Kyrgyz State Medical Academy named after I. K. Akhunbaev

Department of Family Medicine of Pre-graduate Education

The Department of Family Medicine (FM) was established in 1999 on the basis of an assistant professor course of polyclinic therapy.

Assistant Professor Course of Polyclinic Therapy was created on August 28, 1991, under the leadership of Honored Physician of the Kyrgyz Republic, Associate Professor Aitkulova Alima Omuralievna, at the Department of Internal Medicine №1, headed by Academician of the USSR Academy of Medical Sciences, Academician of the Academy of Sciences, Professor M. M.  Mirrakhimov.

Subsequently, the course was reorganized into an independent Department of Family Medicine from October 1, 1999, headed by Dr. M.S., Professor T.S. Meimanaliev. A great contribution to the development of family medicine in Kyrgyzstan was made by Associate Professor Galiya Kasymkulovna Nanaeva.  G.K. Nanaeva took a short-term course in family medicine in the United States in Nevada. Under her leadership, new curricula for the family medicine course were introduced at the pre- and postgraduate levels, and training of future family medicine physicians in Kyrgyzstan began.

The creation of the Department of Family Medicine reflects the needs of the time in reforming the health care system, since it is the work of a polyclinic doctor that can influence the health of the population (reform programs "Manas", "Manas Taalimi"). 

Employees of the department at the stage of formation were trained at the Alma-Ata Institute of Advanced Medical Training (associate professor Aitkulova A.O.), the Moscow Medical Academy named after A. Sechenov (associate professor Dvorkin M.I.).

Subsequently, the annual specialization in family medicine was conducted on the basis Kyrgyz State Medical Institute of Retraining and Advanced Training and through short-term internships at the Medical Faculty of Nevada, Florida (USA): associate professors G. K. Nanaeva, Dh. Z. Mamytbekova, M. I. Dvorkin, P.I. Matyushkov, assistants A.E. Mergenov, T.O. Abdullaev.

Davletalieva Nurilya Emilbekovna M.D., Ph.D., Acting Professor, actively participated in the development of programs of the Department of Family Medicine and Polyclinic Therapy.

During the existence of the Department of Family Medicine passed the following stages of reorganization:

1999 - 2005 years the department of polyclinic therapy and family medicine (Head of the department prof. Meimanaliev T. S.).

2005 - 2007 years. the Department of polyclinic therapy and family medicine (Head of the Department Associate Professor Matyushkov P. I.).

2007 - 2017 Department of general practice therapy with an assistant professor course of family medicine (Head of the department Prof. Kaliev R. R., head of the course Matyushkov P. I.).

2017 - 2018 Department of Family Medicine (Head of Department Prof. Brimkulov N. N.).

2018 - present Department of family medicine of pre- graduate education (Head of the Department, PhD, Acting Prof. Usubaliev M.B.).

Purpose: To familiarize students with the conditions of work at the pre-hospital stage within a limited time in the outpatient department, at home, in emergency care; to master a large stock of knowledge for mixed reception (children, women, adults). 

Objectives:

- To master the basic principles of the organization of medical and preventive care to the population at the pre-hospital stage.

- To understand the peculiarities of organization and scope of work of general practitioner (family doctor).

- To acquaint students with modern diagnostic possibilities of polyclinic service and to teach their rational use.

- Develop skills of clinical thinking on early diagnostics in outpatient clinic of the most frequent diseases taking into account the peculiarities of their course, treatment, primary and secondary prevention, dispensary examinations, work capacity evaluation, sanatorium treatment.

- To teach how to provide emergency care at the pre-hospital stage in acute diseases and urgent conditions.

Main methods of teaching:

Teaching is conducted on the basis of 6 large centers of family medicine (FMC № 6, 4, 18, RDC named after I.K. Akhunbaev), at the ambulance station in the form of outreach duty and seminars, at the center of clinical skills (simulation module). The classes are carried out by experienced teachers, and 1/3 of time consists of theoretical teaching and 2/3 consists of practical management of patients on outpatient consultation, home visit, emergency duty. Patients are evaluated according to the syndromic principle, which is the only one valid in the outpatient clinic.

From the perspective of outpatient work students understand the main diseases, give criteria for their early diagnosis, examination of the severity of the disease, indications for inpatient treatment, principles of outpatient treatment depending on the phase of the disease (exacerbation, fading exacerbation, remission), assess gerontological aspect of the course and treatment of therapeutic diseases, sanatorium rehabilitation, principles of labor recommendations and restrictions, medical and social expertise to establish disability groups, principles of secondary prevention

The final session of the course is conducted by test method, taking into account the analysis, ECG, ECHO-CG, FKG, clinical and biochemical analyses. The course questions are included in the state exam.

Directions of scientific research:

1. Study of metabolic syndrome, its clinical and epidemiological aspects in the Kyrgyz Republic (Ass. Stanbaeva B. O.).
2. Study of epidemiology and secondary prevention of acute myocardial infarction (Ass. Kushubakov D. K.).
3. Study of prevalence, diagnostics and treatment of socially significant dermatoses, benign and malignant skin neoplasms (Dr. M.S. Usubaliev M. B.).

 During the years of existence of the department 8 methodical recommendations which reflect different sections of family medicine and polyclinic therapy were prepared. Annual international congresses of family doctors with participation of family doctors of CIS countries, foreign participants, representatives and heads of WONCA, conferences dedicated to the World Family Doctor's Day and tobacco addiction control, as well as street actions for tobacco control and prevention of addiction were held. Every year young assistants of the department take part in KSMA Science Days (conferences of young scientists).

Department of Family Medicine staff members participate in examinations and consultations for patients of various genders and ages, including children and pregnant women and the elderly.    Departmental staff work in close contact with FMG doctors, providing consultative support as subspecialists and organizing clinical reviews of the most complex patients. Extensive diagnostic capabilities, level of equipment, and implementation of modern preventive technologies in everyday practice reduce the level of hospitalization and the need for ambulance calls.

The staff received one or two-year training in family medicine under the supervision of Western specialists, went for internship to family medicine clinics in Nevada, Florida (USA) within the framework of partnership of the American International Health Alliance, took part in various international projects, seminars, conferences and trainings.

At present time the staff of the department takes part in standardization of educational programs for students in family medicine under the auspices of international consultants of the Medical Faculty of the University of Geneva (Switzerland); the staff of the department takes part in reorganization of educational programs for students of the Medical Faculty. 

Assessment of the knowledge of 6-year students of the Faculty of Medicine is carried out using the OSCE method and clinical skills center (simulation module on FM and OT). 

PhD, associate professors Dvorkin M.I., Mamytbekova D.Zh.; acting Professor Davletalieva N.E.; PhD, Associate Professor Matyushkov P.I. for the development of programs on "Family Medicine" for 6th year students of the Faculty of Medicine and the Faculty of Foreign citizens.

Associate Professor P.I. Matyushkov conducts a practical lesson with students of the 6th year of the Faculty of Medicine.

Visit of American partners from the University of South Florida to the Department of Family Medicine within the framework of the project for training clinical residents in family medicine.

Associate Professor Mamytbekova D.Z. conducts a practical lesson with students of the 6th year of the Faculty of Medicine.

For the first time in KSMA, the Department of Family Medicine (FM) was established in 1999 on the basis of the associate professor course of polyclinic therapy of the Internal Diseases Department No. 1, headed by Academician of the USSR Academy of Medical Sciences, Academician of the Kyrgyz Republic Academy of Sciences, MD, prof. MM. Mirrakhimov. The associate professor course of outpatient therapy was established on August 28 in 1991, and it was headed by Honored Doctor of the Kyrgyz Republic, Associate Professor A.O. Aitkulova.

On October 1, 1999, the course was reorganized into an independent department of family medicine, headed by prof. T.S. Meimanaliev. A great contribution to the development of family medicine in Kyrgyzstan was made by Assoc. G.K. Nanaev. Under her leadership, new curricula were developed for the course of FM at the undergraduate and postgraduate levels, and the training of doctors in FM in Kyrgyzstan began. However, in 2004, the Department of Family Medicine was reduced to a course of polyclinic therapy.

In February 2017, in accordance with the needs of the country's health care, the independent department of family medicine was revived, and prof. N.N. Brimkulov was headed. At the department, in accordance with international requirements, curricula were revised, new educational and methodological materials were developed (Catalogs of competencies, Diary of a resident), modern approaches for monitoring and evaluation were introduced. Multifaceted work with students on the basis of a scientific circle, holding "open meetings" with graduates, attracting students to organize conferences and congresses with the participation of world leaders in family medicine has led to a sharp increase in residents. Thus, in August 2018, the number of applicants for residency reached 56, which is 28 times higher than in 2015. The sharply increased volume of educational and methodological work required strengthening the human resources potential of the university in family medicine. In this regard, in September 2018, the department was reorganized into two departments, namely undergraduate family medicine and postgraduate family medicine.

From September 1, 2018, the leadership of the Family Medicine Postgraduate Education Department was entrusted to prof. Brimkulov N. N.

Since July 2021, the staffs of the department have been a member of the voluntary public non-profit organization "Family Medicine Without Borders".

Since 2017, a professional standard, SOP (standard of operating procedures) have been developed.

Student Scientific Group (SSG):

Work in the group is carried out by students in three forms: abstract, research and clinical. Abstract work includes coverage of the most interesting sections of clinical medicine from a scientific and practical point of view.

On the basis of students research, articles are published, poster presentations are prepared for the annual conference of clinical residents of family medicine.

Clinical work is carried out in the form of participation of students in the reception of patients together with the doctors of the Family Medicine Center.

The main base of the department is the I.K. Akhunbaev KSMA Family Medicine Center. Equipped in accordance with international standards and was opened on March 16, 2022. The family doctor Abdullaev Taalaibek Orozovich is in charge of the center.

The main direction of the department is the training of residents in the specialty "Family Medicine / General Medical Practice", the promotion of the specialty and its development in all aspects - academic, scientific, professional and social.

In the short period of existence of the department, the curriculum has been revised, teaching aids and materials have been published, modern methods of monitoring and evaluation are being introduced. Elements of telemedicine are being actively introduced into the learning process (distance lectures, online counseling via WhatsApp, etc.). The department is actively implementing the decentralization program for postgraduate education and has presented the first positive results of practical training at regional clinical sites. Monitoring of efficiency of decentralization with departure on all regions of the republic is introduced.

The staff of the department came up with a number of initiatives aimed at improving the image of the specialty of a family doctor:

Holding the Congress of General Practitioners and Family Doctors of Kyrgyzstan (Bishkek, 2015; Osh, 2017; Bishkek, 2019).

• Republican conferences dedicated to World Family Doctors Day on May 19 (2016, 2018)
• Annual Republican Conferences of Family Medicine Residents (2017, 2018, 2019, 2020, 2021, 2022)

A race was held in honor of World Family Doctor Day on May 22, 2022. The main purpose of the race was to promote a healthy lifestyle among the population. More than 40 participants took part.

The members of the Swiss foundation Maurice took part in the race

Scientific research in the field of family medicine and general medical practice has begun. Work is underway to establish a new scientific specialty "Family Medicine/General Medical Practice". Employees of the department participate in the development of clinical protocols and clinical guidelines.

Along with educational, methodological and scientific activities, the staff of the department actively participates in the treatment and diagnostic process, provides advisory assistance.

In 2022, 2 employees of the department, as well as foreign students from neighboring countries, were enrolled in graduate school.

Classes with residents in the practice center.

Emergency care cycle in the Emergency medical care station 

Educational monitoring of residents in the regions

Classes with the residents in ELDIK center

The Clinical conferences for residents

Our residents’ posters

The residents education during COVID19 pandemic, Gansi centre

Meeting with Professor Louis Loutan, Maurice Foundation member

In the Almaty clinical conference, with the president of World Organization of National Colleges, Academies and Academic Associations of General  Practitioners (Wonca) М. Kidd

The scientific students groups fair, 2022

Today the department strengthens international relations and closely cooperates with the following organizations:

World Health Organization (WHO)

MER project

Maurice foundation memebers

WONCA

EURACT

European Young Family Doctors Movement

STLI

Kazakhstan family doctors association

Association of nurse specialization

Family doctors and family nurse association

Also, since February 2021, the department has been holding joint conferences with the West Kazakhstan State Medical University named after M. Ospanov.

In 2019, the 2nd year resident Talapbek k Shirin won a grant to participate in the 24th WONCA European Conference in Bratislava. In the same year, she was elected a member of the board and  representative Kyrgyzstan in the European young family doctors movement Vasco da Gama.

In 2019, Associate Chair Turanova Nuraiym became the exchange coordinator at Vasco da Gama and made a presentation in Turin at the Forum of Young Family Doctors.

In 2019, Associate Chair Turanova Nuraiym became the exchange coordinator at Vasco da Gama and made a presentation in Turin at the Forum of Young Family Doctors.

In 2021, the staff of the Department of Family Medicine of Postgraduate Education became a member of EURACT and the assistant of the department Talapbek kyzy Shirin was elected a member of the Council.