рrint ISSN: 2617-2682; online ISSN: 2707-3637; DOI:10.26697/ijsa IJSA LETTER TO THE EDITOR Present Day Deviations of Thinking of the Internship Doctors Yekhalov V. V.1, Sedinkin V. A.1 1 State Institution “Dnipropetrovsk Medical Academy of the Ministry of Health of Ukraine”, Ukraine Received: 14.04.2020; Accepted: 08.05.2020; Published: 30.06.2020 Keywords: education, educational process, conceptual thinking, training, internship doctors Copyright: © 2020 Yekhalov V. V., Sedinkin V. A. Published by Archives of International Journal of Science Annals DOI and UDC DOI 10.26697/ijsa.2020.1.8; UDC 377.018.48:159.955 Conflict of interests: The authors declare that there is no conflict of interests Source of support: This study did not receive any outside funding or support Information about Yekhalov Vasyl Vitaliyovych – http://orcid.org/0000-0001-5373-3820; Doctor of the authors: Philosophy in Medicine, Associate Professor, State Institution “Dnipropetrovsk Medical Academy of the Ministry of Health of Ukraine”, Dnipro, Ukraine. Sedinkin Vladyslav Anatoliyovych (Corresponding Author) – https://orcid.org/0000- 0002-8894-1598; dnepr_vlad@ukr.net; Doctor of Philosophy in Medicine, Associate Professor, State Institution “Dnipropetrovsk Medical Academy of the Ministry of Health of Ukraine”, Dnipro, Ukraine. Dear Editor! a medium level of the elastic thinking was by 11% lower Within recent years, we have conducted a series of than such rate among the internship doctors majoring in investigations on the diagnostics of mosaic thinking Anesthesiology and Neurology; and the rate of the since presently, the process of substitution of the internship doctors with a low level of the theoretical fragmented (mosaic) thinking for the medical judgment thinking among the doctors majoring in Stomatology, is progressively going on among the individuals getting was higher by 8% and 9% respectively than such rates the postgraduate medical education (Yekhalov, among the doctors within two other aforesaid study Yehorov, Pavlysh, & Barannik, 2020). For the purpose groups. Whilst, the a-priori knowledge enables to of verbal estimate of the quality of thinking of the apperceive the factual information, to tease out the internship doctors, we have used a modified test of certain facts from the general observations, to provide thinking and creativity, which was created by Bruner, an general insight into the certain phenomena (i.e., to reveal American psychologist. Over three years, an anonymous the essence of such phenomena), to answer the questions testing has been held in four peer groups of the 1 st year in relation thereto how and why these or those processes internship doctors majoring in Anesthesiology, occur in the human body. First of all, the true Stomatology and Neurology (exactly 100 respondents in professionalism of a doctor is aligned with the each group). The test questionnaire was focused on the theoretical (reflective) mode of thinking. And exactly preference of the textual or pictorial information; on the such mode of thinking (but not an algorithm) provides character of the representation of information (i.e., as a tremendous advantages to a doctor when solving the job text, as a visual imagery, or both these characters tasks related to the diagnosis, medical treatment and equally); on the using of the symbolic information prevention. coding; on the selection of a solution as for the A high level of the imaginative (creative) thinking of the representation of pictorial information; on the internship doctors majoring in Anesthesiology and interrelation between the actions themselves and the Neurology, was identical to the level of their theoretical discussing of such actions; on the extent and rate of the thinking; while the same level among the doctors information handling; on the way-finding in a non- majoring in Stomatology, was by 5% lower. A medium homogenous informational space; on the fatigue level, level of the creative thinking prevailed, and it amounted and so on. almost to 50% in all the groups of respondents; and a The quantity of the internship doctors with a high level low level of the creative thinking was observed as for of the theoretical (elastic) thinking has equally ranged in 25% of all the respondents. the aforesaid study groups (that is, 25%, 24% and 26% The creativity characterizes the creative abilities of an respectively); thereat, among the internship doctors individual, his/her readiness to the creation of the majoring in Stomatology, the rate of these doctors with fundamentally-novel ideas which diverge from the 57 International Journal of Science Annals, Vol. 3, No. 1, 2020 conventional or currently-accepted schemes of thinking; hands-on trainings and workshops, the drawing of the as well as it characterizes the problem-solving ability as mental maps, the gamification, and the maximum use of to the problems arising within the static systems. The the visual content formats are of considerable present-day researchers have proven that the internship importance (Tsarevskaya & Iudalevich, 2020). The doctors with a high level of the creative thinking manage logic of content of the education programs in the the solving of the clinical case problems twice as fast, medical fields of study must correspond to the logic of and what is more, they advance and convey more the data source relations in terms of the genesis and various ideas under certain specific conditions, and offer development of a pathogenic process. Such architecture the various types of the health care services (Melnyk, of content of a student course will be aligned with the Yekhalov, & Sedinkin, 2020). principle of transition from the abstract to the concrete As compared to our investigations conducted three years (that is, from the moment of interaction of the ago (under the test technique created by Litvinova), we pathological factors with the certain systems of the have experienced a 20-27% growth in the number of the human body to a specific nosological entity). When persons with the fragmented thinking among the focusing on the logo in the process of training, there internship doctors. Thereat, a high level of the mosaic appears an opportunity for the solving of the entire class thinking was observed among the internship doctors of the job tasks covered by a certain medical field. Such majoring in Stomatology twice as often as among such method of determination of the content and techniques doctors majoring in Anesthesiology and Neurology. A of the professional training of a doctor will enable to medium level of the fragmented thinking was registered develop the doctor’s theoretical thinking, and thus, to almost for one half of all the respondents; and such level develop the doctor’s abilities not only to solve the prevailed among the internship doctors majoring in routine tasks concerning the diagnosis, medical Stomatology, being observed among them by 11% more treatment and prevention, but also to solve the non- often. Meanwhile, to the contrary, the quantity of the routine tasks concerning the same problems. persons with a low level of this type of thinking has ranged in favor of the internship doctors majoring in Conclusions: Anesthesiology and Neurology. An internship doctor 1. The level of the fragmented thinking among the with mosaic thinking faces the difficulties in internship doctors majoring in various special fields, is comprehension of the gross appearance, and presently almost the same as the level of their theoretical consequently, he/she perceives only the fragmentary and creative thinking, what is more than by one fourth pieces of data, and is not capable to correlate them to higher as compared to the findings of our investigation other ones. At the mosaic thinking, the uptake of conducted three years ago. information proceeds by way of the increase in quantity 2. The architecture of an up-to-date training process in due to the depreciation of quality. It has been proven correspondence with the requirements of the relevant scientifically that only 2% of the human subjects are education program must pay due consideration to the capable to make use of the multitasking efficiently and educational tasks against the background of the in a maximally-qualitative manner. Thus, not the progressive changes in terms of the shift in mindset practicable medical conceptions are formed by such within the society. future doctors, but only the imageries of separate 3. Under present-day conditions of a total deviation of pathologic features, what results in the diagnostic the individuals’ thinking, there is needed an up-to-date reasoning based on the formal comparison operations valid adaptation of the logic and content of the education (that is, the reasoning on the basis of analogy). As a rule, programs within the framework of the pre- and a present-day secondary school leaver is ill-trained for postgraduate medical education. the solving of the tasks related to the handling of the written information, and therefore, such a leaver does Acknowledgements not have either the skills of the reading of the texts in a We would like to express our deepest gratitude to qualitative manner and of the interpretation of such Dr. Yuriy Melnyk for introducing this prestigious texts, or the skills of the oral and written representation Journal to us and encouraging us to publish our letter in of the reads. Consequently, the training methods created the aforementioned Journal. for the persons with the conceptual thinking, are senseless for the persons with the mosaic thinking. Ethical Approval The healthcare system needs the creative professionals The study protocol was consistent with the ethical no less than other fields of the social and economic guidelines of the 1975 Declaration of Helsinki as sectors. This translates to the transition to the new reflected in a prior approval by the Institution’s Human educational standards in the system of medical Research Committee. education, which are focused on the competency-based approach and assume the development of the reflective References and creative learning technologies. Within the Melnyk, Yu. B., Yekhalov, V. V., & Sedinkin, V. A. framework of the pre- and postgraduate education, there (2020). The Role and Influence of “Clip is observed a conflict between the cognitive style of the Thinking” on the Educational Process in Medical information uptake and the conventional, conceptual Education. Interdisciplinary Journal of Virtual presentation of the information. Therefore, an up-to-date Learning in Medical Sciences, 11(1), 61–64. valid adaptation to the deviations of thinking of the doi:10.30476/IJVLMS.2020.85375.1019 persons receiving training, is needed. Thereupon, the 58 рrint ISSN: 2617-2682; online ISSN: 2707-3637; DOI:10.26697/ijsa IJSA Tsarevskaya, O. A., & Iudalevich, N. V. (2020). Yekhalov, V. V., Yehorov, S. V., Pavlysh, O. S., & Izmeneniye podkhodov k obucheniyu v Barannik, S. I. (2020). Klipove myslennya v usloviyakh razvitiya klipovogo myshleniya anesteziolohiyi: paradoks sʹohodennya [Clip [Changing approaches to learning in the thinking in anesthesiology: the paradox of development of clip thinking.]. Business today]. Pain, Anaeshesia & Intensive Care, 1, education in the knowledge economy, 2, 100– 39–42. doi:10.25284/2519- 102. (in Russian) 2078.1(90).2020.193908 [in Ukrainian] Cite this article as: Yekhalov, V. V., & Sedinkin, V. A. (2020). Present Day Deviations of Thinking of the Internship Doctors. International Journal of Science Annals, 3(1), 57–59. doi:10.26697/ijsa.2020.1.8 The electronic version of this article is complete and can be found online at: http://ijsa.culturehealth.org/en/arhiv This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (http://creativecommons.org/licenses/by/4.0/deed.en). 59