Department of Ambulatory Pediatrics
On the 1st of September, 2015, the Department of Ambulatory Pediatrics had its 10th anniversary. It was a successor of the Department of Pediatric Diseases, founded at Belarusian Institute for Advanced Medical Training in 1945, and which afterwards was reorganized into the Department of Pediatrics-1 and later into the Department of Ambulatory Pediatrics. The founder of the Department of Pediatric Diseases was professor A.S.Levin, a prominent pediatrician of Belarus. Then, the Department of Pediatrics - 1 was headed by professors R.E.Mazo, L.G.Kozharskaya, I.V.Vasilevsky. From the time of its foundation, the Department of Ambulatory Pediatrics has been in charge of professor V.F.Zhernosek, Doctor of Medical Sciences.
The clinical base of the department is healthcare establishment «Minsk Regional Children’s Clinical Hospital». It is a multidisciplinary healthcare establishment, which renders high-quality special medical care to children of Minsk region.
Minsk Regional Children’s Clinical Hospital has 615 beds and 23 diagnostic and treatment divisions. There is an advisory center, which renders medical care on 19 different directions to patients from Minsk region. There is also the Republican Center for Pediatric Osteoporosis.
Another clinical base of the department is the 6th City Pediatric Polyclinic (Minsk, Chechota Street, 2A). It is a modern multidisciplinary pediatric medical establishment, which renders medical care to 14.000 children from the neighboring areas, such as Brilyovichi, Malinovka and Southwest district of Minsk. The planned capacity of the polyclinic is 350 visits a day. The polyclinic has 2 pediatric units, a dental unit, clinical and diagnostic laboratory, a roentgenologic unit, units of functional and ultrasound diagnostics, units of medical rehabilitation and physiotherapy.
The other clinical base of the department is the Republican Children’s Hospital of Medical Rehabilitation (Minsk region, Ostroshitsky agrotown, Trudovoy Street, 1A.
The Republican Children’s Hospital of Medical Rehabilitation is a modern rehabilitation medical center for children. There are 5 units of medical rehabilitation at the hospital: oncology unit, oncohematologic unit, nephrology units №1 and №2, neurology unit. It has 180 beds. Annually, more than 3100 children undergo rehabilitation there .
The department holds advanced training and retraining courses, PhD courses and training at clinical residency.
The department offers postgraduate training for pediatricians on the most priority fields of ambulatory pediatrics: primary, secondary and tertiary disease prevention in children, national pharmaceutical products in prevention and treatment of diseases in children, modern technologies in pharmacotherapy and pharmacological treatment of the main diseases of children and teenagers, treatment of children in accordance with the national and international protocols, emergency care in ambulatory pediatrics, rehabilitation of children with acute and chronic diseases.
The department has been constantly improving the methodology of postgraduate training. For this purpose, there are different forms of classes at the department: review clinical lectures, lectures on separate issues, complex lectures with the participation of specialists from similar departments, different forms of seminars (discussions in small groups, discussions of clinical cases), seminars-conferences with the discussion of reports, clinical and anatomy conferences, work in polyclinics, in-patient facilities, acquaintance with the basics of rehabilitation at sanatorium establishments of Minsk region. Seminars on actual subdivisions of pediatrics are held with a huge interest and with the active participation of the trainees.
The department has a huge experience in training of physicians at clinical residency. Within the period of 10 years, 51 clinical residents, including 14 foreign ones (Georgia, Lebanon, Palestine, Nepal) have undergone training at the department. In 2016, there had been trained 16 clinical residents at the department. Clinical residents actively participate in scientific and research work of the department, publish scientific works, make scientific reports, participate at international cooperation, and do courses abroad (Salzburg, Austria).
The main research fields of the department are the following ones: allergology and immunology, pulmonology, gastroenterology, osteoporosis, healthy child, nutrition of a healthy and sick child, rehabilitation of children with the main somatic diseases.
For the last 10 years, specialists of the department have defended 1 Doctoral and 5 Candidate’s theses on actual issues of pediatrics. 2 physicians have undergone postgraduate courses intramurally. Scientific staff is actively being prepared. At present, specialists of the department perform Doctoral thesis.
Specialists of the department have carried out researches on pathogenesis of Нр-associated diseases of stomach and duodenum and developed nonendoscopic criteria of early prognosis of canker in children with pains and feeling of «discomfort» in epigastrium.
Specialists of the department have generalized an experience of treatment of children with acute and chronic bronchovascular diseases.
Specialists of the department have published an edition of original monographs, manuals and reference books on allergology and immunology in children: «Rehabilitation of children with allergic diseases» (T.N.Sukovatykh, V.F.Zhernosek, 1993), «Bronchial asthma in children» (V.F.Zhernosek, I.V.Vasilevsky, T.P.Diubkova, 1999), «Allergic diseases of children» (V.F.Zhernosek, T.P.Diubkova, 2003), «Immunocorrection, immunoprevention, immunorehabilitation» (D.K.Novikov, P.D.Novikov, N.D.Titova, 2006), chapter «Osteogenesis of immune system» (N.D.Titova, 2009) in the book «Clinical immunopathology», «Condition of bone tissue in children with allergic diseases: complex evaluation and correction» (A.S.Pochkailo, V.F.Zhernosek, E.V.Rudenko, 2011), «Bronchial asthma in children. Structure of predisposition and way of primary prognosis» (A.P.Ruban, 2012), «Allergic diseases: study guide» (D.K.Novikov, P.D.Novikov, L.R.Vyhristenko, N.D.Titova, 2012», «Diagnostics and treatment of allergic diseases of children: reference book» (V.F.Zhernosek, T.P.Diubkova, 2013), «Syndrome of Stivens-Dzhonson – toxic epidermal necrolysis of children» (T.P.Diubkova, V.F.Zhernosek, 2013). In the framework of the program of international cooperation V.F.Zhernosek is a co-author of the Russian Scientific and Practical Program «RADAR. Allergic rhinitis of children: recommendations and algorithm at pediatric allergic rhinitis (scientific and practical program) (V.A.Revyakina, N.A. Daikhes, N.A. Gehhe etc., 2015).
Specialists of the department have published the manual «Basics of medical knowledge: protection of motherhood and childhood, infectious diseases» (T.P.Diubkova, V.F.Zhernosek, 2005) with a griff of the Ministry of Education of the Republic of Belarus, took part in preparation of pediatrics study guides in English («The physical examination in children: study guide for foreign students» (Novicova V.I., Lisenko I.M., Titova N.D., 2009), «Pathogenesis, diagnostics and treatment of diseases in the newborn: study guide for students of higher medical educational establishments» (Novikova V., Lysenko I., Zhuravleva L., Titova N., Mazuk O., 2013).
A huge attention is paid to the implementation of the research results into the practice of healthcare. For the last 10 years, specialists of the department have developed instructions on the topics: training of patients suffered from atopic dermatitis at asthma(allergic) schools of the Republic (V.F.Zhernosek, M.E.Novikova, 2005); prenosological diagnostics of bronchial asthma (A.P.Ruban, V.N.Rostovtsev, I.V.Vasilevsky, 2007); on rehabilitation of school-aged children being sick for a long time, living territories contaminated by radionuclides, in conditions of pediatric rehabilitation and recreation centers (V.F.Zhernosek etc., 2009); on application of bisphosphonates in the treatment of children with imperfect osteogenesis (A.S.Pichkailo, I.V.Naumchik, V.F.Zhernosek etc,, 2014); on selection of broncholytic drug preparation for children of school age with bronchial asthma (I.A.Nenartovich, V.F.Zhernosek, 2014).