Primary care professionals have been on the frontlines of the russian invasion, especially in eastern Ukraine even while continuing to work in ambulatories and clinics.
The whole process of family doctors’ work in Kharkiv and Kharkiv region has been reformatted in the name of security: after the imposition of martial law, family doctors have been transferred to the mode of duty and remote counseling.
Therefore, those who can, our family doctors consult online or by phone. Those who need a personal appointment, come by prior arrangement with their doctor. Everyone is separated in time so that there are as few people as possible in the building of the clinic at a time. Those who do not have visits in the offices should always be in touch with patients, advise people through Viber cameras, other messengers or communication channels.
Family doctors are learning to be both psychologists and sub-specialists, because there is a lack of both. With the beginning of the war, the number of patients decreased in all doctors, and the following pattern emerged: those patients who remained have a much easier attitude to treatment of somatic diseases.
If we talk about chronic diseases, there is a sharp increase in patients with hypertension, who are sensitive and negative to stress, and in general with diseases of the cardiovascular system, including young people. Moreover, experienced patients complain that the drugs they have always taken do not remove the symptoms, their action is simply not enough.
Fear, anxiety, panic, in which people are currently around the clock, have the strongest impact on patients with kidney disease, gastrointestinal tract, coronary heart disease, diabetes. People with thyroid disease are very prone to stress. But, by and large, any somatics now easily turns into psychosomatics and becomes more complicated. We see this every day: unfortunately, the number of neuroses, depressions and hysterical syndromes has greatly increased.
In addition to medical work, postgraduate training of family physicians at the Department of General Practice-Family Medicine of Kharkiv Medical Academy of Postgraduate Education continues using distance educational technologies. Teachers of the Department give lectures remotely, as well as conduct interactive seminars.
Distance learning is the most optimal form in the system of continuing medical education during the war, as it helps to solve a number of problems arising for a certified specialist due to different approaches to work and study, in particular, in case of partial separation from work or the impossibility of separation from work (the difference between workers shifts and duty schedules for trained doctors, etc.).
Distance learning demonstrates its flexibility through the skillful combination of various types of distance learning technologies: without the presence of a teacher in the case of mastering the theoretical part of the course, with the partial presence of a teacher during practical and seminars in parallel with traditional teaching methods.
Postgraduate education of primary care physicians during the war caused a change in approaches to the organization of the educational process, methodological training of teachers to implement innovations, facilitation of adaptation to learning, search and justification of forms, methods and technologies of distance learning.