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WONCA Europe 2011 - Hippokrates Exchange

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This is the presentation of the Hippokrates exchange workshop, conducted by Luisa Pettigrew during WONCA Europe 2011 (Warsaw, Poland, 9th September 2011).

This is the presentation of the Hippokrates exchange workshop, conducted by Luisa Pettigrew during WONCA Europe 2011 (Warsaw, Poland, 9th September 2011).


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  • 15:45 – 15:55 (10min)
  • 15:55 – 16:20 (25)
  • 15:55 – 16:20 (25min discussion & feedback) What are your systems strengths/Weaknesses? Which is better 5, 10, 30 minute consultations? Language, clinical skills, training, healthcare
  • 3. Particularly in UK we have limited hosts, we have to do all we can to encourage them e.g. Offer to do a short presentation about healthcare in your country. Bring traditional gifts from your country! On a wider scale charge a fee to cover admin and using this to generate awards for hosting etc...
  • 16:25 – 16:40 (15min)
  • Hello, my name is Liliana and I’m a third year GP trainee from Portugal. Last year, I had the chance of visiting two primary care practices, one in the UK and the other one in Denmark, and I’m here to share my experiences with you.
  • First, one must decide where to go and how long to stay. Personally, I’d recommend two weeks per practice, because I think the amount of knowledge one gains increases exponentially during the first week and slows down by the end of the second week. Then, it’s time to contact the available practices, listed on the HP website, and, after being accepted in one, complete the programme checklist. Finally, one must decide on accommodation. Both in the UK and Denmark, I had the chance of staying with doctors and trainees from each practice, which contributed to make these experiences even better.
  • In the UK I stayed in Rotherham, which is pointed out in the map.
  • My host was Dr. David Polkinghorn and this was the educational programme that he suggested for my visit, so that I could spend time with GPs, nurses, midwifes and secretaires. This allowed me to get to know all the staff and get a better understanding of the practice’s workflow.
  • The practice I visited was the Market Surgery.
  • 8.30 – 18.30 weekdays and 8.30-1.30 saturdays.
  • The practice had approximately 10000 patients and 6 GPs. It also had 5 nurses, 1 nutritionist and 1 physiotherapist.
  • This was the secretaries room and the reception.
  • This was the common room for doctors and nurses, where the staff meetings occurred.
  • In Denmark I stayed in Skodsdrup, which is a town near Arhus, the second biggest city in the country.
  • My host was Dr. Per Kallestrup, and this was the educational programme that he proposed. As in the UK, I got to spend time with each of the staff elements, including trainees, and observed several home and nursery home visits. Also, I did a small presentation for all the practice’s staff, about Primary Care in Portugal.
  • The practice was opened from 8h to 16h. The staff met everyday at 7.50 to review the schedule for that day.
  • The practice had 11000 patients, 8 GPs, 3 nurses, 6 secretaires and 1 nutritionist. This was the reception.
  • It was a museum-like practice, with paintings and sculptures everywhere! At the entrance, one could see a photograph of each one of the staff elements.
  • These were the waiting rooms.
  • This was Dr. Per’s consultation room.
  • On the left is one of the secretairies rooms. It’s worth mentioning that the secretairies here had several functions in common with nurses, like diabetes and hypertension consultations, blood withdrawal, doing EKGs and several others. On the right, the lab.
  • This was the staff room, where everyone met at 11.30 to have lunch and where the practice meetings occured.
  • 16:40 -16:55 (15min)
  • 16:55 -17:05 (10min)
  • Feedback 11:50 -12:00 Can come back to this slide as needed
  • Transcript

    • 1. Broadening Horizons: ‘ Hippokrates ’, the international exchange programme for General Practice L Pettigrew (UK), V Hernandez Santiago (Spain), M Attridge (UK), L Laranjo (Portugal ), M Moszumaoska (Poland), R Gomez Bravo (Spain), J Banque Vidiella (Spain) www.vdgm.eu
    • 2. Outline
      • Introduction (Luisa Pettigrew)
      • Group discussion on the value of exchanges & feedback (Virginia Hernandez & Madeleine Attridge)
      • Visitor's reflections (Liliana Laranjo)
      • Host’s reflections (Magda Moszumaoska)
      • Rural Exchanges & Exchange prizes (Raquel Gomez Bravo & Jaume Banque Vidiella)
      • Summary (Luisa Pettigrew)
      • Questions
    • 3. What is Hippokrates?
      • Unilateral or bilateral
      • 2 weeks long
      • Currently based in Europe... but expanding!
      • Website with a list of GP hosts
      • GP trainees & new GPs find hosts on the website
      • Observational placements ONLY
    • 4. European Definition of Family Medicine
    • 5. Group discussion Virginia Hernandez Santiago (Spain) Madeleine Attridge (UK) www.vdgm.eu
    • 6. Group Discussion
      • 1. Describe and Family Medicine in your country:
        • Consultation length?
        • Private or state system?
        • How long is GP training?
        • Which of these do you prefer?
      • 2. Value of international experiences:
        • What could a foreign GP learn from visiting your country/practice?
        • What could you learn from visiting a foreign GP practice?
    • 7. Discuss..
      • 3. What can a GP gain from being a host? How can we help to encourage hosts in the future?
      • 4. How can international experience/Hippokrates exchanges improve healthcare in your country on a wider scale (not just your own practice)....
    • 8.  
    • 9. Hippokrates from a Visitor’s perspective Liliana Laranjo (Portugal)
    • 10. Hippokrates PROGRAMME Visiting the United Kingdom & Denmark
    • 11. Hippokrates programme - Visiting the United Kingdom & Denmark - Denmark Conclusion United Kingdom Introduction Introduction
    • 12. Hippokrates programme - Visiting the United Kingdom & Denmark -
      • Deciding where to go
      • Deciding how long to stay
      • Contacting the available practices
      • Completing the Hippokrates Exchange checklist
      • Accommodation
      Denmark Conclusion United Kingdom Introduction
    • 13. Hippokrates programme - Visiting the United Kingdom & Denmark - Introduction Conclusion Denmark United Kingdom United Kingdom
    • 14. Hippokrates programme - Visiting the United Kingdom & Denmark - Rotherham Introduction Conclusion Denmark United Kingdom
    • 15. Hippokrates programme - Visiting the United Kingdom & Denmark - Liliana Laranjo | Portugal Introduction Conclusion Denmark United Kingdom Host Dr. David Polkinghorn
    • 16. Hippokrates programme - Visiting the United Kingdom & Denmark - Market Surgery Introduction Conclusion Denmark United Kingdom
    • 17. Hippokrates programme - Visiting the United Kingdom & Denmark - Introduction Conclusion Denmark United Kingdom Market Surgery
    • 18. Hippokrates programme - Visiting the United Kingdom & Denmark - Introduction Conclusion Denmark United Kingdom Market Surgery
    • 19. Hippokrates programme - Visiting the United Kingdom & Denmark - Introduction Conclusion Denmark United Kingdom Market Surgery
    • 20. Hippokrates programme - Visiting the United Kingdom & Denmark - Introduction Conclusion Denmark United Kingdom Market Surgery
    • 21. Hippokrates programme - Visiting the United Kingdom & Denmark - United Kingdom Introduction Conclusion Denmark Denmark
    • 22. Hippokrates programme - Visiting the United Kingdom & Denmark - Sk ø dstrup United Kingdom Introduction Conclusion Denmark
    • 23. Hippokrates programme - Visiting the United Kingdom & Denmark - Dr. Per Kallestrup United Kingdom Introduction Conclusion Denmark Host W1 Monday Tuesday Wednesday Thursday Friday 8-10.30 Introduction to the practice (PK) Practice tour (PK) Scheduled consultations with one of the practice doctors (RM) Rounds at the local nursery home (PC) Scheduled consultations with one of the practice nurses (bk) Scheduled consultations with one of the practice doctors (RM) 11-13.30 Consultations with the doctor on call (PK) General practice management with one of the practice secretaries (he) Consultations with the dietitian (Nancy) Introduction to the laboratory routines by the lab technician (one of the practice secretaries) Tutorial supervision of trainees followed by scheduled consultations (TG) 14-15.30 Consultations with trainee and planning of trainee-activities (SGB) Consultations with trainee and exchange of experiences (BL) Practice Meeting Educational activity – exercise in Cardiac resuscitation (15-18) Scheduled consultations with one of the practice doctors (PK) Laboratory activities – sampling, preparation, ECG, spirometry etc. W2 Monday Tuesday Wednesday Thursday Friday 8-10.30 Scheduled consultations with one of the practice nurses (mrn) General practice management with one of the practice secretaries (vl) Scheduled consultations with one of the practice nurses (ll) Choice of various activities according to wish of Liliana Consultations with the doctor on call (TG) 11-13.30 Consultations with the doctor on call (LK) Scheduled consultations with one of the practice doctors (TG) Consultations with the doctor on call (PK) Choice of various activities according to wish of Liliana Prepare final report and complete feedback forms 14-15.30 Consultations with trainee and exchange of experiences (MT) Laboratory activities – sampling, preparation, ECG, spirometry etc. Practice Meeting – Liliana to do a 15-20 min presentation on Portuguese GP/FM Consultations with trainee and exchange of experiences (SGB) Scheduled consultations and tutorial reflection (PK)
    • 24. Hippokrates programme - Visiting the United Kingdom & Denmark - Skødstrup Lægepraksis United Kingdom Introduction Conclusion Denmark
    • 25. Hippokrates programme - Visiting the United Kingdom & Denmark - Skødstrup Lægepraksis United Kingdom Introduction Conclusion Denmark
    • 26. Hippokrates programme - Visiting the United Kingdom & Denmark - Skødstrup Lægepraksis United Kingdom Introduction Conclusion Denmark
    • 27. Hippokrates programme - Visiting the United Kingdom & Denmark - Skødstrup Lægepraksis United Kingdom Introduction Conclusion Denmark
    • 28. Hippokrates programme - Visiting the United Kingdom & Denmark - Skødstrup Lægepraksis United Kingdom Introduction Conclusion Denmark
    • 29. Hippokrates programme - Visiting the United Kingdom & Denmark - Skødstrup Lægepraksis United Kingdom Introduction Conclusion Denmark
    • 30. Hippokrates programme - Visiting the United Kingdom & Denmark - Skødstrup Lægepraksis United Kingdom Introduction Conclusion Denmark
    • 31. Hippokrates programme - Visiting the United Kingdom & Denmark - Introduction United Kingdom Denmark Conclusion Conclusion
    • 32. Hippokrates programme - Visiting the United Kingdom & Denmark -
      • Increased knowledge about global primary health care.
      • Interesting to see the differences and points in common with our country’s system.
      • Get to know several GPs and trainees – share experiences and knowledge.
      • Amazing experience!
      Introduction United Kingdom Denmark Conclusion
    • 33. Thank you!
    • 34.  
    • 35. Hippokrates from a Host’s perspective Marek Oleszczyk (Poland) Magda Moszumaoska (Poland)
    • 36. Before
      • We are here! Announcing our practice on hosting list
      www.vdgm.eu
    • 37. Before
      • We are here! Announcing our practice on hosting list
      • Waiting time
      • First contact
        • E-mails
        • Time arrangements
        • Visitor’s expectations vs. Host’s
      • Final schedule (+ paper work  )
      • Helping hand in travel planning & accommodation
    • 38. In-vivo observation Bronislaw Malinowski on Triobriand Islands
    • 39. During
      • On arrival (warm welcome at the airport – if needed)
      • Keeping the schedule
      • Meeting people
      • Visiting practices
      • Sharing experiences
      • Sightseeing
    • 40. Schedule
    • 41. Visiting City Practice
    • 42. Visiting Rural GP Practice
    • 43. Sharing experiences
    • 44. Sightseeing
    • 45. After
      • Staying in touch
      • Friends for life 
      • Re-visiting?
      • New Facebook contacts 
      www.vdgm.eu
    • 46.  
    • 47. Rural VdGM Hippokrates Exchange Claudio Carosino Prize Raquel Gomez Bravo (Spain), VdGM-Semfyc Jaume Banqué Vidiella (Spain), Euripa-Semfyc [email_address]
    • 48.  
    • 49. Advert:
      • In memory of Dr Claudio Carosino, a Rural General Practitioner who sadly died in 2010, the Vasco da Gama Movement and EURIPA are offering a prize of 700 Euros for the best completed Hippokrates exchange to a rural practice in 2010 or 2011.
      • Final date for applications: 30 th November 2011, exchange@vdgm.eu
    • 50. CHRONOLOGY
    • 51.
      •   Objective
      • The objective of this prize would be to increase the profile of rural General Practice amongst young doctors, by supporting a GP trainee or GP within 5 years of qualification as a GP to participate in a Hippokrates exchange to a rural GP practice.
      CLAUDIO CAROSINO HIPPOKRATES PRIZE
    • 52.
      • Who can apply?
      • GP / FM trainees, junior GP / FMs (up to 5 years after graduation from vocational training)
      • Sending a personal project with an impact on the field of rural general practice.
      • One application per candidate is accepted.
      CLAUDIO CAROSINO HIPPOKRATES PRIZE
    • 53.
      • 30th November !
      CLAUDIO CAROSINO HIPPOKRATES PRIZE
    • 54. CLAUDIO CAROSINO HIPPOKRATES PRIZE
    • 55. CLAUDIO CAROSINO HIPPOKRATES PRIZE
    • 56. How many rural practices do we have until now ?
      • 6 Rural GP Practices in Croatia.
      • 2 Rural GP Practices in Romania plus a new Hippokrates Coordinator.
      • 4 Rural GP Practices in the Netherlands.
      • 4 Rural GP Practices in the UK.
      • 1 Rural GP Practice in Hungary.
      • 1 Rural GP Practice in Finland.
      • 1 Rural GP Practice in Italy.
      •  
      • Pending: Norway, Spain, France...and…
    • 57.  
    • 58. www.vdgm.eu BEYOND EUROPE
    • 59. www.vdgm.eu
    • 60. www.vdgm.eu
    • 61. What about the future…?
    • 62. What about the future…?
      • There is a n eed of more rural GP practices in the Hippokrates E xchange.
      • How are we going to maintain or increase the amount of this prize ?
      • There is a need of a w ider collaboration between Euripa and VdGama .
      • Young family doctors should to become interested in rural health and rural General Practice
    • 63. title
      • text
      www.vdgm.eu
    • 64.  
    • 65. The Future?
      • 3 x 700 Euros Hippokrates Prizes 2010/2011!
        • Deadline application for COMPLETED exchanges November 2011
        • [email_address]
      • EU Leonardo Mobility Project Funding
      • Going Global
        • WONCA World new junior networks!
          • Waynakay
          • Rajakumar
          • NAFFDONA
          • Spice Route
    • 66.  
    • 67.  
    • 68.  
    • 69.  
    • 70. Do you understand your health care system?
    • 71. GP as First Point of Health Contact Primary Care in the Driving Seat: European Observatory on Health Systems and Policies http://whqlibdoc.who.int/euro/2006/0335213650_eng.pdf
    • 72. GP Job Satisfaction Primary Care in the Driving Seat: European Observatory on Health Systems and Policies http://whqlibdoc.who.int/euro/2006/0335213650_eng.pdf
    • 73. Millennium Development Goals
    • 74.  
    • 75.  
    • 76. Hippokrates is the answer!
    • 77. Questions
      • www.vdgm.eu
      • [email_address]
    • 78. Problems Possible Solutions Future Solutions Time Take annual leave – take your family! Take study leave Go for just 1 week Integrated part of training? Funding Exchange homes! Approach your training body with a proposal about the benefits of the exchange. Governmental funds e.g. EU Leonardo programme Language Do a medical language course Use a Common Language e.g. English Body Language Learning about primary care beyond the consultation Legalities Do not do clinical work at all!! Permission to go! Demonstrate learning objectives, full educational programme, learning outcomes. Publish your experiences. Integrated part of training? Non-commitment (host / visitor) Feedback problems Follow the proposed timetable Problem solving by National Exchange Coordinator ? Small registration fee Can’t find a host Contact that country’s national exchange coordinator for help. Recognise the work of hosts. Ensure it is educational for them too! Offer to be a host yourself in return for the opportunity to visit! Encourage bilateral exchanges
    • 79. National Exchange Coordinator Meeting
      • NEC Annual General Meeting
        • 17:30 – 19:00 Friday 9 th September
        • Room A
        • Now!