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Fer la Residència (MIR) al Regne Unit

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Informació sobre com fer la Residència (MIR) al Regne Unit. Jornades estudiants del clinic 2015

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Fer la Residència (MIR) al Regne Unit

  1. 1. Broaden Your Horizons! Fer la Residència al Regne Unit Josep Vidal i Alaball Especialista en Salut Familiar i Comunitària. Institut Català de la Salut III Jornades d’Estudiants del Clínic. 26 de febrer 2015
  2. 2. Fer la Residènca al Regne Unit 2  Experiència personal  Sistema Sanitari al Regne Unit  Atenció Primària al Regne Unit  Com treballar al Regne Unit  Fer el MIR al Regne Unit  Conclusions Índex
  3. 3. Fer la Residènca al Regne Unit 3  1996. Llicenciat Universitat de Barcelona  Estiu 97 - Gener 98: UK (Ucies, Oftalmo)  1999-2002: Especialitat Medicina Familiar i Comunitària  2002-2004: Universitat de Cardiff. Academic Fellow Programme: Professor associat, recerca i pràctica clínica en àrees marginades del sud de Gal·les. Màster en Salut Pública  Octubre 2004: Salut Pública. Gal·les  Gener 2007: Catalunya. ICS EXPERIÈNCIA PERSONAL
  4. 4. Fer la Residènca al Regne Unit 4  Plymouth 1999-2002  6 mesos ginecologia i obst., 6 mesos medicina interna (geriatria)  4 mesos ORL, 4 mesos Ucies, 4 mesos rehabilitació  12 mesos Atenció Primària Residència M de Família No examen MIR Examen final
  5. 5. Fer la Residènca al Regne Unit 5  Oportunitat per projecte de recerca amb col·laboració amb Departament d’AP (base de tots els fellows)  Oportunitat per educació mèdica a estudiants de medicina (comunicació mèdica)  Oportunitat de desenvolupament personal i professional (Mestratge en AP, Salut Pública, educació mèdica)  Oportunitat per professionals de zones deprimides per desenvolupar projecte propi per al CAP o fer desenvolupament personal ACADEMIC RESEARCH FELLOW. CARDIFF UNI.
  6. 6. Fer la Residènca al Regne Unit 2002
  7. 7. Fer la Residènca al Regne Unit 7  Alaball JV and P. Kallestrup (2002). "The Hippokrates programme." British Medical Journal, 325(7377): 202S-  Lane C, Johnson S, Rollnick S, Edwards K, Lyons M. Consulting about lifestyle change: Evaluation of a training course for specialist diabetes nurses. Practical Diabetes Int 2003; 20(6):204-208  Owen D, Vidal-Alaball J, Mansour M, Bordeaux K, Verrier-Jones K, Edwards A. Parent’s opinions on the diagnosis of children under two years of age with Urinary Tract Infection. Family Practice 2003;20(5):531-537  Prout H, Butler CC, Kinnersley P, Robling M, Hood K, Tudor-Jones R. A qualitative evaluation of implementing a randomised controlled trial in General Practice. Family Practice 2003: 20(6):675-681.  Tudor-Jones R, Elwyn G, Hood K, Matthews S, Houston H. Professional and practice development plans: a surgey of general practitioners’ views. Education for Primary Care 2003;14:25-33.  Van Duijn H, Kuyvenhoven M, Tudor-Jones R, Butler CC, Coener S, van Royen P. Patients’ views on respiratory tract symptoms and antibiotics. British Journal of General Practice 2003; 53:491-492.  Vidal-Alaball J, Butler CC. Critical Review: oral high-dose cobalamin [debate]? Rondel 2003;15.  Vidal-Alaball J, Butler CC, Cannings-John R, Goringe A, Hood K, McCaddon A, McDowell I, Papaioannou A. Oral vitamin B12 versus intramuscular vitamin B12 for vitamin B12 deficiency. The Cochrane Database of Systematic Reviews 2005, Issue 3. John Wiley & Sons, Ltd  Vidal-Alaball J. Diploma of the Faculty of Family Planning (DFFP). Diplomatosis: BMJ Career Focus, 2005.
  8. 8. Fer la Residènca al Regne Unit
  9. 9. Fer la Residènca al Regne Unit 9  DEVOLUTION 1999  Escòcia: Parlament amb poder legislatiu  Gal·les: Assemblea amb poder legislatiu molt limitat. Només poden desenvolupar lleis del Parlament de Westminster  Irlanda del Nord: Assemblea amb poder legislatiu limitat  Competències:  Salut, educació, administracions locals, habitatge, polítiques socials, turisme, carreteres i ports, justícia (només a Escòcia), policia, medi ambient, agricultura i pesca, cultura, esports Regne Unit SISTEMA SANITARI
  10. 10. Fer la Residènca al Regne Unit 10  Accés gratuït als Residents de la GB  Pagats amb impostos dels contribuents  Sector privat molt minoritari (8%)  Proveïdor públic únic: NATIONAL HEALTH SERVICE (quasi 2 milions de treballadors)  Organització diferenciada per Gal·les, Escòcia, Anglaterra i Irlanda del Nord Organizació serveis de salut
  11. 11. Fer la Residènca al Regne Unit 11  NATIONAL HEALTH SERVICE (NHS)  Basat en el model de l’economista William Beveridge  Creat el 5 de juliol de 1948 per el Ministre de Salut i habitatge laborista Aeurin Bevan  Paràmetres: gratuïtat, igualtat, equitat  Proveïdor de serveis d’atenció comunitària i atenció secundaria i terciària  Majoria de centres de AP propietat dels metges que contracten els seus serveis al NHS
  12. 12. Fer la Residènca al Regne Unit 12  NHS Anglaterra  NHS organitzat en 10 NHS Strategic Health Authorities que regulen als diferents tipus de NHS Trusts:  152 NHS Primary Care Trusts gestionen Atenció Primària i Salut Pública (39,409 metges d’AP i 22,800 dentistes) 80% del pressupost del NHS  170 NHS Hospital Trusts gestionen l’atenció especialitzada hospitalària en 1.600 hospitals  11 NHS Ambulance Services Trusts  NHS Care Trusts, proveïdors de serveis socials i de salut (col·laboració amb autoritats locals)  58 NHS Mental Health Services Trusts
  13. 13. Fer la Residènca al Regne Unit 13  85% MF propietaris del seu centre d’AP  Contracten a personal: DI, administratius, MF …  Negocien contracte amb govern (BMA)  15% no propietaris: assalariats d’altres MF, investigació, Universitat, govern…  Porta d’entrada, atenció mèdica a TOTA la població (NENS, embaràs)  43.000 MF en 11.000 centres d’AP  1.600 usuaris assignats Organizació de l’AP ATENCIÓ PRIMÀRIA AL REGNE UNIT
  14. 14. Fer la Residènca al Regne Unit 14  40% MF son dones (però 76.5% dels MF de menys de 30 anys)  27% treballen mitja jornada  Promig de 23.8 hores a la setmana  Salari anual aproximat de 110.000 €  PUNTS NEGATIUS:  Poc treball en equip  Centres d’AP petits (unipersonals)  Orientats als beneficis (farmàcia)
  15. 15. Fer la Residènca al Regne Unit  Reorganitzacions continuades
  16. 16. Fer la Residènca al Regne Unit 16
  17. 17. Fer la Residènca al Regne Unit 17 COM TREBALLAR AL REGNE UNIT
  18. 18. Fer la Residènca al Regne Unit 18
  19. 19. Fer la Residènca al Regne Unit  Perquè treballar al Regne Unit 19
  20. 20. Fer la Residènca al Regne Unit Tràmits preliminars de col·legiació es fan omplint un formulari on-line que es troba a pàgina web del GMC: http://www.gmc-uk.org/doctors/index.asp 20  Tràmits per treballar al Regne Unit
  21. 21. Fer la Residènca al Regne Unit 21 FER EL MIR AL REGNE UNIT
  22. 22. Fer la Residènca al Regne Unit 22
  23. 23. Fer la Residènca al Regne Unit 23
  24. 24. Fer la Residènca al Regne Unit 24  Foundation training: 2 anys (pràctiques medicina)
  25. 25. Fer la Residènca al Regne Unit 25  ATENCIÓ PRIMÀRIA - COMPETITIU Ratio candidats per plaça
  26. 26. Fer la Residènca al Regne Unit 26
  27. 27. Fer la Residènca al Regne Unit 27  Reclutament:  Formació:  18 mesos hospital: med general, pediatria, gine&obs, psiquiatria, Ucies, ORL, oftalmo, dermato, pal·liatius  18 mesos atenció primària
  28. 28. Fer la Residènca al Regne Unit 28
  29. 29. Fer la Residènca al Regne Unit 29
  30. 30. Fer la Residènca al Regne Unit 30  Examen final de MIR:
  31. 31. Fer la Residènca al Regne Unit 31 COMPETITIU +++ Ratio candidats per plaça  ESPECIALITZATS HOSPITALÀRIES
  32. 32. Fer la Residènca al Regne Unit 32 http://specialtytraining.hee.nhs.uk/specialty-recruitment
  33. 33. Fer la Residènca al Regne Unit How to apply 33
  34. 34. Fer la Residènca al Regne Unit Applications via Royal College and other websites 34 https://www.medicalcareers.nhs.uk/postgraduate_doctors/specialty_trainee_doctors/where_to_apply_to_hst.aspx
  35. 35. Fer la Residènca al Regne Unit 35
  36. 36. Fer la Residènca al Regne Unit 36 Conclusions
  37. 37. Moltes gràcies Dr Josep Vidal i Alaball josep.vidal@gmail.com Twitter: @jvalaball

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