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Optimization of teaching infectious pathology in the higher medical education system (review)

Year: 2026, volume 22 Issue: №2 Pages: 240-247
Heading: Public health, organization and sociology of health care Article type: Review
Authors: Khodakova N.G., Soboleva E.F., Shapoval O.G., Shvidenko I.G.
Organization: Saratov State Medical University
Summary:

Objective: to substantiate the potential of using spiral teaching technology to optimize the study of infectious pathology in the higher medical education system. Review methodology. The systematic review was performed in accordance with the PRISMA (Preferred reporting items for systematic reviews and meta-analyses) methodology, using PubMed, eLibrary, Google Scholar, and CyberLeninka databases. The search depth in electronic databases and citation lists was the period from 2015 until 2025. 32 sources were used to write the review. Conclusion. The spiral curriculum creates a holistic system of integrative knowledge by implementing interdisciplinary connections that ensure the synthesis of clinical experience and the theoretical base acquired during the study of infectious pathology, modifes the learning process.

Keywords: spiral model, pedagogical process, interdisciplinary relations, infectious disease

Bibliography:
1. Polibin RV, Mindlina AYa, Gerasimov AA, et al. Comparative analysis of mortality from infectious diseases in the Russian Federation and Some European Countries. Epidemiology and Vaccinal Prevention. 2017; 16(3): 4-10.
2. Belozerov ES, Belgesov NV, Bulankov YI, et al. Infectious diseases: Haemocontact infections: Textbook. 1st edition. Moscow: Yurite Publishing House, 2020; 377 p.
3. On approval of priority areas of scientifc and technological development and the list of the most important science-intensive technologies: Decree of the President of the Russian Federation No. 529 dated June 18, 2024. URL: https://www. garant.ru/products/ipo/prime/doc/409113212/ (15 Oct 2025).
4. Levanov VM, Perevezentsev EA, Gavrilova AN. Distance education in a medical university during a pandemic COVID-19: The frst experience through the eyes of students. Journal of Telemedicine and Electronic Healthcare. 2020;2:3-9. DOI:10.29188/2542-2413-2020-6-2-3-9
5. Bergmann J, Sams A. Flip your classroom: Reach every student in every class every day. Electronic Journal of Social and Strategic Studies. 2022;3(2):112.
6. Kumaravel B, Stewart C, Ilic D. Development and evaluation of a spiral model of assessing EBM competency using OSCEs in undergraduate medical education. BMC Medical Education. 2021;21:204. DOI:10.1186/s12909-021-02650-7
7. Litvinova TM, Galuzina II, Zasova LV, et al. Medical education in Russia: Vectors of reboot in pandemic conditions. National Health Care. 2021;2(1):12-20. DOI:10.47093/2713-069X.2021.2.1.12-20
8. Te l’nyuk IV, Khudik VA. Osobennosti organizatsii uchebno-metodicheskoy raboty v sovremennykh usloviyakh meditsinskogo vuza. Vestnik Sankt-Peterburgskogo nauchno-issledovatel’skogo instituta pedagogiki i psikhologii vysshego obrazovaniya. 2022;2(2):38-46. EDN:TIWHSE
9. Chernyshova IS, Orlova LE. Features of the formation of indisciplinary thinking in medical students by integrating courses in fundamental science and clinical disciplines. Higher Education Today. 2021;(11):45-51.
10. Chervova IV, Mal’tseva AE. Interdisciplinary connections as the basis of systemic knowledge among students of the Faculty of Clinical Medicine. Interactive Science. 2023;10(86):52-7. DOI:10.21661/r-561259
11. Ostanko VL, Fatyushina OA. Synergy of education in medicine: integrated approaches to teaching clinical internal medicine and surgery. Cardiovascular Therapy and Prevention. 2025;24(3S):36-41. DOI:10.15829/1728-8800-2025-4590
12. Ryazanova GN. Using of digital technologies in the educational process of higher school. E-Management. 2020;3(2):40-54. DOI:10.26425/2658-3445-2020-2-40-54
13. Spak JM, Saunders ES. The spiral curriculum in public health education: A case study. American Journal of Preventive Medicine. 2018;54(1):122-8. DOI:10.1016/j.amepre.2017.08.015
14. Popova NE. The role of interdisciplinary linkages in the implementation of educational standards of higher education. Bulletin of Pedagogical Sciences. 2021;1:97-101. EDN:ISAOYL
15. Maills DM, Teufel RJ. Tools for medical education scholarship: From curricular development to educational research. Hosp Pediatr. 2020;10(5):452-7. DOI:10.1542/hpeds.2019-0293
16. Coelho C, Moles D. Student perceptions of a spiral curriculum. Eur J Dent Educ. 2016;20(3):161. DOI:10.1111/ eje.12156
17. Sviridova TB. Mezhdistsiplinarnyy podkhod v podgotovke meditsinskikh spetsialistov. Paradigma. 2025;7:99-104.
18. Woodward R. The spiral curriculum in higher education: Analysis in pedagogic context and a business studies application. e-Journal of Business Education and Scholarship of Teaching. 2019;13(3):14-26.
19. Shariati Kh, Peikani S, Karimi Monghi H, Ghazanfarpour M. Application of spiral programming model in medical education: A review. Med Edu Bull. 2021;2(3):233-41. DOI:10.22034/ MEB.2021.293383.1007
20. Gibbs T. Medical professionalism across cultures: A challenge for medicine and medical education. Med Teach. 2015;37(1):74-80. DOI: 10.3109/0142159X.2014.932905
21. Harris A. The spiral curriculum: Bruner’s approach to revisiting and solidifying knowledge. Structural Learning, 2025.
22. Murray JW. Skills development, habits of mind, and the spiral curriculum: A dialectical approach to undergraduate general education curriculum mapping. Cogent Education. 2016;3(1):1-19. DOI:10.1080/2331186X.1156807
23. Masters K. Curriculum frameworks and educational programs in artifcial intelligence for medical students, residents, and practicing physicians: A scoping review. Medical Teacher. 2023;45(2):132-45. DOI:10.1080/0142159X.2022.2140327
24. Ripp EG, Parmon EV. Modernization of educational activities of organizations involved in the training of medical personnel. Systemic implementation of a full cycle of practice-oriented training. Virtual Technologies in Medicine. 2020;1(23):57-9. DOI:10.46594/2687-0037_2020_1_57
25. Alekseenko SN, Gaivoronskaya TV, Drobot NN. The role of practice-oriented organization of the educational process of medical students in the development of clinical thinking and prevention of professional errors in future medical practice. Pedagogical Journal. 2023;13(6A):404-16. DOI: 10.34670/AR.2023.50.21.046
26. Young JQ, Van Merrienboer J, Durning S, Ten Cate O. Working memory is limited: Improving knowledge transfer by optimizing design. Med Educ. 2016;50(3):356-63. DOI:10.1111/medu.12914
27. Qiao YQ, Zhang JZ, Chen RY, et al. Pedagogical strategies for the enhancement of medical education. Med Sci Educ. 2021;31(6):2029-36.
28. Ireland J, Mouthaan M. Perspectives on curriculum design: comparing the spiral and the network models. Res Matters. 2020;30(7):12. DOI:10.17863/CAM.100405
29. Kumaravel B, Jenkins H, Chepkin S, et al. A prospective study evaluating the integration of a multifaceted evidence-based medicine curriculum into early years in an undergraduate medical school. BMC Medical Education. 2020;20(1):278. DOI:10.1186/s12909-020-02140-2
30. Ivanchuk OV, Plashchevaya EV. Digitalization of medical education: new challenges and boundaries of applicability. CITISE. 2022;(1):121-31. DOI:10.15350/2409-7616.2022.1.10
31. Begunts AV, Solovyova OS. On the application of the didactic spiral in the construction of educational programs. Bulletin of Moscow University. 2021;20(4):15-36. DOI:10.55959/MSU2073-2635-20-2021-4-15-36
32. Alekseenko SN, Gaivoronskaya TV, Drobot NN. Interdisciplinary connections and pedagogical technologies in the educational process of a medical university. Pedagogicheskiy Zhurnal. 2023;13(5A):576-87. DOI:10.34670/AR.2023.50.87.060

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All articles of the authors: Soboleva E.F. , Shvidenko I.G., Shapoval O.G., Khodakova N.G.

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