INDEPENDENT KAZAKH AGENCY FOR QUALITY ASSURANCE IN ...€¦ · Yelena V. Veselskaya (signature)...

IQAA external review report

1

INDEPENDENT KAZAKH AGENCY FOR QUALITY ASSURANCE

IN EDUCATION (IQAA)

Report on the external review of

JSC “Astana Medical University” written by the IQAA expert group after the study of the self-evaluation report and the

external review of the higher education institution in the framework of specialized

accreditation of the study programme

6R112500 – Clinical Pharmacology

Date of the site visit: 25-26 November, 2015

Astana, 2015


2

COMPOSITION OF THE EXPERT GROUP

Head of the expert group, international expert

Alexander N. Naumenko, Vice-Rector on Scientific and Pedagogical, Medical Work

and Post-Diploma Education at A.A. Bogomolets National Medical University

(Ukraine), Doctor of Medical Sciences, Professor

Experts

Saule B.Maukayeva, Associate professor of the Department of Neurology, Psychiatry

and Infectious Diseases at State Medical University of Semey city, Candidate of

Medical Sciences

Gulmira M. Iztleuova, Assistant of the Department of Phthisiatry and

Dermatovenerology at M.Ospanov West Kazakhstan State University, Candidate of

Medical Sciences

Akat M. Bukenov, Professor of the Department of Oncology at Karaganda State

Medical University, Doctor of Medical Sciences

Meruyert A. Gazaliyeva, Head of the Department of Immunology and Allergology at

Karaganda State Medical University, Doctor of Medical Sciences

Raikhan Y. Tuleutayeva, Acting Associate professor of the Department of

Pharmacology and Evidence-based Medicine at State Medical University of Semey

city, Candidate of Medical Sciences

Nassriddin Z. Shapambayev, Associate professor of the Department of Therapeutic

Disciplines with the Course on Phthisiology, Ray Diagnostics and Radiotherapy at

South Kazakhstan State Pharmaceutical Academy, Candidate of Medical Sciences

Representative of employers

Yelena V. Veselskaya, Head of the Department of Anesthesiology, Reanimation and

Intensive Therapy at the Central Road Hospital of Astana City

Representative of students

Veronika M. Zelentsova, Second year Master student in Biotechnology, L.Gumilyov

Eurasian National University


3

The level of compliance of the self-evaluation report of the study

programme 6R112500-Clinical Pharmacology of Astana Medical University with

the actual state of affairs by each standard

Head of the expert group, international expert

Alexander N. Naumenko (signature)

Experts

Saule B. Maukayeva (signature), Gulmira M. Iztleuova (signature)

Akat M.Bukenov (signature), Meruyert A.Gazaliyeva (signature)

Raikhan Y. Tuleutayeva (signature), Nassriddin Z. Shapambayev (signaure)

Representative of employers

Yelena V. Veselskaya (signature)

Representative of students

Veronika M. Zelentsova (signature)

Standards

Mark the level of compliance of the self-evaluation report

with the actual state of affairs in the university by each

standard

Fully

complies

Complies

with minor

remarks

Complies

with

significant

remarks

Doesn’t

comply

Standard 1

Aims of the study programme and

the policy

in the field of quality assurance

+

Standard 2

Development and approval of

study programmes and

information management

+

Standard 3

Medical residency students,

teaching and assessment

+

Standard 4

Admission of residency students,

progression, recognition and

certification

+

Standard 5

Teaching staff

+

Standard 6

Learning resources and student

support

+

Standard 7

Public Information

+


4

CHAPTER I

BACKGROUND AND AIMS OF THE SITE VISIT

Introduction

Self-evaluation of the residency programme 6R112500 “Clinical

Pharmacology” was conducted in the framework of normative and legislative

documents of the Republic of Kazakhstan and was based on the results of the

activities of the study programme in 2009-2014.

The site visit took place on 25-26 November 2015 according to the approved

programme. The expert group visited the Department of Clinical Pharmacology

Internship, which is located in Astana City Out-patient Hospital No. 5. During the

review the expert group visited classes, where residency programme students

demonstrated a good theoretical preparation, acquired practical skills and their

achievements in realization of several projects, which were implemented together

with the Department staff. In the presence of the regular unit of a physician clinical

pharmacologist in the majority of medical organizations of the country, Astana

Medical University provides substantial support to several out-patient clinics of a

mixed type, where the work of a clinical pharmacologist is performed by the

Department teaching staff with the involvement of residency programme students to

the joint practice activity.

In conducting interview with the residency programme students, graduates and

employers, the high assessment was received in questions of teaching and assessment

methods, acquiring competencies by students, demand of graduates of this specialty

and their achievements both during the studies and in practical activity after

graduating from the residency programme.

Main characteristics of the higher education institution

JSC “Astana Medical University” is one of the dynamically developing medical

higher education institution of the Republic of Kazakhstan, which has its half a

century history and traditions, provides high quality and a wide range of educational

service, introducing new teaching technologies and exdpanding the basis of scientific

research. More than 16 000 graduates of the University compete in the employment

market, successfully working in medical institutions of Kazakhstan and abroad.

Today JSC “Astana Medical University” keeps fundamental traditions of

Kazakhstani education and actively enters the Bologna Process system.

The University offers 6 higher professional education programmes, 5 Master’s

programmes, 2 Doctor’s degree programmes, 26 residency programmes, as well as

numerous programmes of additional education.


5

The University has more than 700 persons of teaching staff, about 50% of

whom have scientific degrees and titles. Among the teaching staff there are scientists

and specialists of practical healthcare, well-known in Kazakhstan and abroad.

The student body of the University includes about 5000 Bachelor’s students,

more than 1000 internship students and more than 300 residency students, as well as

Master’s and Doctor’s degree students, including 111 foreign students from 10

countries of the world. In the Departments of the Faculty of Ongoing Professional

Development and Additional Education annually study more than 3000 doctors and

nurses.

JSC “Astana Medical University” has a multilevel system of preparation of

medical and scientific-pedagogical staff: Bachelor-Internship-Residency and

Bachelor-Master-PhD. The University also offers an MBA programme in Hospital

Management.

Since 2009 the University has a form of JSC among other medical higher

education institutions of the country.

With the aim of development of innovative and educational activity the

University annually improves equipment of the Educational and Clinical Center,

where students work on their practical skills using modern hi-tech manikins. The

University has a system of international distance education MOODLE, the portal for

automatization the study process and interactive education “Sirius”, a system of e-

library, and the first introduced in Kazakhstan electronic programme of conducting

psychometric analysis of tests Iteman 4.1.

To create conditions for ongoing improvement of the University’s activity and

increasing satisfaction of stakeholders, since 2007 the University was three times

certified on compliance with ISO 9001 standards (versions 2000 and 2008). The

following methods are used in the University management system: strategic

management, SWOT-analysis, outsorcing, cleaning, benchmarking, balanced

scorecard, project management, HR-management, etc.

Compliance with the criteria of specialized (programme) accreditation

Standard 1. Aims of the study programme and policy

in the field of quality assurance

All the work on realization of the residency programme in Clinical

Pharmacology in the Department of Clinical Pharmacology Internship is implemented

in accordance with the mission and strategic plan of development of JSC “Astana

Medical University”, is based on the model curriculum State Standard of Education -

2009, order of the Ministry of Healthcare and Social Development of the Republic of

Kazakhstan from 26 November 2009 No.778.


6

For assessment of aims and policy in the field of quality and also for

improvement of the study programme, the University conducts questionnaires and

surveys of students, graduates and employers, which was also proved during the

interviews with all the participants of the residency programme. In the Concept of

Development of a resident’s main competencies, adopted and approved by the

Academic Council, there is clearly reflected an understanding of consistent, step-by-

step introduction of a student to a range of professional skills in accordance with

Dublin descriptors, agreed with the European Qualification Framework. This

document is based on five main results of teaching and learning.

In adoption and approval of a policy in the field of quality assurance a big role

is played by the administration of the University. In addition, all employees of the

University, without exception, are required to undergo the procedure of acquaintance

with the policy in the field of quality assurance. In their everyday work employees use

these provisions, which was proved during the interview with the heads of

departments, teaching staff and administrative-managerial staff. The web-site of the

University, information stands, general guide of the University on Intergrated

Management System, distribution of a paper version to structural units, etc., allow

ensuring the availability and transparency of the policy.

The policy in quality assurance of study programmes is realized on all levels of

the University: documented strategy, mission, vision and values, policy and aims in

the field of quality (http://www.amu.kz//about_the_university/); there is an internal

system of control of quality of specialists’ preparation (RK MUU-04 Guidelines on

quality assurance in education JSC “Astana Medical University”).

Good practice:

Since 2008 the University introduced a ranking assessment of teaching staff

and Departments to improve the quality of educational services. To determine

satisfaction with the quality of education, the University conducts an annual survey of

residents and alumni; regular training of staff in the field of quality management

taught by leading consulting organizations and managers of the country. The

University has established a strategic partnership on the quality with the medical

universities of Kazakhstan and Russia (Novosibirsk Medical University, Samara

Medical University, 1st Moscow State Medical University named after I.M.Sechenov,

Tyumen State Medical Academy, the North-Eastern Federal University named after

M. K. Ammosov). Astana Medical University is the holder of five stars on the level of

"Recognized Excellence" of the EFQM Excellence Model. An additional guarantee of

quality is a participation of the University in quality contests (October 2013 - Asian

award for excellence and best practice in the field of quality management, Asian

Quality Organization, Bangkok; December 2014 - award of the President of the

Republic of Kazakhstan “Altyn Sapa”; according to the results of the general ranking

of best medical HEIs of Kazakhstan in 2009-2013 Astana Medical University steadily

holds leading positions, including such a position in results of scientific and

innovative activity of medicine science organizations and HEIs of RK in 2012, 2013


7

(Committee for control in the sphere of education and science of MES RK)), on the

Faculty level there are documented and demonstrated concepts of the Faculty

development, aims of the study programme, aims in the field of integrated

management system, nomenclature of affairs, development plans of the Departments,

study and methodological complexes of disciplines, methodical guides.

System of educational management, created in JSC Astana Medical University,

on a regular basis forms and supports conditions and factors, determining the position

of loyalty and satisfaction of consumers of educational services.

For satisfying the needs of residency programme students in Clinical

Pharmacology the Department has necessary material and technical base, providing

all kinds of disciplinary and interdisciplinary training, practical work of a resident

envisaged in the curriculum of the University, classrooms equipped with modern

computers and appropriate software for teaching.

Realization of the main aims of residency study programmes is ensured with

the access of each residency programme student to the databases, library funds and e-

libraries, which are formed by the full list of the disciplines of basic study

programme, and the Internet. All the disciplines have study and methodological

documentation, including syllabuses, curricula, scientific, study and methodological

literature by all types of classes in the quantity necessary for the realization of the

study process.

Aims and final results of the residency study programme 6R112500 - Clinical

Pharmacology correspond to the mission, strategic plan, aims and objectives of JSC

“Astana Medical University” and fully comply with the requirements of the Ministry

of Healthcare and Social Development of the Republic of Kazakhstan, allow

satisfying the needs of residency programme students for acquiring relevant

qualification and competencies.

The level of compliance – fully complies with the IQAA standards of

specialized (programme) accreditation of higher and postgraduate education (training

of doctors in medicine residency programmes).

Standard 2. Development and approval of study programmes and

information management

The organization of the study programme in the Department of Clinical

Pharmacology Internship is realized by means of planning the study and educational

process. The content of the curriculum of Clinical Pharmacology residency

programme is defined in accordance with normative documents, working curriculum,

developed on the basis of the State Standard of Education and model curricula and

programmes.

Working curriculum of the residency study programme is developed on the

basis of the State Standard of Education – 2009 Ministry of Healthcare of RK and


8

model curriculum (Astana, 2010), Provision on Medicine Residency Programmes,

developed on the basis of the Resolution of the Government of RK No.317 dated

24.04.2006 “On the concept of reforming the medical and pharmaceutical education

in RK” and the Decree of the Minister of Healthcare of RK No.28 dated 31.01.2008

“On the approval of the Regulation on the Medicine Residency Programmes” and are

regulated by the State Standard on Education-2009, Instructive Letter No.8 “On the

development of study and methodological documentation in the organizations of

medical education and science of RK, implementing training in residency

programmes”, the list of clinical specialties for training in medicine internship and

residency programmesl study and programme documentation; individual working

plan of medical residents.

The study programmes are regularly reviewed and assessed by receiving

feedback from medical residents, teaching staff and stakeholders, including employers

(internal document “Monitoring of feedback”), also conducting an analysis of

learning achievements of medical residents. In the result of feedback monitoring the

aims, tasks and events of the University activity and the content of the study

programme are revised.

In realization of the programme in using innovative approaches to learning the

staff of the Department has done quite a lot of work in terms of integration of

education, science and practical public health. In particular, participation of medical

residents in initiative research projects, which in output gave medical residents an

opportunity to conduct pharmacoepidemiological (frequency method, ABC/VEN-

analysis) and pharmacoeconomical research methods, participation of medical

residents in the development of medicinal formularies, formulary articles of medicine,

based on evidence-based medicine.

The content of elective disciplines (Pharmacoeconomics and Clinical

Standards, Economical Assessment of Medicine and Officinal Technologies,

Management of Clinical Research, etc.) reflects innovations and meet expectations

and requirements of employers.

Good practice:

Medical residents in Clinical Pharmacology participate in the realization of

projects: "Safe use of medicines", "Reduction of unreasonable use of antibiotics" in

the JSC "Republican Children's Rehabilitation Center", "Improving the efficiency of

the formulary committee" in JSC "Republican Children's Rehabilitation Center" and

Astana city Out-patient Hospital No.5, "Identification of medication mistakes" in the

JSC "Republican Children's Rehabilitation Center". Besides that, medical residents

together with teaching staff participate in the development of medicinal formularies,

take part in the meetings of the formulary committee, conducting ABC/VEN analysis

on procurement of medicines in Astana city Out-patient Hospital No.5, Astana city In-

patient Hospital No.1, JSC "Republican Children's Rehabilitation Center", carry out

ATC DDD calculation of antibiotics use in the National Medicine Holding, conduct

research on the use of pharmacological cards by groups of medicine drugs by M.M.


9

Dale, D.G. Haylett, carry out clinical and pharmacological expertise in Astana Out-

patient Hospital No.5, JSC "Republican Children's Rehabilitation Center", Astana city

In-patient Hospital No.1, participate in the work of the School of Medicinal Literacy

under the JSC "Republican Children's Rehabilitation Center", JSC “Astana Medical

University”, conduct open classes in educational organizations on the correct use of

antibiotics, have participated in introduction of the project “Youth and medicines” in

educational organizations of Astana, carry out training of medical staff on the safe use

of medicines.

Joint work with the Department staff facilitates development of residents’

competencies in searching, methodological, analytical activity and assessment of

medical technologies, which was proved during the interview with graduates and

employers.




Recommendation: To develop mechanisms of academic mobility of medical

residents and teaching staff for qualification development and experience exchange in

medicine residency programme “Clinical Pharmacology” within the Republic of

Kazakhstan.

Standard 3. Medical residency students, teaching and assessment

Teaching methods in residency programmes are based on a model curriculum.

A great significance in the department is given to individual work of medical

residents, where the main competencies of a graduate are formed, searching skills,

assessment of the necessary information on the medicines in the Internet, clinical

practical guides for the development and adaptation of internal guides and other

expert aims. Among the available teaching methods the most significant, aimed at

development of special competencies, are project method and research method,

introduction of problem-oriented formats of teaching, and the Oxford University

flash-cards.

There is used a well-established system of control of learning achievements of

residents, regulated forms of control, a 100-point assessment scale. For achieving the

proper control of acquiring the programme external examiners from practical

healthcare are invited to final state attestation of residents.

For assessment of residents the Department uses check lists: protocols of

expertise of medicine therapy, antibiotic prophilaxys in surgery, expertise of

medicamental prescriptions, expertise of the antibacterial therapy.

In accordance with the Instructive Letter No.8 every medical resident has an

individual working curriculum.


10

Methods for assessing the level of training of residents are different and

objective and ensure the proper objective control of the programme acquisition. The

theoretical training and practical skills are assessed separately.

The general policy on assessment of residents, including terms of carrying out an

assessment, criteria of an assessment, its methods and forms are reflected in syllabuses

of each discipline. The monitoring system of the learning outcomes is carried out

according to the Decree of the MES RK No. 125 "Standard rules of carrying out the

current control of progress, the intermediate and final certification of students in higher

educational institutions" and includes various forms: basic control, current, midterm,

final control and final state certification.

The final state certification is the form of the state control of clinical achievements

of a resident directed on determination of compliance of the knowledge, abilities, skills

and competences with requirements of the State Standard of Education in the specialty

6R112500 - Clinical Pharmacology; it is carried out in the form of a complex

examination. The complex examination consists of two parts, theoretical and practical,

and determines the level of knowledge of residents in the specialty. The theoretical part

of examination is carried out in the form of a test.

In the course of carrying out a final assessment experts from practical

healthcare and higher education institutions are involved as external examiners on

clinical examinations in Clinical Pharmacology. Hence, for example, in 2013 was

invited Gulyaev A.E., MD, professor, a member of the formulary commission of the

Ministry of Healthcare and Social Development RK, clinical pharmacologist,

Nazarbayev University, the Center of Life Sciences.

The mechanism directed on monitoring the process of performance of the study

programme and progress of a medical resident is a constant feedback from residents

and teaching staff. Participants of the study process, residency students and teaching

staff of the University have a direct interest in realization of the study programme and

can express their opinion in the surveys and interviews.

Besides, questions of ethical standards and academic honesty are discussed in

the Department within the study process in individual conversations.

Residency students are regularly invited to meetings of the Committee of the

study programmes of the specialty and take part in discussion of questions in a section

of this specialty. Suggestions and recommendations of residents are taken into

account by the Committee members and are considered when forming a final decision

of a meeting. At approval of resident candidacies for work in the composition of the

Committee, the staff of the Dean's office has a decisive right, thus the defining criteria

are a resident’s progress and active civil position.

Analyzing progress of residents by results of intermediate certification it is

possible to note its stability and increase of progress in 2013 in comparison with 2012.

Possibly, it is connected with basic (pre-diploma) preparation and acquisition of

experience by teaching staff.


11

Scientific projects during 2010-2014 were not carried out. The conducted

pharmacoepidemiological and pharmacoeconomic researches had initiative character or

were connected with performance by the curator / responsible person of practical

activities as a doctor - clinical pharmacologist.

In the course of clinical work residents realize tasks and possibilities of carrying

out medical scientific researches. By results of scientific work of residents of the

Department of Clinical Pharmacology four printing works were published, including a

work abroad.




Recommendations:

1. To expand the range of innovative teaching methods and forms of

individual residents’ work; to approve check-lists used for assessment residents via

the QMS Department.

2. To issue documentation on project and problem-oriented training, with

obtaining the review and approval of the QMS Department.

Standard 4. Admission of residency students, progression, recognition and

certification

The residency programme 6R112500 - Clinical Pharmacology is realized by

means of placement of the state order for training of specialists with postgraduate

medical education. The order of admission of citizens in residency programmes at the

University is established by “The Standard Regulations of Admission to Studies in the

educational organizations, realizing professional study programmes of postgraduate

education”, approved by the Resolution of the Government of RK No.109 dated 19

January 2012 and an internal regulating document “Rules for admission to residency

programmes”, approved by the decision of the governing body of JSC “Astana

Medical University” No. 11 dated 06.03.2014, which are revised depending on

modification and additions made to the above regulating document.

The admission of citizens to residency programmes by the state educational

order is carried out on a competitive basis by results of entrance examinations.

For the period of entrance examinations and enrolment to residency programmes

the University creates an Admission Committee, Examination Committees on

specialties and the Appeal Commission.

Examination Committees on specialties are formed from the number of highly

skilled scientists of corresponding specialties of the University. The composition of the

Committee includes a Chairman and three members, two of which have to be Doctors

of Sciences, other members of the Committee can be Candidates of Sciences on a

specialty profile.


12

Entrance examinations in a foreign language are held by the National Testing

Center of the Ministry of Education and Science of the Republic of Kazakhstan in the

form of a test on one of foreign languages in the scope of the programmes, approved

for graduates of higher education institutions.

There is a number of peculiarities in passing an examination on knowledge of a

foreign language. So, for example, the citizens of the Republic of Kazakhstan having a

valid certificate on the knowledge of a foreign language (English, French, German) by

the Test of English as a Foreign Language (TOEFL, threshold point - not less than

560), International English Language Tests System (IELTS, threshold point - not less

than 6.0), Grundbaustein DaF (threshold point - C 1), Deutsche Sprachprfung fur den

Hochschulzugang (DSH, threshold point - C 1), Diplome d'Etudes en Langue francais

(DELF, threshold point - B 2), Diplome Approfondi de Langue francais (DALF,

threshold point - C 1), Test de connaisances de francais (TCF, threshold point - not less

than 400) are exempted from an entrance examination in a foreign language.

The priorities in a competitive selection are the results of knowledge in the

specialty and foreign language proficiency. In case of identical indicators of

competitive points the privilege at enrolment is given to the citizens having the most

points in exams in the specialty, foreign, Kazakh and Russian languages according to a

100-point ranking scale. Then the scientific achievements corresponding to a profile of

the chosen specialty are considered.

Astana Medical University has an internal document, the standard on Training in

Residency (IMS ST-AMU-48-12), which is applied by the Department carrying out

training of residents. Procedures of carrying out different types of monitoring and

certification of learning outcomes, assessment methods and criteria, the awarded

qualification are completely regulated by this document.

At the University a transfer of a resident from one educational organization to

another is carried out according to "Rules of transfer and restoration of students by

types of the organization of education", approved by the Resolution of the Government

of RK No. 110 dated 19.01.2012, in the presence of vacant budgetary places at the

University.

When transferring a resident the University defines an academic difference in

disciplines of the working curricula studied by a resident in the previous academic

periods, on the basis of the list of the studied disciplines, programmes and scopes in

academic hours, reflected in a transcript, or in the reference issued to the persons who

did not finish their education.

For elimination of the academic difference in disciplines of the working

curriculum, a resident during the academic period visits all types of classes, undertakes

all types of the current control, and receives admission to a final assessment control.

In case if disciplines of the academic difference are not included in the schedule

of studies of the current academic period, a resident registers for them on a summer

semester.


13




Standard 5. Teaching staff

In JSC “Astana Medical University” an effective system of formation of

qualitative structure of the teaching staff was developed. Thus, the Department of HR

and Legal Support of the University carries out employment, promotion,

encouragement, dismissals, acquaintance of the personnel with the rights and duties.

Employment to pedagogical positions at the University is carried out according to

requirements of the Resolution of the Government of RK No. 230 dated 17.02.2012

"On the approval of rules of competitive replacement of positions of teaching staff

and research staff of higher education institutions".

Requirements to personnel maintenance of the study process in residency

programmes are determined by the qualification requirements imposed to educational

activity when licensing according to State Standard of Education RK-2009 Residency

by specialties, approved and put into effect by the order of the Minister of Health of

RK No. 387 dated 29.07.2009, teaching in residency can be provided by the persons

having a scientific degree of Doctor of Sciences, Candidate of Sciences or an

academic degree of PhD.

Leading experts of the Republican Center of Healthcare Development (RCHD)

work in the Department of Clinical Pharmacology: Makalkina L.G, PhD, head of

RCHD Medicinal Informational Center, Beysembayeva A.A., coordinator of a

component E of the "Reform of Pharmaceutical Policy", Akhmediyar N.S., a senior

manager of the Unit of Clinical Pharmacology of the Department of Control and

Statistics of the National Medical Holding, Hudaybergenova M.S., a senior expert in

clinical pharmacology of JSC “National Scientific Center of Oncology and

Transplantology”.

According to the normative indicators, established by the Law RK No. 319-III

dated 27.07.2007 "On education", State Obligatory Standard of Education of RK

5.03.2008-2009 - "The System of Education of the Republic of Kazakhstan. The

student body. General provisions", by the order of the Minister of Health of RK No.

474 dated 14.06.2004 "On the approval of norms of tuition calculation of an

undegraduate, residency, Master, PhD programme student in the organizations of

education and science in the field of healthcare within the country by the state order"

the teaching staff of the University is annually determined. The teaching staff is

formed proceeding from the needs for effective realization of study programmes, and

also proceeding from the total amount of an academic load.

Compliance of candidates to qualification requirements according to the order

of the Minister of Education and Science of RK No. 338 dated 13.07.2009 "On the


14

approval of standard qualification characteristics of teaching staff positions and the

persons equated to them" is obligatorily considered at employment for replacement of

pedagogical positions.

The policy of personnel basis of JSC “Astana Medical University” also found

its reflection in the following documents: "Regulations on internal labor schedule of

JSC “Astana Medical University” (PV-AMU-02/01-11 from 04.05.2011),

"Distribution of duties of the management", "Rules of formation of provision on

divisions" (PR-AMU-02-12 from 09.04.12), "Rules of formation of provisions of duty

regulations" (PR-AMU-01-12 from 07.05.12), "Duty regulations of employees", map

of the process "HR management" (KP-AMU-PP-16-12 from 19.06.12), "Code of

corporate culture and ethics" (from 28.09.12).

All teaching staff of the Department of Clinical Pharmacology Internship

conforms to qualification requirements, has full knowledge and owns modern

teaching methods, necessary abilities and experience for effective transfer of

knowledge to residency students during the study process.

Thus, for carrying out a practical training, individual resident’s work and

lecturing the Department actively attracts leading experts in Clinical Pharmacology

from practical healthcare and scientific centers. Criteria for teachers-mentors from

practical healthcare teaching in clinical Departments in pursuance of the Labour Code

of RK and duty regulations of teaching staff are presented.

At different times, in the Department of Clinical Pharmacology Internship in the

course of training of residents participated: Doctor of Medical Sciences, associate

professor Stikeyeva R. K. (gave classes only in the section of Basic Pharmacology);

Candidate of Medical Sciences, Acting associate professor Makalkina L.G., doctor -

clinical pharmacologist; Beysembayeva A.A., Candidate of Biological Sciences,

according to the code of Pharmacology, Clinical Pharmacology, acting associate

professor (gave classes only in the general questions of Clinical Pharmacology);

Kostiuk A.V., Candidate of Medical Sciences, associate professor, acting professor;

Akhmedyar N.S., Doctor of Medical Sciences, acting associate professor, doctor -

clinical pharmacologist of the first category.

Activity of a doctor - clinical pharmacologist assumes carrying out

pharmacoepidemiological and pharmacoeconomic research.

The teaching staff actively participates in decision-making in the field of

medicinal policy and the use of medicines. For example, professor Mazhitov T.M. and

associate professor Makalkina L.G. are members of the Formulary commission of the

Ministry of Healthcare and Social Development of RK, experts of SK-Farmation.

Professor Mazhitov T.M. is also a member of the Central commission on ethics of the

Ministry of Healthcare and Social Development of RK, an expert of the National center

of scientific and technical expertise.

Planning of the scope of the Department’s work is carried out on the basis of a

working curriculum by types of study work: lectures, seminars, practical training,


15

laboratory work according to the norms of time by types of study work and control

actions and fixing of academic disciplines in the Department.

Norms of time by types of study work are approved according to the State

Obligatory Standard of Education of RK 5.03.015-2006 "The system of education of

the Republic of Kazakhstan. Study work and pedagogical workload". Pedagogical

workload of teaching staff of Astana Medical University training residents for 2014-

2015 academic year was the following: a professor – 850 hours, an associate professor

– 850 hours, a senior teacher – 900 hours, an assistant – 900 hours per academic year

(approved by the protocol of the Academic Council meeting No.1 from 26.08.2014).

On the basis of the Instructive Letter No. 2 "On the formation of educational and

methodical work in departments of higher education institutions of the Republic of

Kazakhstan" an individual plan of work of teaching staff is formed, where is written a

planned for the current academic year study, methodical, scientific, medical,

educational work, including professional development.

In respect of maintaining scientific research work in the Department there are

results in a form of scientific production. For example, for the reporting period 6

manuals, 34 publications of articles and theses have been published, including 4 of

them abroad.

Teaching staff of the Department of Clinical Pharmacology actively participate

in professional development programmes. This kind of activity is reflected in

individual reports and plans of teaching staff and is monitored by the Department

control, study and methodological center, the Department of innovative technologies

and monitoring of quality of training, and HR Department.

For the reporting period teaching staff of the Department has published 5 works

in foreign editions, 28 works in domestic editions, and 4 works in editions with a non-

zero impact factor.

For realization of the policy on teaching staff development the JSC “Astana

Medical University” has determined seven key competences: knowledge and skills in

the specialty, effective teaching, assessment and expertise, planning of study

programmes, researches, leadership and management, IT-technologies.

The University gives to teaching staff equal opportunities for continuous

professional development in their career. These opportunities correspond to and

promote achievement of the mission and the aim of the University. The teaching staff

can exploit these opportunities and show an initiative in ensuring their continuous

competence and growth as teachers, researchers and experts. JSC “Astana Medical

University” in its personnel policy provides its employees with various options of

professional development. One of them is the work of the Department of innovative

technologies and monitoring of quality of training, functioning at the University and

carrying out its activity according to State Standard of Additional Education "Teacher

of the Medical Organizations of Science and Education" and the model curriculum

"Teacher of the Medical Organizations of Science and Education", approved by the

Ministry of Healthcare No. 734 from 30.12.2011.


16

All teachers giving classes to residents in the Department of Clinical

Pharmacology Internship have certificates of a doctor – clinical pharmacologist. Among

four teachers professor Mazhitov T.M. has the highest doctoral category. Other

employees currently do not have a category. This results from the fact that the specialty

"Clinical Pharmacology" in Kazakhstan has been developing only since 1998.

The proportion of the Clinical Pharmacology residency programme teaching staff

with scientific degrees is 100% both by basic and major disciplines.




Recommendation: To organize on the Republican level seminars, master-

classes and scientific-practical conferences in Clinical Pharmacology with the

participation of researchers from near and far abroad.

Standard 6. Learning resources and student support

The main basis for training of residents is the City Out-patient Hospital No. 5

of Astana designed for 1000 visits per day. Pediatric and therapeutic sites are united

in four centers of family health (doctor of general practice service). There is a unit of

prevention and social psychological assistance, which deals with medical examination

issues, and also provides social psychological assistance to the population and assists

in the solution of social problems. The composition of the unit includes social

workers, psychologists, a doctor on healthy lifestyle, and a doctor of medical

examination. If there is a need of consultation of specialists, patients can be sent to

specialized units, where doctors of 18 specialties work. The obstetric and gynecologic

unit is engaged in supervision of women during pregnancy, prophylactic inspections,

and health improvement of women. Diagnostic and laboratory units provide a highly

qualified diagnostic help to the population, directed on timely identification of any

pathology. Work of the diagnostic unit is carried out in two directions: diagnostic

testings in the direction of doctors of out-patient hospitals and other specialists;

prophylactic inspections of children and annual medical examinations of adult

population.

Besides, training in residency on Clinical Pharmacology is carried out on

contractual clinical bases of the Department: Regional hospital No.2, City In-patient

Hospital No.1 of Astana, JSC “Republican Children’s Rehabilitation Center”,

possessing relevant clinical opportunities (number of patients with the nosological

forms corresponding to the programme of training). The clinics are equipped with the

modern diagnostic and medical equipment.

The University has contracts with the City Out-patient Hospital No.5 of Astana,

Regional hospital No.2, City In-patient Hospital No.1 of Astana, JSC “Republican


17

Children’s Rehabilitation Center” on the use of these medical organizations as clinical

bases for carrying out the process of training.

Diagnostic opportunities of the City Out-patient Hospital No.5 of Astana allow

conducting a majority of known researches. Thus, the diagnostic and medical

equipment conforms to necessary requirements of practical activities of the institution

and the process of training of residents in 6R112500 - Clinical Pharmacology.

Being trained on the basis of the City Out-patient Hospital No.5 of Astana and

other clinical bases, residents naturally gain skills of work in team, contacting with

doctors and patients. When carrying out expertise of pharmacotherapy the revealed

problem aspects of irrational medicamentous therapy are considered as problems

which need to be resolved through the organization of the training programmes in

rational pharmacotherapy. In clinical work residents gain skills of team work, acting

as a moderator, presenting a clinical and pharmacological assessment of a patient’s

treatment for making of a joint decision. Then there is a comprehensive discussion of

clinical questions and medicinal therapy with the attending physician for elaboration

of the strategy and tactics of pharmacotherapy in interests of the patient.

In the course of training in residency, continuous training in interaction with

doctors, patients, other health sector workers, parents of patients is realized, which

promotes improvement of the residents’ communicative skills. An exchange of the

practical experience acquired during the work as a part of a multi-disciplinary team,

systematization of approaches to diagnostics and a choice of tactics of maintaining

patients promotes acquisition of skills of medical management, possibility of transfer

of own skills both to specialists of adjacent profiles of medicine and representatives of

the middle and younger medical personnel (peculiarities of taking care and providing

assistance to patients).

All library and bibliographic processes - from formation to electronic service of

users - are automated and successfully function on the basis the automated system

"Irbis 64". The electronic catalogue, bibliographic and full text databases are

integrated into information and analytical system of the University. The library

network unites 84 computers locally. The network users have a possibility of on-line

search in databases of library and Internet resources. There is an access to the

Cochrane Database.

For the reporting period the library has additionally acquired 50 titles of special

literature for training in a residency programme 6R112500 "Clinical Pharmacology".

Any difficulties in studies or lag in acquisition of the Clinical Pharmacology

residency programme did not arise, as considering complexity of the specialty,

applicants with the high level of preparation in a bachelor degree and internship level

were admitted to the residency programme.

Residency students in the Department of Clinical Pharmacology have a

possibility to work with databases of patients and have access to informational health

system, including to the United Health Information System. The staffroom of each

hospital unit, where the practical work of residents is realized, is equipped with


18

computers with the possibility of Internet connection. As residents do not have their

own passwords for work with electronic health system, access to system is realized

through access of curators/mentors in profile units of the clinical base, in which the

resident is trained. Thus, the residency students are provided with an access to the

information health system.




Recommendation: Taking into account the existence of groups with Kazakh

language of instruction in undergraduate and internship programmes, the potential

residency programme students, it is recommended to prepare study guides,

monographs, manuals in Clinical Pharmacology in Kazakh language.

Standard 7. Public Information

Since 2012 the JSC “Astana Medical University” has been using the automated

information system “Sirius” (edu.amu.kz) which ensures effective management of

study programmes.

Sirius has a system of assessment of students in the electronic journal, which is

"transparent" both for a resident and for the Dean's office (at a stage of mark sheets).

There are elements of learning paths of study programmes with a resident’s choice in

a system of elective disciplines. The learning path of a resident is reflected in his/her

personal account, in the “The student body” module and on the University website

www.amu.kz in the section "Applicant". The subsection "Admission committee"

http://www.amu.kz/applicants/priyemnaya-komissiya.php has full and objective

information on the study programmes in the section "Master, Resident, Doctoral

student" available at the link: http://www.amu.kz//resident_graduate_doctoral/.

Annually the University takes part and makes publications in the catalogues of

international educational exhibitions "Education and Career" (Almaty) and "Science

and education of the 21st century" (Astana), which attract participants from more than

100 countries of the world.

Full and objective information on the undergraduate and postgraduate study

programmes is published in the specialized reference book for prospective applicants

"Applicants of Astana".

The hall area of the main building has banners with information on study

programmes. During the professional orientation period information is placed on a

republican TV channel; republican radio; Led-displays in Astana; monitors in public

transport of Astana; in the republican newspaper; on electronic information display in

the main building of the University.

Annually the University publishes three-leaved booklets and brochures on

undergraduate and postgraduate study programmes and distributes them at the

http://www.amu.kz/resident_graduate_doctoral/


19

international educational exhibitions in Astana, at high schools of northern regions of

the country during professional orientation work by the staff of the University, and

during an "Open Day" at the University. There is a developed illustrated image

catalogue in three languages (Kazakh, Russian, English) on important activities of the

University for representatives of foreign delegations, partners in academic mobility,

etc.

The automated informational system "Sirius" has electronic versions of study

and methodological complexes; modular structuring of plans and learning paths in

electronic forms are located in modules "Curricula", "Student body", "Private

Accounts of Students"; "Elective disciplines"; the composition of teaching staff is

reflected in the module “Administrative panel of teaching staff”; the "Library"

module reflects sufficiency and updates of library informational support. Today the

total capacity of the University library reading rooms is 266 seats. The University has

a contract for library and information service with the Akmolinsky branch of the JSC

“Republican Scientific Technical Library” owning reading rooms for 40 seats. Thus,

all together there are 306 seats available. The library fund is updated annually, taking

into account requirements of Departments and now makes 825 542 copies, of them

educational literature of 503 580 copies makes 61% of book fund, including 133 706

copies in a state language. Existence of the fund of educational and scientific

literature in relation to the given student body on a full cycle of training makes 140

units of editions, and to the given number of students with Kazakh language of

instruction makes 36 units per student.




Recommendation: For the purpose of increasing the level of awareness on

specialty Clinical Pharmacology and the need of increasing the number of grants for

the specialty, it is recommended to carry out information activities at the level of

management of healthcare organizations and in medical periodicals.


20

CHAPTER 3

CONCLUSION

The expert group has studied the self-evaluation report of the residency study

programme 6R112500 - Clinical Pharmacology of JSC “Astana Medical University”,

visited the higher education institution, clinical bases of residents, conducted

interviews with the administration and management personnel, teaching staff,

residents, graduates and employers, examined work of the supervising Departments,

conducted an external review, and has come to a conclusion that the study programme

6R112500 - Clinical Pharmacology conforms to the requirements, imposed to

educational organizations within the procedure of specialized accreditation of higher

and postgraduate education study programmes (training of doctors in residency). At

the same time, the expert group offers the following recommendations for further

improvement of quality of the study programme 6R112500 - Clinical pharmacology

of JSC “Astana Medical University”:

Standard 1. Aims of the study programme and the policy in the field of

quality assurance fully complies

Standard 2. Development and approval of study programmes and

information management fully complies

Recommendation: To develop mechanisms of academic mobility of medical

residents and teaching staff for qualification development and experience exchange in

medicine residency programme “Clinical Pharmacology” within the Republic of

Kazakhstan.

Standard 3. Medical residency students, teaching and assessment fully

complies

Recommendations:

1. To expand the range of innovative teaching methods and forms of

individual residents’ work; to approve check-lists used for assessment residents via

the QMS Department.

2. To issue documentation on project and problem-oriented training, with

obtaining the review and approval of the QMS Department.

Standard 4. Admission of residency students, progression, recognition and

certification fully complies

Standard 5. Teaching staff fully complies


21

Recommendation: To organize on the Republican level seminars, master-classes

and scientific-practical conferences in Clinical Pharmacology with the participation of

researchers from near and far abroad.

Standard 6. Learning resources and student support fully complies

Recommendation: Taking into account the existence of groups with Kazakh

language of instruction in undergraduate and internship programmes, the potential

residency programme students, it is recommended to prepare study guides,

monographs, manuals in Clinical Pharmacology in Kazakh language.

Standard 7. Public Information fully complies

Recommendation: For the purpose of increasing the level of awareness on

specialty Clinical Pharmacology and the need of increasing the number of grants for

the specialty, it is recommended to carry out information activities at the level of

management of healthcare organizations and in medical periodicals.


22

Annex 1

PROGRAMME

of the external review site visit in the framework of specialized accreditation of

the residency study programme “Clinical Pharmacology” of JSC “Astana

Medical University”

25-26 November, 2015

Note: H - head of the expert group; EG – expert group; C – coordinator; RP – responsible

person from the university for the accreditation procedure.

Time Activities Venue Participants Notes

During a

day

Arrival of the expert group «Manhattan

Astana Hotel»

H, EG, C, RP

Day 1: 25 November, 2015

8:00-:8:30 Breakfast «Manhattan

Astana Hotel»

H, EG, C

8:30-8:45 Transfer from the hotel to

the university

«Manhattan

Astana Hotel»

H, EG, C

8:45-9:30 Briefing, discussion Room № 415

H, EG, C

9:30-09:50 Interview meeting with the

administration of the

university

Rector’s Office Rector, H, EG, C,

members of the

Board

09:50-10:20 Interview with Vice-

Rectors and review of

materials by profile of

activity

Room № 415

H, EG, C, Vice-

Rectors

10:20-10:30 Exchange of opinions of

the expert group

Room № 415

H, EG, C

10:30-13:00 Visual review of the

Department and study of

documentation on the

study programme

Department of

Clinical

Pharmacology,

City Out-Patient

Clinic №5,

Akan Sery Str. 20

H, EG, C, RP

13:00-14:00 Lunch Canteen H, EG, C

14:00-15:00 Interview with the Dean,

Vice-Deans and Heads of

Departments

Lecture Hall №1

H, EG, C, Dean,

Vice-Deans, Heads

of Departments,

residents, teaching

staff, heads of

structural divisions,

graduates,

employers


the expert group

15:10-15:50 Interview with residents


the expert group

16:00-16:40 Interview with teaching

staff


23


the expert group

16:50-17:20 Interview with heads of

structural divisions


the expert group

17:30-18:10 Interview with employers


the expert group

18:20-19:00 Interview with graduates

19:00-20:00 Discussion of the

outcomes of the day,

checking material to the

self-evaluation report,

planning of work for next

day

Room № 415

H, EG, C

20:00-21:00 Dinner Canteen H, EG, C

21.00-22.00 Session of the expert group «Manhattan

Astana Hotel»

H, EG, C

Day 2: 26 November, 2015

8:00-:8:30 Breakfast «Manhattan

Astana Hotel»

H, EG, C

8:30-10:30 Visiting classes Department of

Clinical

Pharmacology,

City Out-Patient

Clinic №5,

Akan Sery Str. 20

H, EG, C


the expert group

Room № 415

H, EG, C

10:45-11:15 Visual review of the

structures ensuring quality

of the study process

Educational

Clinical Center,

Department of

Automatization

Management,

E-learning and

Information

Security.

Study building,

Floor 5

H, EG, C, RP

11:15-11:40 Study and

Methodical Center,

Corrdinator of

Academic

Mobility,

Department of

Innovative

Technologies and


24

Monitoring of

Quality of

Education.

Room №414

11:40-12:10 Visiting the library Library

12:10-13:00 Work of the expert on

recommendations,

selective visiting of

structures, selective

invitation of Vice-Rectors,

Deans, Head of

Departments, teaching

staff or residents

Room № 415

H, EG, C

13:00-14:00 Lunch Canteen H, EG, C

14:00-16:00 Work of the expert group:

drafting the external

review report and

formulating

recommendations

Room № 415

H, EG, C

16:00-17:00 Meeting with the

administration of the

university and presentation

of preliminary results and

recommendations

H, EG, C, Rector,

Vice-Rectors

17:00-18:00 Dinner Canteen H, EG, C

18:00-18:30 Transfer to the hotel «Manhattan

Astana Hotel»

H, EG, C

According

to the

schedule

Departure of the expert

gtroup

Rail road station,

airport

H, EG, C, RP


25

Annex 2

Participants of the interviews

Administration of Astana Medical University

Position Name

Rector Shaidarov Mazhit Zeinullovich

Vice-Rector on Research and Clinical

Work, member of the Board

Galitskiy Franz Antonovich

Vice-Rector on Academic Work, member

of the Board

Zhaksylykova Gulnara Adilkhanovna

Vice-Rector on Educational and Social

Work, member of the Board

Khairli Gafur Zinurovich

Vice-Rector on Administrative and

Economic Work, member of the Board

Nurzhaubay Margulan Ontalapuly

Administrative and Managerial Staff

Position Name

Head of the Study and Methodical Center Bukeyeva Zhanar Kanalbayevna

Head of the Educational and Clinical

Center

Zhumadilov Daulet Shaimardanovich

Head of the Department of Study Process

Planning

Dossanova Bagdat Rakhimovna

Head of the Student Admission Aliyeva Mukhabbat Baitemirovna

Head of the Department of Professional

Guidance and Psychological Adaptation

of Students

Akpolatova Gulnur Momynovna

Head of Computer Test Department Tleshova Nurgul Serikovna

Head of the Office of Registrar Zhukina Dinara Kamidollayevna

Head of the Department of Innovative

Technologies and Monitoring of Quality

of Education

Abduldayeva Aigul Abduldayevna

Research and Clinical Work

Head of the Department of Clinical Work

and Evidence-based Medicine

Kazbekova Ainagul Talgatovna

Director of the Department of Strategic

Development

Tokbergenov Yermek Titobayevich

Head of the Scientific Department Akanov Amangali Baltabekovich

Head of the Automatization Management,

E-learning and Information Security

Issabayev Eldar Sagidollayevich

Senior specialist of the Department of Zhilkibayeva Karlygash Tulegenovna


26

Quality Management

Head of the Department of International

Cooperation and Academic Mobility

Bilan Liliya Ivanovna

Educational Work and PR

Head of the Department of Corporative

Communications

Kozhakmetova Dinara Yessengaliyevna

Dean on Youth Affairs Nurmukhanov Altynbek

Amangeldiyevich

Head of the Department of State

Language and Language Policy

Development

Akmetov Mukhambediya Akmet-tore

Head of IT Department Maralov Almaz Amantayevich

Head of Student City Department Iskakova Saule Amangeldinovna

Head of the Library Kenzhebayeva Lyailya Simbekovna

Head of Sports Club Tynbayev Bolat Yerdenbayevich

Administrative and Economic Work

Head of Financial and Economic

Department – Senior Economist

Alina Galina Koishibayevna

Chief Accountant Iskakova Zhansaya Tuyakovna

Director of HR and Legal Provision

Department

Syzdykov Baurzhan Aitpayevich

Head of HR Unit Baimukhametova Sara Rakhimovna

Head of Legal Unit Ustinovich Olesya Sergeyevna

Head of the Department of Control and

Document Provision

Duissenbekova Dariga Nukenovna

Director of the Department of Service and

Economic Maitenance

Iskakov Assylkhan Omarbekovich

Head of the Department of Building

Maintenance and Safety

Ismagulov Bakytzhan Kadyrovich

Head of Department of Material and

Technical Provision, Administative and

Study Facilities Maintenance

Zhamanbayev Sairan Nurgozhinovich

Head of the Department of Civil Defense

and Emergencies

Bektursynov Nurdaulet Tashkenbayevich

Deans

Position Name

Dean of the Faculty of General Medicine Makhambetov Kaergeldy Ombayevich

Dean of the Faculty of Public Health

Care, Stomatology, Pharmacy, Nursing,

and Medical Prophylactic Work

Karibzhanov Aitbek Anuarbekovich


27

Dean of Postgraduate Studies Zharlyganova Dinara Sarkybekovna

Dean of Intenship and Employment Syzdykova ainur Sailaubayevna

Dean of the Faculty of Continuous

Professional Development and Additional

Education

Saparova Lyailyum Tasbulatovna

Head of Department

Position Name

Head of Department of Clinical

Pharmacology

Mazhitov Talgat Mansurovich

Teaching Staff

Name Department Rank

Mazhitov T.M. Department of Clinical

Pharmacology

Professor

Makalkina L.G. Department of Clinical

Pharmacology

Associate Professor

Burkitbayeva S.S. Department of Clinical

Pharmacology

Associate Professor

Residents of Clinical Pharmacology

Name Year of study

Tanirbergen Azhar Tanirbergenkyzy 1

Zhamenkenova Azhar Akpanovna 1

Dzhumabayeva Kamila Ospanovna 1

Borovikova Kseniya Vladimirovna 2

Zhetimkarinova Gaukhar Yerlanovna 2

Shakarova Ardak Mussayevna 2

Employers

Name Position, place of work

Tabuldina A.Zh. Chief Doctor, Astana City Out-patient

Clinic №5

Inyakina O.A. Deputy Chief Doctor, Astana City Out-

patient Clinic №5


28

Graduates

Name Position, place of work

Bekmagambetova A.T. Assistant, Department of Clinical

Pharmacology and Internship, Astana

Medical University

Ivanov D.A. Clinical Pharmacologist, Astana City

Out-patient Clinic №10

Myrzakulova K. K. Clinical Pharmacologist, Astana City Out-

patient Clinic №2

Date post:	24-Aug-2020
Category:	Documents
Upload:	others
View:	1 times
Download:	0 times

INDEPENDENT KAZAKH AGENCY FOR QUALITY ASSURANCE IN ...€¦ · Yelena V. Veselskaya (signature)...

Documents