-Blackwell; 3 edition, 2009

• Atlas of Epilepsies C. P. Panayiotopoulos (Editor), Springer; 1st Edition, 2010• A Clinical Guide to Epileptic Syndromes and their Treatment C. P. Panayiotopoulos, Springer, 2nd ed., 2007• Epilepsy: A Comprehensive Textbook (3-volume set) - Jerome Engel, Timothy A. Pedley, Jean Aicardi, Marc A.

Dichter, et al. Lippincott Williams & Wilkins; Second edition, 2007• An Atlas of EEG Patterns by John M. Stern and Jerome Engel Jr., Lippincott Williams & Wilkins; 1 edition, 2004 • Atlas of EEG & Seizure Semiology Bassel Abou-Khalil, Karl E. Misulis, Butterworth-Heinemann, 2005• Textbook of Epilepsy Surgery by Hans Luders, William Bongaman and Imad M. Najm, Informa Healthcare; 1 edition

2008• Epileptic Syndromes in Infancy, Childhood and Adolescence by J Roger, Peter Wolf, A Perret and F E Dreifuss

Butterworth-Heinemann; 2nd edition, 2005• Handbook of Epilepsy by Thomas R. Browne and Gregory L. Holmes, Lippincott Williams & Wilkins Handbook

37

Series, 2008• Sesasrulebeli samuSaos moculoba, Casatarebeli manipulaciebis raodenoba da

modulis Sefasebis meTodebi. (mocemulia cxrili # 19-is saxiT). cxrili # 19

Teoriuli kursi profesiuli unar-Cvevebi

Sesasrulebeli manipulaciis raodenoba

Sefasebis meTodebi

gulyra da misi klasifikacia.gulyrebidan sindromamde - sindromaluri klasifikacia.epilefsiebis etiologia, klasifikacia.farmakologiuri daarafarmakologiuri menjmenti (qirurgia da sxva). bavSvTa asakisa da xandazmulTa epilefsiebi.epilfsiuri statusi da misi menjmenti.

epilefsiis mqone pacientis Sefaseba da meurveoba.

epilefsiiT pacientebis Sefaseba da menejmenti: paroqsizmuli da tranzitoruli epizodebis diferencialuri diagnozi; diagnozuri gamokvlevebis potencialis da SezRudvis gaTvaliswineba; antiepilefsiuri preparatebis daniSnva; daavadebis fsiqologiuri da socialuri Sedegebis gansazRvra, sxva specifiur - qalebTan da orsulebTan, profesiul saqmianobasTan an transportis marTvasTan dakavSirebuli - sakiTxebis ganxilva.modulze pasuxismgebeli pirissupervaizorobiT pacientebis mkurnaloba refraqteruli gulyrebiT, seriuli gulyrebiT da epilefsiuri statusiT.

ix. me-6 Tavi.

moduli

• modulis dasaxeleba, xangrZlivoba - neiromiologia (nerv-kunTovani

daavadebebi (1 Tve)• modulis mizani - nerv-kunTovani paTologiis fundamenturi safuZvlebis Seswavla.

periferiuli nervuli sistemis detaluri sivrciTi anatomiis Seswavla. periferiuli nervis dazianebis zusti lokalizeba, paTofiziologiis dadgena dazianebis simZimisa da prognozis gansazRvriT. sxvadasxva nerv-kunTovani daavadebebis (nervis, nerv-kunTovani gadacemis da kunTis dazianebiT) emg maxasiaTeblebis Seswavla.Nnervis gamtareblobis gamokvlevis warmoeba.

• literaturis nusxa –

• Preston D and Shapiro B, Electromyography and Neuromuscular Disorders. Butterworth-Heineman, Boston, 1998• Brooke M, A Clinicians View of Neuromuscular Diseases. 2nd ed., Williams & Wilkins, Baltimore, 1986• Sesasrulebeli samuSaos moculoba, Casatarebeli manipulaciebis raodenoba da

modulis Sefasebis meTodebi. (mocemulia cxrili # 20-is saxiT). cxrili # 20

Teoriuli kursi profesiuli unar-Cvevebi Sesasrulebeli manipulaciis raodenoba

Sefasebis meTodebi

emg-rotacia1.eleqtrodiagnostikis fundamenturi proncipebi.2. ZiriTad nerv-kunTovan daavadebaTa klinikuri da eleqtrofiziologiuri

nerv-kunTovani daavadebebis, pns detaluri anatomiis, nervis da kunTis normaluri da paTologiuri

ZirTadi nervebis gamtareblobis gamokvlevis damoukidebeli warmarTva.

ix. me-6 Tavi.

38

niSnebi(miopaTia, kunTis membranis paTologia, nerv-kunTovani gadacema, polineiropaTia (aqsonaluri. mademielinizebeli, sensoruli, motoruli, avtonomuri), mravlobiTi mononevriti, gvirabovani neiropaTia, pleqsopaTia, radikulopaTia, motoneironis daavadeba,sensoruli neiropaTia.

eleqtrofiziologiis codna;nervis gamtareblobis gamokvlevis Catarebis teqnikuri gamocdileba.

neiromiologia1.nervis, kunTis, nerv-kunTovani gadacemis, wina rqis ujredebis SeZenili da memkvidruli daavadebebi.2.imunuri Terapiis gamoyeneba da Cvenebebi nerv-kunTovani paTologiis dros (steroidebi, azaTioprini, metotreqsati, i/v imunoglobulini, plazmaferezi).

nerv-kunTovani daavadebebis klinikuri seleqcia, diagnozur monacemTa interpretacia, gadawyvetilebis miReba stacionarSi moTavsebasa da mkurnalobasTan dakavSirebiT;qronikuli nerv-kunTovani paTologiiT (gverdiTi amiotrofuli sklerozi, kunTTa distrofiebi da sxva) pacientebis marTva.

lokalur xelmZRvanelTan erTad nerv-kunTovani paTologiiT pacientebis klinikuri Sefaseba, diagnozuri gamokvlevebis interpretacia da menejmenti (7).

moduli

• modulis dasaxeleba, xangrZlivoba - neiroonkologia (2 kvira)• modulis mizani - rezidentebi ecnobian nevrologiis erTerT intensiurad ganviTarebad

subspecialobas. Seiswavlian intrakraniuli simsivneebis, sistemuri kibos nevrologiuri garTulebebis diagnozirebasa da mkurnalobas, maT Soris yvelaze gavrcelebuli avTvisebiani simsivnis multiformuli glioblastomis menejmentis sakiTxebs.

• literaturis nusxa –

• DeAngelis LM, Gutin PH, Leibel SA, Posner JB. Intracranial Tumors. Diagnosis and Treatment. Martin Dunitz, 1995. • DeAngelis LM, Posner JB. Neurologic Complications of Cancer (2nd ed.) Oxford University Press, 2009. • Sesasrulebeli samuSaos moculoba, Casatarebeli manipulaciebis raodenoba da

modulis Sefasebis meTodebi. (mocemulia cxrili # 21-is saxiT). cxrili # 21

Teoriuli kursi profesiuli unar-Cvevebi Sesasrulebeli manipulaciis raodenoba

Sefasebis meTodebi

1.gliomebisa da Tavis tvinis pirveladi simsivneebis diagnozireba, mkurnaloba da prognozi.2.sistemuri kibos nevrologiur garTulebaTa palitra.3.paliatiuri intervencia da mkurnaloba.

pacientebis damoukidebeli Sefaseba, informaciis gaanalizeba da daskvnis formulireba, mkurnalobis sakuTari gegmis warmodgena. pacientebTan da maT ojaxis wevrebTan daavadebis prognozis, meurveobis amocanis da perspeqtivis sakiTxis ganxilva.

diagnozireba da mkurnaloba pacientebis gliomebiT da sxva pirveladi simsivneebiT.Tavis tvinis metastazis diagnozireba, mkurnaloba da prognozireba.sistemuri kibos nevrologiuri garTulebebis (neiropaTia, gulyra, zurgis tvinis kompresia, radiaciuli nekrozi

ix. me-6 Tavi.

39

steroiduli miopaTia) diagnozireba da menejmenti.lokalur xelmZRvanelTas erTad yoveli konkretuli SemTxvevis detaluri ganxilva masze aucilebeli ukureagirebiT.

moduli

• modulis dasaxeleba, xangrZlivoba - neiroofTalmologia - 1 kvira

• modulis mizani - nervul sistemasTan dakavSirebuli mxedvelobis paTologiis ganxilva.

Tavis tvinis struqturebis erTi mesamedi ukavSirdeba mxedvelobis aferentul da eferentul gzebs, mxedvelobis qerqul analizators, amitom momavali nevrologisaTvis ucilebelia codnis garRmaveba neiroofTalmologiis dargSi. neiro-ofTalmologiuri darRvevebi SeiZleba ganviTardes mravali daavadebebis dros nervuli sistemis sxvadasxva doneze dazianebis Sedegad, maT Soris cns, pns, nerv-kunTovani gadacemisa da kunTis.

• literaturis nusxa –

• Miller NR, Newman NJ, Biousse V, Kerrison JB. Walsh and Hoyt’s Clinical Neuro-Ophthalmology : The Essentials. 2nd ed., Lippincott Williams & Wilkins, 2008.

• Leigh J and Zee D, The Neurology of Eye Movements. 4th ed., Oxford University Press, New York, 2006. • Sesasrulebeli samuSaos moculoba, Casatarebeli manipulaciebis raodenoba da

modulis Sefasebis meTodebi. (mocemulia cxrili # 22-is saxiT).

cxrili # 22Teoriuli kursi profesiuli

unar-Cvevebi Sesasrulebeli manipulaciis raodenoba

Sefasebis meTodebi

1.mxedvelobis nevriti;2.idiopaTuri intrakraniuli hipertenzia;3.birTvSorisi ofTalmoplegia;4.nistagmi;5.iSemiuri optikuri neiropaTia;6.mxedvelobis velis defeqti;7.gugis paTologia;8.kraniuli neiropaTiebi (II,III,IV,VI);9.neiro-ofTalmologiuri qirurgiuli manipulaciebi (mxedvelobis nervis garsis dekompresia, trans-antraluri orbitaluri dekompresia, manipulacia strabizmis dros da quTuToze).

ofTalmologiuri terminologiis aTviseba da dokumentaciis gamoyeneba.TviTganaTleba neiro-ofTalmologiis dargSi beWdviTi da eleqtonuli wyaros gamoyenebiT.

neiro-ofTalmologiuri anamnezi da gamokvleva (teqnikiT romelic gamoiyeneba zogad nevrologiur praqtikaSi);mxedvelobis nervis normaluri anatomiis, mxedvelobis diskos SeSupebis, mxedvelobis atrofiis identificireba (3);mxedvelobis velis kompiuteruli da manualuri testirebis Sedegebis interpretacia (4);pacientebis meurveoba modulze pasuxismgebeli pirissupervaizorobiT.

ix. me-6 Tavi.

moduli

40

• modulis dasaxeleba, xangrZlivoba - Tavis tkivili (2 kvira)• modulis mizani - Tavis tkivilis, rogorc ambulatoruli nevrologiuri praqtikis

erTerTi gavrcelebuli problemis diagnozireba da mkurnaloba.• literaturis nusxa –

• Silberstein SD, Lipton RB, Dodick DW. Wolff’s Headache and Other Head Pain, 8 th edition. Oxford University Press, 2008.

• Sesasrulebeli samuSaos moculoba, Casatarebeli manipulaciebis raodenoba da modulis Sefasebis meTodebi. (mocemulia cxrili # 23-is saxiT).

cxrili # 23Teoriuli kursi profesiuli unar-Cvevebi Sesasrulebeli

manipulaciis raodenobaSefasebis meTodebi

1.Tavis tkivili da sxva kraniofacialuri tkivilebi; diferencialuri diagnozi, epidemiologia, klinikuri niSnebi, meqanizmebi, mkurnaloba.

pacientebSi Tavis tkiviliT algoriTmuli strategiisa da taqtikis gamomuSaveba;damoukidebeli swavleba beWdviTi da eleqtonuli wyaroebis gamoyenebiT.

Tavis tkiviliT pacientebisagan amomwuravi anamnezuri monacemebis mopoveba da gaanalizeba, gamokvleva/gasinjva;Tavis tkivilis gavrcelebuli formbis diagnozireba da menejmenti.

ix. me-6 Tavi

moduli

• modulis dasaxeleba, xangrZlivoba - Zilis medicina (2 kvira)• modulis mizani - rezidentebi gaecnobian normaluri da paTologiuri Zilis

fiziologiur substratebs, Zilis darRvevebis klinikur simptomatikas, diagnozirebisa da mkurnalobis meTodebs, ICSD-2 diagnostikur nomenklaturas.

• literaturis nusxa –

• Kryger, MH, Roth T, Dement, WC (eds.): Principles and Practice of Sleep Medicine. W. B. Saunders Co.; Philadelphia, PA, 2005

• Chokroverty, S (ed.): Sleep Disorders Medicine: Basic Science, Technical Considerations, and Clinical Aspects. Butterworth-Heinemann; Boston, MA, 1999 .

• Sesasrulebeli samuSaos moculoba, Casatarebeli manipulaciebis raodenoba da modulis Sefasebis meTodebi. (mocemulia cxrili # 24-is saxiT).

cxrili # 24Teoriuli kursi profesiuli unar-Cvevebi Sesasrulebeli

manipulaciis raodenoba

Sefasebis meTodebi

1. Zilis fiziologia. paTologiuri Zilis fiziologiuri sybstrati.2. ICSD-2 (International Classification of Sleep Disorders -2) diagnostikuri nomenklatura.

Zilis darRvevaTa diagnostikuri nomenklaturis aTviseba.

Zilis darRveviT pacientebis ambulatoruli miRebis daswreba;lokalur xelmZRvanelTan erTad polisomnografiuli gamokvlevis Catareba, Sedegebis interpretacia da Zilis Sefaseba (2)

ix. me-6 Tavi

41

moduli

• modulis dasaxeleba, xangrZlivoba - gafantuli sklerozi da

mademielinizebeli daavadebebi; (2 kvira).• modulis mizani - gafantuli skleroziTa da sxva mademielinizirebeli daavadebebiT

pacientebis marTva (gamokvleva, Sefaseba EDSS-skaliT, diagnozireba. specifiuri simptomebis da uunarobis menejmenti, mkurnaloba simptomuri, daavadeba-modificirebadi preparatebis, da sxva Terapiuli SesaZleblobis gamoyenebiT).

• literaturis nusxa –

• Rowland, Parkinson’s Disease: a general practice approach. 2nd ed. Parkinson's Association of WA, Subiaco (WA), 1997

• Watts and Koller, Movement Disorders: neurologic principles and practice. McGraw Hill, New York, 1997 • Cook S, Handbook of Multiple Sclerosis. Dekker, New York, 1996 • McAlpine, Multiple Sclerosis. Churchill Livingstone, New York , WB Matthews ed., 1991 • Sesasrulebeli samuSaos moculoba, Casatarebeli manipulaciebis raodenoba da

modulis Sefasebis meTodebi. . (mocemulia cxrili # 25-is saxiT). cxrili # 25

Teoriuli kursi profesiuli unar-Cvevebi rezidentis movaleobebi Sefasebis meTodebi

gafantuli sklerozis da sxva mademielinizirebeli daavadebebis mkurnalobis Tanamedrove gaidlaini.

gavrcelebuli da aratipuri nevrologiuri problemiT pacientebis Sefaseba; algoriTmuli taqtikis alRos aTviseba da holisturi strategiis mimdevroba; diagnozuri msjeloba da mis safuZvelze gadawyvetilebis miReba;

gafantuli skleroziTa da sxva mademielinizirebeli daavadebebiTpacientebis ambulatoruli da hospitaluri momsaxureba: gamokvleva/gasinjva, diagnozireba, dif.diagnozi, Sefaseba EDSS-skaliT (5), mkurnalobis strategiis dasaxva daavadeba-modificirebadi preparatebis da sxva Terapiuli SesaZleblobis gamoyenebiT.

ix.me-6 Tavi

42