Detailing of the Main Difficulties and Methods for Overcoming them in Mastering the Basic Objective Research Methods by Medical Students with Different Levels of Training

   The problem of mastering practical skills in the discipline "Propaedeutics of Internal Diseases" in professional circles has acquired the scale of a wide discussion. Such attention is caused by high requirements for the diagnostic
skills of a doctor, the basis of which is laid during the mastering objective research methods of organ systems in the second and the third year of medical university. In the current situation, the issue of choosing a teaching methodology that can improve the level of specialists is acute.

   The purpose of this survey work is to identify patterns between the difficulties in the objective research of various organ systems, the methods used to prepare for classes and the level of knowledge of students.

   As a result of online survey, a response base was obtained from 2^nd year students of the pediatric faculty of the FSAEI HE N.I. Pirogov RNRMU MOH Russia at the age of 19-20 years. The form consisted of questions about the subjective rating of the level of mastering practical skills, about the difficulties and methods used to prepare for classes within a particular organ system. Such a survey system made it possible to rank both organ systems in descending order of their difficulties from cardiovascular to respiratory, digestive and urinary, and practical skills - from auscultation and percussion to palpation and examination. The groups selected according to the level of progress made it possible to reveal that students with low scores were characterized by difficulties in the majority of organ systems, and those with high scores were less labored. The leading methods of studying were practice both at the bed of the patient and on healthy volunteers, as well as individual work with a teacher.

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