Field training 
“Clinical practice (Doctor’s assistant in an outpatient medical institution)”
Specialty – 31.05.01 General Medicine
The total labor output of the discipline is 6 credits, 216 hours. 

The goal of mastering the field training "Clinical practice (doctor’s assistant in an outpatient medical institution)" is to get students familiar with the basic principles of the organization of medical and preventive care to the population in a clinic and emergency room, the organization and the scope of work of a district therapist and a general practitioner (family doctor), modern diagnostic capacities of outpatient services; to obtain knowledge about medical examination, primary and secondary prophylaxis on an outpatient basis, issues of medical examination and spa treatment. The objectives of undergoing the field training "Clinical practice (doctor’s assistant in an outpatient medical institution)" is to consolidation the practical skills in diagnosing and treating the most common therapeutic diseases; the practical skills in rendering emergency care in various clinical situations; to study clinical examination, medical examination and spa treatment. The program of the field training “Clinical practice (doctor’s assistant in an outpatient medical institution)” refers to the base part of block C2 of the discipline. The field training “Clinical practice (doctor’s assistant in an outpatient medical institution)” is one of the basic disciplines, which is interconnected with the following disciplines: anatomy, histology, biochemistry, Latin; embryology, cytology, computer science, science of science, normal physiology, pathological physiology, pharmacology, morbid anatomy.

The process of studying the discipline is aimed at the formation of the following competences:

•  readiness to keep medical records (GPC-6);
•  readiness for medical application of drugs and other substances and their combinations in solving professional problems (GPC-8);
•  readiness to collect and analyze patients’ complaints, their medical history, examination results, laboratory, instrumental, pathological and other studies in order to recognize a condition or establish the presence or absence of a disease (SPC-5); 
•  the ability to determine the main pathological conditions in patients, symptoms and syndromes of diseases, nosological forms in accordance with the International Statistical Classification of Diseases and Related Health Problems, 10th revision (SPC-6).

During the field training “Clinical practice (doctor’s assistant in an outpatient medical institution)”, students learn the etiology, pathogenesis and preventive measures of the most common diseases of internal organs; the modern classification of diseases; the clinical picture, course features and possible complications of the most common diseases occurring in a typical form in different age groups; diagnostic methods, diagnostic capacities of methods for direct examination of therapeutic patients; modern methods of clinical, laboratory, instrumental examination of patients (including endoscopic, radiological methods, ultrasound diagnostics); the basics of organizing inpatient care for various population groups, the principles of clinical examination, rehabilitation of therapeutic patients. Based on the acquired knowledge, students obtain the abilities to determine the status of patients: to collect an anamnesis, to conduct a survey of patients and / or their relatives, to conduct a physical examination of patients (examination, palpation, auscultation, measurement of blood pressure, determination of the properties of arterial pulse, etc.); to assess the condition of patients to decide on the need for medical care; to conduct an initial examination of systems and organs: respiratory, cardiovascular, blood and blood-forming organs, digestive, endocrine, urinary, to assess social factors affecting patient’s physical and psychological health: cultural, ethnic, religious, individual, family, social risk factors; to give a preliminary diagnosis – to synthesize patient information in order to determine a pathology and its causes; to outline the scope of additional examinations in accordance with the prognosis of a disease, to clarify a diagnosis and obtain a reliable result; to formulate a clinical diagnosis; to develop a therapeutic action plan, taking into account the course of a disease and its treatment; to formulate indications for the chosen method of treatment taking into account etiotropic and pathogenetic agents, to substantiate pharmacotherapy for a particular patient, to evaluate the effectiveness and safety of the treatment; to use the methods of primary and secondary prevention (based on evidence-based medicine) in medical activities, to establish cause-and-effect relations between health status changes and the effects of environmental factors. Students develop the skills in proper management of medical records (preparation of a medical history setting out all the main sections in it, substantiating a clinical diagnosis, examination and treatment plan, as well as diaries and stage epicrisis when working with therapeutic patients); applying general clinical examination methods (questioning, examination, palpation, percussion, auscultation) for diseases of internal organs; interpreting the results of laboratory, instrumental diagnostic methods in the pathology of internal organs; using an algorithm for a comprehensive clinical diagnosis of therapeutic diseases; an algorithm for giving a preliminary diagnosis with the subsequent referral of a patient to the appropriate specialist, giving a differential diagnosis for therapeutic pathologies; applying basic medical diagnostic and therapeutic measures to render first aid in emergency and life-threatening conditions. 

Types of educational work: unsupervised work of students, students’ work supervised by a teacher. 

The study of the discipline ends with a differential credit mark