Department of Family Medicine and Ambulatory Study

In 2007 under order No. 770, on the basis of the Cathedra of Family Medicine and Ambulatory Study the Cathedrae of Family Medicine and Ambulatory Study No.1 and No.2 were formed, and in 2008 the Cathedra No.2 was renamed to Cathedra of Ambulatory-Out-Patient Therapy.

Recently the reforms in Health care effected in collaboration with International organizations are intended to support the primary health care aiming the medical care efficacy improvement and health care system rationalization (including in-patient care contraction) by decreasing of the number of diseases requiring the hospitalization.

The team of Cathedra at the moment of establishment was formed out of experienced teachers, specialized doctors having the rich theoretical and practical experience in medical education: Since 2010 Head of the Cathedra,D.M.Sc. Prof. Issayeva B.G. chairs the Department of Therapeutic Faculty of KazNMU; Assistant Professors: C.M.Sc. Kaliyeva G.A., C.M.Sc. Khabizhanova V.B., C.M.Sc. Yakushenko E.S., C.M.Sc. GabdulinaG.Kh.; assistants: Abdrakhmanova N.M., Dilmanova D.S., Saparbayeva M.M., Amanzholova A.S., KaiyrgaliSh.M., Nogayeva M.G., Nezhdanova S.A.

Cathedral Residence by specialty “Rheumatology” was graduated by Akhmettayeva A.B., Borzova S.A.; by specialty “General Practice Doctor” was graduated by Assyltayeva A.B., Kim A.N. The new recruitment to the Residence is conducted annually, mostly budget based.

At Cathedra the lectures, practical classes in Ambulatory-out-patient therapy are conducted with students of 4th and 5th accelerated courses, 5th and 6th courses of therapeutic faculty, 5th and 6th courses “Oriental medicine” of pediatric faculty; the lectures and practical classes in Rheumatology are conducted in 4th course under training in Internal diseases. Students of 6th and 5th courses, including “Surgery”, “Obstetrics” underwent to the training-professional practice in “Assistant of the Primary Care Physician”. During the academic year the Cathedra provides the training for about 1200-1300 students.

The clinical bases of the Cathedra are:

1.“Educational-Clinical Center of KaNMUn.a. S.D.Asfendiyarov”;

2. State municipal management enterprises State out-patient clinics No.5, 8, 11, 16, 18;

3. Joint Center;

4. SRC of Cardiology and Internal Diseases;

5. Clinics “Zhan”.

The Scientific direction of the Cathedra: Improvement of diagnosis and treatment of internal diseases, including joint and connective tissue diseases.

Severalinternational and republic scientificprojectsareperformedattheCathedra.

Currently there are 2 doctoral and 5 candidate theses are performed at the Cathedra. Assistant Nogayeva M.G. on 26.02.2010 has defended the candidate thesis by topic: “Clinical peculiarities and treatment optimization in reactive arthritis” (14.00.39 – Rheumatology).

International relations of the Cathedra are based on stable collaboration with the Institute of Rheumatology of the Russian Academy of Medical Science (RAMS), European and Asian League of Rheumatologists. Cathedral workers annually participate in scientificpractical conferences of the Institute of Rheumatology of the RAMS, international congresses (Japan, Austria, Spain, Denmark, France, and Turkey). Cathedra provides the considerable contribution into organization of workshops, conferences, congresses which are conducted in the city and in the republic with participation of scientists from regions of Russia, Central Asia etc.

Professor Issayeva B.G. is a Vice-President of the Asia and KazakhstanAssociation of Rheumatology, member of Association of Rheumatology of Russia. Assistant Professor GabdulinaG.Kh. is a President of the Kazakhstan Association of Osteoporosis, member of the board of Association of Rheumatologists of Russia, member of Russian Association of Osteoporosis.

For several years the “Osteoporosis Day” is conductedin out-patient clinics of Almaty under supervision of Assist.Prof. GabdulinaG.Kh.

The Cathedra conducts the continued medical education program for Professors and teachers not only under training-production plan, but also beyond it. On the basis of the Institute of Rheumatology of RAMS (Moscow) the staff members of Cathedra: assistants Amanzholova A.S., Saparbayeva M.M., Dilmanova D.S., Tuleutayeva S.A., Essirkepova G.S. have finished the topical refinement by “Rheumatology” specialty.

The teachers of the Cathedra are actively conduct the inventive activity and introduction of the scientific achievements of the Cathedra.

During the last year the following preliminary patents were obtained:

1. Innovation patentNo.19788. The method of treatment of osteoarthrosis in patients with thyroid hypofunction.SaparbayevaМ.М., Issayeva B.G.., Polimbetov D.S.Patent No.19668, 2008

2. The method of treatment of the reactive arthritis. Authors: Nogayeva M.G., IssayevaB.G..– PreliminarypatentNo.2007/0058:1

3. Innovation patent No.20495.2008. “The method of bon emineral density disorders in patients with osteoarthrosis associated with hypothyroidism”SaparbayevaМ.М.

Methodical and publishing work is reflected in methodical recommendations in Nephrology, Rheumatologyforpracticingdoctors and students, authors of which are Assist. Prof. Khabizhanova V.B., Professor IssayevaB.G., in articles of republic and international medical journals. Special attention is deserved by study guide“Issues of clinical rheumatology”, 2009 written by D.M.Sc. ProfessorIssayeva B.G.

At the Cathedra the significant attention is paid to the scientific-research work of the students. In2009-2010 academic year the scientific work of the student Aidarova A. (Supervisor is assistantSaparbayevaМ.М.) “Risk factor identification using minute testin females with osteoporosis” took the first place at the “Science Day”, and the scientific work of the student Suyumbayeva G.M. “Efficacy of combined therapy of rheumatoid arthritis associated with viral infection: CMV (cytomegalovirus) and HSV (Herpes simplex virus)” (Supervisor is assistant Tuleutayeva S.A.) took the first place at the 2 stage of the Conference of SRW of students.

An important part of activities of Professors and teachers of Cathedra is the clinical and consultative work, which is performed not only at the clinical basis, but at Almaty and republic levels.Cathedra includes two “Outstanding medical practitioners”, doctors of highest and first categories. Cathedral workers are initiators of implementation of reforms into practical healthcare with support of ambulatory day hospitals.Leading specialists of the Cathedra conduct consultations in maternity hospitals, intensive care units and other in-patient clinics of Almaty.

Cathedral workers firstly in Kazakhstan have initiated and continue the implementation of innovative methods of treatment of rheumatic diseases. ProfessorIssayeva B.G.hasimplemented thebiological products – monoclonal antibodies (Mabtera, Remikeid) in treatment of group of severe systemic rheumatic diseases. Nowadays,thescientificwork in using of new and more modern biological products in treatment of patients iscontinued.ProfessorIssayeva B.G.andassistant Tuleutayeva S.A. have been participating in International clinical program “Freedom” conducted first time in Kazakhstan (April – June 2010) by “Hoffmann la Roche” Company, integrated the considerable contribution into conduction of this study, and accordingly, into development of Kazakhstan science.

Morale building activity is conducted by Cathedral workers by directions in accordance with KazNMU development strategy: performance control, ethical and mental, patriotic and ideological, professional and legal education; healthy lifestyle outreach.

SinceSeptember 2007 the Cathedra is conductedt he professional training course “Selected Rheumatology issues” for practicing doctors and teachers. Fortimeelapsedabout 50 doctors completed the topical refinement.

Being the structural department of the University, theCathedra of Ambulatory-Out-Patient Therapy actively participates in fulfillment of the University development strategy for next years, worthy maintains and enriches the university’s traditions, continuously grows up and develops theoretically, supports the creative spirit and business cooperation, mutual understanding and respect, persistently participates in development of new competitive generation of young doctors and scientists.