The lecture is one of the main components of the didactic cycle of education in higher educational institutions. At the same time, the majority of interviewed students of the Master’s educational qualifi cation level believe that they receive up to 60% of the educational material from lectures.Aim of the work. To optimize the teaching of lecture material by forming of professionally oriented basis for the subsequent mastering of educational material by students.Main part. During preparation of a lecture for intern doctors, the lecturer must follow the next stages: analysis and selection of the main key material that forms the logical basis of the topic; selection of main problems and their transformation into problematic situations; substantiation of the logic and method of solving of each problem situation; the combination of lecture content into a integrated system of knowledge and its methodical support, aimed to predict the success of the application of methodical techniques for activation of the attention and thinking of intern doctors.Conclusions. Lecture classes contribute to the creative communication of the lecturer with the audience in the context of co-creation, emotional interaction and are the eff ective way to obtain professional knowledge through an individualized form of reading the lecture, depending on the topic, the preparedness of the audience, the availability of technical means, which contributes to the activation of the spatial meaningful activity of intern doctors.

Acute surgical diseases and trauma in some cases are accompanied by the development of enteric insu ffi ciency syndrome, which aggravates the course of the underlying disease and increases mortality.The purpose of this scientifi c review is to focus the attention of clinicians on the emergence of enteric insu ffi ciency syndrome in the course of acute surgical pathology and traumatic disease, which requires the use of individualized treatment measures.Results. In acute surgical pathology and traumatic disease, a complex structural and functional reorganization of the intestinal epithelium occurs, which disrupts the interrelationships between the cells of the intestinal epithelium, the rejection of epithelial cells and, as a result, the penetration of bacteria from the lumen of the intestine into the lamina propria, their accumulation in the stroma of microvilli and translocation into the free peritoneal cavity. Morphologically it manifests itself in the form of erosion and ulcerative defect or phlegmonous enteritis. As a result, an endotoxemia syndrome is formed, which is the cause of the development of multiple organ failure in such patients Conclusion. The syndrome of enteric insu ffi ciency in acute surgical pathology of the organs of the peritoneal cavity and injuries is a clinically, laboratory and morphologically proven condition that has periods of progress and corresponding clinical symptoms.