Dr. Svetlin Nikolov - Training Ukrainian Medical and Non-medical Specialists (Principle: "Training during treatment”)

1. MILITARY MEDICAL ACADEMY
SOFIA
Col. Dr. Svetlin Nikolov, MD
Nikolay Petrov MD, PHD, DSC
Brigadier General MC;
Col. Ass. Prof.L. Aleksiev, MD;
Col. Ass. Prof.R. Popov, MD;
Col. Ass. Prof.V. Mutafchiyski, MD;
Col. Prof.T. Troev, MD;
Col. Ass. Prof.T. Donchev, MD;
Col. Ass. Prof.I. Marinov, MD;

2. Training Ukrainian medical and non-
medical specialists
(Principle: "Training during
treatment”)

3. INTRODUCTION
Planning training of Ukrainian medical and non-medical specialists are
based on the Agreement for executive agent between Government of Republic
of Bulgaria and the NATO Maintenance Agency (NSPA) about NATO Trust
Fund in Ukraine, the Agreement on financial management between countries
with contribution and NATO Office for financial control on the Trust Fund of
NATO in Ukraine for medical rehabilitation program and on the basis of
bilateral arrangements.
Professional training is direction B of specific activities under the Fund
and includes the provision of additional training of therapists, psychologists,
surgeons and others in modern methods of treatment of patients with combat
trauma. Necessary funding of activities is estimated at € 75,000, which includes
conferences, seminars or short courses (2 weeks) for medical professionals on
the territory of Ukraine or abroad.

4. Training of Ukrainian medical and non-
medical specialists
 Training of Ukrainian medical and non-medical specialists
is carried out during further treatment and rehabilitation of
Ukrainian troops in 2 (two) weeks period, in prepared in
advance programs.

5. Physical therapy and rehabilitation and
traumatic peripheral nerve diseases
TOPICS
 Anatomo-physiological characteristics of the musculoskeletal system. Key symptoms of
diseases of the musculoskeletal system. Clinical and physiological prerequisites for the
application of physical factors - preformed and natural - in diseases of the
musculoskeletal system. Contraindications.
 Physical therapy and rehabilitation in traumatic lesions of the musculoskeletal system -
injuries, wounds, sprains, dislocations, fractures of the upper limb
 Physical therapy and rehabilitation in traumatic lesions of the musculoskeletal system -
fractures of the lower limb and spine
 Anatomical and physiological data for peripheral nervous system. Physiotherapy and
rehabilitation in inflammatory and dystrophic diseases of the peripheral nervous system.
 Physiotherapy and rehabilitation trauma of the peripheral nervous system.
LEAD BY: HEAD OF CLINIC FISICAL AND REHABILITATION MEDICINE:
Prof. T. Troev, MD

6. CLINIC FISICAL AND REHABILITATION MEDICINE

7. PROVISION OF PSYCHOLOGICAL SERVICES
TO UKRAINIAN MILITARY PERSONNEL AND
PSYCHOLOGISTS
TOPICS:
 PTSP - medical and psychological aspects
 Crisis intervention - principles of crisis consultation
 Psychological debriefing - essence and methodology
Ukrainian psychologists can be trained theoretically 1 week in CPHP and 1
week in Hisar BDPRL for practical skills

8. HEAD OF CENTER FOR MENTAL HEALTH AND PREVENTION:
ACC.PROF COL. ILIYA MARINOV, MD

9. PROVISION OF PSYCHOLOGICAL SERVICES
TO UKRAINIAN MILITARY PERSONNEL AND
PSYCHOLOGISTS
In order to build capacity for rehabilitation in Ukraine (Division B) CPHP can
organize two-week training course for Ukrainian psychologists related to the prevention,
diagnosis and management of stress symptoms:
TOPICS:
 Model to provide psychological care in disaster situations incl. military activities
 Stress in critical incidents - essence, manifestations and diagnosis.
 Psychological diagnostic methods of stress symptoms.
 Professional stress and burn out.
 Psychological debriefing – methodology and practice.
 PTSD - evolution of the syndrome, diagnostic criteria, diagnosis and treatment.
 Crisis intervention - individual, group and organizational level.
LEAD BY: HEAD OF CENTER FOR MENTAL HEALTH AND PREVENTION:
ACC.PROF COL. ILIYA MARINOV, MD

10. CENTER FOR MENTAL HEALTH AND
PREVENTION

11. CLINICAL EVALUATION OF MENTAL STATE OF
UKRAINIAN MILITARY PERSONNEL AND
PSYCHOLOGISTS
 Group of soldiers to be accompanied by two psychiatrists and two
military psychologists. Military personnel to be screened for
psychopathological symptoms and if any to receive adequate clinical
assessment and to be offered an appropriate algorithm for the treatment
and prevention of complications. Psychiatrists and psychologists will be
trained according to modern standards of psychiatric and psychological
assistance of NATO and allied armies. Courses to be for a week
focusing on clinical assessment of conditions caused by combat stress
and its complications and about the role of psychological teams in the
joint tackling and preventing crises.

12. PSYCHIATRIC CLINIC MMA

13. CLINICAL EVALUATION OF MENTAL STATE OF
UKRAINIAN MILITARY PERSONNEL AND
PSYCHOLOGISTS
Topics:
 Adjustment disorders - clinical manifestations and crisis intervention.
 Posttraumatic stress - nature of symptoms and diagnostics.
 Methods of dealing with stress and mental disorders occurring with natural
disasters and industrial accidents.
 Burnout syndrome and consequences of occupational stress - management
methodology.
The courses will include an initial theoretical and practical part.
LEAD BY: HEAD OF THE PSYCHIATRIC CLINIC MMA
ACC.PROF COL. Tony Donchev

14. Training of Ukrainian medical and non-
medical specialists
 The number of trainees of medical and non-medical professionals
during one rotation is as follows:
 Two doctors - specialists in Physical Medicine and Rehabilitation,
 Three therapists (medical staff)
 Two doctors specialists in psychiatry,
 Two specialists psychologists
 One doctor - a surgeon and doctor - traumatologist (on request

15. Training of Ukrainian medical and non-
medical specialists
 Training of Ukrainian medical and non-medical specialists
is carried out in BDRLP - Hissar and the relevant structures
of MMA – Sofia Hospital.
 Trained Ukrainian medical and non-medical specialists are
issued a certificate according to the approved rules of
scientific and educational activities of MMA.

16. The truth
The truth - true human knowledge
confirmed in practice!

17. THANK YOU!
WE KEEP ON DOING IT