EXPERIENCES IN EUROPE: DUTCH EXCHANGE RAQUEL GÓMEZ BRAVO R4 MFYC

Vasco da Gama movement is the WONCA Europe working group for young and future General Practitioners The movement is the continuation of the work that was started during the first preconference meeting for junior doctors during the WONCA Europe conference in Amsterdam in 2004 EXPERIENCES IN EUROPE

Vasco da Gama movement is the WONCA Europe working group for young and future General Practitioners

The movement is the continuation of the work that was started during the first preconference meeting for junior doctors during the WONCA Europe conference in Amsterdam in 2004

Providing a forum, support and information for trainees and young GPs through access to WONCA Europe regional conferences and pre-conferences Establishing a communication network between European trainees and young GPs and identifying their concerns, doubts and needs and helping to address them Improving the quality of training programmes for general practice. EXPERIENCES IN EUROPE

Providing a forum, support and information for trainees and young GPs through access to WONCA Europe regional conferences and pre-conferences

Establishing a communication network between European trainees and young GPs and identifying their concerns, doubts and needs and helping to address them

Improving the quality of training programmes for general practice.

VASCO DA GAMA MOVEMENT

- Dutch national association of GP trainees - 98 % Was founded in 1980 Is represented by local committees on every GP training department of the medical faculties. Six working groups: Education Scientific research Politics & Social Issues Congress Sport & social activity WES: European affairs

- Dutch national association of GP trainees

- 98 %

Was founded in 1980

Is represented by local committees on every GP training department of the medical faculties.

Six working groups:

Education

Scientific research

Politics & Social Issues

Congress

Sport & social activity

WES: European affairs

Is the Dutch abreviation for “Task Force European Affairs” WES dedicates itself to the exchange and integrationof the various areas of General Practice in Europe and also outside of Europe. Participation in international congresses and symposia Exchange programmes

Is the Dutch abreviation for “Task Force European Affairs”

WES dedicates itself to the exchange and integrationof the various areas of General Practice in Europe and also outside of Europe.

Participation in international congresses and symposia

Exchange programmes

HIPPOKRATES

EXPERIENCES IN EUROPE TUESDAY 20th : arrival in The Netherlands WEDNESDAY 21st : Day in a Primary Care Clinic THURSDAY 22nd : Interactive educational program at a Dutch University FRIDAY 23rd : Congress 37 GP trainees from 18 countries

TUESDAY 20th : arrival in The Netherlands

WEDNESDAY 21st : Day in a Primary Care Clinic

THURSDAY 22nd : Interactive educational program at a Dutch University

FRIDAY 23rd : Congress

EXPERIENCES IN EUROPE ROTTERDAM

EXPERIENCES IN EUROPE

GP is the pivot of the primary health care A “gate” for the patients to the specialists in the hospital The access to the GP must be “inmediate, free and permanent” whitin 15 minutes FREE: without obstacles PERMANENT: 24 hours a day and 7 days a week Groups: 1 of them on duty outside office hours to provide this service 8 universities 280 GP’s per year Since1994: 3 years EXPERIENCES IN EUROPE

GP is the pivot of the primary health care

A “gate” for the patients to the specialists in the hospital

The access to the GP must be “inmediate, free and permanent” whitin 15 minutes

FREE: without obstacles

PERMANENT: 24 hours a day and 7 days a week

Groups: 1 of them on duty outside office hours to provide this service

8 universities

280 GP’s per year

Since1994: 3 years

EXPERIENCES IN EUROPE >8200 GP’s 16 millions inhabitants An average practice: 2350 patients Full time / Business doctors

EXPERIENCES IN EUROPE Varios sistemas informáticos Libre elección de médico 15 minutos por paciente (10-20 pacientes al día) Competencias de enfermería Enfermería: Nurse / Nurse practitioner Protocolos URGENCIAS: Gatekeeper // AMBULANCIAS: Pago si no es justificado E-Health Salario: Precio por paciente / por visitas a domicilio / consulta telefónica Si haces uso de la sanidad (medicación, recursos…): 250 euros anuales HORARIO: 8-9  Sesión, 9 – 12 h  Pacientes, 12-13h  Lunch, 13 – 16h  Pacientes, 16-17h  Sesión, !7-19 horas  Pacientes

Varios sistemas informáticos

Libre elección de médico

15 minutos por paciente (10-20 pacientes al día)

Competencias de enfermería

Enfermería: Nurse / Nurse practitioner

Protocolos

URGENCIAS: Gatekeeper // AMBULANCIAS: Pago si no es justificado

E-Health

Salario: Precio por paciente / por visitas a domicilio / consulta telefónica

Si haces uso de la sanidad (medicación, recursos…): 250 euros anuales

HORARIO: 8-9  Sesión, 9 – 12 h  Pacientes, 12-13h  Lunch,

13 – 16h  Pacientes, 16-17h  Sesión, !7-19 horas  Pacientes

Médicos autoempleados (47% single-handed free) “ Gatekeeping” ?

Médicos autoempleados (47% single-handed free)

“ Gatekeeping”

EXPERIENCES IN EUROPE

ERASMUS HOSPITAL

DUTCH PROGRAM 1 day/week 12 months 3 rd year 1 day/week 3 months 3 months 6 months 2 nd year 1 day/week 12 months 1 st year Psychiatry Chronic care Acute care Educational days CLINICAL ROTATIONS GP- Practice

AÑOS DE RESIDENCIA GUARDIAS ROTACIONES TUTORES POR AÑO 100% 12,5% 12,5% 75% R4 100% 8% 12,5% 4,5% 12,5% 37,5% 25% R2 / R3 100% 75% 25% R1 TOTAL HOSPITAL EMERGENCY MED-SURGICAL TRAUMATOLOGY GYNAECOLOGY PAEDIATRICS HOSPITAL EMERGENCY PM / RURAL

AÑOS DE RESIDENCIA

GUARDIAS

ROTACIONES

TUTORES POR AÑO

CONGRESS (UTRECHT)

Con las semillas del presente, “plantamos” el futuro… Reflexión: ¿Cuál es el mejor sistema sanitario? ¿Podemos cambiar…? Hay que perder el miedo para crecer… ¡GRACIAS POR VUESTRA ATENCIÓN!