ANALYSIS OF THE RESULTS OF GP-FM QUESTIONNAIRE REGARDING TRAINING IN THE SPECIALIZATION «OTOLARYNGOLOGY¼ BOTH AT THE UNDERGRADUATE AND POSTGRADUATE LEVELS.

OBJECTIVE: The aim: To research the degree of satisfaction with the training of general practitioners-family medicine (GP-FM) in the specialization "Otorhinolaryngology" in the leading higher educational institutions (HEIs) of Ukraine at undergraduate and postgraduate levels. PATIENTS AND METHODS: Materials and methods: A questionnaire was conducted of 51 GP-FM doctors. RESULTS: Results: The duration of otorhinolaryngology training at a medical HEI was indicated by: 49% of respondents about weeks of training, 19.6% - about months. 31.37% received separate training on ENT examination. 56.9% of people were trained in ENT departments. 76.5% of people were not satisfied with the quality of theoretical knowledge, 52.9% of respondents of practical skills at the undergraduate level. 72.6% of doctors not satisfied with the quality of theoretical knowledge, 56.8% of respondents of practical skills at the post-graduate level. 41.2% of respondents received post-graduate training in otorhinolaryngology at the GP-FM specialization cycle, 72.55% of them in a lecture format. 86.3% of people want to deepen their knowledge of otolaryngology and need to understand the etiopathogenetic mechanisms of ENT pathology. CONCLUSION: Conclusions. The dissonance with the dissatisfaction of the doctors of the GPFM with the quality of the received theoretical knowledge in ENT pathology and the availability of their practical skills was revealed. It is important for GPFM doctors to undergo separate training in ENT examination and pathology with mandatory study and conscious use of etiopathogenetic mechanisms of ENT pathology, especially in inflammatory diseases.

ANALYSIS OF MENTAL HEALTH IN PATIENTS, WHO HAVE HAD SARS COV-2 AT THE PRIMARY LEVEL OF HEALTH CARE.

OBJECTIVE: The aim of the study was to evaluate retrospectively the mental state of patients, who have had COVID - 19 at the primary level of health care according to medical documentation. PATIENTS AND METHODS: Materials and methods: 70 outpatient charts of patients aged from 31 to 80 years who have had laboratory-confirmed SARS CoV-2 and received primary health care, were processed. Conducted: assessment for the presence and determination of the severity of depression based on the scale of PHQ 9; screening for post-traumatic stress disorder (PTSD) (Breslau et al., 1999). CONCLUSION: Results and conclusions: patients, who have had SARS CoV-2, the moderate severity of depressive syndrome prevailed. The risk of forming of PTSD is most presented in patients who have had severe SARS CoV-2, who had inpatient treatment and combined with low quality of life (QOL) at outpatient treatment as well. The increase of anxiety was found in individuals after outpatient and inpatient treatment, and it was accompanied with low QOL. Patients with complaints about cognitive impairment prevailed after inpatient treatment, and determined their QOL as low, especially in men in 100%. Sleep disturbances were detected in 90.3% of patients with complicated course of SARS CoV-2 during inpatient treatment with low QOL. Tachycardia was detected in 61.7% of patients in group 1 and in 52.2% in group 2, that could be a symptom of increased anxiety and PTSD, but it requires differential diagnosis with cardiac pathology.