I.

zogadi debulebebi

1. programis mizani da amocanebi

1.1. Sesavali

specialoba “sisxlZarRvTa qirurgia” moicavs sisxlZarRvebis da limfuri

sadinarebis daavadebebis diagnostikas, marTvas da qirurgiul mkurnalobas.
sisxlZarRvTa qirurgis kompetenciaSi ar Sedis qalasSida, gulis mkvebavi da gulTan
anatomiurad axlos ganlagebuli magistraluri sisxlZarRvebis (aswvrivi aorta,
filtvis arteria da venebi) daavadebebis qirurgiuli mkurnaloba.
saqarTveloSi sisxlZarRvTa qirurgiis specialobis maZiebeli SeiZleba iyos
Sesabamisi umaRlesi samedicino ganaTlebis mqone diplomirebuli medikosi, romelsac
gavlili aqvs diplomisSemdgomi ganaTlebis (profesiuli mzadebis)/rezidenturis
programa sisxlZarRvTa qirurgiaSi.
rezidenturis programa specialobiT “sisxlZarRvTa qirurgia”-ia momzadebulia
evrokavSiris qveynebSi samedicino specialistebis mzadebis standartebis
gaTvaliswinebiT, amasTan, adaptirebulia Cveni qveynisTvis.
programam rezidentebs unda Seuqmnas SesaZlebloba kurikulumze dafuZnebuli
codnisa da klinikuri unar-Cvevebis siRrmiseulad SeswavlisaTvis, sabaziso da
gamoyenebiTi qirurgiis aTvisebisa da klinikuri Cvevebis srulyofisaTvis. garda
sisxlZarRvTa qirurgiis elementebisa, programa iTvaliswinebs daxelovnebas zogad
qirurgiasa da mis momijnave dargebsa da subspecialobebSi.
rezidenturis programa specialobaSi “sisxlZarRvTa qirurgia” momzadebulia
saqarTvelos angiologebis da sisxlZarRvTa qirurgebis asociaciis ganaTlebisa da
mecnierebis komisiis mier da SeTanxmebulia saqarTvelos qirurgTa asociaciis
gamgeobasTan. programis momzadebisas gamoyenebuli iyo Semdegi wyaroebi:

 UEMS document D9421, d. d. November 1993 - “Definition and Specifications of Vascular Surgery”;
 “Chapter or Training of Medical Specialists in the EU. Requirements for the Specialty Vascular Surgery”,
1995
 Bulletin of the American College of Surgeons Vol. 74, Vol 6, Pages 6-7, June 1989
 Humphreys JW Jr: General surgery redefined in the era of specialization. Bull Am Coll Surg, 69:4-6, 1984
 http://www.surgeons.org.uk/
 http://journalreview.org/
 http://www.americansurgical.info/
 http://www.aofoundation.org/
 http://www.facs.org/
 http://www.uems.net/
 http://www.uemssurg.org/
 1.2 mizani da amocanebi:

sisxlZarRvTa qirugiaSi diplomis Semdgomi momzadebis programis mizania

kvaificiuri eqimi – “sisxlZarRvTa qirurgis” momzadeba.
Pqveynebs Soris adamianuri resursebis gazrdili mobilobis fonze mniSvnelovania
sisxlZarRvTa qirurgebSi codnis erTnairi donisa da SeTanxmebuli bazisuri
standartebis qona, miuxedavad imisa, Tu romel qveyanaSi eqneba miRebuli ganaTleba
sisxlZarRvTa qirurgs.yovelive zemoTqmulis gaTvaliswinebiT saqarTveloSi
“sisxlZarRvTa qirurgiaSi” sarezidento programis mizania:

 rezidentis codnisa da daxelovnebis harmonizacia;

 uzrunvelyofa imisa, rom rezidentma gaiaros stuqturirebuli treningis
programa;
 uzrunvelyofa sisxlZarRvTa qirurgis iseTi teqnikuri daxelovnebisa,
rom mis praqtikaSi avadobisa da sikvdilianobis done ar gansxvavdebodes
normisagan;
 kompetenciis im minimaluri donis garantia, romelic mniSvnelovania
pacientisTvis, samkurnalo dawesebulebisa da TviT rezidentisaTvis, anu
momavali sisxlZarRvTa qirurgisTvis.
“sisxlZarRvTa qirurgiaSi” sarezidento programis amocanaa specialobis SigniT
srulfasovani ganaTlebis miRweva. programis ganmaxorcielebeli pirebi
uzrunvelyofen sazogadoebisaTvis am momsaxurebis miwodebas.
specialistis momzadebis procesi unda warimarTos mdidari saganmanaTleblo
gamocdilebisa da mravalprofiluri klinikuri bazebis pirobebSi. programas gaaCnia
sami ZiriTadi komponenti: kurikulumi, samecniero saqmianoba da praqtikuli saqmianoba,
romlebic struqturirebuli arian imgvarad, rom uzrunvelyon codnis, unar-Cvevebis,
damokidebulebisa da klinikuri gansjis unaris Camoyalibeba, rac aucilebeli pirobaa
rogorc sisxlZarRvTa, aseve zogadqirurgiuli praqtikisaTvis. programis nebismieri
akademiuri komponenti SesabamisobaSi unda modiodes zemoT aRweril mizanTan da
amocanebTan.

2
 2. saeqimo specialobis - “sisxlZarRvTa qirurgia” aRweriloba

2.1. specialobisa da specialistis gansazRvreba (definicia)

sisxlZarRvTa qirurgia ganviTarda rogorc zogadi qirurgiis erT- erTi mimarTuleba

da 60-iani wlebis bolosTvis evropaSi ukve miRebuli iyo rogorc mkafiod gansazRvruli
disciplina da kerZo specialoba.
UEMS–is (medikosi specialistebis evropuli kavSiris) ganmartebiT, sisxlZarRvTa
qirurgia aris “klinikuri da samecniero disciplina, romlis sagans warmoadgens
arteriebis, venebisa da limfuri ZarRvebis (anu vaskulaturis) daavadebebis diagnozi,
mkurnaloba da prevencia”, xolo vaskuluri qirurgi aris “vaskuluri mecnierebebis
specialisti, romelic aRWurvilia, raTa vaskuluri daavadebis mqone pacients gauwios
sruli menejmenti”.
specialoba “sisxlZarRvTa qirurgia” Seicavs sisxlZarRvebis da limfuri sadinarebis
daavadebis diagnostikas, marTvas da qirurgiul mkurnalobas. sisxlZarRvTa qirurgis
kompetenciaSi ar Sedis qalasSida, gulis mkvebavi da gulTan anatomiurad axlos
ganlagebuli magistraluri sisxlZarRvebis (aswvrivi aorta, filtvis arteria da venebi)
daavadebebis qirurgiuli mkurnaloba..
rezidenturis programa sisxlZarRvTa qirurgiaSi minimaluri zogadqirurgiuli
komponentebis garda (rezidenturis pirveli 2 weli) moicavs minimum Semdeg ZiriTad
komponentebs: emboleqtomia, Tromboemboleqtomia, endartereqtomia, plastika (maT Soris mag.
profundoplastika), Suntireba (autoveniT, proTeziT), veneqtomiebi, hemodializisTvis
sisxlZarRvovani midgomis (arterio-venuri fistula, arterio-venuri Suntireba) Seqmnis
operaciebi, amputaciebi da operaciebi sisxlZarRvebze zewolis dros (dekompresia). bolo
ramdenime wlis ganmavlobaSi ufroda ufro did mniSvnelobas iZens endovaskularuli
Carevebi sixZlarRvebze, rac Tanamedrove sisxlZarRvTa qirurgiis moqmedebis sferos
warmoadgens, amitom intervenciulma radiologiam ufro meti asaxva hpova rezirenturis
programaSi.

2.2. specialistis profesiuli zogadi codna

sisxlZarRvTa qirurgma unda icodes:
 saqarTvelos kanoni “janmrTelobis dacvis Sesaxeb”
 saqarTvelos kanoni “saeqimo saqmianobis Sesaxab”
 saqarTvelos kanoni “pacientis uflebebis Sesaxeb”
 qirurgiuli saqmianobis iuridiuli aspeqtebi;
 profesiuli pasuxismgeblobis aspeqtebi, malpraqtika;
 qirurgiuli praqtikis bioeTikuri sakiTxebi;
 sikvdilis konstatacia da masTan dakavSirebuli administraciuli RonisZiebebi;
 organoTa donaciis principebi;
 pacientTa usafrTxoebis principebi;
 qirurgiuli mkurnalobis xarisxi da misi kontrolis proncipebi;
 qirurgiuli samuSao garemos usafrTxoeba, profesiuli mavneobis sakiTxebi;
 qirurgiuli daxmarebis arsi, misi organizacia da menejmenti;
 kritikul SemTxvevaTa klinikuri marTva; qirurgiis ekonomikuri aspeqtebi;
 zogadi samedicino menejmenti (krizisuli situaciebis marTva, drois menejmenti,
jgufuri muSaobis principebi);
 qirurgiuli avadmyofis informirebuli Tanxmoba;
 riskis Sefaseba da skalirebis sistemebi qirurgiul praqtikaSi, qirurgiuli
gadawyvetilebis miReba;
 mtkicebulebebze dayrdnobili praqtikis interpretacia;
 inovaciuri teqnologiebisa da axali samkurnalo saSualebebis kritikuli analizi;
 kolegebTan, pacientebTan, maT naTesavebTan da kanonier warmomadgenlebTan urTierTobis
aspeqtebi;
 verbaluri, werilobiTi da eleqtronuli komunikaciebi;

3
 konfliqtebis gadawyveta da menejmenti;
 sakiTxisa da SemTxvevisadmi multidisciplinuri midgomis principebi;
 monacemTa Segroveba, skrininguli programebi, statistika da sainformacio teqnologiebi
qirurgiaSi;
 klinikuri auditi da samedicino dokumentaciis warmoebis wesebi;
 mkurnalobis uwyvetobisa da pacientTa gadacemis principebi;
 samecniero principebi qirurgiaSi, klinikuri kvlevebis dizaini da analizi;
 operaciis fsiqologiuri efeqtebi da mZime danakargebi, reabilitacia;

2.3. specialistis zogadi unar-Cvevebi

sisxlZarRvTa qirurgs unda SeeZlos
 qirurgiul mdgomareobaTa marTva, sabaziso da klinikur codnaze dafuZnebuli
gamcdilebis gamoyenebiT;
 uCvenos Sesabamisi unar-Cvevebi im qirurgiuli teqnikis gamoyenebiT, romelsac unda
flobdes kvalificiuri qirurgi;
 aCvenos kritikuli azrovnebis unari qirurgiuli gadawyvetilebebis miRebisas,
gansakuTrebiT, rodesac avadmyofi imyofeba sicocxlisaTvis saSiS mdgomareobaSi;
 warmarTos eTikuri, iuridiulad dasabuTebuli gansja, rac Seefereba maRali
kvalifikaciis eqim specialists;
 efeqturad iTanamSromlos kolegebTan da sxva specialobis eqimebTan;
 aswavlos da gauziaros SeZenili codna da praqtikuli gamocdileba kolegebs,
umcros rezidentebs, studentebs da jandacvis sferos sxva muSakebs;
 miawodos pacients da misi ojaxis wevrebsa da axloblebs maTi janmrTelobisaTvis
aucilebeli saWiro rekomendaciebi;
 aCvenos mzadyofna uwyveti profesiuli ganaTlebisaTvis, rac erT-erTi mniSvnelovani
momentia qirurgis kvalifikaciis mudmivi amaRlebisa da srulyofisaTvis;
 aCvenos samecniero kvlevebis, naSromebis adekvaturi aRqmisa da interpretaciis
unari, amavdroulad TviTonac SeeZlos samecniero kvlevis warmarTva an masSi
aqtiuri monawileoba;
 ganaviTaros liderobisa da administraciuli unarebi;
 pativi sces pacientis da maTi ojaxis saWiroebebs, aRmouCinos da warmarTos
qirurgiuli daxmareba maTi saWiroebidan gamomdinare.

arsebiTi SesaZleblobebi, romelic unda gaaCndes rezidenturis kursdamTavrebuls,

mdgomareobs akademiur da moqmedebis SesaZleblobebSi da unarebSi, rasac Tan unda
erTvodes fizikuri, kogniciuri da qceviTi Taviseburebebis Camoyalibeba da ganviTareba. es
ukanaskneli moicavs Semdeg komponentebs: inteleqtur SesaZleblobebs(konceptualuri,
integraciuli da xarisxobrivi SesaZleblobebi, romlebic aucilebelia diagnozis dasmisa
da klinikuri problemebis gadaWrisaTvis); eqimis moqmedebis qceviT da socialur aspeqtebs,
komunikaciur unar-Cvevebs, motorul Tavisuflebas da sensoruli sferos specifikur
ganviTarebas. zemoT CamoTvlili Cvevebi unda ganiviTaros TiToeulma rezidentma
sisxlZarRvTa qirurgma, raTa adeqvaturi saSualeba mieces SeZenili profesiuli codnisa
da gamocdilebis gamoyenebisaTvis.

2.4. daavadebebis, paTologiuri mdgomareobebis CamonaTvali, romelTa klinikas,

diagnostikas, mkurnalobasa da profilaqtikasmoicavs sislZRavTa qirurgia:
sisxlZarRvTa qirurgia:
 aTerosklerozi
 aorto-arteriopaTiebi (marfanis sindromi, ehrler-danlosis sindromi, kistozuri
medialuri nekrozi, fibrokunTovani displazia, arteriomegalia, daklakniloba
(kinkingi);
 aorto-arteriiti, vaskulitebi;
 adventicialuri kistozuri daavadeba;

4
 sisxlZarRvis kedlis inficireba;
 koarqtacia, anevrizma, ganSreveba;
 diabeturi mikro- da makroangipaTia, arteriis media Sris kalcifikacia (menkenbergis
sklerozi);
 sisxlZarRvis kedlis dazianebebi sistemuri daavadebebis dros;
 sisxlZarRvis kedlis sxivuri dazianebebi;
 sisxlZarRvis kedlis dazianebebi intravenur narkotikebze damokidebulobis dros;
 sisxlZarRvebis eqstravazaluri kompresia;
 sisxlZarRvebis travmuli dazianebebi;
 Tandayolili arteriuli, venuri da arterio-venuri malformaciebi;
 sisxlZarRvebis Trombozebi da emboliebi;
 sisxlZarRvovani simsivneebi.
 hiperkoagulaciuri mdgomareobebi, memkvidruli da SeZenili hiperkoagulaciuri
mdgomareobebi (Trombofiliebi);
 hemostazis darRvevebi sisxlZarRvebis daavadebebis dros;
 iSemiasTan dakavSirebuli organoTa disfunqcia
 simptomuri hipertenziebi
 kidurebis vazospasturi daavadebebi (angiotrofonevrozebi);
 portaluri hipertenzia;
 sisxlZarRvovani genezis mamakacTa impotencia;
 mcire menjis venuri Segubebis sindromiT gamowveuli qalTa
seqsologiuri darRvevebi;

2.5. laboratoriul-instrumentuli gamokvlevebis CaminaTvali, romelTa Sedegebis

interpretacia da klinikuri Sefaseba unda SeeZlos sisxlZarRvTa qirurgs:
 koagulogramis maCveneblebis Sefaseba da interpretacia;
 lipiduri cvlis maCveneblebis Sefaseba da interpretacia;
 vazoaqtiuri hormonebis maCveneblebis Sefaseba da interpretacia;
 sisxlZarRvTa anTebiTi daavadebebisaTvis damaxasiaTebeli laboratoruli testebis
maCveneblebis Sefaseba da interpretacia.
 transkutanuri oqsimetria;
 lazeruli floumetria;
 birTvul-magnitur-rezonansuli gamokvleva (angiografia) ;
 spiraluri kompiuteruli gamokvleva (angiografia);
 digitaluri (substraqciuli) angiografia.

2.6. diagnostikuri da samkurnalo manipulaciebi, romelTac unda flobdes sisxlZarRvTa

qirurgi:
 ultrabgeriTi doplerografia;
 dupleqssonografia;
 TcPO2-metria
 standartuli angiografia:
- aorto-arteriografia;

5
 - flebografia.
 sisxlZarRvTa palpacia;
 sisxlZarRvTa auskultacia
 sisxlZarRvSida intervenciebi:
1. centraluri venebis (barZayis, laviwqveSa, Sida sauRle) kaTeterizacia;
2. barZayis da mxris arteriebis kaTeterizacia;
3. kaTeteriT mimarTuli Trobmolizisi;
4. kava-filtrebis Cayeneba**;
5. sisxlZarRvebis balonuri angioplastika**;
6. sisxlZarRvovani anomaluri da SeZenili paTologiuri warmonaqmnebis
embolizacia**;
7. sisxlZarRvis sanaTuris stentireba**;
8. endovaskularuli protezireba**;
9. sisxlZarRvis meqanikuri rekanalizacia**.
SeniSvna:
 - meTodis sruli aTviseba aucilebelia;
** - sakmarisia meTodis principebis Seswavla.

sisxlZarRvTa qirurgiuli teqnika

sisxlZarRvebis gamoyofa da maTi sanaTuris kontroli (damWerebiT an
turniketiT):
intraoperaciuli sisxldenis kontrolis meTodebi: arteriotomia/venotomia;
sisxlZarRvis nakeris teqnika:
_ “bolo boloSi”;
_ “bolo gverdSi”;
_ “gverdi gverdSi”;
kedlis gverdiTi plastika.
sisxlZarRvebis proTezireba da Suntireba auto- da sinTeturi
SemcvlelebiT;
sisxlZarRvis replantacia da reimplantacia;
sisxlZarRvSida manipulaciebi sxvadasxva saxis kaTeterebiT;
sisxlZarRvis rekonstruqciis Sefaseba:
_ intraoperaciuli angiografiiT.
mikroqirurgiuli teqnikis Seswavla saoperacio lupis da
mikroskopis gamoyenebiT:
_ mcire yalibis sisxlZarRvebis plastika;
_ interfascikularuli neiroplastika.

sisxlZarRvTa qirurgiis kerZo sakiTxebi:

6
1. aorta-TeZos da kidurebis arteriebis maokluzirebeli daavadebebis
diagnostika da mkurnaloba;

2. aortis, magistraluri da periferiuli arteriebis anevrizmebis da

ganSrevebis diagnostika da mkurnaloba;

3. aortis braqiocefaluri totebis (saZile, laviwqveSa, usaxelo da xerxemlis

arteriebi) maokluzirebeli daavadebebis diagnostika da mkurnaloba;

4. Tirkmlis arteriebis maokluzirebeli daavadebebis diagnostika da

mkurnaloba;

5. simptomuri hipertenziis sxva formebis (feoqromocitoma, konis daavadeba, aortis

koarqtacia, koarqtaciuli sindromi) diagnostika da mkurnaloba;

6. visceraluri iSemiis diagnostika da mkurnaloba;

7. gulmkerdidan gamosvlis sindromebis diagnostika da mkurnaloba;

8. kidurebis mwvave arteriuli gauvalobis diagnostika da mkurnaloba;

9. diabeturi angiopaTiis da diabeturi terfis diagnostika da mkurnaloba;

10. sisxlZarRvTa qirurgiis garTulebebis diagnostika da mkurnaloba;

11. sisxlZarRvebis travmuli dazianebebis diagnostika da mkurnaloba,

samxedro-savele qirurgiis principebi;

12. qveda kidurebis qronikuli venuri ukmarisobis diagnostika da

mkurnaloba;

13. Rrma venebis Trombozebis da filtvis arteriis emboliis diagnostika da

mkurnaloba;

14. mwvave da qronikuli limfedemis diagnostika da mkurnaloba;

15. kidurebis amputaciis Cvenebebi da qirurgiuli teqnika;

16. sisxlZarRvis kedlis araaTerosklerozuli dazianebebis diagnostika

da mkurnaloba:
 aorto-arteriopaTiebi (marfanis sindromi, ehrler-danlosis sindromi,
kistozuri medialuri nekrozi, fibrokunTovani displazia, arteriomegalia,
daklakniloba (kinkingi);
 aorto-arteriiti, vaskulitebi;
 adventicialuri kistozuri daavadeba;
 sisxlZarRvis kedlis inficireba;
 sisxlZarRvis kedlis dazianebebi sistemuri daavadebebis dros;
 sisxlZarRvTa eqstravazaluri kompresia;

7
  sisxlZarRvovani simsivneebi;
 sisxlZarRvis kedlis sxivuri dazianebebi;
 sisxlZarRvis kedlis dazianebebi intravenur narkotikebze damokidebulobis dros;
17. kidurebis vazospasturi daavadebebis (angiotrofonevrozebi)
diagnostika da mkurnaloba;

18. Tandayolili arteriuli, venuri da arterio-venuri

malformaciebis diagnostika da mkurnaloba;

19. hemostazis darRvevebis diagnostika da mkurnaloba

sisxlZarRvebis daavadebebis dros;

20. simpateqtomiebis Cvenebebi da qirurgiuli teqnika periferuli sisxlZarRvebis

daavadebebis dros;

21. hemodializisTvis arterio-venuri anastomozebis da Suntebis

Seqmnis qirurgiuli teqnika;

22. portaluri hipertenziisdiagnostika da mkurnaloba;

23. sisxlZarRvovani genezis mamakacTa impotenciis diagnostika da

mkurnaloba;

24. mcire menjis venuri Segubebis sindromiT gamowveuli qalTa

seqsologiuri darRvevebis diagnostika da mkurnaloba;

25. pacientis operaciuli riskis dadgena;

26. operaciis wina- da Semdgomi periodebis marTva;

27. kidurebis qronikuli arteriuli da kritikuli iSemiis stadiebis dadgena (fontenis

klasifikaciiT) fizikaluri gasinjviT, klinikuri niSnebiT da arainvaziuri
gamokvlevebis monacemebiT;
28. kiduris mwvave arteriuli gauvalobis stadiis dadgena transatlantikuri
saerTaSoriso asociaciebis SemTanxmebeli komitetis (TASC) klasifikaciiT;
29. kiduris mwvave arteriuli gauvalobis gamomwvevi mizezis dadgena da misi
mkurnaloba;
30. kidurebis sisxlZarRvebis maokluzirebeli procesis da travmis lokalizaciis
dadgena fizikaluri gasinjviT, klinikuri niSnebiT da arainvaziuri gamokvlevebis
monacemebiT;
31. kidurebis kritikuli iSemiis mkurnalobis taqtikis SerCeva;
kritikuli iSemiis dros tkivilis kontroli;
32. kidurebis kritikuli iSemiisTvis saWiro samkurnalo preparatebis moqmedebis
meqanizmis, dozirebis da farmakodinamikis codnis floba;
33. kidurebis kritikuli iSemiis medikamentozuri mkurnaloba;
34. kidurebis kritikuli iSemiis dros prostanoidebis intravenuri infuziis Catareba;
35. kidurebis kritikuli iSemiis antikoagulanturi da Trombolizuri Terapia
hemostazis laboratoruli kontroliT;
36. iSemiuri kiduris revaskularizacis (reperfuziis an ~CarTvis~) sindromis
diagnostika da mkurnaloba;

8
 37. kidurebis kritikuli iSemiis mkurnalobis Sefaseba fizikaluri gasinjviT,
klinikuri niSnebiT da arainvaziuri gamokvlevebis monacemebiT;
38. kritikuli iSemiis dros pirveladi amputaciis Cvenebis dadgena;
39. kiduris amputaciis donis dadgena arainvaziuri sisxlZarRvovani diagnostikis
meTodebiT (doplerografia, transkutanuri oqsimetria);
40. kiduris iSemiis xangrZlivobasgan damokidebuli qirurgiuli Carevis warmatebis an
warumateblobis prognozireba;
41. kritikuli iSemiis da mwvave arteriuli gauvalobis dros revaskularizaciis
taqtikis arCeva;
42. qirurgiuli Carevis Semdeg rekonstruirebuli arteriuli segmentis gamavlobis
dadgenaarainvaziuri sisxlZarRvovani diagnostikis meTodebiT (doplerografia,
dupleqssonografia);
43. qvemo kidurebis venuri ukmarisobis stadiis dadgenaCEAP-is klasifikaciis mixedviT;
44. qvemo kidurebis Rrma venebis, qvemo Rru da TeZos venebis Trombozis ganviTarebis
gamomwvevi mizezebis da risk-faqtorebis dadgena, antiTrombuli profilaqtika;
45. zemo kidurebis Rrma venebis da iRliis-laviwqveSa venuri segmentis (pejet-Sreteris
sindromi) Trombozis ganviTarebis gamomwvevi mizezebis dadgena, antiTrombuli
profilaqtika;
46. memkvidruli da SeZenili Trombofiliebis klinikur-laboratoriuli diagnostika,
Trombozebis ganviTarebis profilaqtika, mkurnalobis taqtikis SerCeva;
47. zemo Rru venis sindromis gamomwvevi mizezebis dadgena da mkurnalobis taqtikis
SerCeva;
48. Rrma venebis Trombozis da filtvis arteriis emboliis ganviTarebis profilaqtika
sxvadasxva klinikur situaciebSi risk-faqtorebis gaTvaliswinebiT (qirurgiuli
operacia, orsuloba, onkologiuri daavadeba da sxv.);
49. qvemo kidurebis Rrma venebis Trombozis diagnostika fizikaluri gasinjviT,
diferenciuli diagnostika;
50. Rrma venuri Trombozebis diagnostika ultrabgeriTi doplerografiiT da
dupleqssonografiiT;
51. venis sanaTurSi ganlagebuli Trombuli masis embologenobis (“motivtive” Trombi)
dadgena dupleqssonografiiT;
52. qvemo Rru venaSi filtris Cayenebis Cvenebis dadgena;
barZayis, TeZos da qvemo Rru venebis mwvave Trombozis qirurgiuli mkurnalobis
(Trombeqtomia, gadakvanZva, plikacia) Cvenebis dadgena;
53. Rrma venebis Trombozis da filtvis arteriis emboliis dros antikoagulanturi da
Trombolizuri Terapiis Catareba hemostazis laboratoriuli kontroliT;
54. filtvis arteriis emboliis diagnostika klinikuri niSnebiT, rentgenologiuri da
rentgenokontrastuli (angiopulmonografia) gamokvlevebiT;
55. kidurebis venuri flegmaziis mkurnalobis taqtikis SerCeva;
kanqveSa venebis mwvave Tromboflebitis mkurnaloba;
56. didi saCino venis aRmavali Tromoflebitis qirurgiuli mkurnaloba (ligireba
safeno-femoraluri SerTulis areSi).
57. atravmuli qirurgiuli instrumentebis, sakeri masalis da specialuri kaTeterebis
(zondebis) swori SerCeva konkretul saoperacio situaciaSi;
58. kidurebis magistraluri da periferiuli sisxlZarRvebis travmuli dazianebebis
(blagvi travma, iatrogenuli dazianeba, naCxvleti da cecxlnasroli Wrilobebis)

9
 diagnostika fizikaluri gasinjviT da arainvaziuri gamokvlevebiT;
59. daWimuli, mopulsire hematomebis, cru da WeSmariti arteriuli anevrizmebis
diferenciuli diagnostikis Catareba;
60. travmis Sedegad mwvaved ganviTarebuli arterio-venuri SerTulis diagnostika;
61. sisxlZarRvTa izolirebuli (arteriuli, venuri) da kombinirebuli (arterio-venuri)
travmis diferenciuli diagnostika;
62. sisxlZarRvovan travmasTan kombinirebuli periferiuli nervis dazianebis diagnostika;
63. Zvlebis motexilobiT gamowveuli kidurebis magistraluri da periferiuli
sisxlZarRvebis dazianebis diagnostika da mkurnalobis taqtikis SerCeva;
64. pacientis zogadi mdgomareobis (sisxlis danakargi, hemodinamika) da dazianebuli
kiduris qsovilebis sicocxlisunarianobis Sefaseba, mkurnalobis (konservatiuli,
qirurgiuli) taqtikis arCeva, Cvenebebis dadgena;
65. muclis Rrus Semavali Wrilobebis da blagvi travmis gamo warmoebuli laparatomiis
dros magistraluri sisxlZarRvebis (muclis aorta, Rru vena, maTi visceraluri da
parietaluri totebi), jorjlis sixlZarRvebis, mcire menjis venuri wnulebis reviziis
Catareba;
66. braqiocefaluri sisxlZarRvebis travmuli dazianebis diagnostika;
gulmkerdis aortis blagvi travmis klinikuri da rentgenologiuri diagnostikis
Catareba;
67. dundulos arteriebis dazianebis dadgena;
68. kidurebis magistralur da periferiul sisxlZarRvebTan qirurgiuli midgomebis
warmoeba;
69. TeZos magistralur sisxlZarRvebTan da dundulos arteriebTan qirurgiuli midgomebis
warmoeba;
70. laviwqveSa-iRliis sixlZarRvebTan da saZile arteriebTan qirurgiuli midgomebis
warmoeba;
71. intraoperaciuli angiografiis warmoeba;
72. Trombemboleqtomiis warmoeba pirdapiri meTodiT da balonuri kaTeteriT;
73. balonuri kaTeteris gamoyeneba (intraopereciulad) rogorc sisxlZarRvidan
magistraluri sisxldenis SeCerebis saSualeba;
didi saCino venis gamoyofa, amokveTa da damuSaveba autovenuri transplantatis
damzadebis mizniT;
74. dazianebuli sisxlZarRvebis mTlianobis aRdgena sxvadasxva meTodiT:
_ sisxlZarRvis kedlis defeqtze nakeris dadeba;
_ anastomozebi “bolo-boloSi”,”bolo-gverdSi”, “gverdi-gverdSi”;
_ arapirdapiri plastika (nafleTis Cakereba);
_ rezeqcia anastomozirebiT “bolo-boloSi”;
_ rezeqcia protezirebiT (autotransplantatiT, sinTetiuri
proteziT);
_ Suntireba (anatomiuri, eqstraanatomiuri).
75. sxvadasxva eqstranatomiuri Suntirebis warmoeba (jvaredina barZay-barZayis , iRlia-
barZayis, TeZo – barZayis damxuravi xvrelis gavliT);
76. dundulos arteriis dazianebis qirurgiuli mkurnaloba;
77. arteriis ligireba, venis ligireba an plikacia;
78. aRdgenili sisxlZarRvidan aroziuli sixldenis profilaqtika da qirurgiuli
mkurnaloba;

10
 79. wvivis wina, ukana da lateraluri kunTovani budeebis dekompresiuli fasciotomiis
Catareba (kunTebis nekrozis SemTxvevaSi maTi amokveTiT);
80. barZayis dekompresiuli fasciotomiis Catareba;
81. winamxris da mtevnis dekompresiuli fasciotomiis Catareba;
82. terfis TiTebis trans- da metatarzaluri amputaciis Catareba;
83. qvemo kiduris amputaciebis Catareba wvivis da barZayis doneze;
84. mtevnis TiTebis da metekarpaluri amputaciis Catareba;
85. zemo kiduris amputaciis Catareba winamxris da mxris doneze;
86. travmuli arteriuli da arterio-venuri anevrizmis amokveTa sisxlZarRvis aRdgeniT
plastikis sxvadasxva meTodebiT;
87. menjis venuri wnulebis dazianebis dros profuzuli sisxldenis SeCereba
tamponirebiT;
88. TeZos Zvlebis motexilobiT gamowveuli retroperitonealuri hematomebis
mkurnalobis (konservatiuli, qirurgiuli, endovaskularuli) taqtikis SerCeva;
89. muclis Rrus magistraluri sisxlZarRvebidan (aorta, Rru vena, TeZos arteriebi da
venebi) sisxldenis kontroli atravmuli damWeriT, balonuri kaTeteriT, meqanikuri
zewoliT, tamponirebiT).
90. ultrabgeriTi doplerografiis da dupleqssonografiis meTodebis sruli floba;
91. birTvul-magnitur-rezonansuli da kompiuteruli tomografiuli gamokvlevebis
Sedegebis wakiTxva da swori interpretacia;
92. hemostazis darRvevebis (hiperkoagulaciuri mdgomareobebi, Trombofiliebi,
koagulopaTiebi, sisxlZarRvSida disiminirebuli
93. Sededebis sindromi) klinikur-laboratoruli diagnostika da mkurnaloba
sisxlZarRvebis daavadebebis dros;
94. qveda kidurebis qronikuli venuri ukmarisobis diagnostika fizikaluri da
arinvaziuri gamokvlevebiT, konservatiuli mkurnaloba CEAP-is klasifikaciis
gaTvaliswinebiT;
95. venuri eTiologiis trofiuli wylulebis adgilobrivi mkurnaloba;
96. qveda kidurebis qronikuli venuri ukmarisobis qirurgiuli
mkurnaloba CEAP-is klasifikaciis gaTvaliswinebiT:
kroseqtomia (safeno-femoraluri SerTulis areSi didi saCino venis gadakvanZva, gadakveTa
da misi Senakadebis ligireba);
stripingi (veneqstraqtoriT didi da/an mcire saCino venis amoReba);
flebeqtomia (kanqveSa venebis izolirebuli amokveTa);
kanqveSa magistraluri venebis Senakadebis amokveTa naratis meTodiT;
didi da/an mcire saCino venebis Senakadebis kanSida ligireba Sede-koxeris meTodiT;
miniflebeqtomia;
perforantuli venebis epifascialuri (koketis meTodiT) da subfascialuri
(lintonis, felderis, de palmas meTodebiT) ligireba;
kanqveSa venebis skleroTerapia;
perforantuli venebis skleroTerapia dupleqssonografiis kontrolis qveS.
97. Tandayolili arteriuli, venuri da arterio-venurimalformaciebis diagnostika da

11
 mkurnalobis taqtikis SerCeva;
98. mwvave da qronikuli limfedemis diagnostika da mkurnaloba;
99. diabeturi angiopaTiis da diabeturi terfis diagnostika da mkurnaloba;
100. kidurebis vazospasturi daavadebebis _ angiotrofonevrozebis ( sicivis akrocianozi,
periferiuli arteriospazmi, eriTromelalgia, badisebri livedo da sxv,) diagnostika
da mkurnaloba;
101. reinos fenomenis gamomwvevi mizezebis klinikur-laboratoriul-instrumentuli
dadgena, diferenciuli diagnostikis Catareba, mkurnalobis taqtikis SerCeva;
102. kisris da welis simpateqtomiebis Cvenebebis dadgena da maTi warmoeba;
103. gulmkerdidan gamosvlis kompresiuli sindromebis (kostoklaviku-larulis,
hiperabduqciis, wina kibisebri kunTis, mkerdis mcire kunTis, kisris neknis, pankostas
simsivne) klinikur-instrumentuli diagnostika diferenciuli diagnostika da
mkurnalobis taqtikis SerCeva;
104. gulmkerdidan gamosvlis sindromebis qirurgiuli mkurnalobis warmoeba (pirveli
neknis rezeqcia, kisris neknis rezeqcia, mkerdis mcire kunTis gadakveTa,
skalenotomia);
105. sisxlZarRvis kedlis araaTerosklerozuli dazianebebis diagnostika da
mkurnalobis taqtikis SerCeva:
_ aorto-arteriopaTiebi (marfanis sindromi, ehrler-danlosis
sindromi, kistozuri medialuri nekrozi, fibrokunTovani displazia,
arteriomegalia, daklakniloba (kinkingi);
_ aorto-arteriiti, vaskulitebi;
_ adventicialuri kistozuri daavadeba;
_ sisxlZarRvis kedlis inficireba;
_ sisxlZarRvis kedlis dazianebebi sistemuri daavadebebis dros;
_ sisxlZarRvTa eqstravazalaruri kompresia;
_ sisxlZarRvovani simsivneebi;
_ sisxlZarRvis kedlis sxivuri dazianebebi;
_ sisxlZarRvis kedlis dazianebebi intravenur narkotikebze
damokidebulobis dros;
106. portaluri hipertenziis diagnostika da mkurnalobis taqtikis SerCeva;
107. aorta-TeZos da kidurebis arteriebis maokluzirebeli daavadebebis diagnostika da
mkurnalobis taqtikis SerCeva fontenis da transatlantikuri saerTaSoriso
asociaciebis SemTanxmebeli komitetis (TASC) klasifikaciebis gaTvaliswinebiT;
108. aorta-TeZos da kidurebis arteriebis maokluzirebeli daavadebebis qirurgiuli
mkurnalobis warmoeba:
_ barZay-muxlqveSa da barZay-wvivis Suntireba (reversirebuli an
arareversirebuli autoveniT in situ) an proTezireba sinTeturi
proTeziT;
_ endartereqtomia barZayis Rrma arteriidan;
_ TeZo-barZayis segmentis Suntireba an proTezireba sinteturi
proTeziT;

12
 _ eqstraanatomiuri Suntirebebi (jvaredina barZay-barZayis , iRlia-
barZayis, TeZo–barZayis damxuravi xvrelis gavliT);
_ TeZos arteriebis Ria, naxevrad daxuruli da daxuruli
endartereqtomiebi;
_ TeZos arteriebis proTezireba;
_ aorta-TeZos segmentis proTezireba.
109. aortis, magistraluri da periferiuli arteriebis anevrizmebis da
ganSrevebis diagnostika da mkurnalobis taqtikis SerCeva;
_ periferiuli arteriebis aTerosklerozuli da Travmuli
anevrizmebis amokveTa arteriis proTezirebiT/SuntirebiT.
_ muclis infrarenaluri nawilis anevrizmeqtomia proTezirebiT.
110. aortis braqiocefaluri totebis (saZile, laviwqveSa, usaxelo da xerxemlis arteriebi)
maokluzirebeli daavadebebis diagnostika da mkurnalobis taqtikis SerCeva
mastenozirebeli procesis xarisxis da Tavis tvinis iSemiuri insultis ganviTarebis
riskis gaTvaliswinebiT;
111. aortis braqiocefaluri totebis maokluzirebeli daavadebebis qirurgiuli
mkurnalobis warmoeba:
_ saZile arteriis endartereqtomia;
_ saZile arteriis reimplantacia laviwqveSa arteriaSi;
_ jvaredina laviwqveSa-laviwqveSa Suntireba.
112. Tirkmlis arteriebis maokluzirebeli daavadebebis diagnostika da mkurnalobis
taqtikis SerCeva (qirurgiuli, endovaskularuli, konservatiuli);
113. Torakoabdominaluri midgomebis Catareba;
114. simptomuri hipertenziis sxva formebis (feoqromacitoma, konis daavadeba, aortis
koarqtacia, koarqtaciuli sindromi) diagnostika da mkurnalobis taqtikis SerCeva;
115. muclis Rrus visceraluri organoebis mwvave da qronikuli iSemiis diagnostika da
mkurnalobis taqtikis SerCeva (qirurgiuli, endovaskularuli, Trombolizuri);
116. sisxlZarRvTa qirurgiis garTulebebis (proTezis inficireba, Trombozi,
sisxlZarRvovani nakeridan aroziuli sisxldena, aorta-nawlavis fistula)
diagnostika da qirurgiuli mkurnaloba;
117. pacientis operaciuli da anesTeziologiuri riskis dadgena;
118. operaciis wina- da Semdgomi periodebis marTva;

3. profesiuli mzadebis struqtura da sarezidento programis Sinaarsi

3.1. programis aRweriloba

programa iTvaliswinebs sakiTxisadmi jgufur midgomas da gadawyvetas, programaSi
monawile TiToeul klinikur bazaze. avadmyofTa mkurnalobis procesSi monawileoba,
sxvadasxva donis (etapis) rezidentTa mier sxvadasxva moculobiT xorcieldeba.
rezidentebs Soris wesdeba ”piramiduli ierarqiuloba”, rac uzrunvelyofs yvela
maTganis monawileobas swavlisa da swavlebis procesSi. anu, ufroskurseli rezidenti,
programis farglebSi valdebulia gauwios saganmanaTleblo da praqtikuli daxmareba

13
masze erTi doniT qveviT myof rezidents sakuTari kompetenciisa da uflebamosilebis
farglebSi. amgvarad, garda programaSi monawile maswavleblebisa, TiToeuli donis
rezidents hyavs maswavlebeli – zemdgomi etapis rezidentic. bolo etapis rezidenti –
ufrosi rezidenti, garkveul makoordinirebel rols TamaSobs programis sxva
monawileTa Soris da saganmanaTleblo da klinikur-profesiul daxmarebas uwevs umcros
kolegebs. swavlebis pirveli ori wlis ganmavlobaSi rezidentebi asruleben ZiriTad
savaldebulo rotaciebis seriebs modulebis mixedviT, romelTa ganrigi mtkicdeba
individualuri saswavlo gegmis Sesabamisad. aRniSnulis Semdeg, rezidenti agrZelebs
specializacias sisxlZarRvTa qirurgiaSi. sisxlZarRvTa qirurgiaSi sruli, xuTwliani
specializaciis Semdeg, rezidentebi zedmiwevniT iTviseben programas da maTi
pasuxismgebloba etapobrivad izrdeba, romlis kulminacias warmoadgens ufrosi
rezidentis statusi, romlis drosac isini praqtikulad warmarTaven avadmyofTa
mkurnalobas da administrirebas.
rezidents saSualeba unda mieces Seasrulos rTuli procedurebis sakmarisi
raodenoba, raTa SeiZinos adekvaturi qirurgiuli teqnika da SeeZlos sxvadasxva
gansxvavebul situaciebSi marTebuli klinikuri gadawyvetilebis miReba.
programis xelmZRvaneli unda darwmundes, rom rezidentma ara marto Seasrula,
aramed aiTvisa programiT gaTvaliswinebuli sakiTxebi da CamonaTvalis Sesabamisi Cvevebi.
aqedan gamomdinare, Sesrulebuli operaciebis raodenoba TiToeuli rezidentisaTvis
SesaZloa ar iyos zustad identuri.
rodesac Sesrulebuli operaciuli aqtivoba ganisazRvreba saswavlo rolis mqone
intervenciebad, rezidents SeuZlia Seudges gamocdilebis gaziarebas misi umcrosi
kolegebisaTvis da amgvarad gadasces sakuTari codna maTac.

3.2. modulebi / rotaciebi:

modulebis/rotaciebis ganrigi SesaZlebelia Seicvalos rezidentis individuri

samuSao gegmis Sesabamisad. aRniSnuli sakiTxis mogvarebaze pasuxismgebelia programis
fakulteti da uSualod programis xelmZRvaneli.
saswavlo gegma - rezidenturis programa “sisxlZarRvTA qirurgia” 55Tve.

PGY I
zogadi qirurgia I 10 Tve
laparaskopiuli qirurgia (bazisuri nawili) 1 Tve

PGY II
zogadi qirurgia II (zog.qir 3Tve + onkoqirurgia 5 Tve
2 Tve)
დამწვრობა 1 Tve
ყბა-სახის ქირურგია 1 კვირა
სასამართლო მედიცინა 3 კვირა
რადიოლოგია 1 Tve
ტრავმატოლოგია - ორთოპედია 1 თვე
პლასტიკური ქირურგია 1 თვე
თორაკალური ქირურგია 1 თვე

VS I
sisxlZarRvTa qirurgia (gadaudebeli) 3 Tve
უროლოგია, ნეფროლოგია 2 თვე
ტრანსპლანტოლოგია 1 Tve
ბავშვთა ქირურგია 1 Tve

14
sisxlZarRvTa qirurgia 2 Tve
გინეკოლოგია 1 თვე
ნეიროქირურგია 1 თვე

VS II
sisxlZarRvTa qirurgia (gegmiuri) 5 Tve
კარდიოქირურგია 2 Tve
ინტენსიური თერაპია 2 Tve
ინტერვენციული რადიოლოგია 2 Tve

VS III
intervenciuli radiologia 3 Tve
sisxlZarRvTa qirurgia 8 Tve

3.3. rezidentis samuSao ganrigi da konferenciebi

rezidentis samuSao grafiki ganisazRvreba 40 saaTiT kviris samuSao dReebis

ganmavlobaSi anu rezidentis oficialuri samuSao dRe orSabaTi-paraskevis CaTvliT
Seadgens 8 astronomiul saaTs. garda amisa, rezidenti valdebulia yovel me-4 dRes
imorigeos oficialuri samuSao dRis dasrulebidan, momdevno dRes samuSao dRis
dawyebamde. SabaT kviras (aseve dasvenebis dReebSi) 24 saaTis ganmavlobaSi. rezidents
damoukideblad morigeobis ufleba swavlis arc erT etapze ar aqvs. rezidenti aseve
programis xelmZRvanelobis an sakuTari Sexedulebidan gamomdinare, klinikaSi muSaobs
SabaT-kviras da dasvenebis dReebSic. rezidentis samuSao dRe iwyeba 9 saaTisaTvis.
Sesabamisad sruldeba 5 saaTze. rezidents ufleba aqvs rezidenturis yoveli
wlisperiodSi gamoiyenos Svebuleba 30 kalendaruli dRis ganmavlobaSi. Svebulebis
ganrigi Tanxmdeba da mtkicdeba programis xelmZRvanelis mier. gansakuTrebul
SemTxvevebSi, rezidents SeuZlia mimarTos programis xelmZRvanels misTvis Svebulebis
dReebis ganrigis gareSe gamoyenebis uflebis micemis Sesaxeb.
saganmanaTleblo konferenciebi adekvaturi unda iyos, rogorc xarisxiT, ise
sixSiriT. am Sexvedrebze rezidentebma unda SeZlon ara marto klinikuri qirurgiuli
SemTxvevebis ganxilva, aramed, qirurgiis bolo miRwevebis gacnoba. konferenciebis
ganrigi winaswar unda iyos damtkicebuli da cnobili, raTa rezidentebma SeZlon maTze
regularuli daswreba. konferenciebs unda eswrebodnen rogorc rezidentebi, aseve maTi
maswavleblebi, rac dokumenturad unda iyos dadasturebuli. programis mimdinareobisas
SesaZlebelia Semdegi tipis konferenciebis mowyoba:
1. sikvdilobisa da garTulebuli SemTxvevebis yovelkvireuli garCeva, maT Soris
SemTxvevaTa radiologiuri da paTologanatomiuri Sesabamisobis gacnoba
qirurgiuli klinikisa da seqciis Sedegebis Sepirispireba;
2. konferenciebis struqturuli seriebis cikli raTa daifaros programiT
gaTvaliswinebuli klinikuri da sabaziso sakiTxebi (ix. CamonaTvali
kurikulumSi). am dros SexvedraTa momzadebis Sinaarsi unda efuZnebodes
qirurgiis saxelmZRvaneloebs;
3. regularulad mowyobili klinikuri saswavlo konferenciebi, magaliTad:
klinikuri garCevebi da mrgvali magidebi sxvadasxva mowveul profesionalTa
monawileobiT.
programis xelmZRvanelma unda Seqmnas iseTi garemo, romelic optimaluri iqneba
rogorc samkurnalo, ise akademiuri procesisaTvis. konferenciebis TvalsazrisiT,
klinikuri rotaciebis dros SesaZlebelia dawesdes gansxvavebuli modelebi, vinaidan
sxvadasxva specialobebi moiTxoven sxvadasxva samuSao saaTebsa da midgomebs. aqedan
gamomdinare, zogadad programa unda iyos moqnili da advilad Tavsebadi TiToeul
modulTan/rotaciasTan. amasTan, yovelTvis unda iyos gaTvaliswinebuli is garemoeba,
rom rezidenti es aris srul Statze momuSave piri.

15
 qirurgiuli codnis centraluri nawili jamdeba swored zemoT aRniSnul
yovelkvireul sabaziso konferenciebze, romlebic interaqtiulia da didaqtikur xasiaTs
atarebs. qirurgiuli mrgvali magidebi da avadoba-sikvdilobis konferenciebi
warmoadgenen forums, sadac rezidentma unda aCvenos fundamenturi codna; rezidents
saSualeba eZleva, gadaxedos sabaziso qirurgiul safuZvlebs, aqtiuri monawileoba
miiRos SemTxvevaTa prezentaciebSi da gaarCios da daamuSaos Tanamedrove literatura.
konferenciebze ufroskurseli rezidentebi asruleben warmmarTav rols da xels uwyoben
maTi umcrosi kolegebis ganaTlebas.

3.4. samecniero-kvleviTi muSaoba

samecniero-kvleviTi muSaobis komponenti miCneulia programis integralur nawilad da

misi warmarTva sasurvelia programis monawile yvela rezidentisaTvis. programis
samecniero-kvleviTi sakiTxebis koordinatori iZleva meTodur miTiTebebs da
rekomendaciebs am sferoSi, aseve saWiroebis SemTxvevaSi daxmarebas uwevs rezidentebs
proeqtis dagegmvis da ganviTarebis sakiTxebSi, awvdis informacias ZiriTad resursebze,
exmareba donorebTan urTierTobaSi. rezidenti unda eswrebodes erovnul profesiul
forumebsa da RonisZiebebs qirurgiis sakiTxebze, aseve, SeZlebisdagvarad, monawileobas
Rebulobdes saerTaSoriso profesiul da samecniero forumebSi. rezidentebi, romlebic
CarTulni arian samecniero saqmianobaSi, valdebulni arian sakuTari kvlevis Sedegebis
Sesaxeb moxsenebiT warsdgnen programisa da farTo qirurgiuli sazogadoebis winaSe.

3.5. profesiul konferenciebsa da forumebze daswreba

rezidenti unda daeswros adgilobriv, regionul da erovnul profesiul forumebs,

rac gaTvaliswinebuli unda iyos programis xelmZRvanelisa da fakultetis mier.
programam aseve unda uzrunvelyos aseT RonisZiebebSi monawileobis mizniT rezidentis
finansuri uzrunvelyofa, rogorc qveynis SigniT, ise sazRvargareT. daswreba profesiul
RonisZiebebze, gansakuTrebiT mniSvnelovania ufrosi rezidentebisaTvis, ris gamoc,
SerCevis dros maT garkveuli upiratesoba unda mieceT. konferenciis daswrebis gamo
gacdenili periodi aucileblad unda iqnas gaTvaliswinebuli da kompensirebuli
saswavlo individur programaSi.

3.6. praqtikuli saqmianoba:

rezidentTa praqtikuli saqmianoba gaSlilia programaSi monawile klinikur bazebze.

saWiroebis SemTxvevaSi aseve damatebiT SesaZlebelia sxva akreditebuli samedicino
dawesebulebis CarTva. rezidents SeuZlia romelime modulis / blokis gavla
sazRvargareTis romelime wamyvani klinikis bazaze, ris Sesaxebac informirebuli unda
iyos programis administracia, romelic aTanxmebs aRniSnul sakiTxebs ucxoeTis
samedicino dawesebulebasTan. rezidentis qirurgiuli praqtika vrceldeba rogorc
hospitalur, ise ambulatorul/poliklinikur doneze. ambulatoruli qirurgiis Seswavla
warmoadgens qirurgiuli mzadebis ganuyofel komponents qirurgiuli avadmyofis marTvis
erTobaSi. rezidents unda hqondes saSualeba, uSualod gasinjos avadmyofi
hospitalizaciamde. aseve monawileoba miiRos mis mkurnalobasa da marTvaSi operaciis
Semdgom, gaweris momdevno periodSi, maT Soris avadmyofis binaze mkurnalobis etapze (Tu
aseTi mizanSewonilia). postoperaciuli mkurnalobis dros, rezidenti uflebamosilia
poliklinikur dawesebulebaSi miiRos vizitad myofi pacienti, gasinjos da gaataros
Sesabamisi klinikuri RonisZiebebi mis meTvalyure eqimTan erTad.

3.7. uwyveti ganaTleba:

rezidenti unda eswrebodes universitetisa da Sesabamisi klinikebis konferenciebs da

sxvadasxva xasiaTis RonisZiebebs (samecniero, klinikuri, Tematuri statistikuri da sxv).
ufroskurseli rezidenti exmareba mis umcros kolegebs aseT RonisZiebebze warmoadginon

16
moxsenebebi, angariSi da meTodur koordinacias uwevs maT. garda sauniversiteto
ZiriTadi RonisZiebebisa, rezidentebi unda eswrebodnen im klinikuri bazis analogiur
Sexvedrebs, romlebSic mocemul momentSi isini swavlebas gadian.

3.8. kurikulumi:

sisxlZarRvTa qirurgma unda aiTvisos da ganaviTaros specializebuli codna, raTa

moaxdinos sisxlZarRvTa daavadebebis diagnostika, preoperaciuli, perioperaciuli da
postoperaciuli marTva, specialoba moicavs sisxlZarRvebis mwvave da qronikul
daavadebebsa da dazianebebs; aseve yvela asakis pacientTa mwvave da eleqtiur
procedurebs. mzadebis dros, fokusur mimarTulebad aris miCneuli diagnostika da
mkurnaloba. es ukanaskneli moicavs yvela saxis instrumentul da arainstrumentul
meTodebs, maT Soris radiologiur kvlevebs (angiografias, sonografias, kompiuterul
tomografiasa da birTvul magnitur rezonanss). qirurgs unda SeeZlos gamoiyenos
Sesabamisi teqnika rogorc sadiagnozo, ise samkurnalo daniSnulebiT, ris gamoc
momzadebis dros unda mieces saSualeba SeiZinos da ganaviTaros codna da unarebi
teqnikuri meTodebis dasaufleblad.
qirurgiuli aqtivoba moicavs pre-, peri-, da postoperaciul periods; aseve periods
pacientis gaweris Semdeg. specialoba aseve moicavs individur da zogadprevenciul
saqmianobas.
specialoba gansakuTrebiT fokusirebulia periferiuli arteriuli daavadebebis
marTvaze, aseve venuri Trombozebis marTvasa da venuri Tromboemboliebis prevenciaze.
codna da unar-Cvevebi, romlebic sisxlZarRvTa qirurgs esaWiroeba, mWidrodaa
dakavSirebuli da moiTxovs mis TanamSromlobas medicinis sxva dargebTan. garda amisa,
sisxlZarRvTa qirurgs moeTxoveba icodes anatomia, fiziologia, mikrobiologia,
paTologia, bioqimia da sxva sabaziso disciplinebi, rac mas saSualebas miscems Cawvdes
daavadebebisa da dazianebebis arss rogorc organizmis normaluri funqciobisas, aseve
sxvadasxva paTologiuri mdgomareobebis dros. sisxlZarRvTa qirurgs unda SeeZlos im
ZiriTadi farmakologiuri saSualebebis moqmedebis da toqsikuri efeqtebis arsSi
garkveva, romlebic gamoiyeneba sisxlZarRvTa qirurgiaSi. sisxlZarRvTa qirurgs unda
hqondes garkveuli safuZveli aseve zogad paTologiaSi, maT Soris imunologiis
safuZvlebSi da mikrobiologiis sakiTxebSi, romlebic dakavSirebulia qirurgiul
praqtikasTan.
sisxlZarRvTa qirurgis momzadebis dros mas aucileblad unda mieces codna
jandacvis ekonomikis, samecniero-kvleviTi meTodologiebis, eTikuri da iuridiuli
sakiTxebis sferoebSi. mzadebis periodSi qirurgi unda eweodes samecniero aqtivobas,
amzadebdes samecniero publikaciebs da amiT imzadebdes safuZvels Semdgomi klinikuri
saqmianobis warmatebulad ganxorcielebisaTvis.
sisxlZarRvTa qirurgis momzadebis gegma unda moicavdes Teoriul codnas da
praqtikul Cvevebs. pirveli komponenti unda Sefasdes gamocdis gziT, xolo meore –
Sesruldes CamonaTvalis Sesabamisad, Sedegebi dokumenturad aisaxos saregistracio
JurnalSi da Sefasdes klinikuri gamocdis gziT.

Teoriuli codna

specialoba – sisxlZarRvTa qirurgia moiTxovs codnis ganviTarebas, dokumentirebasa

da Sefasebas ramdenime ZiriTadi mimarTulebiT. upirveles yovlisa qirurgs unda gaaCndes
zogadsamedicino da zogad-biologiuri generiuli codna, romelic man unda gamoiyenos
klinikur praqtikaSi; sisxlZarRvTa qirurgma unda warmarTos Tvisobrivi klinikuri
procesi da unda aiTvisos ZiriTadi teqnikuri/operaciuli Cvevebi.
saswavlo programaSi sisxlZarRvTa qirurgis momzadeba ganxorcieldeba modulebis
mixedviT. upirveles yovlisa sisxlZarRvTa qirugisaTvis aucilebelia diplomamdeli
ganaTlebis etapze miRebuli codnis gaRrmaveba da sxva WrilSi ganxilva. aRniSnuli
aucileblobis gamo sisxlZarRvTa qirurgis kvalifikaciis maZiebeli, programaSi
monawileobis dros gaivlis Sesabamis modulebs sabaziso mecnierebebSi da gaiRrmavebs
codnas Semdegi mimarTulebebiT:

17
1.anatomia

1.1 magistraluri, periferiuli da organoTa sisxlZarRvebis topografiuli

anatomia:
1.2 magistraluri, periferiuli da organoTa sisxlZarRvebis
qirurgiuli anatomia:
 qirurgiuli midgomebi;
 magistraluri, periferiuli da organoTa sisxlZarRvebis
anatomiuri variantebi;
 magistraluri, periferiuli da organoTa sisxlZarRvebis
Tandayolili anomaliuri ganviTareba;
1.3 magistraluri, periferiuli da organoTa sisxlZarRvebis
rentgenanatomia.

2. hemodinamika
 hidrodinamikis da hemodinamikis ZiriTadi fizikuri kanonebi;
 gulisSida hemodinamika;
 arteriuli hemodinamika;
 venuri hemodinamika;
 limfodinamika;
 mikrocirkulatoruli hemodinamika;
 sxvadasxva organoTaSida hemodinamika;
 sisxlis nakadis da periferuli winaamRdegobis ganawileba did da mcire sisxlis
mimoqcevis wreebSi;
 sisxlis nakadi da wneva normalur da stenozirebul sisxlZarRvebSi;
 kritikuli arteriuli stenozi;
 arterio-venuri fistulis hemodinika;
 “dasesxebis” da “gaqurdvis” hemodinamikuri fenomenebi.

3. sisxlZarRvis kedlis biologia

 embriologia;
 morfologia;
 bioqimia;
 endoTeliumis funqcia/disfunqcia;
 sisxlZarRvis kedlis tonusi da misi regulacia.

4. aTerosklerozi (zogadi sakiTxebi)

 eTiologia;
 paTomorfologia;
 paTogenezi;
 risk-faqtorebi, skriningi, prevencia.

5. sisxlZarRvis kedlis araaTerosklerozuli dazianebebi

(zogadi sakiTxebi)
 aorto-arteriopaTiebi (marfanis sindromi, ehrler-danlosis sindromi, kistozuri
medialuri nekrozi, fibrokunTovani displazia, arteriomegalia, daklakniloba
(kinkingi);
 aorto-arteriiti, vaskulitebi;
 adventicialuri kistozuri daavadeba;
 sisxlZarRvis kedlis inficireba;
 koarqtacia, anevrizma, ganSreveba;
 diabeturi mikro- da makroangipaTia, arteriis media Sris kalcifikacia
(menkenbergis sklerozi);

18
  sisxlZarRvis kedlis dazianebebi sistemuri daavadebebis dros;
 sisxlZarRvis kedlis sxivuri dazianebebi;
 sisxlZarRvis kedlis dazianebebi intravenur narkotikebze damokidebulobis dros;
 sisxlZarRvebis eqstravazaluri kompresia;
 Tandayolili arteriuli, venuri da arterio-venuri malformaciebi;
 sisxlZarRvebis Trombozebi da emboliebi;
 sisxlZarRvovani simsivneebi.

6. hemostazi
 fiziologiuri funqcionireba;
 hiperkoagulaciuri mdgomareobebi, memkvidruli da SeZenili hiperkoagulaciuri
mdgomareobebi (Trombofiliebi).

7. iSemiasTan dakavSirebuli organoTa disfunqcia

8. farmakologia da farmakoTerapia.
 vazotropuli preparatebi;
 antiTrombuli preparatebi;
 antilipidemuri preparatebi.

9. biologiuri da xelovnuri masalebi sisxlZarRvTa

qirurgiaSi.

10. sisxlZarRvTa daavadebebis epidemiologia.

11. sisxlZarRvSida intervenciebi:

 centraluri venebis (barZayis, laviwqveSa, Sida sauRle) kaTeterizacia;
 barZayis da mxris arteriebis kaTeterizacia;
 kaTeteriTmimarTuli Trobmolizisi;
 kava-filtrebis Cayeneba**;
 sisxlZarRvebis balonuri angioplastika**;
 sisxlZarRvovani anomaluri da SeZenili paTologiuri warmonaqmnebis
embolizacia**;
 sisxlZarRvis sanaTuris stentireba**;
 endovaskularuli protezireba**;
 sisxlZarRvis meqanikuri rekanalizacia**.
SeniSvna:
 - meTodis sruli aTviseba aucilebelia;
** - sakmarisia meTodis principebis Seswavla.
12.sisxlZarRvTa qirurgiuli teqnika
sisxlZarRvebis gamoyofa da maTi sanaTuris kontroli (damWerebiT an
turniketiT):
intraoperaciuli sisxldenis kontrolis meTodebi: arteriotomia/venotomia;
sisxlZarRvis nakeris teqnika:
_ “bolo boloSi”;
_ “bolo gverdSi”;

19
 _ “gverdi gverdSi”;
kedlis gverdiTi plastika.
sisxlZarRvebis proTezireba da Suntireba auto- da sinTeturi
SemcvlelebiT;
sisxlZarRvis replantacia da reimplantacia;
sisxlZarRvSida manipulaciebi sxvadasxva saxis kaTeterebiT;
sisxlZarRvis rekonstruqciis Sefaseba:
_ eleqtromagnituri floumetriiT;
_ intraoperaciuli angiografiiT.
mikroqirurgiuli teqnikis Seswavla saoperacio lupis da
mikroskopis gamoyenebiT:
_ mcire yalibis sisxlZarRvebis plastika;
_ interfascikularuli neiroplastika.

sisxlZarRvTa qirurgia:
1. aorta-TeZos da kidurebis arteriebis maokluzirebeli daavadebebis
diagnostika da mkurnaloba;

2. aortis, magistraluri da periferiuli arteriebis anevrizmebis da

ganSrevebis diagnostika da mkurnaloba;

3. aortis braqiocefaluri totebis (saZile, laviwqveSa, usaxelo da xerxemlis

arteriebi) maokluzirebeli daavadebebis diagnostika da mkurnaloba;

4. Tirkmlis arteriebis maokluzirebeli daavadebebis diagnostika da

mkurnaloba;

5. simptomuri hipertenziis sxva formebis (feoqromocitoma, konis daavadeba,

aortis koarqtacia, koarqtaciuli sindromi) diagnostika da mkurnaloba;

6. visceraluri iSemiis diagnostika da mkurnaloba;

7. gulmkerdidan gamosvlis sindromebis diagnostika da mkurnaloba;

8. kidurebis mwvave arteriuli gauvalobis diagnostika da mkurnaloba;

9. diabeturi angiopaTiis da diabeturi terfis diagnostika da mkurnaloba;

10. sisxlZarRvTa qirurgiis garTulebebis diagnostika da mkurnaloba;

11. sisxlZarRvebis travmuli dazianebebis diagnostika da mkurnaloba,

samxedro-savele qirurgiis principebi;

12. qveda kidurebis qronikuli venuri ukmarisobis diagnostika da

mkurnaloba;

13. Rrma venebis Trombozebis da filtvis arteriis emboliis diagnostika da

mkurnaloba;

14. mwvave da qronikuli limfedemis diagnostika da mkurnaloba;

20
15. kidurebis amputaciis Cvenebebi da qirurgiuli teqnika;

16. sisxlZarRvis kedlis araaTerosklerozuli dazianebebis diagnostika

da mkurnaloba:
 aorto-arteriopaTiebi (marfanis sindromi, ehrler-danlosis sindromi,
kistozuri medialuri nekrozi, fibrokunTovani displazia, arteriomegalia,
daklakniloba (kinkingi);
 aorto-arteriiti, vaskulitebi;
 adventicialuri kistozuri daavadeba;
 sisxlZarRvis kedlis inficireba;
 sisxlZarRvis kedlis dazianebebi sistemuri daavadebebis dros;
 sisxlZarRvTa eqstravazaluri kompresia;
 sisxlZarRvovani simsivneebi;
 sisxlZarRvis kedlis sxivuri dazianebebi;
 sisxlZarRvis kedlis dazianebebi intravenur narkotikebze damokidebulobis dros;

17. kidurebis vazospasturi daavadebebis (angiotrofonevrozebi)

diagnostika da mkurnaloba;

18. Tandayolili arteriuli, venuri da arterio-venuri

malformaciebis diagnostika da mkurnaloba;

19. hemostazis darRvevebis diagnostika da mkurnaloba

sisxlZarRvebis daavadebebis dros;

20. simpateqtomiebis Cvenebebi da qirurgiuli teqnika periferuli sisxlZarRvebis

daavadebebis dros;

21. hemodializisTvis arterio-venuri anastomozebis da Suntebis

Seqmnis qirurgiuli teqnika;

22. portaluri hipertenziisdiagnostika da mkurnaloba;

23. sisxlZarRvovani genezis mamakacTa impotenciis diagnostika da

mkurnaloba;

24. mcire menjis venuri Segubebis sindromiT gamowveuli qalTa

seqsologiuri darRvevebis diagnostika da mkurnaloba;

25. pacientis operaciuli riskis dadgena;

26. operaciis wina- da Semdgomi periodebis marTva;

uro-genitaluri traqti:
Sard sasqeso sistemis qirurgiuli anatomia, gamoyenebiTi fiziologia da paTologia,
romelic aucilebelia klinikuri kvlevebisaTvis, specifikur kvlevaTa
interpretirebisaTvis, moSlili funqciis aRqmisaTvis da uro-genitaluri daavadebebisa
da dazianebebis qirurgiuli mkurnalobisaTvis.
urinaruli traqtis infeqciebi;
hematuria;
Sardovani kenWebi;
Sardis retencia;
Tirkmlis qronikuli ukmaroba: principebi da dializis teqnika;

21
 Tirkmlis gadanergvis principebi;
saTesle parkis tkivili da SeSupeba;
saTeslis Semogrexa;
winamdebare jirkvlis daavadebebi;
muclis mwvave tkivilis ginekologiuri mizezebi;
menjis anTebiTi daavadebebi;
uro-genitaluri traqtis avTvisebiani daavadebebi.

centraluri nervuli sistema (neiroqirurgia):

 Tavis da zurgis tvinis daxuruli travmis zogad nevrologiuri Sefaseba;
 periferiuli nervebis travmuli dazianebis diagnostika;
 neirorafiis Catareba;
 kidurebis centraluri da periferiuli parezis/plegiis dros ganviTarebuli
sisxlZarRvovani distoniis Sefaseba fizikaluri da instrumentuli
(doplerografia) gamokvlevebiT;
 kidurebis Rrma venebis Trombozis antiTrombuli profilaqtika da mkurnaloba
pacientebSi spinaluri travmiT da insultis Semdgom periodSi;
 Tavis qalis dekompresiuli trepanaciis Catareba;
 lumbaluri punqciis Catareba.

Torakaluri qirurgia :
 gulmkerdis organoebis rentgenogramebis da rentgenotomogramebis wakiTxva da
Sedegebis swori interpretacia;
 gulmkerdis yafazis, plevris Rrus da filtvebis dazianebebis diagnostika da
konservatiuli an qirurgiuli mkurnalobis Cvenebebis dadgena;
 plevris Rrus punqciisa da drenirebis warmoeba;
 plevris Rrus gamonadenis aqtiuri amoqaCvis warmoeba;
 sxvadasxva saxis Torakotomiuri midgomebis Catareba;
 pnevmorafiis warmoeba;
 zemo Rru venis sindromis gamomwvevi onkologiuri mizezebis (Suasayaris
simsivneebi, filtvis kibo) diagnostika da mkurnalobis SerCeva;
 gulis kunTis Wrilobis gakervis (kardiorafia) qirurgiuli principebis floba.

praqtikuli unar-Cvevebi
mosalodneli Sedegebi

sisxlZarRvTa qirurgiis programaSi swavlebis dasrulebis Semdeg, sisxlZarRvTa

qirurgis kvalifikaciis maZiebelma kursdamTavrebulma unda SesZlos:

 qirurgiul mdgomareobaTa marTva, sabaziso da klinikur codnaze dafuZnebuli

gamcdilebis gamoyenebiT;
 uCvenos Sesabamisi unar-Cvevebi im qirurgiuli teqnikis gamoyenebiT, romelsac unda
flobdes kvalificiuri qirurgi;
 aCvenos kritikuli azrovnebis unari qirurgiuli gadawyvetilebebis miRebisas,
gansakuTrebiT, rodesac avadmyofi imyofeba sicocxlisaTvis saSiS mdgomareobaSi;
 warmarTos eTikuri, iuridiulad dasabuTebuli gansja, rac Seefereba maRali
kvalifikaciis eqim specialists;
 efeqturad iTanamSromlos kolegebTan da sxva specialobis eqimebTan;
 aswavlos da gauziaros SeZenili codna da praqtikuli gamocdileba kolegebs,
umcros rezidentebs, studentebs da jandacvis sferos sxva muSakebs;
 miawodos pacients da misi ojaxis wevrebsa da axloblebs maTi janmrTelobisaTvis
aucilebeli saWiro rekomendaciebi;

22
  aCvenos mzadyofna uwyveti profesiuli ganaTlebisaTvis, rac erT-erTi
mniSvnelovani momentia qirurgis kvalifikaciis mudmivi amaRlebisa da
srulyofisaTvis;
 aCvenos samecniero kvlevebis, naSromebis adekvaturi aRqmisa da interpretaciis
unari, amavdroulad TviTonac SeeZlos samecniero kvlevis warmarTva an masSi
aqtiuri monawileoba;
 ganaviTaros liderobisa da administraciuli unarebi;
 pativi sces pacientis da maTi ojaxis saWiroebebs, aRmouCinos da warmarTos
qirurgiuli daxmareba maTi saWiroebidan gamomdinare.

arsebiTi SesaZleblobebi, romelic unda gaaCndes rezidenturis kursdamTavrebuls

mdgomareobs akademiur da moqmedebis SesaZleblobebSi da unarebSi, rasac Tan unda
erTvodes fizikuri, kogniciuri da qceviTi Taviseburebebis Camoyalibeba da ganviTareba,
imgvarad, rogorc aRwerilia winamdebare programaSi. diplomisSemdgomi ganaTlebis
programa specialobaSi “sisxlZarRvTa qirurgia” moiTxovs Semdeg komponentebs:
inteleqtualur SesaZleblobebs(konceptualuri, integraciuli da xarisxobrivi
SesaZleblobebi, romlebic aucilebelia diagnozis dasmisa da klinikuri problemebis
gadaWrisaTvis); eqimis miqmedebis qceviT da socialur aspeqtebs, komunikaciur unar-
Cvevebs, motorul Tavisuflebas da sensoruli sferos specifikur ganviTarebas. zemoT
CamoTvlili Cvevebi unda ganiviTaros TviToeulma rezidentma qirurgma, raTa adekvaturi
saSualeba mieces SeZenili profesiuli codnisa da gamocdilebis gamoyenebisaTvis.

inteleqturi SesaZleblobebi

rezidents unda SeeZlos srulyos an SeiZinos faqtobrivi codna kiTxvisa da

didaqtikuri konferenciebis gziT, damoukideblad Seagrovos informacia, moaxdinos
Seswavlili masalis analizi da sinTezi da bolos gamoiyenos arsebuli codna
konkretul klinikur situaciaSi. rezidentma unda gamoimuSaos uwyveti ganaTlebis
Cvevebi, igi Tavidanve unda Seeguos im azrs, rom misi ganaTleba da profesiuli
ganviTareba gagrZeldeba mudmivad, karieris dasrulebamde. rezidentma unda ganiviTaros
adekvaturi klinikuri gansjisunarianoba da warmoaCinos kargad integrirebuli codna
nozologiaTa diagnostikis, mkurnalobisa da prevenciis Sesaxeb, maTi praqtikuli
moRvaweobis CarCoebSi. rezidenti Tavs komfortulad da damajereblad unda grZnobdes,
araorazrovnad moqmedebdes klinikur situaciebSi da saWiroebis SemTxvevaSi unda
SeeZlos moisminos da gaiziaros alternatiuli mosazreba kolegebisagan.

qceviTi, socialuri da profesiuli SesaZleblobebi

rezidenti unda flobdes emociur simwifes da stabilurobas, Tundac stresuli

situaciebis dros moqmedebis dros, rac arc Tu iSviaTia qirurgiul praqtikaSi, man unda
SesZlos advili adaptacia iseT situaciebSi, romlebic gauTvaliswineblad viTardeba an
swrafad dgeba. rezidents unda SeeZlos produqtiuli interaqcia sxvebTan,
TanamSromlobis tipis urTierTobebis damyareba kolegebTan, SeeZlos procesis advilad
daregulireba, unda uCvenos jgufuri muSaobis SesaZlebloba, da rac mTavaria TviT am
gundis Seqmna da Seneba. rezidentma unda SeZlos pacientis marTvis dros prioritetTa
amocnoba da rigiTobis gansazRvra. igi unda iyos punqtualuri da droulad Seasrulos
dakisrebuli valdebuleba. rezidenti unda iyos tolerantuli, zogierTi pirovnebis mier
gamovlenil empaTiur qmedebebTan da mgrZnobiare socialuri da kulturuli
mravalgvarobis sakiTxebTan dakavSirebiT. man unda aCvenos profesiuli eTikuri qceva,
maT Soris sxvisi gasaWirisaTvis upiratesobis miniWebis unari. rezidentma unda
gamoavlinos TanagrZnoba, empaTia, altruizmi, samarTlianoba, pasuxismgebloba da
tolerantoba; aseve uCvenos rom Seswevs unari gamoavlinos srulyofili da sayovelTaod
aucilebeli Sefaseba da gansjisunarianoba saeqimo praqtikis dros.

komunikaciuri Cvevebi

23
 samedicino praqtika moicavs eqimTa Soris urTierTTanamSromlobas. aseve
urTierTobas jandacvis sxva muSakebTan da pacientebTan. rezidents unda SeeZlos
efeqturi urTierToba daamyaros pacientebTan, Sekribos informacia, auxsnas samedicino
monacemebi da sakiTxebi pacients misTvis gasageb da aRsaqmel doneze, mousminos sxvas,
Seicnos, pativi sces da upasuxos emociebs, gamoavlinos sensitiuroba socialur da
kulturul mravalgvarobasTan dakavSirebiT. rezidents unda SeeZlos efeqturi kavSiri
daamyaros da iTanamSromlos mis uZualo xelmZRvanelTan da zedamxedvelTan, sxva
rezidentebTan da samedicino jgufis yvela sxva wevrTan.

motoruli unarebi

rezidents unda gaaCndes saTanado fizikuri monacemebi raTa ganaviTaros da daxvewos

pacientis mkurnalobasTan da movlasTan dakavSirebuli teqnikuri da proceduruli
Cvevebi. mas unda hqondes sakmarisi Zala da gamZleoba Seasrulos dakisrebuli
movaleobebi gamomdinare specialobis specifikidan da gaaCndes adekvaturi fizikuri
maragi da energia gadaitanos xSiri da xangrZlivi morigeobebi.

sensoruli SesaZleblobebi

rezidentma unda gamoimuSaos informaciis Segrovebis gansakuTrebiT gamaxvilebuli

meTodi yvela grZnobiT, gansakuTrebiT mxedvelobiTi, smeniTi, ynosviTi da SexebiTi. es
yvelaferi aucilebelia zusti samedicino da fizikuri anamnezis,fizikuri gasinjvis,
diagnostikisa da mkurnalobis saTanadod warmarTvisaTvis.

garda zemoT ganxiluli saganmanaTleblo da interpersonuli Taviseburebisa,

programis dasrulebis Semdeg rezidents ganviTarebuli unda hqondes sabaziso eTikuri
proncipebis gamoyenebis unari, man unda ucodes da icavdes pacientis uflebebs, unda
hqondes gaTviTcnobierebuli misi movaleoba sazogadoebis mimarT da kargad erkveodes
bio-samedicino kvlevis eTikur aspeqtebSi. rezidenturis kursdamTavrebuls unda SeeZlos
samedicino statis kritikuli ganxilva, samecniero saqmianobis Tavadve warmarTva, unda
hqondes gamomuSavebuli pedagogiuri unar-Cvevebi, SeeZlos Semdgomi personaluri da
profesiuli ganviTareba. mas aseve kargad unda esmodes profesiuli saqmianobis ara
marto mediko-biologiuri aramed iuridiuli standartebic; jandacvis menejmentis,
ekonomikis da biznes aspeqtebi

4. programis marTva da administrireba da

swavlebis/Sefasebis meTodebi

4.1. rezidentze zedamxedveloba

TiToeuli rezidenti asrulebs garkveul saqmianobas. Teoriuli programis Sesruleba da

mravlobiTi rotaciebi gamiznulia imisaTvis, rom rezidentma SesZlos avadmyofTa farTo
speqtris gansxvavebuli SemTxvevebis naxva, Seswavla da marTva; miiRos saganmanaTleblo
gamocdileba, romelic gaTvaliswinebulia winamdebare sarezidento programiT. am procesis dros
rezidentebze zedamxedveloba xorcieldeba ufroskurseli rezidentisa da zogierT SemTxvevaSi
am mizniT specialurad daniSnuli eqimebis mier. TiToeul rezidentze zedamxedvelobisa da misi
saqmianobis monitoringi xorcieldeba werilobiTi angariSis saxiT. saWiroa gakontroldes
rezidentis mier misi individuri gegmis Sesruleba, rezidentis wasvla-mosvlis ganrigi, sxva
valdebulebani, romlebic programiT aris gaTvaliswinebuli. zedamxedvelobis tipi (fizikuri
daswreba, saxlSi gadarekva da ase Semdeg) rezidentisagan moiTxovs gansxvavebul
damokidebulebas, qirurgiuli specializaciis sxvadasxva etapze. aRniSnuli gamowveulia im
faqtiT, rom zeda safexurebze mimaval rezidents, kompetenciasTan erTad, proporciulad ezrdeba
pasuxismgebloba da movaleobebi, maT Soris avadmyofTa mkurnalobasa da movlasTan
dakavSirebiT. saboloo pasuxismgebloba yvela pacientis mkurnalobasTan an samedicino
momsaxurebis sxva saxeebTan dakavSirebiT ekisreba damamTavrebeli kursis rezidentsa da
rezidentTa zedamxedvelobis mizniT daniSnul eqimebs, romelic uSualod adevnebs Tvalyurs
rezidentTa klinikur aqtivobas.

24
 4.2. rezidentTa Sefaseba
rezidenturis programis xelmZRvaneli atarebs rezidentis mier Catarebuli saqmianobis (a)
periodul da (b) Semajamebel Sefasebas.
rezidenti movalea awarmoos rezidentis saregistracio Jurnali, romelSic unda iyos
asaxuli mis mier Catarebuli yovelkvireuli muSaoba (gatarebul pacientTa raodenoba
stacionarSi da ambulatoriul pirobebSi, diagnostikuri da samkurnalo procedurebis Catareba
an asistencia, monawileoba praqtikumebSi Teoriul da eqsperimentul bazebze, paTologanatomiur
gakveTebSi, klinikisa da asociaciis samecniero-praqtikul konferenciebSi da sxva. Canawerebi
unda iyos damowmebuli modulze pasuxismgebeli pirebis (lokaluri klinikuri xelmZRvanelebis)
mier yovelkvireul Semajamebel klinikur seminarze.
yoveli rotaciis ciklis dasrulebis Semdeg rezidenti amzadebs referats an Tanamedrove
klinikur-samecniero literaturis mimoxilvas garkveul Temaze. perioduli Sefaseba tardeba
rezidentis mzadebis yoveli rotaciis ciklis dasrulebis Semdeg, mis mier am ciklis periodSi
CatarebulimuSaobis Sedegebis analizis safuZvelze.
rezidentis periodul Sefasebas atarebs programis xelmZRvaneli modulze pasuxismgebel
pirebTan (lokalur klinikur xelmZRvanelebTan) erTad.
rezidenturis programis dasrulebis Semdeg, programaSi monawile dawesebulebebis modulze
pasuxismgebeli pirebis (lokaluri klinikuri xelmZRvanelebis) gaerTianebul krebaze programis
xelmZRvanelis mier Catardeba rezidentebisSemajamebeli Sefaseba, romelic werilobiTi formiT
egzavnebaprogramis ganmaxorcielebel dawesebulebas/saswavlebels.
rezidenturis programiT profesiuli mzadebis Sedegebis Sefasebisprocedura iTvaliswinebs
rezidentis mier pirad monawileobas:
- pacientTa kurirebaSi, arainvaziur da invaziur gamokvlevebSi, qirurgiuli Cvenebebis
da saoperacio riskis dadgenaSi;
- klinikuri dokumentaciis da gamokvlevebis protokolebis SedgenaSi;
- pacientis operaciis wina momzadebis da operaciisSemdgom mkurnalobis marTvaSi;
- qirurgiul operaciebSi da manipulaciebSi;
- gamsvleli sakonsultacio-qirurgiuli brigadis moRvaweobaSi;
- qirurgiuli teqnikis da sisxlZarRvSida manipulaciebis daxelovnebaSi
eqsperimentuli bazis pirobebSi;
- klinikuri SemTxvevebis aRweraSi da maT wardgenaSi asociaciis winaSe;
- klinikis samecniero moRvaweobaSi;
- klinikuri da samecniero literaturis mimoxilvebis SedgenaSi;
- paTologanatomiur gakveTebSi;
- leqciebisa da seminarebis daswrebaSi
rezidentis profesiuli momzadebis raodenobrivida qulobrivi Sefaseba xdeba specialuri
Sevsebuli formebis analizis Sedegad.
rezidentis moRvaweobis Sefasebisas gaTvaliswinebuli iqneba calkeul samedicino
dawesebulebebSi Tu ganyofilebebSi modulze pasuxismgebeli pirebisagan (lokaluri klinikuri
xelmZRvanelebisagan) miRebuli daxasiaTebebi, romlebSic codnisa da profesiuli unarCvevebis
SefasebasTan erTad aucileblad unda iyos aRniSnuli misi Sesabamisoba saeqimo eTikis
normebTan. programis xelmZRvanelobis wardginebisa da dadebiTi Semajamebeli daxasiaTebis
safuZvelze, dawesebuleba/saswavlebeli ganixilavs konkretuli rezidentis mzadebis Sedegebs da
iRebs gadawyvetilebas Sesabamis specialobaSi profesiuli mzadebis damadasturebeli dokumentis
gacemis Sesaxeb, ris Semdeg mas eZleva ufleba miiRos monawileoba sasertifikacio gamocdaSi.
rezidentis mier Catarebuli muSaobis aradamakmayofilebeli Sefasebis SemTxvevaSi mas eZleva
ufleba, 1 wliT gaugrZeldes swavlebis kursi.
modulze pasuxismgebel pirs (lokalur xelmZRvanels) gaaCnia rogorc iuridiuli, ise
eTikuri pasuxismgebloba individualuri pacientis mkurnalobasa da movlaze, amave dros misi
zedamxedvelobis qveS myofi piris saqmianobaze da ganaTlebaze. amasTan, ufroskursel rezidents,
aRniSnuli zedamxedveloba ufro naklebi xarisxiT esaWiroeba, vidre swavlebis sawyis safexurze
myof pirebs (Tumca ufroskurseli rezidentic moiTxovs zedamxedvelobas ama Tu im xarisxiT).
miTiTebebis jaWvi iTvaliswinebs etapobrivi pasuxismgeblobis zrdas. uflebamosilebis gadacemis
sazRvrebi, konkretul SemTxvevaSi ganisazRvreba modulze pasuxismgebeli piris (lokaluri
xelmZRvanelis)mier, gamomdinare rezidentis akademiuri momzadebisa da teqnikuri mzaobis
aspeqtebidan. amgvari midgoma unda gamomdinareobdes modulze pasuxismgebeli piris (lokaluri

25
xelmZRvanelis)piradi/uSualo xangrZlivi dakvirvebidan, romelic garkveulwilad pasuxismgebeli
unda iyos rezidentis mier qirurgiuli unar-Cvevebis aTvisebaze da am ukanasknelis xarisxze. am
pasuxismgeblobis SesrulebisaTvis, momzadebis programa unda moicavdes zedamxedvelobis
ganxorcielebis Semdeg principebs:
1. rezidentze zedamxedvelobis formebi SesaZlebelia ganisazRvros SinaganawesiT,
politikiT an sxva raime proceduruli normiT klinikaSi an konkretul romelime
departamentSi;
2. rezidentze zedamxedvelobis formebi da wesebi periodulad mowmdeba programis
xelmZRvanelobis mier;
3. saTanado zedamxedveloba xels ar unda uSlides progresul da SedarebiT ufro
damoukidebel gadawyvetilebaTa miRebas rezidentTan dakavSirebiT; amgvarad,
zedamxedvelobis tipi SesaZlebelia varirebdes klinikuri situaciebisa da rezidentis
momzadebis etapisa da donis Sesabamisad. miuxedavad amisa, xelmZRvanelobis wevri an
modulze pasuxismgebeli piri (lokaluri xelmZRvaneli) nebismier dros unda iyos
xelmisawvdomi rCevis micemis, daxmarebis an konsultaciuri mxardaWerisaTvis.
sisxlZarRvTa qirurgiis specialobis maZieblebi, rezidenturis programaSi momzadebis
dros unda akmayofilebdnen dadgenil akademiur kriteriumebs. wlidan wlamde, rezidentTa
akademiuri kompetenciisa da klinikuri unar Cvevebis progresis raodenobrivi da xarisxobrivi
Sefaseba xorcieldeba rezidentTa Sefasebis politikis saSualebiT. rezidentTa ganviTarebis da
moqmedebis progresis monitoringi etapobrivad xorcieldeba TiToeuli rotaciis dasrulebis
Semdeg. meores mxriv, rezidentis Sefaseba SesaZlebelia moxdes xelmZRvanelobis mier gamocdis
tipiT mowyobili gamokiTxviT: zepiri, testuri, werilobiTi da Cvevebze uSualo zedamxedvelobis
saxiT. Sefasebis yvela tipis dasrulebis Semdeg dgeba erTiani angariSi, romelic gadaegzavneba
programis xelmZRvanels gansaxilvelad da xelmowerisaTvis. rezidents, romlis saboloo
Sefasebis reitingi dabalia (Sefasebis sistema SesaZlebelia iyos - mZime - deficituri, mkveTrad
deficituri, misaRebi, damakmayofilebeli, kargi, warmatebuli), dauyovnebliv egzavneba Sefasebis
asli. imavdroulad asli igzavneba programis xelmZRvanelTan. am SemTxvevaSi, rezidents ufleba
aqvs, werilobiT gamoxatos Tavisi Tanxmoba an winaaRmdegobrivi aspeqtebi mocemuli Sefasebis
mimarT. rezidenti unda Sexvdes modulze pasuxismgebeli piris (lokalur xelmZRvanels), raTa
ganixilon samomavlo strategia (swavleba, interpersonuli, komunikaciuri da a.S.)
identificirebuli susti mxareebis aRmosafxvrelad. rezidentTa Sefasebis politika
mniSvnelovania aseve programis promociis, srulyofis, gamosworebis da sxva mniSvnelovani
sakiTxebis TvalsazrisiT.

specialoba – sisxlZarRvTa qirurgia moiTxovs Sefasebul da dokumentirebul codnas da amasTan

erTad kargad ganviTarebul praqtikul unar-Cvevebs. sisxlZarRvTa qirurgis kvalifikaciis
maZiebelma unda aCvenos saTanadod ganviTarebuli unarebi da maTi praqtikuli Sesruleba yvela
zemoT CamoTvlil sferoSi.

4.3. Sefasebis meTodi: 80%-iani wesi

sisxlZarRvTa qirurgis kvalifikaciis maZieblisaTvis wayenebuli minimaluri moTxovna moicavs

sul mcire 557 ჩatarebul intervenciasa da proceduras, 20ინტერვენციულ რადიოლოგიას da 40
operacias (operatori) სისხლძარღვთა ქირურგიაში. saerTo jamSi savaldebuloa სისხლძარღვთა
ქირურგიაში299 operaciis (operatori + asistencia) warmoeba swavlebis periodSi. sxvadasxva
operaciisTvis gamonaklisis saxiT, operaciaTa sruli raodenoba unda aRwevdes sul mcire 80%-s.
erT an ramdenime regionSi raodenobrivi deficiti unda gadaifaros da kompensirdes sxva jgufis
operaciaTa raodenobiT, raTa saboloo jamSi Sesrulebuli iyos sruli minimaluri moculoba
(იხ. დანართი N2).

rezidentis mier monacemTa Segroveba da dafiqsireba unda xdebodes programiT dadgenili

wesiT, anu nebismieri Sesrulebuli samuSao saTanadod unda aisaxos rezidentis saregistracio
JurnalSi. SesaZlebelia rezidentis saqmianobis registraciis eleqtronuli sistemis SemoReba,
ris Semdegac SesaZlebeli gaxdeba rezidentis koduri sityviT dacul angariSze, nebismieri
personaluri kompiuteridan informaciis Seyvana.
garda sakuTari saregistracio Jurnalis warmoebisa, rezidenti valdebulia dadgenili
wesiT awarmoos samedicino Canawerebi, klinikur bazaze warmarTul saeqimo saqmianobasTan

26
dakavSirebiT. Tu rezidentis mier, pacientTa mkurnalobasa da movlasTan dakavSirebuli
Canawerebi ar iqneba ganaxlebuli pacientis klinikidan gaweridan 24 saaTis Semdeg, rezidents
disciplinuri sanqciis saxiT SesaZloa moexsnas morigeoba.
programis xelmZRvanelis mier rezidents SesaZlebelia daumtkicdes (programis monawile
yvela maTgans) yovelwliuri operaciuli aqtivobis (datvirTvis) minimaluri normebi.

4.4. rezidentTa mier programis Sefaseba

rotaciebis ganmavlobaSi, rezidentebi afaseben diplomis Semdgomi mzadebis sarezidento

programas. Sefasebis dros gaTvaliswinebulia maTi operaciuli aqtivobis xarisxi, avadmyofis
sawolTan palataSi muSaobis xarisxi, fakultetis SesaZleblobebi, programis Sesrulebis
realuroba; aseve miuTiTeben maT survilebsa da mosazrebebs programis Semdgom srulyofasTan
dakavSirebiT. programis romelime fragmentis maTi mxridan uaryofiTad Sefasebis SemTxvevaSi,
maT sTxoven aseve warmoadginon problemis gamosworebis sakuTari xedva. Sefasebis dros
garantirebulia sruli anonimuroba. Sedegebi muSavdeba da xelmisawvdomi xdeba Sefasebis
dasrulebidan mokle vadebSi. Sefasebis Sedegebze dayrdnobiT, programis xelmZRvanelobaadgens
rekomendaciebs, swavlebis xarisxis daxvewisa da gaumjobesebis TaviseburebebTan dakavSirebiT.
sayovelTao Sefasebis dadebiTi Sedegebis arsebobis SemTxvevaSi, Tu amgvari warmateba
sistematuria, programis xelmZRvaneloba aRZravs saTanado Suamdgomlobas, aRniSnuli tendenciis
mxardasaWerad da waxalisebis Taobaze.
programis monitorings axorcielebs “sisxlZarRvTa qirurgiaSi” sarezidento programis
xelmZRvaneloba, romlis SemadgenlobaSi Sedis programis xelmZRvaneli, programis
xelmZRvanelis moadgile, programaSi monawile klinikuri bazebis warmomadgenlebi – modulze
pasuxismgebeli pirebi (lokaluri xelmZRvanelebi, modulebis mixedviT), sisxlZarRvTa qirurgTa
erovnuli profesiuli da samecniero gaerTianebebis warmomadgenlebi.

5. programis xangrZlivoba

sisxlZarRvTa qirurgiaSi diplomis Semdgomi mzadebis periodi moicavs minimum xuT wels.
programis mimdinareobis dros, kvalifikaciis maZiebels sxvadasxva obieqturi mizezebidan
gamomdinare swavlebis Sewyveta ar SeuZlia erT welze meti periodis xangrZlivobiT. momzadebis
periodSi resursebis simciris, programis uwyvetobisa da mimdinareobis xarisxis
uzrunvelyofisaTvis SesaZlo risk-faqtorebis gaTvaliswinebiT, Tu kvalifikaciis maZiebeli ver
Seasrulebs rezidenturis programiT gaTvaliswinebul klinikur unar-CvevaTa minimalurad
sakmaris raodenobas, programis xelmZRvaneloba ganixilavs sakiTxs programis xangrZliobis
gazrdasTan dakavSirebiT.

6. rezidenturaSi profesiuli mzadebis meToduri uzrunvelyofisa da organizaciis wesi

6.1. programis organizacia da meToduri uzrunvelyofa

sisxlZarRvTa qirurgiaSi diplomisSemdgomi momzadebis programis marTvas
axorcielebs “sisxlZarRvTa qirurgiaSi” diplomisSemdgomi ganaTlebis programis
fakulteti, romelic iqmneba akreditebul dawesebulebaSi/saswavlebelSi. fakultetis
SemadgenlobaSi Sedian: programis xelmZRvaneli/xelmZRvaneli, programis
xelmZRvanelis/xelmZRvanelis moadgile, programis mdivani, programaSi monawile klinikuri
bazebis warmomadgenlebi (modulebis da blokebis mixedviT), maT Soris modulebze
pasuxismgebeli pirebi (zogadi qirurgia, gulmkerdis qirurgia, sisxlZarRvTa qirurgia,
kardioqirurgia, radiologia, bavSvTa qirurgia, klinikuri anatomia, otorinolaringologia,
intensiuri Terapia da sxv), qirurgTa erovnuli profesiuli da samecniero gaerTianebebis
warmomadgenlebi. fakulteti qmnis programis ganxorcielebisaTvis aucilebel
infrastruqturas, romelic efuZneba modulebis da blokebis princips. departamentis mizania
programis mimdinareobaze mudmivi meTvalyureoba, programis mimdinareobis xarisxis

27
uzrunvelyofa, programis calkeuli komponentebis Sesrulebis harmonizacia analogiur
evropul struqturebTan, programis ganxorcielebisaTvis aucilebeli resursebis uwyvetobis
uzrunvelyofa, sisxlZarRvTa qirurgiaSi kvalifikaciis maZieblisaTvis xelSewyoba rogorc
saorganizacio, ise profesiuli aspeqtebis mxriv. fakulteti monawileobs programisaTvis
saWiro klinikuri bazebis SerCevisa da Sida Sefasebis procesSi.
programisdizainiimgvaradaakonstruirebuli, romswavlebis 2 an 3 wlisSemdeg,
programaSimonawilepirssaSualebamieces,swavlagaagrZelossxvaqirurgiulimomijnave
specialobisanalogiurdiplomisSemdgomimzadebissaganmanaTlebloprogramaSi.
programismarTvazepasuxismgebelipiriaprogramisxelmZRvaneli,
romelicaxdensakademiuridaadministraciuliuflebebisdelegirebasmodulebisxelmZRvanelebze.

6.2. rezidentebisSerCeva

programis departamenti da dawesebulebebi erToblivad monawileoben programaSi

monawileobis msurveTa SerCevaSi. sisxlZarRvTa qirurgiis sagnobrivi specifikidan
gamomdinare, programa moiTxovs solidur resursebs da multidisciplinur midgomas.
aRniSnulidan gamomdinare, kvalifikaciis maZieblis SerCevas metad mniSvnelovani roli
gaaCnia. SerCevis procedura ganisazRvreba saqarTveloSi moqmedi regulirebisa da normebis,
aseve konkretuli akreditebuli dawesebulebis/saswavleblis mier dadgenili wesis
Sesabamisad. SerCevisproceduraundaiyosgamWirvale, daTanasworadxelmisawvdomi.
programisdepartamenti, SerCevissabolooetapzeawyobsSexvedraskandidatebTan.
rezidentebis SerCevis procesSi aucileblad unda monawileobdes rezidenturis
fakultetis warmomadgenlebi. rezidenturaSi misaReb specialobis maZiebelTa SerCevis dros
dauSvebelia piris diskriminacia raime niSniT.

moTxovnebi – “sisxlZarRvTa qirurgis” kvalifikaciis maZieblisadmi:

gamocdileba
saswavlo programSi monawile pirs unda gaaCndes sabaziso samedicino ganTleba, romelsac
man unda daaSenos programis farglebSi SeZenili codna da praqtikuli unar-Cvevebi.
aRniSnulidan gamomdinare, programaSi monawile pirs unda SeeZlos bejiTi da dakvirvebuli
muSaoba rogorc saavadmyofos, ise poliklinikis (ambulatoriis) da dRis stacionaris
pirobebSi. isini yoveldRiurad unda asrulebdnen minimalurad aucilebel procedurebs
mainc. aRniSnul proceduraTa raodenoba da saxeebi gansazRvrulia aRniSnuli programiT da
mtkicdeba programis departamentis mier individuri samuSao gegmis saxiT.

saswavlo programaSi momzadebis ena

saswavlo programaSi monawile pirebi aucileblad unda flobdnen saxelmwifo enas,
programaSi monawile ucxoeli moqalaqeebisaTvis dawesebuli unda iyos saxelmwifo enis
codnis garkveuli moculoba da swavlebis procesSi maT unda ganaviTaron aRniSnuli
lingvisturi SesaZleblobebi. programaSi monawile pirebisaTvis sasurvelia aseve inglisuri
da/an sxva romelime ucxo enis codna Tanamedrove samedicino literaturisa gacnobis
aucileblobis proncipidan da ucxoel kolegebTan urTierTobis interesebidan gamomdinare.

katalogi (atlasi)
programis monawileebi valdebulni arian dadgenili wesiT awarmoon da Seinaxon klinikuri
unar-Cvevebis katalogi da sxva saWiro dokumentacia, romelic ukavSirdeba maT saswavlo
programaSi monawileobas.

rezidentTa xelSewyobis politika

sisxlZarRvTa qirurgis momzadeba klinikuri praqtikisaTvis moicavs sabaziso sagnebis
swavlebas, kogniciuri da teqnikuri Cvevebis aTvisebas, klinikuri codnis ganviTarebasa da
profesiul simwifes, qirurgiuli msjelobis unaris Camoyalibebas, sakomunikacio unar-
Cvevebis daxvewas, praqtikaze dafuZnebuli codnis ganzogadebas (gamocdilebas) da sistemaze
dafuZnebuli codnis ganzogadebas. programis xuTwliani mimdinareobis periodSi TiToeul
maZiebels moeTxoveba zemoT CamoTvlili mimarTulebebis da kompetenciebis swrafi da
gegmazomiero progresis dadastureba. Semdgomi sarezidento donis (modulis) promocia
(magaliTad PGY-1 –sa PGY-2-is mier) efuZneba rezidentis miRwevebs qirurgiul da

28
zogadklinikur kompetenciebSi da moqmedebaSi, maT Soris gasaTvaliswinebelia kogniciuri,
teqnikuri, profesiuli, eTikuri Cvevebi, romlebic adekvaturad unad ganizomos Sefasebis
procesis dros. fakultetis mier mowyobili Sefasebebi gamiznulia imisaTvis rom rezidentis
mier zemoT CamoTvlili kompetenciebis ganviTarebas mieces dokumenturi saxe, Tumca
perioduli pirispir Sexvedrebi da uSualo Sefasebebi gacilebiT ufro metis momtania,
Tundac im TvalsazrisiT, rom Sefaseba iyos ormxrivi da amocnobil iqnes yvela is riski da
susti mxare, rac xels uSlis rezidentis kompetenciisa da moqmedebis adekvatur ganviTarebas.
aseTi “pirispir” uSualo Sefasebebis dros SesaZlebelia zustad dadgindes rezidentis mier
miRweuli akademiuri kompetenturoba, akademiuri saWiroebebi da moqmedebis axleburi
standartebi. Tu Sefasebis dros dadgindeba, rom rezidentis moqmedeba mniSvnelovan deficits
ganicdis da saWiroa damatebiTi dro am naklovanebaTa aRmosafxvrelad, programis
xelmZRvanelma SesaZlebelia moiTxovos rotaciis xangrZliobis gazrda an momzadebis
sistemis imgvari droebiTi modificireba, romelic am susti mxaris gamosworebas
uzrunvelyofs. msgavsi xasiaTis rekomendaciebiT, programis xelmZRvanels SesaZloa mimarTos
Tbilisis saxelmwifo samedicino universitetis xarisxis uzrunvelyofis samsaxurmac.

rezidenturis Sewyvetisa da rezidentis garicxvis politika

rezidenturis programis Sewyvetisa da rezidentis garicxvis Sesaxeb (swavlebis aRdgenis
uflebis gareSe) gadawyvetilebas iRebs, sisxlZarRvTa qirurgiaSi sarezidento programis
fakulteti. gadawyvetilebis miRebis safuZveli SesaZlebelia gaxdes rezidentis mier
ganviTarebis (progresis) demonstrirebis SeuZlebloba, im kompetenciebis sazRvrebSi,
romelic gansazRvrulia am programiT. gadawyvetilebis gasaCivreba SesaZlebelia programis
fakultetis zemdgom struqturebSi. rezidentis garicxvis gadawyvetilebis miRebamde,
fakulteti valdebulia werilobiTi gafrTxileba misces rezidents da SesTavazos misi
aRmofxvris garkveuli modeli, risTvisac gansazRvravs garkveul periods. anu, winamdebare
politika miznad isaxavs rezidentis garicxvis dauSveblobas, probaciuli periodis micemis
gareSe. rezidentis garicxvis gadawyvetilebis miRebis safuZveli, garda akademiuri
problemebisa, aseve SesaZlebelia gaxdes: toqsikuri an narkotikuli nivTierebebis
zemoqmedebis qveS yofna, sxva personalis mimarT araeTikuri saqcieli da mopyroba, romelsac
sistematuri xasiTi aqvs, sxva pirisaTvis mZime fizikuri an fsiqikuri zianis miyeneba,
sqesobrivi iZuleba samsaxureobrivi movaleobis Sesrulebis dros da ase Semdeg. rezidentis
garicxvis SemTxvevaSi, am ukanasknels, apelaciis aRZvris ufleba zemdgom struqturul
erTeulebSi unarCundeba gadawyvetilebis gamoqveynebidan mxolod 30 dRis periodSi. apelacia
unda iyos motivirebuli da exebodes garicxvis dadgenilebaSi moyvanili faqtebis
gaqarwylebas. apelaciis daukmayofileblobis SemTxvevaSi, sakiTxi unda gadawydes
saqarTvelos kanonmdeblobiT dadgenili wesiT.

sisxlZarRvTa qirurgiis sabaziso momzadeba

sabaziso momzadeba sisxlZarRvTa qirurgiaSi, gaTvaliswinebuli unda iyos saswavlo gegmis
yvela etapze. mzadebis pirveli wlebis ganmavlobaSi, kvalifikaciis maZiebelma unda
daasrulos momzadeba zogadi qirurgiis sabaziso sakiTxebSi rac moicavs: qirurgiul
anatomias, gamoyenebiT fiziologias, metabolizms, imunologias, nutriciologias, travmis
marTvas, paTologias, Wrilobebis qirurgias, Soks, reanimacias, intensiur Terapiasa da zogad
onkologias. aRniSnuli aucilebloba garkveulwilad ganpirobebulia qirurgiis sxva
specialobebis diplomis Semdgomi momzadebis programebSi, sisxlZarRvTa qirurgiis
kvalifikaciis maZieblis SesaZlo gadasvlis sakiTxis interesebidan gamomdinare. garda
aRniSnulisa, saswavlo programa SeZlebisdagvarad harmonizebuli unda iyos evropuli
saganmanaTleblo sivrcis wevr qveyanaTa analogiur programebTan, rac xels Seuwyobs eqimTa
(maT Soris diplomisSemdgomi ganaTlebis etapze) Tavisufal mobilobas erTiani
saganmanaTleblo sivrcis farglebSi.

saswavlo programa da klinikuri Cvevebis katalogi (atlasi)

sisxlZarRvTa qirurgiaSi kvalifikaciis maZieblebma unda SeiZinos programaSi mocemuli
gamocdileba da aiTvisos unar Cvevebis is CamonaTvali, romelic amave dokumentiTaa
gansazRvruli, programis departamentis mier damtkicebuli (individuri) saswavlo gegmis
Sesabamisad. operaciuli gamocdileba saTanado wesiT struqturirebulad unda iqnes
registrirebuli da asaxuli programis maZieblis klinikuri Cvevebis katalogSi. mkurnalobis

29