Your SlideShare is downloading. ×
0
MS Power Point
MS Power Point
MS Power Point
MS Power Point
MS Power Point
MS Power Point
MS Power Point
MS Power Point
MS Power Point
MS Power Point
MS Power Point
MS Power Point
MS Power Point
MS Power Point
MS Power Point
MS Power Point
MS Power Point
MS Power Point
MS Power Point
MS Power Point
MS Power Point
MS Power Point
MS Power Point
Upcoming SlideShare
Loading in...5
×

Thanks for flagging this SlideShare!

Oops! An error has occurred.

×
Saving this for later? Get the SlideShare app to save on your phone or tablet. Read anywhere, anytime – even offline.
Text the download link to your phone
Standard text messaging rates apply

MS Power Point

218

Published on

0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total Views
218
On Slideshare
0
From Embeds
0
Number of Embeds
0
Actions
Shares
0
Downloads
1
Comments
0
Likes
0
Embeds 0
No embeds

Report content
Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
No notes for slide

Transcript

  • 1. Feedback of 10-year Family Medicine Training in Estonia Heidi-Ingrid Maaroos Department of Polyclinic and Family Medicine University of Tartu, Estonia
  • 2. Estonia <ul><li>47000 km 3 </li></ul><ul><li>1.4 million inhabitants </li></ul><ul><li>32 physicians per 10000 </li></ul><ul><li>1 family physician per 1900+-400 </li></ul><ul><li>800-850 family physicians </li></ul><ul><li>are needed </li></ul>
  • 3. Preconditions of high-quality family physicians' training <ul><li>competence of the teaching staff </li></ul><ul><li>comprehensiveness of training programmes </li></ul><ul><li>the relevance of the current education </li></ul><ul><li>training must meet the needs of the population </li></ul><ul><li>to satisfy the needs of effective health care </li></ul>
  • 4. Traditional university from 1632- University of Tartu <ul><li>D epartment of family medicine from 1992. </li></ul>
  • 5. I mplementation of family medicine teaching in 1991-1992 <ul><li>the training of teachers with academic positions o n international courses </li></ul><ul><li>calling teachers from countries already existing family medicine system </li></ul>
  • 6. Inside the faculty of medicine <ul><li>Co-work with different specialities </li></ul><ul><li>training of family physicians </li></ul><ul><li>development of research in family medicine </li></ul>
  • 7. 2000-2001 the university faculty members are <ul><li>vocationally trained family physicians </li></ul><ul><li>family physicians conducting their PhD in the field of family medicine. </li></ul>
  • 8. S election of faculty members <ul><li>the university criteria for academic posts are used </li></ul><ul><li>speciality of family physician and own practice is needed </li></ul>
  • 9. In 1991-1992 <ul><ul><ul><li>Development of </li></ul></ul></ul><ul><ul><ul><li>undergraduate </li></ul></ul></ul><ul><ul><ul><li>r esidency </li></ul></ul></ul><ul><ul><ul><li>retraining </li></ul></ul></ul><ul><ul><ul><li>programmes for family medicine; </li></ul></ul></ul>
  • 10. Development <ul><li>new methods of teaching </li></ul><ul><li>teaching materials </li></ul><ul><li>training of preceptors </li></ul><ul><li>physicianate studies and research </li></ul>
  • 11. In 1999-2001 <ul><ul><ul><li>Programmes </li></ul></ul></ul><ul><ul><ul><li>for teachers/trainers in family medicine were developed </li></ul></ul></ul><ul><ul><ul><li>this experience was exported to other countries (Armenia, Turkmenistan, Uzbekistan, Tajikistan); </li></ul></ul></ul>
  • 12. Basis for teaching <ul><li>Network of teaching practices with newly trained family physicians as preceptors </li></ul><ul><li>New educational materials (manual in family medicine, problem-based interactive computer-based programmes) </li></ul>
  • 13. Training of family physicians <ul><li>Training in residency - 3 years at least 50% of which is family medicine practice and 10 % is theoretical part </li></ul><ul><li>1993-2003 has finished 45 family medicine residents </li></ul><ul><li>Certificate: family physician </li></ul>
  • 14. Retraining of previous PHC physicians- 3 years <ul><li>80% of which is independent work in practice and 20% is theoretical part (lectures and seminars) </li></ul><ul><li>from 1991-2003, altogether 863 retrained physicians </li></ul><ul><li>Certificate: family physician </li></ul>
  • 15. T he content of the training <ul><li>population health care needs </li></ul><ul><li>job description of family physician in Estonia </li></ul><ul><li>to local structure of population (age, rural, urban, family structure) </li></ul><ul><li>to local morbidity and epidemiological situation and health care priorities in Estonia . </li></ul>
  • 16. Main tasks of family physician in Estonia <ul><li>curative care </li></ul><ul><li>preventive care </li></ul><ul><li>palliative care </li></ul><ul><li>management of practice </li></ul><ul><li>co-ordination between team members </li></ul>
  • 17. New courses for family physicians supported by Estonian Health Project <ul><li>legal aspects of starting independent practice </li></ul><ul><li>computer skills </li></ul><ul><li>practice management </li></ul>
  • 18. Continuous programme e valuation <ul><li>evaluation of teaching process </li></ul><ul><li>evaluation of family medicine curriculum </li></ul>
  • 19. The process evaluation: trainees` reflection on the quality of their learning experiences <ul><li>resident/trainee-centred </li></ul><ul><li>traditional rating-type questionnaires </li></ul><ul><li>regular feedback meetings of teachers with resident/trainee representatives . </li></ul>
  • 20. The indicators for curriculum quality <ul><li>Number of manuals and other teaching/learning materials </li></ul><ul><li>Number of physicians completing residency training, performance data </li></ul>
  • 21. .... indicators <ul><li>Number of trainees participating in the retraining courses, </li></ul><ul><li>Number of physicians completing retraining courses, performance data </li></ul><ul><li>Index: number of physicians starting work as family physician/ number of physicians finishing retraining courses (0,8-1,0) </li></ul>
  • 22. .... indicators <ul><li>Evaluation of retrained family physicians work by activity in different fields of family medicine: </li></ul><ul><li>vaccination of children according to standard (% of in time vaccinated children; </li></ul><ul><li>registration of pregnancies according to standard % of early registration from all pregnancies) </li></ul>
  • 23. Conclusion <ul><li>Estonian experience shows that implementation of principles of new training of family physicians needs coherence of academic environment with practice and continuous evaluation of training process and outcome. </li></ul>

×