Marina Viktorovna Shtonda
Candidate of Medical Sciences, Associate Professor, head of the department
Address: Minsk, Engelsa Street, 27 (Healthcare Establishment «2nd City Clinical Hospital»)
The Department of Therapy was founded at Belarusian State Institute of Advanced Medical Training in September, 1960. Professor S.S.Nesvizhskaya was head of the department then. From1969 to 1998 the department was headed professor A.S.Chizh. From 1998 to April, 2016 the department was headed by professor M.S.Pristrom, Honored Scientist of the Republic of Belarus. In April, 2016 M.V.Shonda became head of the department.
The department has a huge experience in training of therapy specialists. Today the department has advanced training programs with duration of 1 week (40 hours), 2 weeks (80 hours) and 1 month (160 hours).
The department has worked out a training program on drug intra-articular introduction under ultrasound control (video-presentation).
Lectures and practical classes cover main units of internal pathology (heart diseases, joint diseases, respiratory and digestive tract diseases, kidney diseases, system collagen-vascular diseases), and also main issues of endocrine pathology, oncology, infectious diseases, hematology, geriatrics, peculiarities of patients’ following after interventional treatment methods are being discussed, carrying out of anti-thrombotic therapy and etc. Thus, therapists and other physicians of therapy specialties can advance their professional level in all units of internal pathology and separate issues of allied disciplines within one course of advanced training.
Traditionally, the department discusses clinical cases when the diagnosis is not clear. Discussions about anamnesis data, results of laboratory and instrumental research methods of patient help to make a diagnostics algorithm, presumptive diagnostic is substantiated, strategy of patient’s following in outpatient and inpatient clinic is being developing. Specialists of the department also consider issues of rational pharmacotherapy, problems of polypragmasy in therapeutic practice. In some cases ethical and deontological problems are being discussed.
The department is well-equipped (multimedia and interactive teaching aids) and has good diagnostic possibilities which influence positively on advanced training courses together with high professionalism of teachers and good organization of educational process. Clinical base of the Department of Therapy is Healthcare Establishment «2nd City Clinical Hospital». Today the hospital is a huge multidisciplinary medical organization, equipped with modern treatment and diagnostic devices. This is an angiographic equipment, which helps to do heart and vessels examination (coronary, visceral and peripheral angiogram, aortography, ventriculography, cardiac catheterization etc.) and make endovascular operations (balloon angioplasty of coronary and peripheral arteries, stenting, endovascular treatment of chronic artery occlusions with small diameter etc.), roentgen computer equipment, which helps to carry out cardio computer tomography, magnetic resonance tomography.
Staff of the department is fully involved into scientific work. The department carries out researches on the following topics:
«To study neurohumoral, methabolic and hemodynamic abnormalities in patients with atherosclerosis, heart and pulmonary heart disease, and also to evaluate influence of some drugs» (initiative topic of scientific and research work),
Task of State Scientific and Technical Program «To develop treatment method of patients with arterial hypertension and ischemic heart disease on the basis of differentiated application of adaptation to altitude anoxia»,
Task of National Norms of Technological Projecting «To develop complex methodology of medical rehabilitation of patients with ischemic heart disease together with arterial hypertension, including usage of adaptation to hypobaric anoxia»,
Task of National Norms of Technological Projecting «To develop complex methodology of medical rehabilitation of patients with arterial hypertension applying adaptation to hypo- and normobaric hypoxia ».
At present Task of National Norms of Technological Projecting is carried out: «To develop complex methodology of medical rehabilitation of patients with ischemic heart disease and overweight combined with chronic obstructive lung disease».
Within the last 5 years staff of the department has published more than 50 articles, more than 120 theses, has made 30 speeches at republican conferences and seminars, published 23 guidance manuals. 9 instructions for use have been approved, 3 inventor's certificates have been received.
Staff of the Department of Therapy actively participates in rendering of medical care not only in divisions of the clinical base, but also at other Minsk healthcare establishments, specialists of the department are consultants of Professor’s Advisory Medical Center of BelMAPE.
Aiming at the advancement of professional level of therapists in outpatient and inpatient clinical healthcare establishments of Minsk, in 2013 there had been created a lyceum (school for therapists) (in accordance with the Order of the Health Committee of Minsk City Executive Committee №388/776 of 06/12/2016 «About organization of «School for therapists»; Program «School for therapists» for 2017).