RESTRUCTURING THE SECOND MODULE IN DISCIPLINE “PATHOPHYSIOLOGY” IN VIEW OF WARTIME CHALLENGES

Abstract

The Ukrainian educational system is facing new challenges during wartime. To meet these new demands, the Department of Pathophysiology at Poltava State Medical University has revised the Master's Degree in Medicine curriculum, taking into account the specificities of providing healthcare during martial law. The goal of this initiative is to develop and substantiate an updated structure for Module No. 2, "Pathophysiology of Organs and Systems". The authors have given particular attention to the revision of the morbidity structure in military forces, which has changed significantly during hostilities. The consequences of blood loss and post-hemotransfusion reactions are prevalent, thus the possibility of allocating additional hours for practical sessions and lectures to study the pathogenetic influence of blood loss and the mechanisms of post-hemotransfusion reactions were considered. Furthermore, due to the possible damage inflicted on the civilian population by combat poisonous substances, a methodological approach has been added to the teaching of the theme on hypoxia. To address the challenges of wartime, Module No. 2, "Pathophysiology of Organs and Systems" will be expanded with two practical sessions ("Mechanisms of the Pathogenic Effect of Blood Loss on Organs and Systems", "Pathogenetic Methods of Blood Loss Correction and their Complications") and one lecture session ("Blood Loss: Aetiology and Pathogenesis") by redistributing hours from independent work. When teaching the topic "Hypoxia", special attention should be paid to the mechanisms of methemoglobin formation by various methemoglobin producers and the mechanisms of restoring hemoglobin to the physiological state by means of hyperbaric oxygenation, as well as the pathogenesis of tissue hypoxia under the action of hydrocyanic acid.