The first certified videoconference “Developments and Challenges in Endocrinology 2020” organized by the Belarusian Public Medical Association “Endocrinology and Metabolism” and the Belarusian Association of Physicians was held at the end of October. The certification was possible due to the Cooperation Agreement between the Ministry of Health and the Belarusian Association of Physicians signed on September 18 this year. According to the registration system, 372 doctors met the conditions for certification.
The videoconference program included the most discussed topics at the 2020 international congresses in the field of endocrinology organized by the European Society of Endocrinology (ESE), the European Association for the Study of Diabetes (EASD), the International Society for Pediatric and Adolescent Diabetes (ISPAD).
The videoconference was opened by the chairman of the Belarusian Association of Physicians Dmitry E. Shevtsov who presented information about the new opportunities of the organization. He emphasized that the Belarusian Association of Physicians over the past five years has become a full partner of the Ministry of Health of the Republic of Belarus. The Association promotes the developments in Belarusian health care system, elaborates protocols for treatment and examination of patients, undertakes analysis of complaints, and provides legal support to doctors. The signed Cooperation Agreement outlined the most important areas of mutual cooperation for the near future. In particular, “today's event is the unique one because the Belarusian Association of Physicians together with the Ministry of Health organizes a medical conference in Belarus in the format of a videoconference”.
The Belarusian Association of Physicians has assumed the following functions: provision of legal protection for medical specialists, promotion of their interests in law enforcement agencies and courts, development of out-of-court forms of conflict resolution and promotion of mediation. In the long term, we are talking about participation in the work of certification commissions for the assignment of qualification categories to medical and pharmaceutical specialists, as well as the development of draft programs for training and retraining of specialists, improving their qualifications. The ministry, in turn, granted the Belarusian Association of Physicians the right to issue documents confirming the participation of medical and pharmaceutical specialists in congresses, seminars, scientific and practical conferences, symposia. The hours of professional training (credits) acquired during these conferences will be counted towards subsequent assignment of qualification categories.
A brief overview of the most topical issues discussed at international congresses this year was made by the chairman of the Belarusian Public Medical Association “Endocrinology and Metabolism”, Professor of the Department of Endocrinology of the Belarusian State Medical University Alla P. Shepelkevich. She also told about the latest educational and medical-social projects of the Association “Endocrinology and Metabolism”.
Anzhelika V. Solntseva (Deputy Chairman of the Belarusian Public Medical Association “Endocrinology and Metabolism”, Professor of the 1st Department of Pediatric Diseases of the Belarusian State Medical University, Chief Specialist in Pediatric Endocrinology of the Ministry of Health of the Republic of Belarus) presented a report “New technologies in pediatric endocrinology: is there always tomorrow?”. In particular, she presented systematic analysis of modern trends in the treatment of children with common endocrine diseases.
The problem of insulin resistance is one of the topical issues of modern medicine in the field of scientific research, diagnostics and pharmacotherapy. Professor of the University of Edinburgh Mark Strachan (Edinburgh, UK) expressed his position on this issue in the report “Prediabetes and Diabetes: Insulin Resistance as a Factor of Disease Progression”.
A lot of speakers emphasized the importance of an interdisciplinary approach as the most effective model for providing medical care to patients with endocrine diseases. Professor of Hasetep Medical University (Ankara, Turkey), Head of the Department of reproductive endocrinology and development of endocrinology of the European Society of Endocrinology Bulent Yuldiz presented the report “The Present and Future of Polycystic Ovary Syndrome” which aroused great interest among doctors of various specialties.
Colleagues in the studio expressed their gratitude to the professor for a systematic and scientifically grounded view towards modern approaches to the diagnosis of polycystic ovary syndrome. He outlined characteristic phenotypes and their possible changes as the patient grows older, provided detailed analysis of comorbidity. The experts came to the conclusion that it is necessary to promote further cooperation in the field of reproductive endocrinology with a series of webinars and meetings with support of public association.
The Belarusian doctors pay great attention to the problem of thyroid gland pathology, including hyperthyroidism, f.ex. Graves' disease can confuse even the most experienced specialist. From this perspective, the report “Graves' disease: treatment ambiguity” presented by the Head of the Department of Endocrinology of the I.M.Sechenov 1st Moscow State Medical University, Corresponding Member of the Russian Academy of Sciences, Chairman of the Moscow Association of Endocrinologists (Moscow, Russia) Valentin V. Fadeev, aroused great interest of the audience.
Traditionally, speeches of Professor Fadeev are accompanied by a lively discussion concerning the individualization of the treatment strategy for a particular patient, finding a balance between innovative approaches and the real capabilities of health systems. The participants of the conference emphasized the need for organization of a joint round table next year on the topical issues of thyroid pathology.
Head of the Department of Endocrinology of the Belarusian State Medical University, Professor Tatyana V. Mohort presented the report “Modern perspectives in the management of diabetic kidney disease”. She drew attention to the modern nephrological recommendations (2020) regarding the management of patients with chronic kidney disease, including those with diabetes. Tatyana V. Mohort outlined the features of pharmacotherapy, issues regarding the choice of modern antihyperglycemic drugs with respect to their advantages and limitations.
Evgenia M. Patrakeeva, member of the postgraduate education committee of the European Association for the Study of Diabetes Mellitus (St. Petersburg, Russia) presented a report “Innovations in the management of type 1 diabetes”. She provided an in-depth analysis of the most modern technologies for insulin injection and glucose monitoring, the features of pharmacotherapy and innovative drugs in the management of patients with type 1 diabetes. Evgenia M. Patrakeeva made a special emphasis on the ethical aspects of psychological support for the patient, the peculiarities of the doctor-patient interaction in the development of adherence to treatment and self-control.
The report “New therapeutic strategies in the treatment of hypophosphatemia” was presented by Olga V. Zhukovskaya, a research scientist at the Laboratory of Rare Pathology, Biotherapy and Imaging at the University of Paris (Paris, France). This topic is rather valuable in the strategy of treatment of such diseases as malabsorption, vitamin D deficiency, primary hyperparathyroidism, as well as a number of genetic syndromes. Olga V. Zhukovskaya emphasized that practitioners should pay more attention to this topic and proposed modern recommendations for the management of hypophosphatemia.
A special feature of the videoconference was issue-related workshop “Self-control in the life of a patient with diabetes”. The choice of the workshop topic was derived from the importance of patient self-control in diabetic care in the light of modern international recommendations, and the special role of patient self-control with reference to the COVID-19 pandemic.
Professor Anzhelika V. Solntseva spoke about the role of glycemic control in preventing complications of type 1 diabetes in children. The report of Professor Alla P. Shepelkevich “Feedback in the treatment of diabetes: what is important?” was devoted to the peculiarities of self-control in adult patients with diabetes type 1 and 2.
During the workshop, an endocrinologist of the Republican Scientific and Practical Center “Mother and Child” Tatyana N. Skriplenok shared her clinical experience and presented the report “Self-control of women with type 1 diabetes during pregnancy”.
Vladislav M. Morozik, endocrinologist of “the School of Diabetes” at the Minsk City Clinical Oncology Dispensary shared his experience how to give a lesson on “Features of self-control in patients with type 2 diabetes receiving insulin therapy”.
Author: Alla P. Shepelkevich, professor of the Department of Endocrinology of the Belarusian State Medical University
Translation: Varvara Boika