1. eqimTa informaciuli moTxovnilebebis dakmayofilebis mcdeloba
Richard Smith,
britanuli samedicino Jurnalis redaqtori
leqcia Targmna eq. malxaz jalaRoniam, asociacia "eskulapi", zugdidi.
The lecture is translated by Malkhaz Jalagonia, MD, Association Esculapius, Zugdidi, Georgia.

2. gansaxilveli sakiTxebis nusxa
ra viciT eqimTa informaciuli moTxovnilebebis Sesaxeb?
rogor vakmayofilebT Cven am moTxovnilebebs?
rogor SeiZleba informaciis miwodebis gaumjobeseba?

3. raze metyveleben eqimTa informaciul moTxovnilebebze Catarebuli gamokvlevebi?

4. gamokvleva eqimTa informaciuli moTxovnilebebis Sesaxeb: Covell, 1985
sul Sinagan medicinaSi momuSave 47 eqimi, 12 zogadi praqtikis da 35 eqim-specialisti;
TiToeulma maTganma naxevari dRis ganmavlobaSi gasinja 1-dan 16 avadmyofamde;
konsultaciebis Catarebamde eqimebma upasuxes daxuruli saxis kiTxvars (A closed questionnaire);
yoveli konsultaciis Semdeg eqimTan tardeboda interviu im kiTxvebis gamosavlenad, romelic wamoiWra avadmyofis gasinjvisas da romelzedac eqims pasuxi ar moepoveboda.

5. gamokvleva eqimTa informaciuli moTxovnilebebis Sesaxeb: Covell, 1985
eqimebma dasawyisSi ganacxades, rom maT damatebiTi informacia sWirdebodaT daaxloebiT erTxel kviraSi;
sinamdvileSi ki 269 kiTxva wamoiWra 409 avadmyofis vizitis dros – daaxloebiT 2 kiTxva 3 avadmyofze;
kiTxvebi exeboda:
specifikuri daavadebebis mkurnalobas – 1/3
diagnozs – 1/4
medikamentebs - 14%

6. gamokvleva eqimTa informaciuli moTxovnilebebis Sesaxeb: Covell, 1985
samedicino saxis informacia - faqti, romelic rogorc wesi, sadavo ar aris. magaliTad, "ra gverdiTi movlenebia dakavSirebuli bromokriptinis gamoyenebasTan?" – 40%;
samedicino sakiTxi, romelic rogorc wesi, iwvevs azrTa sxvadasxvaobas. magaliTad, "rogor vumkurnaloT labiluri hipertenziis mqone avadmyofs?" - 45%;
arasamedicino saxis informacia ("rogor ganvaxorcieloT avadmyofis movla binaze?") – daaxloebiT 15-16%.

7. gamokvleva eqimTa informaciuli moTxovnilebebis Sesaxeb: Covell, 1985
mravali kiTxva Tavisi xasiaTiT iyo ara zogadi, aramed konkretuli.
ara "ra SemTxvevebSia saWiro plazmaSi prokainamidis donis gansazRvra?", aramed "saWiroa Tu ara am konkretul avadmyofSi plazmaSi prokainamidis donis gansazRvra?"

8. informaciis wyaro eqimTa gancxadebiTa da dakvirvebis mixedviT
beWdviTi gamocemebi 62 27
specialuri an zogadi saxis saxelmZRvaneloebi 25 3
farmacevtuli saxelmZRvaneloebi 14 9
samedicino Jurnalebi 18 7
medikamentebis Semqmneli kompaniebis mier mowodebuli informacia 1
sakuTari Canawerebi 4
adamianebi 33 53
eqim-specialistebi 24
zogadi praqtikis eqimebi
sakuTari ofisis TanamSromeli (eqimi)
farmacevti 6
sxva 5 21

9. gamokvleva eqimTa informaciuli moTxovnilebebis Sesaxeb: Osheroff et al, 1991
pitsburgSi universitetTan arsebuli zogadi medicinis klinikaSi momuSave 24 eqimi da studenti.
damkvirvebeli iyo anTropologi. anTropologis mier gakeTebuli Canawerebis safuZvelze zogadi medicinis specialistebma gamoavlines kiTxvebi, romlebic wamoiWra avadmyofTa gasinjvisa da mkurnalobis dros.
dakvirvebis 17 saaTis ganmavlobaSi stacionarsa da ambulatoriaSi daaxloebiT 90 avadmyofis gamo wamoiWra 519 kiTxva.

10. 75% exeboda daavadebaTa diagnostikas; 60% - specifikur avadmyofebs;
gamokvleva eqimTa informaciuli moTxovnilebebis Sesaxeb: Osheroff et al, 1991
454 iyo "mkacrad klinikuri" saxis SekiTxva – saSualod 5 TiToeul avadmyofze;
75% exeboda daavadebaTa diagnostikas;
60% - specifikur avadmyofebs;
25% - mkurnalobas;
16% - medikamentebis gamoyenebas.
"454 klinikuri kiTxva 90 avadmyofze (saSualod 5 kiTxva erT avadmyofze). 337 (454 kiTxvis 74%) exeboda daavadebaTa diagnostikis sakiTxebs. am 337 kiTxvidan 175 (52%) exeboda faqtebs, romelTa pasuxi iyo samedicino CanawerebSi, 77 (23%) kiTxvaze potenciurad SeiZleboda pasuxis gacema biblioTekebis, saxelmZRvaneloebis, Jurnalebisa an medlainis (Medline) gamoyenebiT. 88 (26%) kiTxvaze pasuxis gacema moiTxovda samedicino codnisa da avadmyofis informaciis sinTezs. daskvnebi: dakvirvebis qveS myofi klinicistebi da studentebi xSirad iTxovdnen damatebiT informacias. bevri kiTxva saWiroebs samedicino codnisa da avadmyofis informaciis sinTezs da amitom potenciurad Znelia maTze pasuxis gacema" - es abstraqti aRebulia PubMed–dan, radgan TviT slaidze mocemuli informacia cota ar iyos gaurkvevelia. TviTon statiaze xeli ar mimiwvdeboda, magram logikuria vifiqroT, rom 454 kiTxvidan 25% exeboda mkurnalobas (diagnostika 75% + mkurnaloba 25% = 100%), xolo 16% albaT

11. gamokvleva eqimTa informaciuli moTxovnilebebis Sesaxeb: Forsythe et al, 1992
wina dakvirvebis msgavsi, mxolod 35 saaTis ganmavlobaSi;
mravali informaciuli saWiroeba ar vlindeba kiTxvebis saxiT, ufro metic, zogjer saerTod ar xdeba maTi verbalizacia;
informaciis moZiebasTan dakavSirebuli mesijebis interpretacia xSirad SesaZlebelia mxolod konkretuli situaciis gaTvaliswinebiT;
eqimebsa da studentebs zogjer sWirdebaT specifikur klinikur informaciaze meti. saqme exeba mxardaWeras, maTi saqmianobis warmarTvasa da dasturs am saqmianobisaTvis.

12. ramdeni kiTxva wamoiWreba eqimisa da avadmyofis urTierTobisas?

13. eqimTa informaciuli moTxovnilebebis Sesaxeb Catarebuli gamokvlevebidan gamomdinare daskvnebi
damatebiTi informaciis saWiroeba warmoiqmneba regularulad roca eqimebi naxuloben avadmyofebs;
kiTxvebis umravlesoba exeba mkurnalobis sakiTxebs, kerZod medikamentebs;
kiTxvebi xSirad rTuli da mravalwaxnagovania;
eqimTa moTxovnilebani mxolod informaciiT ar Semoifargleba. eqimebi eZeben fsiqologiur mxardaWerasa da TanagrZnobas, maT sWirdebaT rCeva, dasturi ama Tu im moqmedebisaTvis, am moqmedebebis gansja-garCeva da azrTa gaziareba.

14. eqimTa informaciuli moTxovnilebebis Sesaxeb Catarebuli gamokvlevebidan gamomdinare daskvnebi
konsultaciebis dros wamoWrili kiTxvebis umravlesoba rCeba upasuxod;
rogorc Cans, eqimebi yvelaze metad cdiloben TavianT kiTxvebze pasuxi miiRon kolegebisagan;
kiTxvebis umravlesobas moepoveba pasuxi, magram maTi moZieba did TanxebTan da drois danakargebTanaa dakavSirebuli;
rogorc Cans, eqimebi waleka informaciis nakadma.

15. rogor vakmayofilebT Cven eqimTa informaciul moTxovnilebebs?

16. arsebuli problemebi
gTxovT, ifiqroT yvela im informaciaze, risi gacnobac dagexmarebaT Tqveni movaleobebis ukeTesad SesrulebaSi.
am informaciis ramdeni procentis wakiTxvas axerxebT?

19. arsebuli problemebi
gTxovT, ifiqroT im samedicino informaciaze, romelsac Tqven RebulobT da ecadeT es informacia erTi sityviT daaxasiaToT.

20. 41 eqimis mier maTTvis miwodebuli samedicino informaciis dasaxasiaTeblad gamoyenebuli sityvebi
SeuZlebeli SeuZlebeli SeuZlebeli SeuZlebeli SeuZlebeli SeuZlebeli
wamlekavi wamlekavi wamlekavi wamlekavi wamlekavi wamlekavi
rTuli rTuli rTuli rTuli
SiSis momgvreli SiSis momgvreli SiSis momgvreli
momabezrebeli
maxrCobela
depresiis gamowvevi
sasowarkveTilebis gamomwvevi
SemaSfoTebeli
damakmayofilebeli
usazRvro
damxmare
gamomfitavi
imedgacruebis gamomwvevi
drois didi danakargebiT mimdinare
Semzaravi
saSineli
brZolasTan asocirebuli
damafrTxobeli
ararealuri
stresis gamomwvevi
gamowveva gamowveva gamowveva
amaRelvebeli
sasicocxlo mniSvnelobis mqone

21. informaciuli paradoqsi
“informaciam eqimebi waleka, magram amasTanave isini ver pouloben sasurvel informacias saWiroebis SemTxvevaSi."
Muir Gray

22. informaciuli paradoqsi
"wyali, yvelgan wyali da erTi wveTic ara wyurvilis mosaklavad"
antikuri xanis mezRvauris leqsidan

23. Sexeduleba informaciaze poetis Tvalsazrisi
sad aris sibrZne codnaSi gacvlili?
da TviT codna informaciaSi Cakarguli?
T S Eliot

24. gasul kviras ra dro dauTmeT literaturis kiTxvas Tqveni pacientebis daavadebebTan dakavSirebiT?
* - britaneli axaldamTavrebuli eqimi, romelic muSaobs saavadmyofoSi ** - saavadmyofoSi momuSave eqimi, romelic Tanamdebobrivad dgas House officer–sa da konsultants Soris

25. bristolSi zogadi praqtikis eqimebis mier samedicino literaturis kiTxvaze daxarjuli dro

26. rogoria CamorCena literaturis kiTxvaSi?
Jurnalebis raodenoba
axali statiebis raodenoba yovelkvireulad
erTi statiis wasakiTxad
saWiro dro wuTi
Tu eqimi mTel dros
kiTxvaSi atarebs, maSin 6 kviris Semdeg ramdeniT CamorCeba igi?
mTeli erTi saukuniT

27. informaciis sargeblianoba
Sesaferisoba x marTebuloba x urTierTmoqmedeba
sargeblianoba= _____________________________________________
informaciis posapoveblad gaweuli Sroma

28. informaciis sxvadasxva wyaros sargeblianoba

29. samedicino JurnalebTan dakavSirebuli problemebi
am JurnalebSi mocemuli informacia ar akmayofilebs mkiTxvelTa moTxovnilebebs;
Zalian bevria;
bevri sisulele iwereba;
maTi kiTxva Zalian mZime Sromaa;
araa Sesaferisi;
Zalian mosawyenia;
Zalian Zviria;

30. samedicino JurnalebTan dakavSirebuli problemebi
arafer mniSvnelovans ar sZenen mkiTxvels;
nebismieri saqme gadahyavT nel ritmSi;
adgili aqvs mikerZoebas;
mravali maTgani mtruladaa ganwyobili axali azris mimarT;
Zalian cudi Sesaxedavia;
Zalian pompezuria;
orientirebulia istebliSmentze;

31. samedicino JurnalebTan dakavSirebuli problemebi
ver swvdeba ganviTarebad samyaros;
ver umklavdeba siyalbes;
uamravi ganmeorebaa;
ZiriTadad orientirebulia avtorze da ara mkiTxvelze;
maT aravin ar kiTxulobs.

32. rogor gavaumjobesoT eqimebisaTvis informaciis miwodebis procesi?

34. sistemebi
sinTezi
sinopsi
gamokvlevebi

35. "klinikuri mtkicebuleba"
is Seicavs efeqturi jandacvisaTvis saWiro saukeTeso informacias;
cvlilebebis Setana xdeba yovel 6 TveSi;
me-3-14 gamocemebze xeli miuwvdeba aSS-Si eqims;
britaneTis erovnuli jandacvis sistemam (NHS) SeiZina egzemplari.

36. "klinikuri mtkicebulebis" damaxasiaTebeli Tvisebebi
"Cven gawvdiT faqtebs, Tqven da Tqvenma avadmyofebma ki unda miiRoT gadawyvetileba";
saWirboroto sakiTxebisa Tu kiTxvebis wamoyeneba xdeba TviT eqimebisa da avadmyofebis mier;
WeSmariti, faqtebze dafuZnebuli meTodologia;
avlens xarvezebs, faqtebis deficits;
gvawvdis faqtebs ama Tu im Carevis sargeblisa da zianis Sesaxeb;
arsebobs internetis versia.

37. panacea, romelic gadagvarCens
Zalian rTul kiTxvebze pasuxis gacemis unari;
dakavSirebuli sarwmuno informaciis monacemTa did bazasTan;
eleqtruli, portatuli, swrafi da advilad gamosayenebeli;
eqimebisaTvis daxmarebis gawevis SesaZlebloba maTi grZnobebis Seuracxyofis gareSe;

38. panacea, romelic gadagvarCens
dakavSirebuli avadmyofis samedicino monacemTa bazasTan;
daxmareba rogorc avadmyofebisaTvis, aseve eqimTaTvis;
rogorc fsiqologiuri mxardaWeris, aseve moqmedebebze dasturis micemis SesaZlebloba.

39. daskvnebi
mravali kiTxva wamoiWreba eqimebis mier konsultaciebis Catarebisas;
kiTxvaTa umravlesoba rCeba upasuxod;
Cven eqimebs kargad ver vawvdiT saWiro informacias;
informaciam eqimebi waleka, magram amasTanave isini ver pouloben sasurvel informacias saWiroebis SemTxvevaSi;
axali teqnologiebi gvaZlevs SesaZleblobas, rom informacia eqimebs gacilebiT ukeTesad mivawodoT;
es procesi ar iqneba advili da dakavSirebuli iqneba did TanxebTan da drois danaxarjebTan, aseve igi moiTxovs Cveni azrovnebis Secvlas;

40. leqciis Sefaseba
Tqveni Sefasebebi Zalian mniSvnelovania superkursis Semdgomi ganviTarebisaTvis. gTxovT SeavsoT leqciis bolo gverdze (review) moyvanili forma da daaWiroT submit button-s. Tu inglisuri ena giqmniT problemas, gamoagzavneT Tqveni komentarebi Semdeg misamarTze:
1. Name (saxeli da gvari):
2. Position (Tanamdeboba):
3. Organization (organizacia):
4. (el. fosta):
5. Have you ever taught an Introductory Course in Epidemiology? odesme xom ar aswavlidiT epidemiologiis Sesaval kurss?
6. Do you currently teach an Introductory Course in Epidemiology? amJamad xom ar aswavliT epidemiologiis Sesaval kurss?
7. How interested would students be in this lecture? rogori saintereso iqneba studentebisTvis es leqcia? pasuxebi dalagebulia "Zalian saintereso"-dan "uintereso"-mde.
8. May we post your review on this web site? SeiZleba Tqveni Sefaseba gamovaqveynoT am saitze?
9. Did the graphics transfer in a reasonable amount of time? slaidebis gamoCena Tu xdeba swrafad drois mniSvnelovani danakargebis gareSe?
Please rate the lectures on the following characteristics:
gTxovT SeafasoT leqciebi da maTi Semadgeneli komponentebi Semdegi sqemiT:
5 = Excellent, 4 = Above Average, 3 = Average, 2 = Below Average, 1 = Poor
5–SesaniSnavi, 4–saSualoze meti, 3–saSualo, 2–saS. naklebi, 1-aradamakmayofileb.
10. Content (Sinaarsis Sefaseba):
11. Presentation (leqciis prezentaciis, misi gaformebis xarisxi) :
12. Relevance (Sesabamisoba Sinaarssa da leqciis saxelwodebas Soris) :
13. Overall Rating (zogadi Sefaseba):
14. Please provide your general and specific comments about the lecture. You may provide web sites you know which are appropriate to the lecture below:
gTxovT gamogvigzavnoT zogadi da konkretuli xasiaTis komentarebi leqciis Sesaxeb. aseve mogvawodeT im saitebis misamarTebi, romelTac am mocemul leqciasTan aqvT Sinaarsobrivi kavSiri.
Submit button
If you need to change your ratings or comments, please use the reset button:
Tu gsurT Tqveni pasuxebis Secvla, daaWireT reset button-s: