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codnis Sefaseba da testuri gamocda testis dizaini da misi

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					                                                                                         siaxle:                                                  rima beriaSvili
                            saxelmZRvaneloebisa da damxmare literaturis                                        codnis Sefaseba da testuri
                               Seqmnis, dizainis da damtkicebis procedura                                       gamocda. testis dizaini da
                                                                                            gv.   11                  misi Sedgenis wesebi.
                                                                                                                                                                 gv.3




Tbilisis saxelmwifo samedicino universitetis gamocema                     gamodis 1957 wlidan                                  #2 (234) Tebervali 2010          www.tsmu.edu




 prezidentis granti
 axalgazrda mecniers




  mniSvnelovani sityva
  samecniero azrovnebaSi
  qarTuli wiTeli yurZnis an-
tioqsidanturi eqstraqtis an-
tiaTerogenuli efeqturobis
dadgena gaxldaT axalgazrda
mecnieris, Tbilisis saxelmwi-
fo samedicino universitetis
doqtorantis, levan ratianis,
erTi wlis ganmavlobaSi warmo-
ebuli kvlevis sagani.                                                                                                                                 saeklesio kalendari
  Tssu-is biblioTekis cisfer
                                                                                                                                                                       gv.2
darbazSi proeqtis prezenta-
ciaze mowveulma stumrebma da
profesor-maswavleblebma ma-
Rali Sefaseba misces aRniSnul
naSroms.                                                                                                                                      wignis Taro
                          gv.2



 pediatris profesia
                                                                                                                                                                rubrikas
                                     RirsSesaniSnavi Sexvedra                                                                                                    uZRveba
                                                                                                                                                              profesori
                                     xelSekrulebebi studentTa dasasaqmeblad da klinikuri swavlebisaTvis...                                               vadim saakaZe
                                     cxovrebis jansaRi wesis dasamkvidreblad
                                                                                                                                              wamalTa teqnologia
                                     26 Tebervals, 12 saaTze,           Sexvedras eswrebodnen q. Tbi-     bad Camoyalibebis saqmeSi. isa-     a. bakuriZe.
                                   Tbilisis saxelmwifo samedi-        lisis meriis socialuri mom-         ubra zafxulis skolis praqtikis      Tbilisi.: irida.-2009.-310gv.
                                   cino universitetis saaqto          saxurebisa da kulturis saqa-        aucileblobaze, romlis Casa-
  pediatris profesiaze da pe-      darbazSi Sexvedra amaRlebuli       laqo samsaxuris ufrosi, ba-         tareblad erT-erT mniSvnelovan        saxelmZRvaneloSi ganixileba
diatriuli ganaTlebis axal          ganwyobiT daiwyo... samedicino     toni mamuka qacarava, im klini-     bazad, rogorc Tanamedrove do-      samkurnalwamlo preparatebis
gamowvevebze gvesaubreba pro-      universitetisa da Tbilisis         kaTa xelmZRvanelebi, rom-           neze aRWurvili da maRalprofe-      warmoebis Teoriuli safuZv-
fesori irakli favleniSvili.        meriis mxardaWeriT unda ganx-      lebic mzad arian staJirebasa        sionali kadrebiT dakompleqte-      lebi, konkretuli samkurnal-
 gagrZeleba.                       orcieldes proeqti Tbilisis         da dasaqmebaze studentebisa da      buli, daasaxela saCxeris raion-    wamlo formis teqnologia. aR-
 dasawyisi wina nomerSi.           klinikebSi studentTa dasaqme-      rezidentebis misaRebad.             uli klinika. profesorma zurab      werilia teqnologiuri pro-
                           gv.8    bis Sesaxeb, romelsac iwyebs         `rom ara Tqveni mxardaWera,       vadaWkoriam universitetis Rvi-     cesebis Tanamedrove manqana _
                                   samedicino universitetis           didi problemebi Seeqmneboda         Zli Svili da moamage uwoda ba-     aparaturiT aRWurvis mdgomar-
                                   `studentTa da axalgazrda           diplomisSemdgom momzadebas.         ton mamuka qacaravas im mxardaW-   eoba, am danadgarebis muSaobis
                                   specialistTa profesiuli in-        swored sazRvargareT Tu aq myo-      eris, zrunvisa da Tanadgomis-      principebi, avtomatizaciisa da
 moqmedi silabusis                 tegraciis      ganyofileba~.       fi Cveni kursdamTavrebulebis,       aTvis, rasac igi iCenda da iCens   meqanizaciis xvedriTi wona
 Sefasebis principebi              proeqti iTvaliswinebs 500-mde      klinikis      xelmZRvanelebis       mSobliuri umaRlesi saswavle-       warmoebis procesSi. daxasiaTe-
                                   studentis dasaqmebas. pirvel       Tanadgomam ganapiroba is maRali     blis mimarT. aRsaniSnavia, rom     bulia mineraluri, mcenareuli
                                   etapze CarTuli iqneba 200 stu-     reitingi, rac sxva umaRles sas-     samedicino universitetis stu-      da cxoveluri nedleulis gad-
                                   denti, romelTa Soris war-          wavleblebTan SedarebiT, aqvs        dentebisa da rezidentebis dax-     amuSavebis Taviseburebani.
                                   matebulebs Tbilisis meriisgan      samedicino universitets~, _ aRni-   elovnebis mizniT urTierTTan-         samkurnalwamlo preparateb-
                                   daeniSneba honorari 100 laris      Sna universitetis reqtorma,         amSromlobis memorandumi ukve       is ganxilva warmodgenilia
                                   odenobiT. amasTanave, dRes aq,     profesorma zurab vadaWkoriam        gaformebuli da ZalaSia 122         tradiciuli TanamimdevrobiT:
                                   samedicino universitetsa da        da didi madloba gamoxata            samedicino dawesebulebasTan,       istoriuli mimoxilva, zogadi
                                   kidev 8 klinikas Soris, xeli       Tbilisis m. iaSvilis saxelobis      romelTa Soris 45 _ specialize-     daxasiaTeba, klasifikacia, up-
                                   moewereba studentebisa da          bavSvTa centraluri saavadmy-        bulia, 17 _ mravalprofiliani, 8    iratesobis maxasiaTeblebi, na-
                                   rezidentebis daxelovnebis          ofos xalmZRvanelobis mimarT,        _ samecniero-kvleviTi institu-     klovani mxareebi, teqnologi-
                                   mizniT urTierTTanamSromlo-         sadac SromiTi xelSekruleba          ti, 29 _ samedicino centri da 23   is sakiTxebi, standartizaciis
                                   bis memorandums. agreTve,          gauformda 57 students; Tbili-       _ stomatologiuri klinika.          Taviseburebani, SefuTvis sak-
                                   urTierTTanamSromlobis mem-         sis saswrafo samedicino dax-          am Sexvedraze STambemWdavi       iTxebi, markirebisa da Senaxvis
  Tbilisis saxelmwifo same-
                                   orandumi gaformdeba samedi-        marebis centris xelmZRvanelo        iyo baton mamukas mier samedi-     wesebi.
dicino universitetis xaris-        cino universitetsa da kompa-       bisadmi, sadac dasaqmebulia 122     cino universitetisadmi gamo-         saxelmZRvanelo Sedgenilia
xis uzrunvelyofis samsaxu-         nia `IDS borjomi saqarTvelos~      studenti. aseve, reqtorma gul-      xatuli siTbo da siyvaruli,         Tbilisis saxelmwifo samedici-
ri gvacnobs silabusis struq-       Soris iseT mniSvnelovan sak-       wrfeli madloba gadauxada yve-       radgan igi studentobidan mo-       no universitetis farmacevtu-
turas da misi Sefasebis prin-      iTxze, rogoricaa sazogadoe-        las, vinc mxarSi udgas samedici-    yolebuli da Semdgom aq, mrava-     li fakultetis sakredito
cipebsa da kriteriumebs.           baSi cxovrebis jansaRi wesis       no universitets momavali eqim-
                         gv.7      damkvidreba.                       Ta Taobis maRalprofesionale-                     dasasruli gv.10                     dasasruli gv.12

gazeTi gamodis 1957 wlidan.
`samedicino gazeTis~ redaqcia: vaJa-fSavelas 33, oTaxi 600 tel. 54-24-64
redaqtori dali gabeSia. korespondentebi: manana fxalaZe, darejan komlaZe, nato bolqvaZe, nino giorgaZe. Semosuli masalebi ar recenzirdeba da avtorebs ar ubrundeba.
samedicino gazeTi       Tebervali 2010 gv.2
 qronika
 pirveli gverdidan                                                                   saerTaSoriso konferenciebs.                  levebis Catareba, friad mniSvnelovania.
                                                                                       kvlevis SedegebiT dadasturda fen-          fenovini saqarTveloSi wiTeli yurZnis
 mniSvnelovani sityva samecniero azrovnebaSi                                         ovinis gamoyenebis maRalefeqturoba _         kanidanaa sinTezirebuli da registrire-
                                                                                     preparatma gaamarTla!                        buli cnobili preparatia, romelic didi
  dRes medicinaSi did yuradRebas iq-     farglebSi, sakmaod did konkursSi,             rogorc prezentaciaze profesorma            xania gamoiyeneba samedicino praqtikaSi.
cevs bunebrivi antioqsidanturi naerTe-   SeirCa axalgazrda medikosis proeqti.        nodar gogebaSvilma aRniSna, qarTvel          warmodgenil naSromSi gamovlenilia
bi, romlebic antiradikaluri da antio-    doqtorantma da Tssu-is epr labora-          mkvlevarTa mier warmodgenili mode-           fenovinis sruliad axali, dRemde ucno-
qsidanturi TvisebebiT xasiaTdeba da      toriis xelmZRvanelma, profesorma            luri cdebi maRal donezea Sesrulebu-          bi Tvisebebi, rac kidev erTxel adas-
swored araerTi Tanamedrove kvleviT       Tamar sanikiZem, codna, gamocdileba         li, rac, zogadad, Znelad misaRwevia,         turebs yurZnis eqstraqtebis maRalefeq-
dasturdeba antioqsidanturi Terapiis      da energia ar daiSures aRniSnuli kv-        gansakuTrebiT saqarTveloSi.                  turobas.
efeqturoba aTerosklerozis mkurna-        levis maRalefeqtur doneze Casatare-           Jurkat -ujredebis kultura samecniero         saeqsperimento-sakvlevi samuSaoebi
lobis paTogenezSi _ preparatebs, ro-     blad.                                       praqtikaSi aprobirebuli modelia apop-        isev grZeldeba. grantma sadoqtoro
melTac SeswevT unari imunuri ujrede-       proeqtis mizani qarTuli warmoebis         tozis meqanizmebis, sxvadasxva antisimsiv-   programis mxolod mcire fragmenti daa-
bis modulaciisa, mniSvnelovani efeq-     antioqsidanturi preparatis - fenovi-        nuri da imunomodulatoruli preparat-          finansa, naSromis srulyofisaTvis ki
turoba axasiaTebT aTerosklerozis         nis - imunomodulatoruli Tvisebis            is da radiaciis sxvadasxva dozis zemo-       aranaklebia gasakeTebeli.
prevenciasa da mkurnalobaSi.             dadgena gaxldaT Jurkat-ujredebis mod-       qmedebis apoptozze mastimulirebuli da          starti, romelic warmatebiT iqna
  proeqtis grantiT dafinanseba           elur sistemaSi.                             mainhibirebeli efeqtebis kvlevisaTvis, T     aRebuli, aseTive warmatebiT miva sasur-
saqarTvelos erovnulma samecniero           proeqtis farglebSi ganxorcielda           limfocitebis aqtivaciis pirobebis Ses-       vel finiSamde; Tanamedrove moTxovneb-
fondma gadawyvita, romlis erT-erTi       viziti aSS-Si, gamoica monografia - `apo-   wavlisaTvis da is faqti, rom Tbilisis sax-   is Sesabamisad warmoebuli qarTvel mec-
yvelaze popularuli programa axal-        ptozis regulacia Jurkat-ujredebis mo-       elmwifo samedicino universitetis lab-        nierTa kvleva samecniero azrovnebis
gazrda mecnierTaTvis prezidentis         delur sistemaSi~, daibeWda samecniero       oratoriis bazaze SesaZlebelia am mima-       mniSvnelovan miRwevadaa miCneuli da
samecniero grantebis miniWebaa da am     statiebi, miRebuli masalebi moxsenda        rTulebiT aseTi maRalkvalificiuri kv-         aRiarebuli.
                                                                                                                                                         darejan komlaZe.

 konferencia

 profesiuli janmrTeloba -                                                                                                          saintereso gamocema
                                                                                     baSi avadobis maRali done aRiniSna im
 problemebi da perspeqtivebi                                                         samuSao adgilebze, sadac, higienuri           saeklesio
     Tebervlis dasawyisSi saqarTvelos universitetma mniSvnelovan                     TvalsazrisiT, aradamakmayofilebeli
      konferencias _ `erTad davicvaT profesiuli janmrTeloba~ _                       Sromis pirobebia, rac adasturebs              samedicino
   umaspinZla, romelic mieZRvna saxelmwifo programis _ `profesiul                    dasaqmebulTa profilaqtikuri samed-
  daavadebaTa prevenciisa da monitoringis~ farglebSi Sesrulebuli                     icino gasinjvebis Catarebis aucile-           kalendari
                                                                                     blobas; programis farglebSi pirvela-
                                                samuSaos angariSs.
                                                                                     di jandacvis doneze SemuSavda
                                                                                                                                   2010
  konferencia gaxsna da programis        mis medicinis saerTaSoriso erovnuli         saqarTveloSi gavrcelebuli uxSiresi
farglebSi Catarebuli samuSaos mniS-      modeli, profesiuli janmrTelobis             profesiuli daavadebebis _ silikozis            axlaxan sruliad kaTolikos patri-
vnelobaze isaubra medicinis doqtor-      dacvis sferos samarTlebrivi aspeqte-        da vibraciuli daavadebebis proto-            arqis, uwmindesisis da unetaresis,
ma, Sromis medicinisa da ekologiis       bi da sazogadoebrivi jandacvis prob-        kolebi da gaidlainebi.                       ilia II-is locva kurTxeviT gamovida
samecniero-kvleviTi institutis gen-      lemebi, saqarTvelos mosaxleobis pro-          rogorc programis koordinatorma,            2010 wlis saeklesio samedicino kalen-
eralurma direqtorma, programis           fesiuli janmrTelobis gaumjobesebis          Sromis medicinisa da ekologiis samec-        dari, romlis avtori da Semdgenelia
koordinatorma, q-nma rusudan javax-      saxelmwifo programis mimarTulebebi          niero-kvleviTi institutis gener-             arqimandriti adami (axalaZe).
aZem.                                    2010-2015 wlebSi, _ aseTi gaxldaT kon-      alurma direqtorma, q-nma rusudan               wigni gamoica saqarTvelos sapatri-
  konferenciis monawileebs miesalmnen    ferenciaze warmodgenili moxsenebebis        javaxaZem CvenTan saubrisas aRniSna,         arqos wminda Tamar mefis saxelobis me-
da problemis aqtualobaze gaamaxviles     Tematika, razec isaubres momx-              programis mizani gaxldaT profesiul           dicinis institutis da sulieri da so-
yuradReba saqarTvelos Sromis, janm-      seneblebma: r. javaxaZem, m. arabiZem, n.   daavadebaTa prevencia, dasaqmebuli           cialur-kulturuli ganviTarebis fo-
rTelobis da socialuri dacvis minis-      CxaiZem, i. Rvineriam, m. Jurulma, x.       mosaxleobis janmrTelobis dacva,              ndi `Tamaris droSis~ xelSewyobiT.
trma, b-nma aleqsandre kvitaSvilma,      CigogiZem, T. svaniZem, g. CidraSvilma,     epidzedamxedvelobiTi da monitor-               kalendris megzurSi avtori yurad-
Tbilisis saxelmwifo samedicino uni-      T. lobJaniZem.                              ingis sistemis formireba. miRebuli           Rebas amaxvilebs wignSi warmodgenili
versitetis reqtorma, profesorma            gamomsvlelTa mier aRiniSna, rom           Sedegebis safuZvelze SemuSavda ko-           sakiTxebis aqtualobaze: `rogori unda
zurab vadaWkoriam, Tssu-is kuror-        Sromis pirobebis higienuri Sefasebis        mpleqsuri profilaqtikuri RonisZie-           iyos Cveni damokidebuleba janmrTelo-
tologiis da samkurnalo turizmis de-      aucileblobas ganapirobebs momuSave-         bebi, romelic mimarTulia Sromis              bisadmi? ra aris avadmyofoba da sikvdi-
partamentis xelmZRvanelma, profesor-     Ta janmrTelobis dacva profesiiT gan-        pirobebis gasaumjobeseblad. progra-          li da saidan daedo mas dasabami? rogor
ma nikoloz saakaSvilma da sxvebma.       pirobebuli riskebisgan da efeqturi          mis farglebSi ganxorcielebuli                urTierTmimarTebaSia rwmena da mecni-
  profesiul daavadebaTa prevenciisa      gamajansaRebeli         RonisZiebebis       higienuri, toqsikologiuri, epidemi-          ereba? ra sulier-zneobrivi probleme-
da monitoringis koncefciis da real-      SemuSaveba_realizacia; warmoebebSi          ologiuri da klinikuri kvlevebis mo-          bis winaSe dgas dRevandeli medicina? am
izaciis meqanizmebi, profesiuli risk-    Catarebuli higienuri kvlevebis miza-        nacemebis damuSavebis mizniT Seiqmna         da kidev mraval sxva SekiTxvas pasuxobs
faqtorebis higienuri Sefaseba cemen-     ni _ momuSaveTa Sromis pirobebis ko-        servisuli sistema _ kompiuterul pro-         Cveni kalendari...~
tis, manganumisa da Tambaqos warmoeba-   mpleqsuri higienuri Sefaseba Sromis         gramaTa paketi, romelsac pirobiTad             wignSi warmodgenili sxvadasxva ru-
Si, epidemiologiuri kvlevis Sedegebi,    pirobebis higienuri klasifikaciis           ewoda `profesiul daavadebaTa pre-            brika werilebs, receptebs, uwmindesis
dasaqmebulTa qimiuri usafrTxoebis        moTxovnebis mixedviT.                       venciisa da monitoringis saxelmwifo          da unetaresis sxvadasxva dros warmo-
sistemis erovnuli modeli, qimiuri us-      yuradReba gamaxvilda sxvadasxva           programis kompiuteruli momsaxureb-           Tqmuli qadagebidan amonaridebs, kla-
afrTxoebis sistemis informaciuli         faqtorebis zemoqmedebiT gamowveuli          is sistema~. Catarebuli kvlevebis Sede-      sikos mweralTa Tu poetTa Sedevrebs,
uzrunvelyofa, dasaqmebulTa re-           reproduqciuli janmrTelobis dar-             gebi da miRebuli monacemebi safu-            sasargeblo rCevebs aerTianebs: war-
produqciuli janmrTelobis progra-         Rvevebis naadrev gamovlenasa da pre-        Zvlad daedeba Sromis medicinis stan-         modgenilia tropar-kondakni, wminda
ma, momuSaveTa janmrTelobaze mZime       venciaze. gamoikveTa, rom Catarebuli        dartebis SemuSavebas.                        xatebis istoria, moTxrobilia maTi sas-
metalebis zemoqmedebis Sefaseba, Sro-    kvlevebis mixedviT sxvadasxva warmoe-                               nato bolqvaZe        waulmoqmedi Zalis Sesaxeb, moyvanilia
                                                                                                                                  citatebi Zveli da axali aRTqmis wigne-
                                                                                                                                  bidan, dabeWdilia locvebi da rCevebi
                                                                                                                                  locvis dros, aseve, ganmartebani saek-
                                                                                                                                  lesio dResaswaulebis Sesaxeb, waikiTx-
                                                                                                                                  avT sasargeblo moTxrobebs uvercxlo
                                                                                                                                  mkurnalTa da sxva wmindanTa cxovre-
                                                                                                                                  bidan, saintereso werilebs Tu faqtebs
                                                                                                                                  medicinis istoriidan, moTxrobilia
                                                                                                                                  eqimis profesiis qristianuli arsis Se-
                                                                                                                                  saxeb, ganxilulia evTanaziis, klonire-
                                                                                                                                  bis, transplantologiis problemebi da
                                                                                                                                  Tanamedrove mecnierebis, genuri inJin-
                                                                                                                                  eriis, fsiqiatriis, reproduqtologi-
                                                                                                                                  is mimarTeba eklesiur swavlebasTan, ag-
                                                                                                                                  reTve, avadmyofobis profilaqtikis,
                                                                                                                                  cxovrebis jansaRi wesis, kvebis (marx-
                                                                                                                                  vis), higienis sakiTxebi, Tavmoyrilia
                                                                                                                                  rCevebi sxvadasxva Civilisa da sneuleb-
                                                                                                                                  is SemTxvevebisTvis, moTxrobilia sxva-
                                                                                                                                  dasxva mcenaris samkurnalo Tvisebebis
                                                                                                                                  Sesaxeb, gaecnobiT wminda mamaTa gamo-
                                                                                                                                  naTqvamebs, mxatvrul da publicistur
                                                                                                                                  nawarmoebebs da a. S.
                                                                                                                                    mxatvruli gemovnebiT Sedgenili da
                                                                                                                                  maRal poligrafiul doneze gamocemu-
                                                                                                                                  li wigni sainteresod ikiTxeba da, masSi
                                                                                                                                  warmodgenili Temebis aqtualobis
                                                                                                                                  gaTvaliswinebiT, mkiTxvelisTvis mar-
                                                                                                                                  Tlac kargi saCuqaria.
                                                                                                                      Tebervali 2010 gv.3               samedicino gazeTi
 profesori    rima beriaSvili


 codnis Sefaseba da testuri gamocda. testis dizaini da misi Sedgenis wesebi.
  Sefasebis meTodologiis zogadi            lic afasebs faqtebis codnas, movlenis       formaciuli meTodebi gamosacdelebis              am mimarTebiT testuri gamocda yve-
  mimoxilva                                gaazrebis unars, xolo momdevno etapeb-      erTmaneTTan Sedarebas da tradiciul            laze iolad gansaxorcielebelia da gan-
  sadReisod, codnis Sesafaseblad mra-      ze ki, faqtebis codnisa da movlenebis       `moniSvnas~ ar unda iTvaliswinebdes. is       sakuTrebul resursebs ar saWiroebs.
vali Tanamedrove meTodi gamoiyeneba.       gagebis unarTan erTad, unda Semowmdes       TiToeuli maTganis individualuri gan-
maTi gamoyeneba xdeba erTmaneTis Canacv-   problemis gadawyvetis da klinikuri ga-      viTarebis xarisxs unda asaxavdes da maTi        weriTi gamokiTxvis testuri forma
lebiT an kompleqsurad, imis mixedviT,      dawyvetilebis miRebis unari, avadmyo-       `miRwevebisa~ da `Cavardnebis~ fiqsacias        karga xania codnis SefasebisaTvis ix-
Tu romeli maCveneblis Sefasebaa ufro       fobis istoriis Sevsebis, fizikuri gasi-     da analizs axdendes. Cvenda samwuxarod,       mareba e.w. testebi. testebi didi raode-
mniSvnelovani. samedicino ganaTlebis       njvis, procedurebis Catarebis Cvevebi,      swavlebis mimdinare procesSi Sefaseba         nobiT `codnis maZiebelTa~ erTdrouli
procesSi pirobiTad swavlebis da kompe-     avadmyofTan, kolegebTan damokidebu-         upiratesad sumaciur xasiaTs atarebs da        da swrafi gamokiTxvis efeqturi saSu-
tenciebis SeZenis 4 Tanmimdevrul etaps     lebis xasiaTi da TviTganaTlebis unari.      formaciuli meTodebi naklebad gamoiy-          alebaa, romliT miRebuli Sedegebic
gamoyofen:                                   calke unda aRiniSnos pacientTan da-       eneba. formaciuli Sefasebis Tavisebu-         raodenobrivad advilia Sesafaseblad.
                                           mokidebulebis da urTierTobis unari,         rebebs SemdgomSi detalurad SevexebiT.           bolo wlebSi weriTi gamocdis tes-
 1. icis                                   kolegebTan urTierTobis da gundSi                                                          turi formis mimarT araerTi kritikuli
 2. icis rogor                             muSaobis unari. am unarebis obieqturi         codnis Sefasebis meTodebis                  SeniSvna gamoiTqva.
 3. aCvenebs rogor                         Sefaseba bevrad ufro rTuli aRmoCnda.          kriteriumebi                                  avtorTa erTi nawili Tvlis, rom gamo-
 4. akeTebs                                misi swavlebac Znelia da adamianTa            codnis Sefasebis meTodebis SerCevis         kiTxva unda iyos auTenturi, e.i. re-
                                           fsiqotipebis codnas da, zogadad, fso-       dros sargebloben iseTi ZiriTadi kri-          alur cxovrebiseul amocanebTan maqsi-
  swavlebis dasaxelebul etapebze Tan-                                                  teriumebiT, rogoricaa validuroba da           malurad miaxloebuli. avtorTa did naw-
mimdevrobiT an kompleqsurad, Sedegze                                                   sarwmunoeba.                                  ils miaCnia, rom testuri weriTi gamoc-
orientirebuli konkretuli miznis mis-                                                     validuroba (cneba `validuri~ namd-          da unda Canacvldes xolme (nawilobriv
aRwevad mowmdeba Semdegi maCveneblebi:                                                 vils, vargisians, moqmeds niSnavs). nebis-    mainc) gamokiTxvis alternatiuli
                                                                                       mieri gamocdis Catarebis dros upirve-         formebiT da faqtobrivi masalis codnis
  1. codna                                                                             lesi mniSvneloba aqvs meTodis vali-           Sefasebis garda unda Sefasdes studen-
  2. problemis gadawyvetis unari                                                       durobas. yvelaze martivi gagebiT, vali-       tis mier Sesrulebuli samuSao Cvevebi,
  3. klinikuri gadawyvetilebis miRe-                                                   duroba niSnavs, rom meTodi namdvilad          damokidebulebebi da a.S.
bis unari                                                                              afasebs imas, risi SefasebisTvisac is           vTvliT, rom xSir SemTxvevaSi teste-
  4. Cvevebi: avadmyofobis istoriis Se-                                                SearCies. testebi unda iyos validuri –        biT gamokiTxvis SesaZlebloba srulad
vsebis, fizikuri gasinjvis, procedu-                                                   es niSnavs, rom misi Sedgenis dros            gamoyenebuli ar aris. misi swori agebis
rebis Catarebis da sxv.,                                                               gaTvaliswinebuli unda iyos, Tu risi           SemTxvevaSi faqtiuri codnis garda,
  5. damokidebuleba: avadmyofTan, ko-                                                  Semowmeba gvinda da namdvilad Seas-           problemisa da klinikuri gadaw-
legebTan da sxv.,                                                                      rulebs Tu ara testi am mizans. imisaTvis,     yvetilebis unaris Sefasebac SeiZleba,
  6. TviTganaTlebis da resursebis ga-       mileris kompetenciebis piramida            rom Sefasebis meTodis validurobas mi-         rac gansakuTrebiT mniSvnelovania.
moyenebis unari                                                                        vaRwioT, winaswar unda vicodeT Sesamow-         testiT Sefasebas aqvs Tavisi `Zlieri~
                                                                                       mebeli codnis moculoba, risTvisac unda        da `susti~ mxare (ix. cxrili).
  mileris piramididan Cans, rom `icis~     da humanmetriis principebs emyareba.        gagvaCndes Sesabamisi programa. aseTi           testiT Sefasebis `Zlieri~ mxareebis
fundamenturi, sawyisi kompetenciaa. am     `damokidebulebaTa~ Sefasebis meTod-         programa Sedgeba samizne elementebisagan      gamo, romelTa Soris gansakuTrebuli
kompetenciis Sesafaseblad ZiriTadad        ologiis ganviTareba Tanamedrove             anu e.w. `saswavlo obieqtebisgan~. sadRe-     mniSvneloba mis obieqturobas da Sede-
gamoiyeneba faqtebisa da informaciis       samedicino ganaTlebis da misi kvlevis       isod, aseT programebs kompetenciebis          gebis swrafad dajamebas aqvs, testebi
maragis Sesafasebeli testebi, ese, zepi-   erT-erTi prioritetuli mimarTulebaa.         gaTvaliswinebiT adgenen.                      yvelanairi sadiplomo, sasertifikacio
ri gamokiTxva.                               rac Seexeba TviT-ganaTlebis da              sarwmunooba. meTodis Sefasebis es           Tu salicenzio gamocdebis aucilebeli
  mileris piramidis meore etapi `icis      resursebis gamoyenebis unars, is dakav-     kriteriumi `sandoobas~, `damajereblo-         nawilia.
rogor~ kompetenciaa. es kompetencia        Sirebulia sainformacio teqnikis gamoy-      bas~ aRniSnavs. gamokiTxvis Sedegi dama-
problemis gadawyvetis unars da klini-      enebasTan da gulisxmobs internetiT          jerebelia, Tu Sefasebis nebismieri sxva        testebiT efeqturad
kuri gadawyvetilebis                       sargeblobis Cvevebsac. TviT-ganaTlebis      meTodiT igive Sedegi miiReba. testiT           Sefasebis skala
  miRebis unars gulisxmobs. dasaxele-      da resursebis gamoyenebis unars didi        gamokiTxvis sarwmunoebis maCvenebeli           (4 qula yvelaze efeqturia)
buli unarebis Sesafaseblad gamoiyene-      mniSvneloba aqvs distanciuri swavlebis      Zalian maRalia, vinaidan nebismieri ga-
                                                                                                                                      codna                                4
ba klinikur konteqstze agebuli teste-      ganviTarebaSi, uwyveti samedicino ga-       momcdeli erTi da igive qulas dawers.
bi, ese, zepiri gamokiTxva.                naTlebis da mudmivi profesiuli dax-         samwuxarod, amas ver vityviT zepir gamo-       problemis gadawyvetis                2
  mileris piramidis mesame etapi `aCve-    elovnebis procesebSi.                       cdaze, roca erTi da igive gamosacdel-           unari
nebs rogor~ kompetenciaa. es kompeten-                                                 ma sxvadasxva gamomcdelTan sruliad             klinikurigadawyvetilebis             2
cia ukve garkveuli klinikuri Cvevebis        damokidebuleba swavlebasa da              SesaZlebelia, rom sxvadasxva Sefaseba          miRebis unari
flobas gulisxmobs. misi Sefaseba xdeba       codnis Sefasebas Soris                    daimsaxuros.                                   Cvevebi: istoriisSevsebis            2
Sesrulebuli samuSaos Sefasebis in vit-       studentis (rezidentis, eqimis) swo-
                                                                                        SeniSvna: zepiri gamocda, miuxedavad          Cvevebi:fizikurigasinjvis            2
ro meTodebiT, obieqturad struqtur-         rad Catarebuli Sefaseba swavlebis            imisa, rom mas sarwmunoobis dabali ma-
irebuli klinikuri gamocdiT (OSCE),         xarisxs asaxavs da, garkveulwilad, misi      Cvenebeli aqvs da garkveuli subieqtur-        Cvevebi: procedurebis Catarebis,     0
simulirebuli pacientebiT.                  Sefasebac aris.                              obiTac xasiaTdeba, zog SemTxvevaSi erTa-      urTierTobis, TviTganaTlebis da
  mileris piramidis zeda, umaRlesi ko-       Sefasebis meTodis SerCevamde naTlad        derTi da Seucvlelia. misi meSveobiT           resursebis gamoyenebis
                                                                                        sazRvraven iseT kompetenciebs, rogori-
mpetencia aris `akeTebs~. dasaxelebuli     unda ganisazRvros, ris Sefasebas va-         caa azrovnebisa da gadawyvetilebis mi-
kompetencia avadmyofobis istoriis          pirebT. amisaTvis saWiroa momzaddes Se-      Rebis Tavisebureba, interpretaciis una-        zemoaRniSnulidan Cans, rom testuri
Sevsebis, fizikuri gasinjvis, proce-       sabamisi programebi, sadac miTiTebuli        ri, komunikaciis, azris Camoyalibebisa da    gamokiTxva maqsimalurad efeqturia
durebis Catarebis da sxva klinikur         iqneba yvela is sakiTxi, ris Semowmebasac    gadmocemis unari, intervius aRebis da        `codnis~, rogorc informaciuli marag-
                                                                                        anamnezis Segrovebis unari da sxv. subieq-
CvevebTan erTad, pacientTan swor           vapirebT.                                                                                 is, Sesafaseblad. Tumca, misi gamoyeneba
                                                                                        turobis Tavidan asacileblad zepir
damokidebulebasac gulisxmobs. es                                                        gamocdas komisiuri wesiT awarmoeben.         xdeba problemis gaazrebis, klinikuri
Cvevebi fasdeba Sesrulebuli samuSaos         codnis formaciuli da sumaciuri                                                          gadawyvetilebis unarisa da garkveuli
Sefasebis in vivo meTodebiT, simula-         Sefaseba                                    sarwmunoobis maCvenebelze negati-           Cvevebis Sesafasebladac.
torebiT, video-CanawerebiT.                  codnis Sefaseba formaciulia, Tu is        urad moqmedebs ori faqtori, romelic
  zemoxsenebulidan Cans, rom pirvel        swavlebis yoveldRiuri procesis Semad-       testis Sedgenis dros unda gaviTvali-
etapze mniSvneloba aqvs codnis Sefase-     geneli nawilia da sumaciuria, Tu sab-       swinoT:
bis iseTi meTodebis gamoyenebas, rome-     oloo Sedegebs gansazRvravs. Sefasebis
                                                                                         a) sakiTxebis mcire raodenoba, risi

swavleba                                   codnis Sefaseba
                                                                                       Sefasebac codnaze SezRudul warmod-             testis dizaini
                                                                                       genas iZleva;
swavleba efeqturia, roca:                  codnis Sefaseba efeqturia, roca:
                                                                                                                                      da
1. winaswar naTlad aris gansazRvru-        1. iTvaliswinebs swavlebis procesis           b) sakiTxebis viwro specifiuroba, rac        misi Sedgenis
li swavlebis procesis konkretuli           konkretuli Sedegebis Sefasebas              mTeli disciplinis codnaze swor war-
Sedegebi                                   2. Sefasebis xasiaTi da arsi Seesabameba    modgenas ver gvaZlevs.                         wesebi
2. swavlebis meTodebi da masala See-       misaRwev Sedegebs
sabameba misaRwev Sedegebs                 3. codnis Sefasebis meTodi Seesabameba        Sefasebis meTodis SerCevis dros unda         `kiTxva mravlobiTi arCevaniT~
                                                                                                                                                         A
3. swavlebis procesSi gaTvaliswineb-       studentTa/rezidentTa unars da esad-         gaviTvaliswinoT isic, Tu ramdenad gan-         MCQ
ulia studentTa/rezidentTa unari da         ageba TiToeul maTgans
                                                                                       xorcielebadia gamocda resursebis (da-
moTxovnilebebi                             4. fasdeba informacia, romelic unda         finanseba, teqnikuri aRWurva, Sesafe-           testuri kiTxva, anu testi, rogorc mas
4. swavleba efuZneba informacias,          iyos naTlad Camoyalibebuli, sarwmuno
romelic aris naTlad Camoyalibebuli,        da damajerebeli                             risi garemo da sxv.) TvalsazrisiT. obi-       SemoklebiT uwodeben, Sedgeba mmarTve-
sarwmuno da damajerebeli                   5. Sefasebis Sedegebis mixedviT maswav-
                                                                                       eqturad struqturirebadi klinikuri             li frazis, RerZisa da variantebisagan,
5. studentebs/rezidentebs periodulad       lebelsa da students/rezidents Soris         gamocda, OSCE, romelic klinikuri Cve-         anu pasuxebisagan (ix. magaliTi).
ecnobebaT maTi miRwevebis Sesaxeb          aris ukukavSiri                             vebis Sesafaseblad gamoiyeneba da               `kiTxva mravlobiTi arCevaniT~ aris
6. `CamorCenil~ studentebs/rezident-       6. Sefasebis SedegebiT vlindeba `Camor-     dasavleT samyaroSi farTo popularo-            testi, romlis RerZi Sedgeba ramdenime
ebs aqvT Sedegebis gamosworebis saSu-      Cenis~ mizezebi da Taviseburebebi           biT sargeblobs, did xarjebTan da ma-          alternatiuli pasuxisagan, romelTa
aleba                                      7. Sefasebis Sedegebi gvaZlevs sasarge-     Ral teqnikur SesaZleblobebTan aris            Soris:
7. periodulad xdeba swavlebis efeq-        blo informacias swavlebis amocanebis,       dakavSirebuli. am meTodiT mcire dro-            1. mxolod erTi pasuxia swori (an yve-
turobis da konkretuli misaRwevi Sede-      meTodebis da masalis mizanSewonilo-         Si didi raodenobiT gamosacdelebis             laze swori).
gebis gadaxedva                            bis Sesaxeb
                                                                                       miReba SeuZlebelia.                             2. ramdenime pasuxia swori
samedicino gazeTi        Tebervali 2010 gv.4
 testiT Sefasebis                                                    testiT Sefasebis      - moveridoT `mzakvrul~ da zedmetad        Txovs da pasuxis gasacemadac meti dro
 `Zlieri~ mxare                                                          `susti~ mxare   gadatvirTul kiTxvebs.                       sWirdeba. ramdenimesworpasuxiani tes-
                                                                                                                                     tis sarwmunoebis maCvenebeli, iseve
 - advili da swrafia dasajame-     -codnis maragSi zewola xdeba `sworia-                   testis `mmarTveli frazis~                 rogorc, saerTod, testuri meTodebis
 blad                              arasworia~-ze                                           agebis dros unda                          sarwmunoeba maRalia, rac imas niSnavs,
 - naklebia subieqturoba           - albaTobis didi SesaZleblobaa (yovelgvari              gaviTvaliswinoT:                          rom nebismieri gamomcdeli erTsa da
 - maRalia sarwmunooba (roca       codnis gareSe pasuxebis 20-25% SesaZlebelia             - sadac es SesaZlebelia, Camovayali-      imave testSi erTsa da imave Sefasebas
 kargad aris agebuli)              iyos swori)                                           boT pirdapiri kiTxva, vidre arasruli        unda aZlevdes.
 - SeiZleba codnis didi marag-     - testSi moyvanili situaciebi realuri                 mtkicebuleba.                                 ramdenimesworpasuxiani testis Sedge-
 is erTjeradi, swrafi Semow-       praqtikisaTvis xSirad ararealuria (TiTqmis              - moveridoT negatiurad agebul mi-         na rTulia da amis gamo mas xSirad eride-
 meba                              verasdros movxvdebiT situaciaSi, roca                 TiTebebs (mag., iseTi sityvebis xmarebas,   bian kidec. testis konstruqciis dros
 - SeiZleba bevri magaliTis        versiebad moyvanili oTxi SesaZleblobidan              rogoricaa `garda~, `ara~). Tu iZulebu-      mniSvnelovania distraqtorebis (cru
 moyvana erTi da igive masali-     unda amovirCioT erTi swori)                           li xarT gamoiyenoT negatiuri frazebi,       variantebis) sakmarisi raodenobiT arse-
 dan                               - ver vgebulobT, ra gziT midis gamosacdeli            ixmareT rac SeiZleba mokle (sjobs erT-      boba da kargi balansi, romelic swori
 - advilad iqmneba kiTxvebis       swor pasuxamde                                        sityviani) maTgani.                         pasuxebisa da distraqtorebis ricxvs
 banki                             - xels uwyobs swavlis Taviseburi stilis                 - pasuxis gacema SesaZlebeli unda iyos    Soris iqmneba. amasTanave, Zalian mniS-
 - miznidan gamomdinare, moq-      Camoyalibebas, rac emyareba mxolod swori              mmarTveli frazis mixedviT, varianteb-       vnelovania, rom swori variantebi namd-
 nilia modelirebisaTvis            pasuxebis damaxsovrebas                               is gadaxedvis gareSec.                      vilad, damajereblad iyos swori, xolo
                                                                                                                                     distraqtorebi ki - damajereblad cru.
                                                                                           testis `variantebis~                      SedarebiT sirTules qmnis aseTi tipis
                                                                                           agebis dros                               testebis dajamebis procesic.
 magaliTi                                                                                  unda gaviTvaliswinoT:                       ramdenimesworpasuxiani testi Sedge-
                                                                                           - davweroT iseTi variantebi, rom-         ba mmarTveli frazisa da erTi RerZisgan,
                          pacients, romelsac aqvs posthepatituri cirozi,                 lebic gramatikulad erTnairad aris           romelic Tavis mxriv, oTxi alternati-
                        aReniSneba RviZlis zomebis swrafi zrda RviZlis fun-              nawarmoebi, logikurad SeTavsebadia da       uli variantisagan Sedgeba. oTxi varian-
       mmarTveli        qciebis daqveiTebasTan erTad.                                    homogenuri.                                 tidan, SeiZleba erTi an ramdenime iyos
           fraza          romeli maCveneblis cvlilebaa yvelaze metad mos-                  - variantebi unda iyos urTierTgamom-      swori, xolo danarCeni crua. variante-
                        alodneli sisxlis laboratoriuli analiziT?                         ricxavi.                                    bis CamoTvla xdeba ricxviTi Tanmimdev-
                                                                                           - distraqtorebi unda iyos damajere-       robiT, xolo pasuxis Sedgena – anbanu-
                          A. α1-antitripsini                                             beli, ucodinari gamosacdelisaTvis           riT. mmarTvel frazas win savaldebu-
                          B. karcinoembrionuli antigeni                                  `mimzidveli~.                               lod unda uZRvodes miTiTeba, sadac
             RerZi        C. qorionuli gonadotropini                                       - distraqtori daaxloebiT igive si-        aRniSnuli iqneba am tipis testiT sarge-
                          D. α-fetoproteini*                        swori pasuxi         grZis unda iyos, rogoric swori varian-      blobis wesi (ix. magaliTi A).
                          E. E.gastrini                                                  ti.                                           rogorc magaliTebidan Cans, ramden-
                                                                                           - pasuxebSi unda moveridoT iseTi ab-      imesworpasuxiani testis variantebis
                                                                                         solutebis gamoyenebas, rogoricaa            ricxvi gansxvavdeba pasuxebis ricxvisa-
                                                                                         `yovelTvis~, `arasodes~, `yvela~ da iseT    gan. kidev erTxel xazs vusvamT, rom vari-
                                                                                         bundovan sityvebs, rogoricaa `Cveu-         antebi inomreba, xolo pasuxebs anbanuri
  garda amisa, arsebobs e.w. `ganvrcobili    nebis unari, vidre calkeuli faqtebis        lebriv~ da `xSirad~.                        principiT vadgenT.
Sesatyvisobis kiTxvebic~, romlebsac,         damaxsovrebis unari (ix. qvemoT blumis        - unda moveridoT variantebs `arcer-
aseve, `mravlobiTi arCevanis MCQ-s~ mi-      taqsonomiis amsaxveli cxrili).              Ti zemoTqmuli~ da `yvela zemoTqmuli~.         ramdenimesworpasuxiani testis
akuTvneben. am tipis testebi sadReisod         - testis RerZi SeiZleba iyos grZeli,        - cifrebis Semcveli variantebi unda         agebis dros unda
farTed gamoiyeneba klinikuri swavleb-        anu Sedgebodes 5-ze meti variantisgan,      iyos logikurad Tanmimdevruli.                 gaviTvaliswinoT:
is nawilSi gadawyvetilebis miRebisa da       magram variantebi (pasuxebi) unda iyos        - variantebis CamoTvla unda xdebodes        - mniSvneloba mivceT Sinaarss da ara
diagnozis dasmis unaris Sesafaseblad.        mokle da rac SeiZleba gasagebad formu-      logikuri an anbanuri TanmimdevrobiT.        wvrilmani, umniSvnelo faqtebis dasax-
                                             lirebuli.                                     - tests, Sedgenis Semdeg, kidev erTxel    elebas.
  testi erTi swori pasuxiT                     - klinikuri SemTxvevis aRweris dros       gadaavleT Tvali da darwmundiT, rom            - variantebi unda iyos mokle da rac
  `testi erTi swori (yvelaze swori) pa-      unda gaviTvaliswinoT Semdegi faqtore-       namdvilad erTi pasuxia swori an yvelaze     SeiZleba gasagebad formulirebuli.
suxiT~ Sedgeba mmarTveli frazisa da          bi (ramdenime mainc): pacientis asaki da    swori.                                        - klinikuri SemTxvevis aRweris dros
RerZisgan, romelic Tavis mxriv, xuTi         sqesi; diagnozis dasmisa da mkurnalobis                                                 unda gaviTvaliswinoT Semdegi faqtore-
alternatiuli pasuxisagan, variantisa-        adgili (mag., ambulatoria, saavadmyofo,      testi ramdenime swori pasuxiT              bi (ramdenime mainc): pacientis asaki da
gan, Sedgeba. xuTi pasuxidan, Cveulebriv,    reanimaciuli ganyofileba da sxv.); paci-                                                sqesi; diagnozis dasmisa da mkurnalobis
erTia swori, xolo danarCeni crua, maT        entis Civilebi da maTi xangrZlivoba; pa-      rogor zemoT aRvniSneT, `kiTxva mrav-      adgili (mag., ambulatoria, saavadmyofo,
distraqtorebi (`distraction - dabneva, yu-   cientis piradi/ojaxuri mdgomareoba;         lobiTi arCevaniT~ (MCQ) aris testi,         reanimaciuli ganyofileba da sxv.); paci-
radRebis gafantva) ewodebaT.                 instrumentuli/laboratoriuli kvle-           romlis RerZi Sedgeba ramdenime alter-       entis Civilebi da maTi xangrZlioba; pa-
                                             vis monacemebi; diagnostikuri kvlevis       natiuli variantisagan, romelTa Soris        cientis piradi/ojaxuri mdgomareoba;
 testis `RerZis~ agebis dros                 +/_ Sedegebi; informacia adre Catarebu-     SeiZleba ramdenime pasuxi iyos swori (ix.   instrumentuli/laboratoriuli kvle-
 unda gaviTvaliswinoT:                       li mkurnalobis Sesaxeb da SemdgomSi         magaliTi). aseTi tipis testi erTpasux-      vis monacemebi; diagnostikuri kvlevis
 - mniSvneloba mivceT Sinaarss da ara        ganviTarebuli movlenebis Sesaxeb.           ian testTan SedarebiT rTulia, gamo-         +/_ Sedegebi; informacia adre Catarebu-
trivialuri faqtebis dasaxelebas.               - moveridoT Warb da usargeblo in-         sacdelis intuicias naklebad `emor-          li mkurnalobis Sesaxeb da SemdgomSi
 - ufro mniSvnelovania codnis gamoye-        formacias.                                  Cileba~, gadawyvetilebis met unars moi-     ganviTarebuli movlenebis Sesaxeb.



    zmnebi, romlebic mizanSewonilia gamoviyenoT testebis Sedgenis dros mizanmimarTulad, sasurveli Sedegis (codnis, unaris) Sesafaseblad

                                                        blumis taqsonomia
 codna                       gaazreba                      gamoyeneba                    analizi                     sinTezi                      Sefaseba
 ganmarte                    gardaqmeni                    gamoiyene                     gaaanalize                  daalage                      Seafase
 moniSne                     aRwere                        gamoiTvale                    Seafase                     daajgufe                     imsjele
 CamoTvale                   imsjele                       aCvene                        daiTvale                    Seagrove                     Seamowme
 daasaxele                   gaarCie                       aamuSave                      kategoriebad dayavi         Seadgine                     SearCie
 gaixsene                    Seajame                       gadaitane                     klasifikacia gaakeTe        aage                         Seadare
 gamoicani                   axseni                        magaliTi moiyvane             Seadare                     Seqmeni                      gaakritike
 gaimeore                    gamoxate                      interpretacia moaxdine        daupirispire                gaaforme                     Ggadawyvetileba miiRe
 Camowere                    ganasxvave                    gadaakeTe                     gaakritike                  Ddiagnozi dausvi             Seajame
 daalage                     moaTavse                      imoqmede                      daskvna gamoitane           Camoayalibe                  mniSvneloba gansazRvre
                             gamoicani                     Seasrule                      diagrama Seadgine           awarmoe                      daadgine
                             dawere                        awarmoe                       diferenciaciamoaxdine       hipoTeza gamoTqvi            daadasture
                             Camoayalibe                   ivaraude                      ganasxvave                  moifiqre                     gazome
                             moyevi                        moamzade                      gamoscade                   marTe                        Tanafardoba gansazRvre
                             gadaakeTe                     dagegme                       Seamowme                    Secvale                      gadaxede
                             gadaTargmne                   warmoidgine                   ZiriTadi principebi         organizacia gaukeTe          daajame
                                                                                         Camoayalibe
                                                           moixmare                      kiTxvebi dasvi              dagegme                      SearCie
                                                                                         daukavSire                  moamzade
                                                                                         gadawyvite                  azri gamoTqvi
                                                                                         scade                       Seajame
                                                                                                                    Tebervali 2010 gv.5             samedicino gazeTi
   magaliTi   A                                                                         magaliTi 1
                                                                                        Tema: revmatologia
  miTiTeba: qvemoT moyvanil kiTxvas Tan axlavs oTxi savaraudo pasuxi,                   variantebis CamonaTvali:
 romelTaganac erTi an ramdenimea swori. SearCieT pasuxi                                 A. osteoarTriti
  A. Tu 1, 2, da 3 aris swori                                                           B. revmatoiduli arTriti
  B. Tu 1 da 3 aris swori                                                               C. fsoriazuli arTropaTia
  C. Tu 2 da 4 aris swori                                                               D. sistemuri wiTeli mglura
  D. Tu 4 aris swori                                                                    E. CREST sindromi
  E. Tu 1, 2, 3, da 4 aris swori                                                        F. polimioziti
                                                                                        G. dermatomioziti
  kiTxva 1:                                                                             H. takaiasus avadmyofoba
  romeli ujredebi monawileobs yvelaze aqtiurad mkvrivi nawilakis                        I. kvanZovani poliarteriiti
 fagocitozis ganxorcielebis procesSi organizmis dacvis dros?                            J. vegeneris granulomatozi
  1. neitrofilebi
  2. limfocitebi                                                                        qvemoT CamoTvlil simptomebs miusadageT Sesabamisi avadmyofoba varian-
  3. makrofagebi                                                                        tebis CamonaTvalidan
  4. bazofilebi                   swori pasuxia: B (1, 3).
                                                                                        1. telangieqtazia frCxilis falangamde
  kiTxva 2:                                                                             2. kanis kalcinozi
  romel qvemoT moyvanil variantSia simsivne da gamomwvevi faqtori swo-                  3. ceris fuZis `kvadratuli~ forma
 rad dawyvilebuli?                                                                      4. ormosebri CaRrmavebebi frCxilebze
  1. RviZlis angiosarkoma - arsenikalebi                                                5. cxviris unagirisebri deformacia
  2. endometriuli karcinoma - ekzogenuri estrogenebi                                    6. pulsis gaqroba erT an ramdenime kidurze
  3. vaginuri karcinoma - dieTilstilbestroli
  4. mezoTelioma - beriliumi                                                            swori pasuxebia: 1 - G (dermatomioziti); 2 - E (CREST sindromi);
                                       swori pasuxia: A (1, 2 ,3).                      3 - A (osteoarTriti); 4 - C (fsoriazuli arTropaTia);
                                                                                        5 - J (vegeneris granulomatozi, aseTive deformacias
                                                                                        iwvevs Tandayolili sifilisi da varfariniT embriopaTia);
                                                                                        6 - H (takaiasus avadmyofoba).
  - moveridoT Warb da usargeblo in-           ganvrcobili Sesatyvisobis testebis
formacias.                                  Sedgenis dros unda gaviTvaliswinoT
  - moveridoT `mzakvrul~ da zedmetad        yvela is miTiTeba, romelic zemoT iyo        magaliTi 2
gadatvirTul kiTxvebs.                       aRniSnuli `erTi swori pasuxiT~ testis       Tema: fiziologiuri maCveneblebi – klinikuri mdgomareoba
                                            SedgenasTan dakavSirebiT da damatebiT       variantebis CamonaTvali:
  testis `mmarTveli frazis~                 vixelmZRvaneloT Semdegi principebiT:                         pH       PO2 mm Hg      PCO2 mm Hg HCO3 m eq/l
  agebis dros unda                            1. Tema:                                  A.               7.15     98             33         11
  gaviTvaliswinoT:                            unda gamovarCioT iseTi Temebi, rom-       B.               7.15     98             24         8
  - sadac es SesaZlebelia, Camovayali-      lebic Sinaarsobrivad mravalwaxnago-         C.               7.30     56             80         38
boT pirdapiri kiTxva, vidre arasruli        vani da multifaqtorulia. aseTia paci-       D.               7.40     100            40         25
mtkicebuleba.                               entis Civilebi, diagnozi, wamalTa           E.               7.50     100            33         25
  - moveridoT negatiurad agebul mi-         klasebi, procesebi (mag., saerTo sisus-     F.               7.50     100            24         18
TiTebebs (mag., iseTi sityvebis xmarebas,   tis diagnozi).                              G.               7.50     56             33         25
rogoricaa `garda~, `ara~). Tu iZulebu-        2. mmarTveli fraza:
li xarT gamoiyenoT negatiuri frazebi,         miTiTeba naTlad unda ayalibebdes          qvemoT aRwerili TiToeuli pacientis mdgomareobas miusadageT arteriuli
ixmareT rac SeiZleba mokle (sjobs erT-      stimulis (gamomwvevi mizezis) da Sedegis    sisxlis adeqvaturi maCveneblebi
sityviani) maTgani.                         Sesatyvisobis pirobas (mag., TiToeuli
                                            pacientis mdgomareobas, romelTac sar-       1. 22 wlis axalgazrda mamakaci, 3 kviris manZilze aReniSneba poliuria da polid-
  testis `variantebis~                      To sisuste awuxebT, miusadageT yvelaze      ipsia. AReniSneboda aseve gulisreva, pirRebineba, daqveiTebuli reaqciebi uka-
  agebis dros unda                          Sesaferisi diagnozi). mmarTveli fraza       naskneli 12 saaTis ganmavlobaSi. Sardis analizma aCvena 4+ glukoza da 4+ ketone-
  gaviTvaliswinoT:                          gasagebad unda miuTiTebdes, SeiZleba        bi.
  - davweroT iseTi variantebi, romle-       Tu ara variantebis erTze metad gamoy-
bic gramatikulad erTnairad aris nawar-      eneba.                                      2. 25 wlis axalgazrda qali TviTmkvlelobis mcdelobidan 12 saaTis Semdeg miiyv-
moebi, logikurad SeTavsebadia da homo-        3. variantebi:                            anes gadaudebeli daxmarebis ganyofilebaSi. mas miRebuli hqonda daaxloebiT
genuri.                                       CamonaTvali unda Sedgebodes arau-         100 500-mg-iani aspirinis tableti.
  - distraqtorebi unda iyos damajere-       metes 10 homogenuri elementisagan, rom-
beli, ucodinari gamosacdelisaTvis           lebic TemasTan arian dakavSirebuli          swori pasuxebia: 1 - B; 2 - F.
`mimzidveli~.                               (mag., diagnozebi, romelTa drosac saer-
  - distraqtori daaxloebiT igive sigr-      To sisustea mosalodneli). variantebi
Zis unda iyos, rogoric swori varianti.      unda iyos mokle da CamoTvlili anbanuri
  - pasuxebSi unda moveridoT iseTi ab-      TanmimdevrobiT an sxva logikuri Tan-
solutebis gamoyenebas, rogoricaa `yo-       mimdevrobis dacviT. Yyovel miTiTebul        testis Sedgena
velTvis~, `arasodes~, `yvela~ da iseT bu-   sakiTxs unda Seesabamebodes mxolod
                                                                                        calkeul klinikur saqmianobasTan dakavSirebul sakiTxebze
ndovan sityvebs, rogoricaa `Cveuleb-        erTi swori pasuxi.
riv~ da `xSirad~.                             RerZebi unda iyos erTgvarovani kon-
  - unda moveridoT variantebs `arcer-       struqciis.                                   daavadebaTa prevencia                     gTavazobT zemodasaxelebuli krite-
Ti zemoTqmuli~ da `yvela zemoTqmuli~.                                                    daavadebaTa prevenciasTan dakavSire-    riumebis Sesabamisi mmarTveli frazis
  - tests, Sedgenis Semdeg, kidev erTx-       aseTi tipis testis agebis dros kidev     buli kiTxvebi dakavSirebuli unda iyos     magaliTebs:
el gadaavleT Tvali da darwmundiT, rom       erTxel SeamowmeT:                          risk faqtorebis SefasebasTan, epidemi-      - romeli imunizaciis Catarebaa
swori pasuxi namdvilad sworia da dis-         - SeiZleba Tu ara Tqven mier miTiTebu-   ologiuri monacemebis gamoyenebasTan,      saWiro am periodSi?
traqtori - namdvilad cru.                   li variantebis ramdenjerme gamoyeneba      profilaqtikuri RonisZiebebis dagegm-        - romelia yvelaze Sesaferisi skrin-
                                              - TiToeul sakiTxs namdvilad mxolod       vasTan.                                   ing-testi?
                                            erTi swori varianti Seesabameba              am tipis kiTxvebi Cveulebriv iyofa        - romeli gamokvleva mogvcems prog-
                                              - TiToeuli sakiTxis irgvliv sul          Semdeg kategoriebad:                      nozis saSualebas?
 testi ganvrcobili                          mcire oTxi `cru~ distraqtori mainc           1) skrining-testebi;                      - romelia yvelaze Sesaferisi profi-
 Sesatyvisobis kiTxvebiT                    aris gamoyenebuli.                           2) konstruqciuli Careva:                laqtikuri RonisZieba?
                                              rogorc magaliTebidan Cans, ganvr-          3) imunizacia/mgzavrobasTan dakav-        - romel pirobebSi dgeba pacienti yve-
  `ganvrcobili Sesatyvisobis~ testi         cobiTi Sesatyvisobis testebi `amo-         Sirebuli sakiTxebi;                       laze didi riskis qveS?
aris `mravlobiTi arCevanis~ testis          saxsnelad~ sakmaod rTulia, misi              4) gadaudebeli Careva.                    - romeli Semdgomi RonisZiebaa yve-
(MCQ) nairsaxeoba, romlis drosac            gamoyeneba SeiZleba mileris piramidis        Cveulebriv, aseTi testi (danarTi 2.a)   laze Sesaferisi daavadebis/sikvdilis/
kiTxvebis nakrebi agebulia variantebis      meore etapis, `icis rogor~, kompe-         iwyeba pacientis klinikuri mdgomareo-     uunarobis Tavidan asacileblad?
CamonaTvalis irgvliv. nakrebSi arse-        tenciis Sesafaseblad. es ki, codnis        bis aRweriT. avadmyofobis istoriisa da      - ra rekomendacias miscemdiT invali-
bul yovel kiTxvas Seesabameba variante-     maragTan erTad, gadawyvetilebis            fizikuri gasinjviT miRebuli monaceme-     dobis Tavidan asacileblad dasaxele-
bis CamonaTvalSi miTiTebuli romelime        miRebis unaris da, Sesabamisad, klini-     bis garda, testi SeiZleba Seicavdes in-   buli       dazianebis/mdgomareobis/
pasuxi. ganvrcobili Sesatyvisobis tes-      kuri diagnozis dasmis unaris Sefase-       formacias Catarebul imunizaciaze,         garTulebis dros?
ti Sedgeba Semdegi elementebisagan:         basac gulisxmobs.                          risk faqtorebze da ojaxis wevrebze. in-     - ra saxis winaswari mkurnaloba moax-
Tema, variantebis CamonaTvali, mmarTve-       vTvliT, rom ganvrcobiTi Sesatyviso-      formacia zogadad, populaciis Sesaxeb      dens pacientis dacvas dasaxelebuli
li fraza, ori an meti RerZi (ix. ma-        bis testebi farTod unda dainergos          SeiZleba mniSvnelovani iyos da Sesabam-   mdgomareobis Tavidan asacileblad?
galiTebi da danarTi)                        swavlebis procesSi. am tipis testebis      isad, tests daematos, magram sakiTxi        - ra RonisZiebas daumatebdiT am mdgo-
  rogorc magaliTebidan Cans, ganvrco-       Sedgena rTuli ar aris da qulebic dasa-     konkretulad unda iyos fokusirebuli        mareobis Tavidan asacileblad?
bili Sesatyvisobis testebi sakmaod          jameblad iolia. meTodi validuri da         individualur pacientze. testi ar unda
rTulia, misi gamoyeneba SeiZleba mile-      sarwmunoa. ganvrcobiTi Sesatyvisobis       Sedgebodes izolirebuli calkeuli             daavadebaTa ganviTarebis
ris piramidis meore etapis, `icis ro-       testis nimuSebi SegiZliaT ixiloT qve-      faqtebisagan. magaliTad, moerideT Se-       meqanizmebi
gor~, kompetenciis Sesafaseblad. es ki,     moT (danarTi 1).                           kiTxvas sikvdilianobis ZiriTadi             daavadebaTa ganviTarebis meqanizmebT-
codnis maragTan erTad, gadawyvetileb-         rac Seexeba, zogadad, klinikur konte-    mizezis Sesaxeb ama Tu im subpopulacia-   an dakavSirebulma kiTxvebma unda Seaf-
is miRebis unaris da, Sesabamisad, klin-    qstze agebuli testebis Sedgenis princ-     Si; amis nacvlad, ecadeT iseTi kiTxva     asos paTofiziologiuri meqanizmebis
ikuri diagnozis dasmis unaris Sefase-       ipebs, qvemoT ufro detalurad Sevexe-       dasvaT, riTac codnis gamoyenebaze         codna, maT Soris, etiologia, paTogen-
basac gulisxmobs.                           biT.                                       moxdeba fokusireba.                       ezi, avadmyofobis ganviTarebis istoria,
samedicino gazeTi           Tebervali 2010 gv.6
                                                                                       klinikuri mimdinareoba, garTulebaTa          Cveulebriv, aseTi testi iwyeba paci-
 danarTi 1                                                                             meqanizmi, daavadebis simZime, samkurna-   entis mdgomareobis aRweriT (mieTiTeba
                                                                                       lo RonisZiebebis winaswar gaTvaliswi-      asaki, sqesi, simptomebi, niSnebi, daavade-
 `ganvrcobiTi Sesatyvisobis~ testebis nimuSebi klinikuri konteqstiT                    nebuli Tu gauTvaliswinebeli efeqtebi.      bis xangrZlivoba, garegani daTvaliere-
                                                                                       testebi agebuli unda iyos klinikuri        biT, laboratoriuli da instrumentuli
 SeniSvna: CamonaTvalTa siidan TiToeuli varianti SeiZleba miesadagos erT an            konteqstiT.                                gasinjviT miRebuli maCveneblebi da sxv.)
 ramodenime sakiTxs an arcerTs!                                                          zogadad, meqanizmebTan dakavSirebuli     da mTavrdeba SekiTxviT:
                                                                                       testi (danarTi 2,b) daiwyeT klinikuri        - romelia yvelaze Sesaferisi diag-
                                                                                       suraTis aRweriT: simptomebiT, Civile-      nozi?
 1. Tema: infeqciuri daavadebebi                                                       biT, laboratoriuli monacemebis miTi-         - ra damatebiTi RonisZiebaa saWiro
                                                                                       TebiT, Semdeg dasviT erT-erTi aseTi ki-    diagnozisaTvis?
 variantebis CamonaTvali:                                                              Txva:                                        - ra adasturebs dasaxelebul diag-
 A. Treponema pallidum                                                                   - riT aixsneba miRebuli dakvirvebis/     nozs?
 B. Rubella virus                                                                      analizis Sedegebi?
 C. Human papilloma virus                                                                - sad ganviTardeba dazianeba?              pacientis marTva
 D. Human herpes virus 8                                                                 - romeli paTogenuri agenti gamoi-          pacientis marTvasTan dakavSirebuli
 E. Candida albicans                                                                   wvevda dasaxelebul movlenebs?              testi (danarTi 2,d) afasebs mwvave da
 F. Epstein-Barr virus                                                                   - romeli maCvenebeli gaizrdeba/          qronikuli SemTxvevebis marTvis princ-
 G. Cytomegalovirus                                                                    daqveiTdeba?                               ipebs ambulatoriul da stacionarul
 H. Coxsackie A virus                                                                    - ra cvlilebebi gamovlindeboda           pirobebSi. am tipis SekiTxvebiT SeiZle-
 I. Coxsackie B virus                                                                  biofsiiT?                                  ba Sefasdes farmakoTerapiuli gadaw-
                                                                                                                                  yvetilebis unari, mkurnalobis sxva-
 qvemoT CamoTvlil SemTxvevebs miusadageT Sesabamisi gamomwvevi variantebis               diagnostika                              dasxva meTodis erTdroulad gamoyeneb-
 CamonaTvalidan                                                                          diagnostikasTan dakavSirebiT Sedge-      is unari da sxv. testis bolos, Cveu-
                                                                                       nilma testma (danarTi 2,g) gamosacdelSi    lebriv, daismis SekiTxva:
 1. 16 wlis biWi sunTqvis gaZnelebiT. sisxlis wneva 100/70, taqikardia, wnevis mate-   unda gamoavlinos laboratoriuli da in-        - romeli Semdgomi gziT unda warima-
 ba sauRle venebSi, gulis tonebis moyrueba, filtvebi sufTa.                            strumentuli kvlevebiT miRebuli             rTos mkurnaloba?
 2. HIV+ mamakaci TeTrkideebiani laqebiT enis gverdiT zedapirze. laqebi Znelad
                                                                                       maCveneblebis, avadmyofis Civilebis in-      - ra mkurnaloba iqneba yvelaze efeq-
 ifxikeba.
                                                                                       terpretaciis da diferencialuri diag-       turi?
 3. HIV+ mamakaci enaze TeTri nadebiT. nadebi advilad scildeba.
                                                                                       nostikis unari. am tipis kiTxvebiT vlin-     - romel mkurnalobas dauniSnavdiT?
 4. 32 wlis qali makulo-papularuli gamonayariT tanze, xelis- da fexisgule-
                                                                                       deba miRebuli codnis integraciis unari.      - ra daxmarebaa saWiro pirvel rigSi?
 bze, meWeWisebri gamonayariT vulvaze da anusis irgvliv.
 5. 11 wlis gogona wvrili vezikuluri gamonayriT xelebze da fexebze da loyis
 lorwovanis dawylulebiT.

 swori pasuxebia: 1 - I (Coxsackie B virus); 2 - F (Epstein-Barr virus);                danarTi 2
 3 - E (Candida albicans); 4 - A (Treponema pallidum); 5 - H (Coxsackie A virus)        calkeul klinikur saqmianobasTan dakavSirebuli testis nimuSebi

                                                                                        a) daavadebaTa prevenciasTan dakavSirebuli testis nimuSebi
 2. Tema: RviZlis daavadebebi
                                                                                        1. 15 wlis biWs futkris kbenis Semdeg orjer ganuviTarda mwvave anafilaqsiuri
 variantebis CamonaTvali:                                                               Soki. romelia yvelaze Sesaferisi profilaqtikuri RonisZieba?
 A. A hepatiti                                                                          A. kortikosteroidebis daniSvna zafxulis ganmavlobaSi
 B. B hepatiti                                                                          B. grZelvadiani profilaqtikuri antihistaminuri Terapia
 C. C hepatiti                                                                          C. damcveli tansacmeli
 D. hemoqromatozi                                                                       *D. desesitizacia futkris Sxamis eqstraqtiT
 E. vilsonis daavadeba                                                                  E. zafxulis TveebSi sjobs gaCerdes saxlis pirobebSi
 F. avtoimunuri hepatiti
 G. pirveladi biliaruli cirozi                                                          2. 33 wlis qalma, pirveli orsuloba, orsulobis 38-e kviras spontanurad imSo-
 H. masklerozebeli qolangiti                                                            biara. axalSobili gogona iwonis 2460g-s, aReniSneba hepatosplenomegalia, Ria
                                                                                        ductus arteriosus, kataraqta. orsulobis me-8 kviras dedas ganuviTarda makulo-
 qvemoT CamoTvlil aRwerilobebs miusadageT Sesabamisi daavadeba variantebis              papuluri gamonayari, gaudidda kisris limfuri kvanZebi, uCioda yelis tkivils,
 CamonaTvalidan                                                                         arTralgias. daasaxelebuli movlenebi erTi kviris Semdeg spontanurad gaqra.
                                                                                        orsulobis Semdgomi periodi mimdinareobda garTulebis gareSe. orsulobis
 1. saSualo asakis qali uCivis leTargias da qavils. gamokvlevisas gamovlinda            periodSi Catarebuli romeli gamokvleva mogvcemda nayofis mdgomareobis
 mxolod hepatosplenomegalia. RviZlis fermentebi momatebuli, gansakuTre-                 prognozirebis saSualebas?
 biT ki tute fosfataza da g-GT. aris antimitoqondriuli antisxeulebic                    A. amniocentezi kariotipis gansazRvriT
 2. 13 wlis biWi msubuqi intensivobis mwvave hepatitis niSnebiT. gamoxatulia            B. herpes simplex virusis kultura
 tremori da swavlis unaris moSla. virusuli da avtoimunuri serologia nega-               *C. wiTuras seriuli titrebi
 tiuri.                                                                                 D. Sardis analizi citomegalovirusze
 3. 20 wlis mamakaci anamnezSi wylulovani kolitiT. amJamad saxezea sisuste, wona-       E. testi sifilisze
 Si kleba, qavili, tkivili marjvena ferdqveSa areSi da gardamavali siyviTle.
 4. 30 wlis qali anoreqsiiT, gulisreviTa da sisustiT. gamokvleviT gamovlinda            b) daavadebaTa ganviTarebis meqanizmebTan dakavSirebuli testis nimuSi
 palmaruli eriTema da telangieqtaziebi. RviZlis transaminazebi momatebuli.              10 wlis gogonas yelis tkivilis dawyebidan 14 dReSi ganuviTarda makrohema-
 aris gluvi kunTis sawinaaRmdego antisxeulebi.                                          turia. mas aReniSneba sisxlis arteriuli wneva 170/100 mmHg da qveda kidureb-
 5. 42 wlis mamakaci sisustiT, leTargiiT, impotenciiT da xelisa da muxlis sax-          is SeSupeba. sisxlSi Sardovanas azotis koncentracia aris 3.2 mg/dl. ra mizezi
 srebis tkiviliT. gamokvlevisas SeimCneva kanis gamuqeba-gauxeSeba da hepatome-         gamoiwvevda dasaxelebul movlenebs?
 galia.                                                                                 A. aortis koarktacia
                                                                                        B. endoTeliumidan warmoqmnili relaqsaciis faqtoris produqciis daqveiTeba
 swori pasuxebia: 1 - G (pirveladi biliaruli cirozi); 2 - E (vilsonis daavade-          C. aldosteronis produqciis gazrda
 ba); 3 - H (masklerozebeli qolangiti); 4 - F (avtoimunuri hepatiti); 5 - D (hemo-      D. kateqolaminebis produqciis gazrda
 qromatozi).                                                                            *E. gazrdili intravaskuluri moculoba

                                                                                        g) diagnostikasTan dakavSirebuli testis nimuSi
 3. Tema: dermatologia                                                                  52 wlis mamakacs 2 dRea, rac aReniSneba dispnea da xvela Cirqovani naxveliT. 30
                                                                                        welia, rac yoveldRiurad eweva daaxloebiT erT yuT sigarets. sxeulis tem-
 variantebis CamonaTvali                                                                peraturaa 37.2OC. sunTqvis dros distanciazec ismis stvena da xixini. leikoc-
 A. bulozuri impetigo                                                                   itebis raodenobaa 9000/mm3. gramis meTodiT naxvelSi gamovlinda didi raode-
 B. vulgaruli pemfigusi                                                                 nobiT neitrofilebi da gram-pozitiuri diplokokebi. romelia yvelaze Sesaf-
 C. bulozuri pemfigoidi                                                                 erisi diagnozi?
 D. herpetiformuli dermatiti                                                            A. asTma
 E. xelis, fexisa da piris Rrus daavadeba                                               B. bronqoeqtazia
 F. bulozuri epidermolizi                                                               *C. bronqiti
 G. Cutyvavila (varicela)                                                               D. filtvis embolia
                                                                                        E. streptokokuli pnevmonia
 qvemoT CamoTvlil SemTxvevebs miusadageT Sesabamisi diagnozi variantebis
 CamonaTvalidan                                                                         d) pacientis marTvasTan dakavSirebuli testis nimuSi
                                                                                        15 wlis biWs, romelic adre arafers uCioda, aReniSneba mwvave movliTi xasia-
 1. axalSobili, romlis kani kontaqtisas ifareba bulozuri buStukebiT.                    Tis tkivilebi periumbilikalur midamoSi; ramdenime saaTSi tkivilebi gaxda
 2. 70 wlis qali fexebze didi zomis daWimuli buStukebiT. buStukebs gaaCniaT             mudmivi da gadainacvla marjvena qveda kvadrantSi. vadmyofs daewyo pirRebineba
 eriTematozuli safuZveli da zogierT maTganSi aRiniSneba sisxliani SigTav-               da miiyvanes gadaudebeli samedicino daxmarebis departamentSi. muceli Rrma
 si.                                                                                    palpaciiT mtkivneuli iyo marjvena qveda kvadrantSi. sisxlSi leikocitebis
 3. mozardi intensiuri qavana vezikularuli gamonayriT dunduloebze, idayve-              raodenoba - 15 000/mm3, SardSi – 3 leikociti/mxedvelobis velSi. ra proce-
 bze, muxlebsa da wvivebze. irkveva, rom mas aqvs SeteviTi defekacia.                   duris Catarebaa saWiro pirvel rigSi?
 4. 60 wlis qali sxeulsa da piris RruSi dune, advilad dazianebadi buStukebiTa           A. mkurnaloba saxlis pirobebSi; klinikaSi dabrundeba, Tu tkivilebi moimatebs
 da eroziebiT.                                                                          B. bariumis oyna
                                                                                        C. muclis CT-skanireba
 swori pasuxebia: 1 - F (bulozuri epidermolizi); 2- C (bulozuri pemfigoidi);            D. intravenuri pielografia da cistografia
 3 - D (herpetiformuli dermatiti); 4 - B (vulgaruli pemfigusi).                         *E. muclis qirurgiuli gamokvleva
                                                                                                               Tebervali 2010 gv.7             samedicino gazeTi
  test-kiTxvarebis warmodgenis              xleba unda moxdes yovelwliurad, xolo
  formati da maTi kategorizacia             sruli ganaxleba 5 weliwadSi erTxel.       Tssu-is xarisxis uzrunvelyofis samsaxuris macne
  sferoebis mixedviT                        testebis yovelwliuri ganaxleba unda
  - tests Tan unda axldes mokle gan-        moxdes 20%-iT Catarebuli gamocdebis                                   Tbilisis saxelmwifo samedicino universiteti
marteba swori pasuxis Taobaze.              Sedegebis analizis gaTvaliswinebiT.                                              xarisxis uzrunvelyofis samsaxuri
  - testebis kategorizacia unda moxdes      swavlebisa da Sefasebis axali meTodeb-
codnisa da klinikur saqmianobasTan          is danergvasTan da gamocdebis Catareb-
                                                                                            moqmedi silabusis Sefasebis principebi/kriteriumebi
dakavSirebuli calkeuli sferoebis            is wesis cvlilebasTan erTad unda mox-
mixedviT. aseTi rekomendebuli sferoe-       des testebis sruli ganaxleba.
bia:                                          testebis ganaxlebis dros, pirvel ri-    saswavlo kursi/disciplina -
  faqtebis da informaciis codna;            gSi, gamoicvleba Zalian advili da Zali-   departamenti/mimarTuleba -
  daavadebaTa epidemiologia da preven-      an Zneli testebi.                         fakulteti (romelzec iswavleba) -
cia;                                          `Zalian advili~ SeiZleba ewodos         saganmanaTleblo safexuri -
  daavadebaTa ganviTarebis meqanizmebi;     tests, romelzedac gamosacdelTa 80%-
                                                                                      moqmedebis vada -
  diagnostika da gadawyvetilebis miRe-      ze meti pasuxobs. maRali procenti SeiZ-
bis unari;                                  leba sagamocdo testebis winaswar gam-
  pacientis marTva da mkurnaloba.           JRavnebis Sedegic iyos, rac kidev erTx-   I.    silabusSi warmodgenili saswavlo kursis aRweriloba
  faqtebisa da informaciis codnasTan        el asabuTebs, rom am tipis testebi amo-   aucilebeli komponentebi:
dakavSirebiT warmodgenili testebi           Rebuli unda iqnes.                        - kursis xangrZlivoba, formati,
unda Seadgendes testebis mTeli Semad-         `Zalian Zneli~ SeiZleba ewodos tests,   - kursis mizani,
genlobis mxolod 5-7%-s; daavadebaTa         romelzedac gamosacdelTa 10%-ze nak-       - kursis winapirobebi (prerekvizitebi),
epidemiologiasTan da prevenciasTan          lebi pasuxobs. 10% is maCvenebelia, ro-
                                                                                      - kursis Sinaarsi,
dakavSirebuli – 10-13% (Tu specialo-        melic SeiZleba gamosacdelTa gark-
ba uSualod ar aris dakavSirebuli pre-       veulma raodenobam intuiciiT miaRwios,     - studentTa codnis Sefasebis sistema,
venciul medicinasTan); yvela danarCeni      yovelgvari codnis gareSe. am tipis tes-   - saswavlo literatura,
testi sferoebis mixedviT gadanawilde-       tebSi SeiZleba moxvdes yvela arasworad    - swavlis Sedegi.
ba Semdegnairad: daavadebaTa ganviTare-     Sedgenili, uxarisxo da gaumarTavi tes-
bis meqanizmebi – 15-20%; diagnostika da    tic, rac kidev erTxel asabuTebs, rom am   II.  silabusSi warmodgenili saswavlo kursis Sesabamisoba akade-
gadawyvetilebis miRebis unari – 30-         tipis testebic amoRebuli unda iqnes.
                                                                                      miur politikasTan da kurikulumTan
40%; pacientis marTva da mkurnaloba –         testebis umravlesoba, umetes SemTx-
30-40%.                                     vevaSi, gadmoTargmnilia ucxouri lite-     ZiriTadi samizne kriteriumebi:
                                            raturidan. testuri kiTxvis ucxouri        - studentis CarTuloba saswavlo procesSi,
  rekomendebuli literatura/wyaroebi         wyaro qarTul saxelmZRvanelos xSirad       - kursis swavlebis formebi,
  testebis SemuSavebisaTvis                 ar Seesabameba. testebis umravlesoba      - studentTa damoukidebeli muSaobisTvis SeTavazebuli formati, misi Tavse-
  - testebis Sedgenisas avtorma (avtor-     faqtebis codnasa da damaxsovrebis un-     badoba studentTa akademiuri momzadebis donesTan mocemul saganmanaTleblo
Ta jgufma) unda ixelmZRvanelos Sesaba-      ars afasebs. testSi moyvanili situacie-
                                                                                      safexurze,
mis specialobaSi arsebuli uaxlesi qar-      bi realuri praqtikisaTvis xSirad arar-
Tuli saxelmZRvaneloebiT da test-kre-        ealuria, testebSi gamoyenebuli faqte-     - kursis mniSvneloba da roli profesiuli momzadebis (maT Soris - uwyveti pro-
bulebiT, romelTa CamonaTvali damtki-        bi xSirad moZvelebuli da araaqtu-         fesiuli ganviTarebis) procesSi,
cebuli unda iyos akademiuri sabWos mi-      aluria.                                   - studentis codnis Sefasebis principebi.
er da Tan unda axldes warmodgenil
test-kiTxvarebs.                              yovelive zemoaRniSnulidan gamom-        III. saswavlo kursis mizani
  - ucxouri wyaroebis Targmnis gziT         dinare,
                                                                                      ZiriTadi samizne kriteriumebi:
miRebuli testebis gamoyeneba dasaSve-         - aucilebelia Camoyalibdes test-
bia mxolod maTi pilotirebis Semdeg.         kiTxvarebis banki, sadac testebis rao-    - miznis naTlad Camoyalibebis xarisxi,
                                            denoba sagamocdod gamoyenebuli tes-       - miznis Sesabamisoba akademiur da meTodologiur standartebTan,
  testuri gamocdis savaraudo                tebis raodenobas minimum 5-jer unda       - miznis Sesabamisoba momavali saqmianobisaTvis aucilebeli unar-Cvevebis da
  xarvezebi da maTi prevencia               aRematebodes.                             analizuri azrovnebis ganviTarebis interesebTan.
  testebis validurobis anu vargisian-         - test-kiTxvarebis banki saWiroebs
obis TvalsazrisiT testur gamocdas           mudmiv ganaxlebas, romelic periodu-
                                                                                      IV. saswavlo kursis winapirobebi
SeiZleba ZiriTadad ori xarvezi              lad unda moxdes sxvadasxva tipis testis
hqondes:                                    gamoyenebiT da Sefasebis axali meTode-    ZiriTadi samizne kriteriumebi:
  a)kiTxvebis raodenoba iyos arasakma-      bis gaTvaliswinebiT.                      - Sesabamisoba mocemuli saswavlo kursis SinaarsTan,
risi ama Tu im sferoSi codnis Sesafase-       - winaswar unda moxdes testebis pi-     - Sesabamisoba fakultetis saganmanaTleblo programasTan (kurikulumTan).
blad; da                                    lotireba da maTi sirTulis koeficien-
  b) testebi iyos dabali xarisxis, aras-    tis gansazRvra. sagamocdo bileTi unda     V.   saswavlo kursis formati
worad Sedgenili da gaumarTavi.              Sedgebodes sxvadasxva sirTulis testi-
                                                                                      ZiriTadi samizne kriteriumebi:
                                            sagan.
  testebis xarisxi. dabali xarisxisaa         - sagamocdod gamoyenebuli testebis      - ECTS-is ganawileba, kredit-moculoba,
testi, Tu is Znelad an saerTod ver ikiTx-   nimuSebi da rekomendebuli literatura      - leqcia-pratikumebis Tanafardoba,
eba; Seicavs gaurkvevel an moZvelebul       winaswar unda ecnobos farTe sazoga-       - auditoriuli (sakontaqto) da studentTa damoukidebeli muSaobis Tanafar-
faqtebs, informacias da statistikur mo-     doebas.                                   doba da sxv.
nacemebs; Sedgenilia tendenciurad,            - Sefasebis axali meTodebis asaTvise-
arasamarTlianad, `eSmakurad da mzakvru-     blad gamomcdelebi saWiroeben period-
                                                                                      VI. saswavlo kursis Sinaarsi
lad~; Zalian advilia; Zalian rTulia;        ul gadamzadebas.
Sedgenilia aradamajereblad, varianteb-        - periodulad unda moxdes gamocdebis     ZiriTadi samizne kriteriumebi:
is arasakmarisi diferenciaciiT.             Catarebis wesis gadaxedva da Sefasebis    - Sesabamisoba akademiuri da profesiuli ganaTlebis interesebTan,
  test-kiTxvarebis xarisxze pasuxismge-     axali meTodebis danergva samedicino ga-   - Sesabamisoba disciplinis ganviTarebis Tanamedrove donesTan,
belia departamentis/mimarTulebis xe-        naTlebisa da profesiuli kompetenciis      - Sesabamisoba kursis mizanTan da swavlis SedegebTan,
lmZRvaneli. man unda uzrunvelyos tes-       Sefasebis Tanamedrove sistemis gaTval-    - Sesabamisoba saswavlo programebis ‘horizontaluri da vertikaluri~ inte-
tebis winaswari pilotireba da xarisxis      iswinebiT.
                                                                                      graciis SesaZleblobasTan (programis dublirebis gamoricxviT).
dadgena. igi valdebulia Seqmnas maRali        - Sefasebis yvela axali meTodi saja-
validurobis test-banki, saidanac mox-       rod unda iyos ganxiluli da mowonebu-
deba sagamocdo variantebis SerCeva.         li Sesabamisi departamentebis/mimarTu-    VII. studentis codnis Sefasebis sistema
  testebis ganaxleba. testebis gana-        lebebis da akademiuri sabWos mier.        ZiriTadi samizne kriteriumebi:
                                                                                      - codnis Sefasebis formebi,
                                                                                      - codnis Sefasebis komponentebi da maTi Tanafardoba,
                                                                                      - studentTa individuri saWiroebebis gaTvaliswinebis SesaZlebloba,
         daskvna
                                                                                      - studentis damokidebulebis Sefasebis SesaZlebloba codnisa da profesiuli
         codnis srulyofili SefasebisaTvis gamokiTxvis mravali sxva-                   unarebis SeZenisadmi,
       dasxva saSualeba arsebobs. maTi SerCevis dros unda gaviTvaliswi-               - gamocdaze daSvebis winapirobebis dadgenis kriteriumebi.
       noT:
                                                                                      VIII. saswavlo literatura (savaldebulo, rekomendebuli, damatebiTi)
         1. Sefasebis mizani winaswar naTlad unda iyos gamokveTili.
                                                                                      ZiriTadi samizne kriteriumebi:
         2. gamosacdeli, gamomcdeli da mTeli `gare samyaro~ darwmunebu-               - sakmarisoba,
       li unda iyos, rom gamocdisaTvis obieqturi, sarwmuno da vargisi-                - Tanamedroveoba,
       ani meTodia SerCeuli, romelic gamosacdels namdvilad miscems                    - xelmisawvdomoba.
       codnis gamovlenis saSualebas.
                                                                                      IX. swavlis Sedegi (Teoriuli codna, praqtikuli unarebi)
        3. gamocda unda iyos gamWvirvale, xolo Sefasebis meTodi da kri-
                                                                                      ZiriTadi samizne kriteriumebi:
       teriumebi - sajaro.
                                                                                      - Sedegebis Camoyalibebis mkafioba,
        4. gamocdis Sedegebis dajamebis Semdeg, unda gakeTdes analizi,                - Tavsebadoba saswavlo kursis mizanTan da SinaarsTan,
       romelic xelmisawvdomi unda iyos gamosacdelisTvis da yvela dain-                - Sesabamisoba validuri, transferuli codnis da momavali profesiuli kom-
       teresebuli pirisaTvis.                                                         petenciis interesebTan.
samedicino gazeTi        Tebervali 2010 gv.8
 specialoba da profesionalizmi


 pediatris profesia da pediatriuli ganaTleba: axali gamowvevebi
 irakli favleniSvili
 Tssu pediatriis departamentis sruli profesori, sarezidento programis “pediatria”                                                 akademiur samedicino centrebSi unda
 direqtori, amerikis pediatrTa akademiis wevri, saxelmwifo premiis laureati                                                       eweodes. pediatri subspecialisti pro-
                                                                                                                                  fesiuli mzadebisa da gamocdilebis
                                                                                                                                  safuZvelze daxelovnebulia imaSi, rom
                                                                                                                                  aRmouCinos samedicino daxmareba, aswav-
                                                                                                                                  los da Caataros kvleva viwro pediatri-
                                                                                                                                  ul specialobaSi da iyos konsultanti
                                                                                                                                  mZime, kompleqsur da iSviaT daavade-
                                                                                                                                  bebTan dakavSirebiT.
                                                                                                                                    pediatr-subspecialistTan pacien-
                                                                                                                                  tis mimarTvianobas pirveladi rgolis
                                                                                                                                  eqimebi, ZiriTadad pediatrebi, ojaxis
                                                                                                                                  eqimebi da ufro iSviaTad ki pediatr-
                                                                                                                                  subspecialistebi unda uzrunvel-
                                                                                                                                  yofdnen.
                                                                                                                                    urbanul dasaxlebaTa umetesobaSi pe-
 I . pediatris profesia                     Terapevtis, neonatologis, intensiuri       marTalia, mentalur janmrTelobaze           diatri subspecialistebi zrunaven
 gagrZeleba. dasawyisi wina nomerSi.        Terapiis specialistis funqciebi            zrunva didi xania farTo, multidisci-       rTuli da progresuli daavadebis mqone
                                            matransportirebeli jgufis mosvlam-         plinaruli gundis muSaobis Semadgeneli      bavSvebze. vinaidan soflebSi SedarebiT
  - skolis pediatri.                        de, rodesac pacientis mdgomareoba kri-     nawilia, magram pediatriul praqtikaSi      naklebia pediatr-subspecilaistTa
  saskolo asakis da mozardi bavSvebi is     tikulia. telemedicina saSualebas mis-      es procesi Senelebuli tempiT mimdinar-     ricxvi, amitomac aucilebelia zogad
kontigentia, romlebic arasaTanado           cems sofelSi momuSave pediatrs             eobs. vinaidan ganviTarebis, qcevisa da    pediatrebsa da subspecialistebs Soris
samedicino daxmarebas iRebs. rogorc         saWiroebis SemTxvevaSi miiRos Sesabami-    mentaluri janmrTelobis sakiTxebi           swrafi da mimdinare kavSiris damyareba
Cans, pediatrTa garkveul nawils isev        sis subspecialistis konsultacia da         metad mniSvnelovania pirveladi samed-      telemedicinisa da telefonis meSveo-
mouwevs Tavisi praqtikis didi nawili        amgvarad aRmouCinos pacients opti-         icino daxmarebisaTvis, amgvari aliansis    biT an pirdapi adgilobriv mozrdilTa
gaataros skolis pirobebSi, raTa             maluri samedicino daxmareba. qroniku-      warmateba mniSvnelovan gavlenas            subspecialistis meSveobiT. pediatrs
uzrunvelyos iseTi samedicino daxmare-       li daavadebebis mkurnaloba da qcevis       moaxdens pediatriis momavalze. garda       SeuZlia qronikuli daavadebebis marTva
ba, rogoricaa vaqcinaciis Catareba, sqe-    problemebis amocnoba soflis pedia-         amisa, unda iTqvas, rom sxva specialobis   sxva subspecialistebTan erTad, ro-
sobrivad gadamdebi infeqciebis              tris kompentenciis is aspeqtebia, rome-    eqimebic mniSvnelovani rols asrulben       gorc xdeba magaliTad bavSvTa simsivnee-
profilaqtika, orsulobis prevencia,          lic aqtualizebulia da saswrafod            pediatriuli pacientebis moTxovnile-        bis marTvis mraval programaSi.
sxvadasxva qimiuri nivTierebebis boro-      gadaWras moiTxovs.                         bebis dakmayofilebaSi. magaliTad,            Tumca arsebobs ramdenime winaaRmde-
tad gamoyenebasTan dakavSirebiT kon-                                                   ojaxis eqimebi, gadaudebeli daxmarebis     goba, rac xels uSlis pediatriuli same-
sultireba, moswavlis ganviTarebisa da         amrigad, pediatriuli samsaxuris pro-     eqimebi, nevrologebi, fsiqiatrebi da pe-   dicino daxmarebis TanamSromlobiTi
fsiqiuri janmrTelobis mdgomareobis          fesionalTa Camoyalibeba da maTi            diatri subspecialistebi.                   modelis danergvas. sxvadasxva kvlevam
Sefaseba, mozardebSi Zaladobis preven-      rolebis gafarToeba moiTxovs imas, rom        bavSvTa da mozardTa fsiqikuri jan-       gamoavlina, rom mSoblebi ar arian dar-
cia da sxv.                                 pediatriulma samedicino ganaTlebam         mrTelobis moTxovnilebebi sakmaod           wmunebulni zogadi eqimis kvalifikacia-
                                            saTanado yuradReba miaqcios pediatri-      mniSvnelovania. pediatrs damatebiTi        Si kompleqsuri, mZime da iSviaTi daavade-
  - pediatri, rogorc samedicino             uli samsaxuris integracias monaTesave      sWirdeba treningebi, raTa man saTana-      bebis mkurnalobisas. amasTan, ar aris
  daxmarebis aRmomCeni binis                samsaxurebTan. gansakuTrebiT mniS-         dod SesZlos bavSvTa fsiqiuri janmr-        sruli konsensusi miRweuli imis Taoba-
  pirobebSi.                                vnelovania xazi gaesvas pediatrebis mier   Telobis Sefaseba. garda amisa, pedi-       ze Tu ra tipisa da simZimis problema
  amJamad SeiniSneba mwvave Tu qroniku-     urTierTTanamSromlobis Cvevebis SeZe-       atrma kvlavac unda gaagrZelos mWidro       unda gadaiWras pirveladi rgolis pedi-
li daavadebebis binis pirobebSi e.w. kom-   nas, vinaidan maT sul ufro xSirad mou-     TanamSromloba fsiqiatrebTan, fsiqo-        atris da romeli - subspecialistis mier.
fortuli da xarjTefeqturi mkurnalo-          wevT sxvadasxva gundSi muSaoba. samedi-    logebTan da socialuri samsaxuris           garda amisa, Tu subspecialisti ar aris
bis tendencia. amitomac, saWiroa im ko-     cino samsaxuris uzrunvelmyof profe-        TanamSromlebTan, raTa daakmayofilon        monawile saxelmwifo programebisa, kon-
mpetenciebis Camoyalibeba, romliTac         sionalTa rolebisa da SesaZleblobeb-        TavianTi pacientebis fsiqikuri janm-       sutalciis fasi xSirad miuwvdomelia
pediatri Seafasebs, koordinacias            Si garkveva pediatriuli ganaTlebis er-     rTelobis moTxovnilebebi. fsiqikuri         mravali ojaxisaTvis.
moaxdens da gaaadvilebs am saxis samedi-    TerTi mniSvnelovani komponentia. vi-       paTologiis uyuradRebod datoveba              amasTan, unda iTqvas, rom pacientze
cino daxmarebas. garda amisa, SesaZlebe-    naidan xSir SemTxvevaSi pediatriuli pa-    bavSvTa asakSi, populaciasi mentaluri      orientirebuli jandacvis mizania, rom
lia, rom ufro gafarTovdes binaze            cientisaTvis samedicino daxmarebis aR-     paTologiis ganviTarebis sixSiris           yvela bavSvi, romelic saWiroebs spe-
Catarebuli profilaqtikuri Semowmeb-         moCenaze pasuxismgebeli iqneba arapedi-    matebis safrTxes Seicavs.                  cializebul samedicino daxmarebas, iyos
is da mwvave daavadebaTa mkurnalobis        atri eqimi, amitom saWiroa, rom pedi-        ojaxis eqimisa da pediatris funqcie-     uzrunvelyofili saukeTesod daxe-
areali.                                     atriuli ganaTlebis dros pediatrebs         bis `zeddeba~ konkurentul garemos qm-      lovnebuli viwro specialistebis mier
                                            Caunergon liderobis SegrZneba da           nis, gansakuTrebiT iseT regionebSi, sa-    uaxles teqnologiebze dafuZnebuli
  - pediatri, rogorc populaciaze            gamoumuSavon Cvevebi, romlebic saWiroa     dac eqimTa siWarbea. Tumca aseTi `zed-     srulyofili samedicino daxmarebiT.
  dafuZnebuli, sazogadoebrivi               pediatriuli samedicino daxmarebis          deba~ kooperatiuli modelebis Camo-           zogad pediatrTa amJamad arsebuli
  medicinis praqtikosi.                     standartebis SesamuSaveblad.               yalibebis saSualebas iZleva, gansakuT-     ricxvis Semcireba saWiro ar iqneba.
  axlo momavalSi savaraudoa saxelm-                                                    rebiT im regionebSi, sadac eqimTa nakle-   bolo 20 wlis ganmavlobaSi eqimTa
wifo da municipalitetebi gamoiyenebs          da bolos, vinaidan pediatrs mraval-      bobaa. magaliTad, pediatrs SeuZlia in-     ricxvis zrdam gaaumjobesa eqimTa
eqimebs, maT Soris pediatrebs, sazoga-      ferovani rolebis SeTavseba mouwevs mo-     formacia miawodos ojaxis eqims da          geografiuli gadanawileba, magram
doebrivi jandacvis pirveladi moTxov-        mavalSi, amitom samedicino ganaTlebis      gaaumjobesos bavSvTa daavadebebis mar-     ver aRmofxvra soflis raionebSi ar-
nilebebisa da SemTxvevaTa marTvis sak-      procesSi unda moxdes studentTa             Tva daSorebul regionebSi. agreTve, pe-     sebuli deficiti. momavalSi saWiro
iTxebis integraciis mizniT, sazogadoe-      gaTviTcnobiereba Tu ra da ra mima-         diatrma SeiZleba damakavSirebeli roli      iqneba pediatrsa da bavSvTa popula-
brivi janmrTelobis gaumjobesebi-            rTulebiT SeiZleba moxdes pediatris         Seasrulos ojaxis eqimsa da subspecial-     cias Soris arsebuli proporciis Se-
saTvis, samedicino daxmarebis xarisxis      karieris ganviTareba.                      ists Soris, riTac dazogos pacientis        narCuneba. amasTan, mniSvnelovania
Sesafaseblad da sxv.                                                                   ojaxi zedmeti xarjebisa da gadaadg-        iseTi strategiebis SemuSaveba,
                                               SeiTavsebs ra axal funqciebs pedia-     ilebisgan.                                 romelic uzrunvelyofs cudad mom-
  - pediatri administraciul                 tris dasaqmeba ukve SesaZlebelia             zogadi pediatrisa da subspecialis-       saxurebul regionebSi pediatris mom-
  medicinaSi.                               ara marto rogorc                           tis roli da maT Soris urTierToba is        saxure bavSvebTan Tanafardobis op-
  pediatrebi sxva eqimebis msgavsad dRe-    - pediatri, momuSave poliklinikebSi        sakiTxia, romelic gansjisa da kamaTis      timizacias da eTnikuri umciresobis
sac saqmdebian jandacvis administ-          - pediatri, momuSave soflis regionebSi     sagania. kvlevebi, romelebic Catarda       pediatrTa ricxvis gazrdas.
raciaSi. muSaoben sadazRvevo kompanie-      - pediatri, romelic uzrunvelyofs           zogadi eqimebisa da subspecialistebis        dReisaTvis samedicino skolis studen-
bisaTvis, janmrTelobis SemanarCunebe-       samedicino momsaxurebas binaze             mier aRmoCenili samedicino daxmarebis      tTa Soris eTnikuri umciresobis warmo-
li organizaciebisaTvis da sxva dawese-      - pediatri, momuSave saavadmyofoSi         Sedegisa da xarisxis Sesadareblad,         madgenelTa simcire damafiqrebelia, gan-
bulebebisaTvis. aRniSnuli karierisT-        - pediatri, momuSave skolaSi               xSirad urTierTagamomricxavia. mozr-        sakuTrebiT imitom, rom samedicino mom-
vis mosamzadeblad sul ufro meti eqimi       - pediatri, momuSave baga-baRSi                                                       saxurebis SeRwevadoba eTnikuri umcir-
                                                                                       dil pacientebze Catarebulma ramdenime
ecdeba maRali biznes xarisxis mopovebas.    - pediatri, momuSave saswrafo daxmare-                                                esobis sazogadoebaSi dabalia. meti sam-
                                                                                       kvlevam aCvena, rom Terapevtis mier aR-
                                            bis brigadaSi                                                                         uSaoa saWiro erovnuli umciresobis
                                                                                       moCenili samedicino daxmarebis gamo-
  - pediatri, rogorc pediatriuli            aramed, rogorc                                                                        ricxvis gasazrdelad pediatrTa sare-
  samsaxuris xarisxis mkvlevari.            - pediatri, momuSave marTvadi samedici-    savali iseTivea, rogoric subspecialis-     zidento mzadebis programebSi.
  informaciuli teqnologiebisa da pa-        no daxmarebis centrebSi                    tis mier Catarebuli mkurnalobisa, ma-        erovnuli umciresobis warmomadge-
suxismgeblobebis mimarT yuradRebis          - pediatri, momuSave sazogadoebriv kon-    gram resursebis xarjva pirvel SemTx-       nelTa ricxvis gazrda pediatrTa Soris
mosalodnel zrdasTan erTad pediatris         sultantad,                                 vevaSi ufro naklebia. sxva kvlevebma ga-   gaaumjobesebs erovnuli umciresobebiT
kidev erTi mniSvnelovani funqcia iqne-      - pediatri, populaciaze dafuZnebul         moavlina, rom daavadebis gamosavali        kompaqturad dasaxlebul regionebSi
ba pediatriuli samsaxuris xelmisawv-        sazogadoebriv medicinaSi                   gacilebiT ukeTesia subspecialistebis       maT dasaqmebasa da aqedan gamomdinare
domobis, xarisxisa da gamoyenebis sak-      - pediatri, administraciul medicinaSi      mier Caterebuli mkurnalobisas. pedi-       samedicino momsaxurebis xarisxs.
iTxebis Seswavla. es kvleva warimarTeba     - pediatri, momuSave saafTiaqo qselSi      atriuli pacientebis Sesaxeb msgavsi mo-      ar SeiZleba xazi ar gaesvas erT garemo-
akademiur samedicino centrebsa da           - pediatri, momuSave farmacevtul ko-       nacemebi ar moipoveba.                     ebasac. pediatriul sferoSi aRiniSneba
polisis jgufebSi CarTuli mkvlevare-         mpaniaSi                                     pediatri subspecialistebi (neona-        mdedrobiTi sqesis warmomadgenlebis
bis, aseve kerZo dawesebulebebSi mo-        - pediatri, momuSave sadazRvevo kompa-     tologi, bavSvTa pulmonologi, kardi-        mkveTrad gamoxatuli siWarbe. amJamad
muSave pediatrebis mier.                    niaSi                                      ologi, gastroenterologi alergolo-          samive wlis pediatr-rezidentTa Soris
                                               profesionalebi, romlebic bavSvTa        gi, nefrologi, nevrologi, onkohema-        TiTqmis yvela qalia. amasTan, qali-pedi-
  - sofelSi momuSave pediatri.              janmrTelobaze zrunvisas pediatrebT-        tologi da sxv.) uzrunvelyofen samedi-      atrebi ufro mcire dros uTmoben samu-
  soflis regionSi pediatriuli saqmi-        an TanamSromloben, arian nutriciolo-       cino daxmarebas, mTel rig sxvadasxva       Saos TavianT mamakac kolegebTan Sedare-
anoba kvlavac unikalur sirTules war-        gebi, socialuri samsaxuris TanamSrom-      dawesebulebaSi. amasTan, pediatr sub-      biT, rac pirvel rigSi imiT aris ganpiro-
moadgens. sofelSi momuSave pediatrma        lebi, fsiqologebi, `fizikuri datvir-       specialistTa umetesoba Tavis profesi-      bebuli, rom isini samuSaos da ojaxur
zog SemTxvevaSi kvlavac unda SeiTavsos      Tvis~ specialistebi da logopedebi.         ul saqmianobas, swavlebasa da kvlevas      saqmianobas aTavseben erTmaneTTan. Se-
                                                                                                                  Tebervali 2010 gv.9              samedicino gazeTi
                                                                                                                                 specialoba da profesionalizmi

degad SeiZleba aRiniSnos specialobis        ganviTarebisTvis. amasTan, gasaTvalis-     swavlebis winapirobac iyo. amasTan,       tikuri procedurebis didi nawili da
`produqtiulobis~ TandaTanobiTi Sem-         winebelia isic, rom saganmanaTleblo        swavlebis wamyvan formas leqcia war-      mkurnalobis gagrZeleba, avadmyofis
cireba.                                     procesma safuZvlian ganaTlebasTan da       moadgenda. Semdgom kursebze ki leqcie-    Semdgomi movla ZiriTadad ambulato-
  da bolos, miuxedavad imisa, rom Sein-     wvrTnasTan erTad, unda uzrunvelyos         bs, klinikebSi (ZiriTadad stacionareb-    riul pirobebSi xorcieldeba. aqedan
iSneba mcdeloba pediatriis dargis vi-       momijnave specialobis, subspecialobis      Si) akademiuri personalis zedamxed-       gamomdinare, students, romelic swav-
wrospecializaciisa, aTviTcnobiereben        dauflebis an specialobis Secvlis Sesa-     velobiT klinikuri ganaTlebis miReba       lebas ZiriTadad stacionaris pirobeb-
ra, rom zogadi pediatrebi yvelaze ukeT      Zlebloba, agreTve karieruli zrda da        enacvleboda. samedicino skolaSi pedi-     Si gadis, Sexeba aqvs kompleqsuri daa-
arian daxelovnebulni bavSvTa kontigen-      kompetenturi ganmanaTleblis Camoya-        atriuli ganTleba 6-8 kviriani rotaci-     vadebebis SedarebiT viwro speqtrTan,
tisaTvis samedicino daxmarebis aRmoCe-      libebac.                                   iT Semoifargleboda, romlis ganmav-        romlebic bavSvTa populaciis mxolod
naSi, xolo zrdasrulTa janmrTeloba                                                      lobaSic studenti saleqcio kursTan         mcire nawils uviTardeba.
praqtikulad mTlianadaa damokidebuli           Sedegze orientirebuli ganaTleba,         erTad muSaobis gamocdilebas Ziri-
bavSvTa janmrTelobaze, pediatris, ro-       garda saswavlo programebiT gaTval-         Tadad stacionaris pirobebSi iZenda,         amitomac, ambulatoriul garemoSi
gorc bavSvTa kontigentisaTvis samedi-       iswinebuli kompetenciebis miRwevisa,       xolo klinikuri muSaobis ganmtkiceba       swavleba samedicino skolis klinikuri
cino daxmarebis roli kvlavac ucvleli        risTvisac gamoiyenebulia leqciebi,         ki xdeboda specifikuri didaqtikuri        ganaTlebis kurikulumis nawili unda
rCeba. amasTan, maT warmatebul saqmiano-    formaluri da araformaluri saswav-          sesiebis saSualebiT.                      gaxdes da mas akademiuri personali unda
bas pediatriuli samedicino daxmarebis       lo sesiebi, klinikuri gamocdileba,                                                   axorcielebdes, radgan studentma unda
yvela rgolSi mtkicebiT medicinaze           TviTorientirebuli swavleba da sxv.,          dReisaTvis samedicino skolebis kuri-    gaiTavisos bavSvTa zrdisa da ganviTare-
dafuZnebuli gaidlainebi, protokole-         moicavs iseT aucilebel komponentebs,       kulumebSi saleqcio kursi kvlavac wamy-    bis Taviseburebebi da am procesebis gav-
bi, samedicino daxmarebis donis Sesafa-     rogoricaa: Sefasebis, maT Soris xaris-     vania. Tumca, bolo periodSi SemecnebiT,   lena janmrTelobasa da daavadebebze.
sebeli meTodebis implementacia, uwyve-      xis Sefasebis sistemebis (Sida da gare     mxolod informaciis miwodebaze dam-        aseve unda gaacnobieros bavSvTa kontin-
ti samedicino ganaTleba da profesiu-        auditis) gamoyeneba da ukukavSirebis       yarebul, studentTa pasiuri monawile-      gentis janmrTelobis problemebis uni-
li ganviTareba uzrunvelyofs.                damyareba, kompentenciebis ganxorci-       obiT didaqtikuri tipis leqciebs sul       kaloba da SeiZinos maTTvis damaxasiaTe-
                                            elebis unaris dadgena, programebis pe-     ufro enacvleba interaqtiuri swavleb-      beli samedicino problemebis mogvareb-
                                            rioduli ganaxleba da maTi adaptacia        is formebi, rac xels uwyobs Teoriuli      is gamocdileba. treningi sazogadoe-
 II . pediatriuli ganaTleba                 da implementacia.                          codnis praqtikuli ganzogadebis unar-      briv garemoSi, rogorc klinikuri samed-
                                                                                       is Camoyalibebas. garda amisa, yura-      icino ganaTlebis erT-erTi komponenti,
  eqimis profesia, umaRlesi saswavle-         studentis swavlebis safuZveli Teo-       dRebaa gamaxvilebuli iseTi kurikuli-      pirveladi samedicino daxmarebis spe-
blis pirveli kursidan dawyebuli da          riul codnasTan erTad, unda iyos Sem-       mis gamoyenebaze, romelic upiratesad      cialobebis m.S. pediatriisTvis, metad
misi saqmianobis bolo dRiT damTavre-        Txvevebze da problemaze dafuZnebuli        moicavs miznebze dafuZnebul sistemur,     wonadi damatebaa. imisaTvis ki, rom stu-
buli, ar moiazreba ganaTlebis uwyve-        ganaTleba. amitomac, saWiroa iseTi ku-     sabaziso, klinikur da socialuri dis-      denti ar CamorCes pirveladi samedici-
tobis gareSe. sayovelTaod aRiarebul         rikulumis gamoyeneba, romelic saSua-       ciplinebis integrirebul modulebs.         no daxmarebis axal tendenciebs, ufro
profesiul da eTikur standartebze            lebas miscems momaval pediatrs gaec-       klinikuri saqmianobis swavleba xor-       meti dro unda daeTmos pediatriuli
dafuZnebul warmatebul saeqimo saqmi-        nos daavadebis bunebriv mimdinareobas,     cieldeba pirvelive kursebidanve samec-    gadaudebeli samedicino daxmarebis
anobas safexureobrivi samedicino ga-        Sexeba hqondes rTul fsiqo-socialur         niero konteqstSi aqcentebiT sabaziso      praqtikas.
naTleba ganapirobebs. am “permanentu-       sakiTxebTan. kurikulumi unda moicav-       meqanizmebze, eTikur mosazrebebsa da
li” ganaTlebis procesi eqim-special-        des wvrTnas iseT sakiTxebSi, rogori-       mecnierul mtkicebulebebze dafuZneb-         zemoaRniSnuli midgomiT, erTi mxriv
istisTvis moicavs Semdeg etapebs:           caa jgufis lideroba, konsultaciuri         ul multidisciplinur klinikur praq-        studentis swavlebaSi gamoyenebul iq-
                                            kavSirebi, klinikuri praqtika, gadawy-     tikaze, pacientis mkurnalobaSi studen-    nebian pacientebi, romelTa probleme-
1. diplomamdel samedicino ganaT-            vetilebebis faqtebze dayrdnobiT mi-        tis uSualo monawileobiT. samedicino       bi da daavadebaTa speqtric bevrad war-
lebas                                       Reba, moqmedeba kritikul mdgomareo-        skolis farglebSi aucilebelia zogad-       momadgenlobiTia da ufro metadaa ga-
   - umaRlesi samedicino ganaTleba.         bebSi, resursebis, maT Soris finansu-      pediatriul departamenTTan erTad,          vrcelebuli bavSvTa populaciaSi, xo-
2. diplomisSemdgom samedicino ga-           ris gamoyeneba, sainformacio sisteme-      mozardTa medicinisa da neonatologi-       lo meore mxriv students eZleva saSu-
naTlebas                                    bis menejmenti da sxv. bavSvTa kontin-     is departamentebSi klinikuri praqtikis    aleba gaiTavisos da daafasos sazoga-
   - rezidentura;                           gentis unikalobidan gamomdinare, sa-       miReba. mniSvnelovania agreTve, arCevi-   doebrivi jandacvis principebi.
   - gadamzadeba momijnave specialobaSi;    Wiroa pediatriuli ganaTlebis gafar-        Ti (eleqtiuri) modulebis SeTavazeba,
   - subspecializacia.                      Toeba imisaTvis, raTa praqtikosma eqim-    rogorc sabaziso, aseve klinikuri dis-       dReisaTvis samedicino skolebis ume-
3. uwyvet profesiul ganviTarebas            ma SeZlos amoicnos da marTos mTeli         ciplinebSi.                               tesobaSi pediatriul ganaTlebaSi aq-
   - uwyveti samedicino ganaTleba;          rigi qceviTi da socialuri probleme-                                                  centirebulia iseT sakiTxebze, rogor-
   - uwyveti praqtikuli saqmianoba;         bi, romlebic bavSvis normalur zrda-          metad aqtualuria SemTxvevaze dafu-      icaa:
   - profesiuli reabilitacia.               ganviTarebas aferxebs. garda amisa, gan-   Znebuli ganaTlebis unikaluri midgo-
                                            sakuTrebuli aqcenti unda gakeTdes im       ma, romelic saSualebas aZlevs stu-          codna
  zemoaRniSnulidan gamomdinare, pedi-       saganmanaTleblo midgomis mniSvnelo-        dents sabaziso da klinikuri sagnebis        - janmrTelobaze zedamxedveloba;
atriaSi, rogorc yvela sxva saeqimo spe-     baze, romliTac pediatr-rezidents ga-       codna gamoiyenos pacientis probleme-        - zrda-ganviTareba;
cialobaSi, damoukidebeli saeqimo saq-       acnobierebinebs ganaTlebis procesis        bis gadasawyvetad. kerZod, akademiuri       - populaciuri janmrTeloba;
mianobis uflebis mosapoveblad metad         uwyvetobas mTeli saeqimo saqmianobis       personalis xelmZRvanelobiT mcire            - daavadebaTa da dazianebaTa mkur-
rTuli gzaa gasavleli. kerZod, sajaro        manZilze.                                  jgufebSi diskusiebi imarTeba sailus-      naloba da prevencia;
skolis damTavrebisa da erTiani ero-           dReisaTvis evropaSi samedicino ga-       tracio SemTxvevis garSemo. amasTan,         - samedicino genetika da ganviTareb-
vnuli gamocdis Cabarebis Semdeg, auci-      naTlebis xarisxis gaumjobeseba mima-       students eZleva damxmare literatura       is Tandayolili anomliebi;
lebelia 6-wliani umaRlesi samedicino        rTulia:                                    da masalebi, SemTxvevaze dafuZnebuli        - gavrcelebuli pediatriuli paTol-
ganaTlebis safuZvelze diplomirebu-            - samedicino ganaTlebis Sesabamiso-      leqciebi, demonstraciebi da sxv. dis-     ogiebi;
li medikosis akademiuri xarisxis mop-       baze socialur pasuxismgeblobasTan          kusiaSi aqtiuri monawileobisTvis. am        - wyal-eleqtrolituri balansis mar-
oveba, xolo rezidenturaSi mzadebis          (arsi/Sedegi/kompetencia);                 meTodiT swavleba metad efeqturi aR-       Tva;
gasagrZeleblad ki _ erTiani umaRle-           - samedicino programebSi problemaze      moCnda iseTi Cvevebis gamosamuSave-         - pediatriuli gadaudebeli mdgomar-
sisSemdgomi sakvalifikacio gamocdis         dafuZnebuli swavlebis da misi msgavsi      blad, rogoricaa varaudis Camoyali-        eobebi;
Cabareba. amis Semdeg, pediatriaSi 3-       meTodebis danergvaze;                      beba, deduqciuri dasabuTeba da sxva         - qceva;
wliani sarezidento akreditebuli               - fundamenturi biomedicinisa da          profesionalebTan TanamSromloba.             - kveba;
programiT profesiuli mzadebis das-          klinikuri disciplinebis integra-           metad mniSvnelovania sabaziso da klin-      - mozardTa jandacvisaTvis speci-
ruleba da saxelmwifo sasertifikacio         ciaze;                                     ikuri sagnebis saswavlo programebSi       fikuri problemebi;
gamocdebis Cabareba damoukidebeli             - kvlevasTan integrirebuli komuni-       kompiuteruli teqnologiebis gamoy-           - axalSobilTa jandacvisaTvis speci-
saeqimo saqmianobis uflebis miniWebiT       kaciebisa da klinikuri Cvevebis ganvi-     eneba, romelic daavadebaTa SemTxveve-     fikuri problemebi;
mTavrdeba.                                  Tarebaze;                                  bis simulirebis, manipulaciebis Cata-       - mowamvlebis prevencia/mkurnaloba;
                                              - fokusirebaze uwyvet samedicino ga-     rebis, sadiagnostiko Cvevebis aTviseb-      - Zaladoba bavSvebSi;
  dReisaTvis, maT Soris saqarTvelo-         naTlebisadmi.                              is da samedicino gadawyvetilebebis          - bavSvTa uflebebis dacva.
Sic, udavo miRwevad unda CaiTvalos is,                                                 miRebaSi wrTobis saSualebas iZleva.
rom samedicino ganaTleba amJamad gan-         diplomamdeli samedicino                                                              Cvevebi
isazRvreba rogorc mravalganzomile-            ganaTleba                                  tradiciulad, samedicino skolis            (klinikuri problemebis gadawyveta)
biani procesi. naTladaa gaTviTcnobi-          pediatriaSi, rogorc disciplinaSi,        studentebisTvis klinikuri ganaTleb-         - detaluri anamnezis Sekreba pedi-
erebuli agreTve efeqturi samedicino         diplomamdeli samedicino ganaTlebis         is misaRebad umTavresi adgili saavad-     atriuli pacientebisa da maTi ojaxis
ganaTlebis safexureobrioba da uwyve-        mizania aswavlos students pacienti-        myofoa. avadmyofis sawolTan Catare-       wevrebisgan;
toba.                                       sadmi empaTiiT mopyroba da gamoumuSa-      buli swavleba araCveulebrivi SesaZle-       - klinikuri diagnostikis problemebi;
                                            vos samedicino azrovnebis unari. stu-      blobaa klinikuri dakvirvebisa da dis-       - axalSobilTa, bavSvTa da mozardTa
  yoveli saganmanaTleblo programis          dentma unda iswavlos anamnezis Seg-        kusiisTvis. garda amisa, studentebs Se-   fizikuri gasinjva;
ZiriTadi mizani winaswar gansazRvrul        roveba, pediatriuli pacientis fiziku-      saZlebloba eZlevaT iswavlon diagnos-        - praqtikuli unar-Cvevebi;
saswavlo amocanebze dafuZnebuli ko-         ri gamokvleva, bavSvis normaluri           tikuri da Terapiuli teqnika akademi-        - kritikuli azrovneba;
mpetenciebis aTviseba an ganaxlebaa, rad-   zrda-ganviTarebis procesi, garemos         uri personalis da rezidentebis zeda-        - informaciis menejmenti;
ganac es kompetenciebi profesiuli           gavlena bavSvis janmrTelobasa da misi      mxedvelobis qveS. Tumca, dReisaTvis         - komunikaciuri unar-Cvevebi.
saqmianobis standartia da aqedan gamom-     SenarCunebis principebi, aiTvisos praq-    stacionarSi ZiriTadad Tavsdebian mZ-
dinare, warmatebul programad CaiTvle-       tikuli unar-Cvevebi.                       ime paTologiis mqone pacientebi, ro-        amrigad, samedicino skolis upirve-
ba mxolod is, romelic uzrunvelyofs                                                     melTac intensiuri mkurnaloba da meT-      lesi mizania sazogadoebis samsaxurSi
Sesabamisi kompetenciebis srulad da           ramdenime aTwleulis ganmavlobaSi         valyureoba esaWiroebaT, rac pirvela-      Caayenos kursdamTavrebuli, romelic
yovelmxriv aTvisebas. pediatriaSi mza-      samedicino skolaSi swavleba ZiriTa-        di samedicino daxmarebis, avadobis xa-    Tavisi kompetenciis farglebSi iqneba
debis yovel safexurze SesaZeni kompen-      dad jer didaqtikur xasiaTs atarebda        siaTis Secvlisa da samedicino teqnol-     mzad efeqturi, humanuri da eTikuri
tenciebis sxvadasxvaobidan gamomdi-         da pacientTan nakleb kontaqts gulisx-      ogiebisa da mkurnalobaSi miRweuli         samedicino daxmarebis miwodebaSi, mo-
nare, icvleba rogorc saswavlo midgo-        mobda, xolo Semdgom Teoriuli da kli-       progresis Sedegia. garda amisa, Tanxeb-   mzadebuli diplomisSemdgomi ga-
ma da masala, ise mzadebis done, rac Ta-    nikuri ganaTlebis aspeqtebis kombi-        is dazogvis mizniT mcirdeba pacientis     naTlebisTvis da motivirebuli uwyve-
visTavad gansazRvravs saswavlo prog-        nirebas moicavda. bolo dromde saswav-      mier saavadmyofoSi gatarebuli dro da      ti profesiuli ganviTarebisTvis mTe-
ramebis diferenciacias samedicino sko-      lo kursi pirveli 2 wlis ganmavlobaSi       hospitalizebul avadmyofTa mxolod          li Tavisi karieris ganmavlobaSi.
lis studentebisTvis, pediatr-rezi-          gankuTvnili iyo sabaziso sagnebis aT-      mcire nawili rCeba saavadmyofoSi srul
dentebisTvis da uwyveti profesiuli          visebisaTvis, rac klinikuri medicinis      gajanmrTelebamde, xolo diagnos-                      dasasruli Semdeg nomerSi.
samedicino gazeTi        Tebervali 2010 gv.10
 iubile

                                                                                        kardiologiur ganyofilebaSi, saqa-
Rirseuli pirovneba,                                                                     rTvelos kurortologiisa da fizioT-
                                                                                        erapiis samecniero-kvleviT institut-
mecnieri, aRiarebuli                                                                    Si, qalaq soWis erT-erT sanatoriumSi,
                                                                                        SesaZlebeli gaxda magnitolabilur

eqimi                                                                                   pirTa profilaqtika da mkurnaloba. aR-
                                                                                        niSnuli sakiTxebis irgvliv gamoqveyn-
                                                                                        da 100-ze meti samecniero Sroma da mo-
80 wlisaa                                                                               nografia, daculi iqna sadoqtoro da
                                                                                        sakandidato disertaciebi.
                                                                                          didia batoni daviTis Rvawli samedi-
                                                                                        cino kadrebis aRzrdaSi. jer kidev oci
  80 weli Seusrulda did mecniersa da        daviT tvildianTan da geofizikis in-
                                                                                        wlis win, man mniSvnelovnad miiCnia me-
sasiqadulo pedagogs, medicinis mec-         stitutis direqtoris moadgile i. ava-
                                                                                        dicinaSi integrirebuli swavlebis upi-
nierebaTa doqtors, profesor daviT           zaSvilTan. gamoviyeneT ra respublikur
                                                                                        ratesoba, sagnobrivTan SedarebiT.
tvildians.                                  saavadmyofoSi arsebuli gamoTvliTi
                                                                                        amasTan, Tvlida, rom momavali eqimis
  Cemi pirveli Sexvedra baton daviT-        teqnika, Cvenma jgufma Seiswavla gul-
                                                                                        aRzrdaSi udidesi mniSvneloba adreul
Tan 40 wlis win, 1970-ian wlebSi, Sedga.    sisxlZarRvTa sistemis garTulebaTa
                                                                                        profesiul orientaciasa da fundamen-
am periodSi man gaakeTa udidesi mniS-       saswrafo-samedicino gamoZaxebisa da
                                                                                        turi sagnebis damamTavrebel klasebSi
vnelobis mqone aRmoCena. cxrawyaroze,       sikvdilianobis dReebisa da saaTebis
                                                                                        Seswavlas eniWeba. gamomdinare aRniS-
bakurianTan, sadac ganlagebulia             dinamika 1972 wels, sul 150 000 SemTxve-
                                                                                        nulidan, Seiqmna umaRlesi samedicino
saqarTvelos mecnierebaTa akademiis          va. aRniSnulma kvlevebma daasabuTa is
                                                                                        skola `aieti~ da misi koleji, Semdeg _
geofizikis institutis msoflioSi             faqti, rom Tu hipertonuli krizebiT
                                                                                        gimnazia. inglisurenovani swavlebis
erT-erTi uZlieresi mudmivi magniti,         garTulebebi metwilad emTxveva amind-
                                                                                        Taviseburebam studentebs saSualeba
moaTavsa baWiebi da gamoiwvia eqsperi-      is frontalur procesebs, gansakuTre-
                                                                                        misca, dedanSi gacnobodnen saxelmZRv-
mentuli miokardiumis infarqti. am           biT civi frontis SemoWrisas,
                                                                                        aneloebs maTi gamocemisTanave da ara
dros daemTxva movlena, rodesac pro-         stenokardiuli Setevebi da infarqtis
                                                                                        dagvianebul Targmnil variantebs. fun-
fesori gaioz vasaZis iniciativiT,           ricxvi matulobs geomagnituri qariSx-
                                                                                        damenturi sagnebi (anatomia, fiziolo-
Tbilisis kvleviT institutebSi Seiqm-        lebis aRmocenebis dros.
                                                                                        gia, bioqimia, histologis, farmakolo-       vulocavT baton daviT tvildians
na gamoTvliTi teqnikis laboratoria            batoni daviTis inciativiT, Seiqmna
                                                                                        gia) pirvel kursze integrirebulad         dabadebis dRes misi megobrebis, kole-
da 1978 wels mec Cavudeqi saTaveSi          magnitur-biologiuri kvlevis labora-
                                                                                        Seiswavleboda. aman SesaZlebloba misca    gebisa da naTesavebis saxeliT. xangrZ-
saqarTvelos kurortologiisa da fiz-          toria, romelsac saTaveSi TviTon Caud-
                                                                                        studentebs, mieRoT Rrma Teoriuli          liv sicocxles gisurvebT, idRegrZe-
ioTerapiis samecniero-kvleviTi insti-       ga. teqnikur universitetTan TanamSrom-
                                                                                        codna.                                    leT samedicino sazogadoebis, mego-
tutis samedicino kibernetikisa da in-       lobis Sedegad, profesori o. xomerikis
                                                                                          didia batoni daviTis Rvawli saxel-      brebisa da axloblebis sabednierod.
formatikis ganyofilebas. sadoqtoro          xelmZRvanelobiT, damuSavda da damon-
                                                                                        mZRvaneloebis gamocemaSi, rac yvela
disertaciisaTvis mecnierebaSi axali         taJda magnitokompensirebuli pultebi.
                                                                                        eqimisTvis samagido wignad iqca.                profesori aleqsandre cibaZe
mimarTulebis Ziebam damakavSira baton       TbilisSi, respublikuri saavadmyofos

 RirsSesaniSnavi Sexvedra
 xelSekrulebebi studentTa dasasaqmeblad da klinikuri swavlebisaTvis...
 cxovrebis jansaRi wesis dasamkvidreblad (pirveli gverdidan)
li wlis manZilze sapasuxismgeblo Tan-       meriis axalgazrduli ganyofilebisa da        icino dawesebulebisTvis saamayo unda        samedicino universitetis reqtorma,
amdebobaze myofi, erTgulad, Tavdau-         umaRlesi saswavleblebis studenturi          iyos samedicino universitetTan urT-       profesorma zurab vadaWkoriam, sruli
zogavad ixarjeboda universitetis ke-        TviTmmarTvelobebis urTierTobebze;           ierToba.                                  mzadyofna gamoxata aRniSnuli kompa-
TildReobisa da warmatebis mosapove-         staJirebaze, sazRvargareT studentTa           studentTa dasaqmebis programa am        niis mier warmoebuli mineraluri
blad, rasac dResac didi mondomebiT          gagzavnaze da maTTvis gamoyofili Tanx-      SexvedrisTanave Sevida ZalaSi _ Rudu-     wylebis popularizaciis saqmeSi, rad-
agrZelebs. amitomac misi sityvebi gul-      ebis swor, gamWvirvale, orientirebul        Sauris saxelobis klinikis direqtor-       gan jansaRi cxovrebis wesis damkvidre-
wrfeli iyo, roca Tqva: `aq gavlac ki        xarjvaze. `students unda davanaxoT,         ma, batonma zaza sinauriZem 50 studen-    ba SeuZlebelia jansaRi produqtebis
Zalian did siyvaruls magrZnobinebs.         rom misi swavla da codna aris qvey-         tis dasaqmebis survili gamoTqva.          gareSe. aRniSnul saqmianobaSi ki
samedicino universiteti WeSmaritad          nisTvis mniSvnelovani, maqsimumi gavake-      batonma mamukam, studentTa dasaqme-     saWirod CaTvala partniori klinikeb-
alma-materia. daZabuli saqmianobis gamo     ToT universitetisTvis!~ _mowodebasav-       basTan dakavSirebiT, TxovniT mimarTa      isagan aqtiuri monawileoba.
iSviaTad miwevs Tqveni naxva, magram max-   iT gaisma batoni mamukas es sityvebi.       studentur TviTmmarTvelobas, rom             `IDS borjomi saqarTvelos~ gener-
arebs, rom samedicino universiteti sa-        Semdeg daiwyo memorandumis gaforme-       gamWvirvaled moxdes dasasaqmebel          alurma direqtorma, batonma zaza
zogadoebaSi maRal avtoritets inar-          ba... samedicino dawesebulebasTan           studentTa SerCeva, aqcenti unda gakeT-    kikvaZem, damswre sazogadoebas ga-
Cunebs. aq uamravi saxelovani samedici-     gaformebul urTierTTanamSromlobis            des karg studentze da am sakiTxSi         nucxada, rom am proeqtis farglebSi
no kadri gazrdila, magram dRevandelo-       xelSekrulebas kidev daemata: S.p.s. `de-    saWiroa mizanmimarTuleba.                 mouwevT metad saintereso aqciebis
ba ufro mets moiTxovs. gansakuTrebiT        daTa da bavSvTa samkurnalo profilaq-          Sexvedris meore nawili mieZRvna sa-     ganxorcieleba. mineraluri wyali
es exeba klinikuri bazebis sakiTxs, rasac   tikuri centri~ (direqtori lali gu-          zogadoebaSi cxovrebis jansaRi wesis       `borjomi~ jansaRi produqtia da ar
mTavari roli ekisreba studentis eqi-        jabiZe); yel-yur-cxviris sneulebaTa         damkvidrebis sakiTxs. swored am mizniT    iqneba gasakviri swored misi saxeliT
mad Camoyalibebis saqmeSi. qalaqis mer-     erovnuli centri,           `jafariZe-qe-    gaerTiandnen Tbilisis saxelmwifo          rom moxdes cxovrebis jansaRi wesis
isa da Cemi Txovnaa yvelaferi viRonoT       vaniSvilis klinika~ (direqtori, pro-        samedicino universiteti da kompania       popularizacia. baton zazas miaCnia,
samedicino universitetis studen-            fesori SoTa jafariZe); stoma-               `IDS borjomi saqarTvelo~. TanamSrom-      rom samedicino universitetTan Tan-
tisTvis im SesaZleblobis Sesaqmnelad,       tologiuri kabineti `galadenti~              lobis Sesaxeb memorandums xeli moaw-      amSromloba, pirvel rigSi, nayofieri
rogoricaa klinikebSi codnis miReba.         (direqtori vaxtang konjaria); `diag-        eres samedicino universitetis req-        iqneba maTi saerTo strategiis aqcen-
amisTvis kadrebi gvyavs, magram mosawes-    nostikuri servisi~ (direqtori gior-         torma, profesorma zurab vadaWkori-        tebisa da mimarTulebebis sworad gan-
rigebelia infrastruqtura, Sesaqmne-         gi xabeiSvili); S.p.s. q. Tblisis #2 sam-   am da `IDS borjomi saqarTvelos~ gener-    sasazRvrad. amasTanave, aRniSna, rom
lia garemo. piradad maqsimalurad            Sobiaro saxli (direqtori m.m.d. devi        alurma direqtorma, batonma zaza           2010 weli saiubileo welia rogorc
vecdebi, rom Cems universitets hqondes      tabiZe); S.p.s.`alss~ saswrafo da gada-     kikvaZem, rac gulisxmobs mxareebs Soris   samedicino universitetisTvis (us-
sakuTari klinikuri baza, manamde ki es      udebeli daxmarebis saavadmyofo              grZelvadian TanamSromlobas sazoga-        ruldeba daarsebidan 80 weli), ise
saqme arsebulma klinikurma bazebma unda     (direqtori qeTevan beJaniSvili); Tva-       doebisaTvis saintereso da sasargeblo      `borjomisTvis~, romlis pirveli
ikisron da, rogorc vxedav, es ukve asea,    lis mikroqirurgiis javriSvilis klin-        proeqtebis gasaxorcieleblad, rom-         boTli qarxnuli wesiT 120 wlis win
rasac aRfrTovanebiT mivesalmebi.            ika `ofTalmiji~ (direqtori giorgi           lis mizania cxovrebis jansaRi wesis mx-   Camoisxa.
udidesi bednierebadauflebuli uRrmes         javriSvili); onkoprevenciis centri          ardaWera da waxaliseba.                     metad STambeWdavi da mravlismomcve-
madlobas gixdiT ara marto samedicino        (direqtori rema RvamiCava).                    xelmoweris ceremonias eswrebodnen      li Sexvedra dasrulda, rac, ueWvelad,
universitetisTvis, aramed Cveni qveynis       memorandumis gaformebis Semdeg            samedicino universitetis klinikebisa      saqmiT dagvirgvindeba.
sasikeTod gadadgmuli am nabijisTvis.~       aRniSnuli klinikebis xelmZRvanelTa          da saxelSekrulebo klinikuri bazebis         gisurvebT warmatebebs.
batonma mamukam yuradReba gaamaxvila        survilebi ase JRerda: nebismieri samed-     xelmZRvanelebic.                                                 dali gabeSia.
                                                                                                                   Tebervali 2010 gv.11                 samedicino gazeTi
 saxelmZRvaneloebisa da damxmare literaturis
 Seqmnis, dizainis da damtkicebis procedura
           metad mniSvnelovani gadawyvetileba miiRo Tbilisis saxelmwifo samedicino universitetis axalma xelmZRvanelobam _ dRis wesrigSi daayena saxelmZRvaneloebisa
         da damxmare literaturis rogorc Sinaarsis, ise dizainis Tanamedrove doneze Seqmnis sakiTxi. aravisTvis iqneba gasaocari Tu aRvniSnavT, rom aqamde gamocemuli
         saxelmZRvaneloebisa da damxmare literaturis arcTu mcire wili gaumarTavi qarTuli eniTa da terminologiiTaa gajerebuli, arc dizainiTaa gamorCeuli, SeimCne-
         va plagiatic, razec TviT studentebi gamoTqvamen ukmayofilebas.
           axlaxan samedicino universitetis akademiurma sabWom procedurulad daamtkica reqtoris moadgilis, profesor rima beriaSvilisa da samedicino ganaTlebis, kv-
         levebis da strategiuli ganviTarebis centris ufrosis, profesor gaiane simonias mier SemuSavebuli proeqti _ saxelmZRvaneloebisa da damxmare literaturis rogorc
         Sinaarsobrivi, ise dizainis Tanamedrove doneze Seqmnis Sesaxeb. aRniSnulma proeqtma akademiur sabWoze wardgenamde gaiara yvela procedura, ganxiluli iqna yvela safa-
         kulteto sabWoze.
           gTavazobT proeqtis teqsts, romelic, Cveni azriT, did daxmarebas gauwevs saxelmZRvaneloTa da damxmare literaturis avtorebs.



  Tanamedrove saxelmZRvaneloebisa da sxva saxis sas-        5. saxelmZRvaneloSi pacientebis fotosuraTebis da            4. saxelmZRvanelos furclebi unda gaikeros da mya-
wavlo-sainformacio literaturis Seqmna Tbilisis sa-        avadmyofobis istoriis ganTavsebisas dauSvebelia             rad unda iyos mimagrebuli yuaze;
xelmwifo samedicino universitetis umTavres strate-        moxdes pacientis identifikacia.                               5. saxelmZRvanelos kiTxvisas mxedvelobis gadaZabvis
giul mimarTulebas warmoadgens, rac Tavis mxriv, uni-        6. saxelmZRvanelos gansazRvruli unda hqondes ISBN.        Tavidan asacileblad Sriftis zoma ar unda iyos 10-ze
versitetSi swavlebisa da swavlis xarisxis gaumjobese-                                                                 naklebi;
bis aucilebeli winapirobaa. samwuxarod, arcTu iSvi-         2.2. saxelmZRvanelos Sinaarsi                               6. saxelmZRvanelos gamocemisas sasurvelia gamoye-
aTad saxelmZRvanelos grifiT mtkicdeba uxarisxo,             1. mizanSewonilia saxelmZRvanelo moicavdes garkve-        nebuli iyos ramdenime feri; ilustraciebi sasurvelia
moZvelebuli da xSirad urTierTsapirispiro Sinaarsis        ul informacias momijnave disciplinebidan, rac uz-           iyos feradi.
saswavlo literatura, monografiebi, leqciebis da           runvelyofs sxvadasxva disciplinaSi miRebuli infor-
testebis krebulebi, rac ara mxolod saswavlo liter-        maciis integracias, momavalSi codnis efeqtur gamoye-          Sefasebis savaldebulo kriteriumebi:
aturis tipologiur aRrevas iwvevs, aramed mniS-            nebas da fragmentuli codnis Tavidan acilebas.
vnelovnad aqveiTebs studentebis codnis xarisxs.             2. saxelmZRvanelo ise unda iyos Sedgenili, rom stu-         - Seesabameba kurikulums
wlebis manZilze dagrovilma gamocdilebam cxadyo, rom       dents gauCndes sagnis ufro Rrmad Seswavlis motiva-            - srulad asaxavs sagnis silabuss
saxelmZRvanelos Seqmnis, dizainis da damtkicebis pro-     cia. am mizniT rekomendebulia miTiTebuli iqnes wyaro-         - Seicavs uaxles informacias
cesi specialur regulacias da garkveul CarCoSi mo-         ebi (publikaciebi, veb-misamarTebi), romelTa meSveobiT        - daculia saavtoro uflebebi
qcevas moiTxovs.                                          SesaZlebeli iqneba damatebiTi informaciis miReba.             - daculia momijnave sagnebTan integraciis principi
                                                            3. mizanSewonilia saxelmZRvaneloSi mocemuli iqnes           - gaTvaliswinebulia studentis saganmanaTleblo
  1. ganmartebebi                                         sxvadasxva sirTulis testebi, klinikuri SemTxvevebi,         safexuris Sesabamisi codnis done
  saxelmZRvanelo – kurikulumiT gansazRvruli               raTa studentebma SeZlon Tavisi codnis Sefaseba da             - dawerilia gasagebi eniT
konkretuli sagnis Sesaswavlad Sedgenili savaldeb-         TviTkontroli.                                                 - stili da marTlwera daculia
ulo saswavlo masala, warmodgenili nabeWdi da/an
eleqtronuli formiT. saxelmZRvanelo srulad unda              2.3. struqtura                                              Sefasebis sasurveli kriteriumebi
moicavdes sagnis silabusiT gansazRvrul sakiTxebs.           saxelmZRvanelos tradiciuli struqtura moicavs:
  saxelmZRvanelo SeiZleba iyos originaluri an Sedge-        1. sarCevs                                                  - mocemulia damatebiTi informaciis wyaroebi
nili ukve arsebuli saxelmZRvaneloebis safuZvelze.           2. Sesavals                                                 - TandarTulia TviTSefasebis testebi da/an klini-
  originaluri saxelmZRvanelo - moicavs rogorc               3. Tavebs/qveTavebs saTanado cxrilebiT, sqemebiT da       kuri SemTxvevebis aRwera
cnobil, aseve uaxles, mecnierebis Tanamedrove miR-        ilustraciebiT                                                 - aqvs sagnobrivi saZiebeli
wevebis amsaxvel, faqtebze damyarebul informacias,          4. sityvars/sagnobriv saZiebels                             - TandarTuli aqvs bibliografia
romlis garkveuli nawili aRniSnuli sagnis Sesaswav-          5. bibliografias                                            - daibeWdeba xarisxian qaRaldze (warmodgenili nimu-
lad ukve arsebul saxelmZRvaneloebSi mocemuli ar             rekomendebulia saxelmZRvanelo moicavdes, agreTve,         Sis Sesabamisad)
aris, an saxelmZRvanelo Sedgenilia imgvari forma-         winasityvaobas, TviTSefasebis testebs, klinikur Sem-          - daibeWdeba feradi poligrafiiT (warmodgenili ni-
tiT, romelic adre gamoyenebuli ar yofila. am              Txvevebs da danarTebs, gamoyenebuli abreviaturebis          muSis Sesabamisad)
SemTxvevaSi saxelmZRvanelo Seqmnilia avtoris an           ganmartebebs.                                                 - Sriftis zoma daculia
avtorTa jgufis mier.                                        sasurvelia yoveli Tavis Semdeg gakeTdes mokle re-
  umravles SemTxvevaSi saxelmZRvanelo warmoadgens         ziume, sadac yuradReba gamaxvildeba sakvanZo sakiTxe-         kriteriumebis mixedviT Sefaseba
ukve arsebuli saxelmZRvaneloebis safuZvelze axali         bze, rac students naswavli masalis gameorebis da Tvi-         moxdeba Semdegnairad:
redaqciiT warmodgenil saswavlo masalas. am SemTxveva-     Tkontrolis saSualebas miscems.                                - naSromi ar akmayofilebs saxelmZRvanelosadmi waye-
Si saxelmZRvanelo Sedgenilia redaqtoris da/an sare-         avtoris survilisamebr, saxelmZRvanelo SeiZleba            nebul moTxovnebs
daqcio jgufis mier. aseTi saxelmZRvanelos avtoro-         mieZRvnas Sesabamis sferoSi moRvawe gamoCenil pirov-          - naSromi nawilobriv akmayofilebs saxelmZRvane-
bis mcdeloba CaiTvleba plagiatobad da SeiZleba            nebebs, axloblebs, kolegebs.                                losadmi wayenebul moTxovnebs da saWiroebs daxvewas
gaxdes davis sagani inteleqtualuri sakuTrebis                                                                           - naSromi srulad akmayofilebs moTxovnebs da reko-
uflebis dacvis gamo.                                        2.4. saxelmZRvanelos dizaini                              mendebulia misi saxelmZRvanelod gamocema da gamoye-
  damxmare literatura – sagnis Sesaswavlad reko-            miuxedavad imisa, rom sadReisod saxelmZRvanelos           neba.
mendebuli saswavlo masala, romelic Seesabameba mx-        dizainis universaluri standartebi SemuSavebuli ar
olod silabusiT gansazRvrul calkeul sakiTxs/ebs.           aris, igi unda akmayofilebdes Semdeg minimalur moTxo-         saxelmZRvaneloze miTiTebuli unda iyos, rom igi
damxmare saswavlo resursi SeiZleba Seiqmnas nabeWdi,      vnebs, rac gaTvaliswinebuli unda iyos saxelmZRvane-         damtkicebulia Tbilisis saxelmwifo samedicino uni-
cifruli an multimediis saxiT.                             los damtkicebisas:                                          versitetis akademiur sabWoze. dadgenili moTxovnebis
                                                            1. saxelmZRvanelos xarisxi unda uzrunvelyofdes            darRvevis SemTxvevaSi akademiuri sabWo uflebamosi-
 2. saxelmZRvenelos Seqmnisas gasaTvalis-                 mis gamoyenebas, sul mcire, 6 wlis manZilze;                lia saxelmZRvanelo amoiRos Tssu-is saswavlo proce-
 winebeli moTxovnebi da rekomendaciebi                      2. saxelmZRvanelo dabeWdili unda iyos xarisxian           sidan.
 saxelmZRvanelos Seqmnis procesSi gaTvaliswinebu-         qaRaldze (70 gr/m2)                                           Tssu-Si moqmedi wesiT ukve damtkicebuli, gamocemu-
li unda iqnes mTeli rigi moTxovnebi, saxeldobr:             3. saxelmZRvanelos unda hqondes magari an rbili           li da Sesabamis silabusebSi asaxuli saxelmZRvaneloe-
                                                          laminirebuli yda (minimum 240 gr/m2);                       bis revizia zemodasaxelebuli kriteriumebis mixedviT
  2.1. zogadi moTxovnebi                                                                                              moxdeba am saxelmZRvaneloebis meored gamocemis dros,
  1. saxelmZRvanelos Sinaarsi srulad unda Seesabame-                                                                  Tu amis saWiroeba dadgeba
bodes universitetis ZiriTad kurikulums (Core Curric-
ulum) da gamomdinareobdes im kompetenciebidan, rom-                                                                       gamocemis da dafinansebis sakiTxebi
lebsac unda flobdes kursdamTavrebuli.
  2. saxelZRvaneloSi dasaSvebia mxolod faqtebze                                                                               kriteriumebis dakmayofilebis, procedurebis
damyarebuli monacemebis gamoyeneba. dauSvebe-                                                                                  gavlis da saxelmZRvanelod damtkicebis Sem-
lia mxolod piradi gamocdilebis, Sexedule-                                                                                         deg, avtorTan SeTanxmebiT, ganixileba ga-
bebis an sakuTari kvlevis safuZvelze miRe-                                                                                          mocemis sakiTxic:
buli arasarwmuno monacemebis an sakamaTo
sakiTxebis saxelmZRvaneloSi moyvana.                                                                                                  versia 1. avtors winaswar gadaexde-
  3. saxelmZRvanelos Targmnisas aucile-                                                                                                ba Sesabamisi Tanxa. amis Semdeg uni-
belia originalis gamomcemlobisgan                                                                                                        versiteti Tavis Tavze iRebs gamo-
Targmnis nebarTvis Sesaxeb saTanado                                                                                                        cemis da realizaciis yvela pro-
licenziis aReba.                                                                                                                            ceduras, maT Soris, bib-
  4. saxelmZRvaneloSi adre gamoq-                                                                                                           lioTekis saxelmZRvaneloebiT
veynebul literaturaSi moyvani-                                                                                                               uzrunvelyofis sakiTxs.
li sailustracio masalis (cxri-                                                                                                                 versia 2. avtori Tavis Tavze
lebis, suraTebis, sqemebis, testebis)                                                                                                         iRebs gamocemis xarjebs, da Se-
gamoyenebisas aucilebelia maTi                                                                                                                sabamisad, axdens realizacias.
avtorebis citireba.                                                                                                                              amave dros, 50 egzemplars us-
                                                                                                                                                     asyidlos aZlevs univer-
                                                                                                                                                     sitetis biblioTekas.
                                                                                                                        versia 3. xdeba pasuxismgeblobebis da mogebis Ta-
                                                                                                                      nabrad gadanawileba, maT Soris universitetis bibli-
avtorebo! pasuxebs Tqvens SekiTxvebze saxelmZRvanelos, monografiis da sxva                                            oTekis saxelmZRvaneloebiT uzrunvelyofis valde-
                                                                                                                      bulebac Tanabrad nawildeba.
sagamomcemlo produqciis momzadebis da gamocemis Taobaze miiRebT Tssu-is                                                 yvela danarCeni versia avtorisa da universite-
gamomcemlobaSi. t. 54-24-68                                                                                           tis SeTanxmebis sagans warmoadgens.
samedicino gazeTi         Tebervali 2010 gv.12
 wignis Taro

saswavlo gegmis mixedviT,           potenciurad paTogenuri baqte-      grafikebiT. warmodgenilia 90-       kas, menejmentSi saqmianobis kon-    farmacevtuli saqmianobis
gankuTvnilia Tssu farmacevtu-       ria; TiToeuli saxeoba daxasi-      ze meti literaturis wyaro,          trols.                               menejmenti
li fakultetis studentTa da          aTebulia zogad mikrobiolo-         romelic exeba problemis Ziri-         teqsti     ilustrirebulia          n. nemsiwveriZe
praqtikosi farmacevtebisaTvis.      giur, epidemiologiur, paToge-      Tad aspeqtebs.                      cxrilebiTa da suraTebiT.             Tbilisi.-2008.-123gv.
                                    nezur, klinikur aspeqtSi, aRwer-     saxelmZRvanelo gankuTvnilia         wigni gankuTvnilia far-
 Ria da laparaskopiuli              ilia diagnostikisa da antimik-     anesTeziolog _ reanimatolog-        macevtuli fakultetis studen-          saxelmZRvaneloSi gaSuqebulia
 proTezirebadi                      robuli rezistentobis Tavise-       TaTvis, agreTve respiraciuli        tebisaTvis da farmacevtul           menejmentis Teoriuli safuZvle-
 Tiaqarplastika                     burebani. TiToeuli gvarisaTvis     mxardaWeris sakiTxebiT dain-        dawesebulebebSi        momuSave     bi; farmacevtuli sistemis orga-
 T. CarTolani.                      konspeqturadaa TandarTuli          teresebul sxvadasxva special-       specialistTaTvis.                   nizaciebi, rogorc marTvis subieq-
 Tbilisi.:                          toqsonomiuri adgili, klini-        obis eqimebisTvis.                                                      ti, menejmenti da warmatebuli
 favorite.-2009.-195gv.             kurad yvelaze mniSvnelovani                                             bronquli asTma                     marTva, menejmenti da mewarmeoba,
                                    saxeoba da ZiriTadi klinikuri       farmacevtul                         b. maWavariani                     biznes –gegma, marTvis proceseb-
  monografia qarTul enaze pir-      gamovlineba.                        dawesebulebaTa                      Tbilisi.: Tssu gamomcemlo-         is funqciebi, gadawyvetilebis
veli fundamenturi naSromia,           wigns Tan erTvis baqteriaTa       menejmenti                          ba.-2009.-320gv. redaqtori -       miRebis procesis marTva, damakav-
romelic efuZneba msoflios           saxeobis anbanuri saZiebeli, rac    n. gorgasliZe                       prof. v. saakaZe                   Sirebeli procesebi marTvaSi da
wamyvani qirurgiuli centrebis       mniSvnelovnad gauadvilebs           Tbilisi.-2009.-181gv.                                                  komunikaciebi. aRwerilia saqmeT-
monacemebsa da avtoriseul           mkiTxvels konkretuli saxeobis                                            monografia eZRvneba Tanamed-      warmoeba farmacevtuli profil-
mravalwlian gamocdilebas da         baqteriis Sesaxeb swrafi infor-      monografiis SesavalSi av-         rove qronikuli paTologiis           is sawarmoebSi, SromiTi resurse-
exeba erT-erT Tanamedrove yve-      maciis miRebas.                    tori aRniSnavs, rom far-            erT – erT yvlaze gavrcele-          bis marTva da farmacevtuli ka-
laze gavrcelebuli zogadqiru-          monografia gankuTvnilia neb-     macevtuli dawesebulebebis           bul nozologiis daxasiaTebas.        drebis marTvis sistema; kon-
rgiuli operaciis problemas _        ismieri specialobis eqimTaTvis,    marTva sabazro ekonomikis           gaSuqebulia bronquli asTmis         fliqtebis, stresebis da orga-
Torakoplastikas, romlis Zir-        daexmareba klinikur mikrobi-       pirobebSi gacilebiT rTulia,         gavrceleba, ganviTarebisa da        nizaciuli cvlilebebis marTva.
iTad princips warmoadgens plas-     ologebs, epidemiologebsa da        vidre centralizebul adminis-        aRmocenebis sadReisod mignebu-        specialuri yuradReba eTmo-
tika qsovilebis daWimvis gareSe.    umaRlesi samedicino saswavle-      traciul sistemaSi, radgan ad-       li mizezebi.                        ba farmacevtuli eTikisa da de-
  monografiis pirveli nawili        blebis studentebs.                 gili aqvs specialistebis ufle-        moyvanilia sxvadasxva klas-       ontologiis principebs, jgu-
exeba sazardulis Tiaqrebs: aRw-                                        bebis gafarToebas, rac moiTx-       ifikacia, maT Soris uaxlesi,        fur dinamikas _ xelmZRvanelo-
erilia Ria proTezirebadi             respiratoruli mxardaWera          ovs swraf da moqnil adapta-         Tanamedrove _ daavadebis kon-       basa da liderobas. daxasiaTebu-
Tiaqarplastikis meTodebi da          zogadi anesTeziis                 cias. iqmneba axali sameurneo       trolis       donis     mixedviT.    lia menejmentisa da informa-
teqnikuri detalebi, romelic          pirobebSi                         kavSirebis aucilebloba, yali-       dawvrilebiTaa aRwerili bron-        tikis ZiriTadi principebi.
amJamad gamoiyeneba msoflios         n. lebaniZe, s. qajaia,           bdeba sabazro marTvis Sesabam-      quli asTmis diagnostikis sadRe-       saxelmZRvanelo gankuTvnilia
wamyvan qirurgiul centrebSi.         g. grigolia, g. SaiSmelaSvili     isi meqanizmebi, romelTa swori      isod aRiarebuli meTodebi,           farmaciis fakultetis stu-
meore nawilSi detaluradaa            Tbilisi.-2009.-171gv.             warmarTva SeuZlebelia Tan-          romelnic xels uwyoben daavade-      dentTaTvis.
ganxiluli pirveladi da oper-                                           amedrove profesiuli menejmen-       bebis mizezebisa da simZimis gan-
aciisSemdgomi ventraluri              saxelmZRvaneloSi aRwerilia       tis gareSe.                         sazRvras. prof.
Tiaqrebis proTezirebis taqti-       garegani sunTqvis fiziologiis,       wignSi gaSuqebulia sakiTxebi,       vadim saakaZis mier monografi-
ka da teqnika, aseve postoperaci-   gazTacvlis, monitoringis da        romelnic interess warmoad-          aSi dawerilia specialuri Tavi,
uli garTulebebis prevencia da       respiraciuli mxardaWeris aq-       genen farmacevtuli sazogado-        romelic eZRvneba profesiuli
mkurnaloba. mesame nawilSi aRw-     tualuri sakiTxebi, romlis          ebisaTvis.warmodgenilia far-        bronquli asTmis problemas. de-
erilia endo-videoTorako-            codna Tanamedrove pirobebSi        maciaSi integrirebuli spe-          taluradaa moyvanili bronqu-
plastikis meTodebi, laparasko-      metad mniSvnelovania anesTezi-     cialobebi:sociologia,               li asTmis mkurnalobis Tanamed-
piuli aparatura da iaraRebi.        olog _ reanimatologisaTvis;        ekonomika, sareklamo saqme, spe-    rove principebi: imunTerapia,
  teqsti uxvadaa ilustrirebu-       aRwerilia rogorc iZulebiTi,        cialistisa da momxmareblis          medikamenturi mkurnaloba,
li maRali xarisxis feradi av-       aseve damxmare sunTqvis Tanamed-   fsiqologia da sxv.                  safexurovani Terapia pa-
toriseuli fotosuraTebiT,            rove reJimebi.                       Tanmimdevruladaa gaSuqebu-        Tologiis simZimis Sesabamisad.
grafikuli masaliT, aseve gan-         saxelmZRvanelos eqvs ZiriTad     li menjmentis safuZvlebi da         specialuri yuradRebaa gamax-
martebiTi cxrilebiT.                TavSi Tanmimdevruladaa gaSuqe-     marTvis meTodologia, far-           vilebuli antiasTmuri saSuale-
  gankuTvnilia qarTvel rezi-        buli sunTqvis sistemis anatomia,   macevtuli menejmenti; orga-         bebis moqmedebis meqanizmebze_
dentebis, damwyeb da axalgazr-      fiziologia, garegani sunTqvis      nizacuili sturqturebi da maTi       maT Cvenebebsa da winaaRnde-
da qirurgebisaTvis.                 meqanika, gazTa cvla, filtvebis    proeqtireba. aRwerilia dawese-      gCvenebebze.
                                    statikuri moculobebi, sunT-        bulebebis marTva uflebam-             moyvanilia aSS gulis, filtve-
 baqteriuli infeqciebi              qvis ukmarisoba. specialuri        osilebis delegirebis safuZ-         bis da sisxlis nacionaluri in-
 b. nanuaSvili                      yuradReba eTmoba anesTeziis        velze da marTvis komunikaciebi      stitutis da GINA mier SemuSave-
 Tbilisi.:                          uzrunvelyofis sistemas, vi-        farmacevtul dawesebulebebSi,        buli safexurovani mkurnalobis
 Sps saqarTvelos macne.-            talur monitorings, pulso-          SesaZlo konfliqtebi da maTi         rekomendaciebi pacientTa gansx-
 2009.-313gv.                       qsimetrias da kapnometrias.        marTva, gadawyvetilebebis miRe-     vavebul asakovan jgufebSi; ganx-
                                    gaSuqebulia avadmyofTa sa-         ba farmacevtul dawesebulebe-        ilulia bronquli asTmis mar-
  monografiaSi warmodgenilia        sunTq gzebTan respiraciis mi-      bis marTvis procesSi, SromiTi       Tvis principebi konkretuli
Tanamedrove infeqtologiis           erTebis wesebi, traqeis intu-      koleqtivis marTvis stili.           SemTxvevis gaTvaliswinebiT.
yvelaze farTe nawili _ baqte-       baciis meTodebi, aRwerilia mar-      moyvanilia afTiaqSi sakadro         monografias axlavs ganmarte-
riuli daavadebebi. pirvel naw-      TviTi sunTqvis reJimebi, respi-    menejmentis        safuZvlebi,      biTi cxrilebi, diagramebi, aseve
ilSi aRwerilia baqteriebis          raciuli mxardaWeris usafrTx-       sakadro politika, SromoTi           mravalricxovani samamulo da
zogadi adgili infeqciuri daa-       oebis koncefcia, aseve anesTezi-   resursebis marTva. specialuri       ucxouri Tanamedrove litera-
vadebebis genezisSi, maTi morfo     is uzrunvelyofis sistemis de-      yuradReba eTmoba farmacevtul        turis wyaroebi.
_ toqsonomiuri maxasiaTeblebi,      kontaminacia da sunTqviTi fil-     dawesebulebebSi saqmis warmoe-        monografia gamiznulia umaR-
ganxilulia adamianis nor-           trebi.                             bas, marketingis marTvas, xarisx-   lesi samedicino saswavlebleb-
maluri mikroflora; aRweril-           wignSi moyvanilia SesaZlo Sec-   is menejmentis arssa da             is studentTaTvis, aseve bronqu-
ia adamianisaTvis klinikurad        domebi da garTulebebi marTvi-      amocanebs, aseve farmacevtul        li asTmis problemiT daintere-
mniSvnelovani baqteriebis yvela     Ti sunTqvis procesSi.              informaciasa da mis marTvas         sebul pirTaTvis (rezidentebi,
gvari (berjis Tanamedrove klas-       teqsti ilustrirebulia fe-        (farminformaciul menejments),       alergologebi, pulmonologe-
ifikaciaze dayrdnobiT). meore,      radi da Sav-TeTri suraTebiT,       safinanso menejments, biznes –      bi, Terapevtebi, pediatrebi,
kerZo nawilSi moyvanilia yvela      ganmartebiTi cxrilebiT da          gegmis Sedgenis arssa da meTodi-    ojaxis eqimebi da sxv.).

				
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posted:8/23/2011
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