“What Essential Competences young familydoctors have to learn and practice for working in          rural areas appropriate...
Common themes in rural health…●At the heart of the rural health education agenda is that ruralpeople have different health...
Wonca Europe Conf.    16th Conf. Málaga             10.2010   Workshops          17th Conf. Warsaw             09.2011  Pa...
Results faced with Core Competences    ( European Definition of GP / Family Medicine           Euract. Wonca Europe 2005 )...
Abilities, training and knowledge    Specific solving problems skills●Skills and training in emergencies●Communicational s...
Working in a rural setting    Primary care management / Comprehensive    approach/ Holistic approach●Flexibility●Integrati...
Being a GP and a rural physicianPrimary care management / Comprehensive /Holistic approach●Dealing with uncertainty●Holist...
Collaborative practicePrimare care management●Networking●Multidisciplinary point of view●How to work with different specia...
Community medicineCommunity orientation●Working with the community●Social, demographic and epidemiologic point of view●Emp...
Family and home carePerson centered care●Collaboration with family to resolve problems●Home care●Long term care for chroni...
Rural training concepts●Rural Doctor > Complete family doctor > Core and paradigm of theGP speciality > Model for young fa...
Rural medicine values for trainees●Getting an opportunity for working and knowing “The GP´s role”inside a defined communit...
Sensefotos.presentation workshop croatia.1.ppt
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Presentación de Jaume Banqué Vidiella en la tercera edición del Euripa Rural Health Invitational Forum de Croacia 2012.

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Sensefotos.presentation workshop croatia.1.ppt

  1. 1. “What Essential Competences young familydoctors have to learn and practice for working in rural areas appropriately? “ Results from 16th and 17th Wonca Europe Conferences Workshops “ A tribute to Claudio Carosino “ Jaume Banqué Vidiella . Euripa – Semfyc – Camfic Institut Català de la Salut. CAP Baix Ebre. Spain jbanquev@gmail.com
  2. 2. Common themes in rural health…●At the heart of the rural health education agenda is that ruralpeople have different healthcare needs and reduced access toservices….●Rural populations tend to have different profiles to those of urbanpopulations…●Rural health professionals face additional isolation issues…●Isolation from professional support requires a broader scope ofpractice, more training and stronger support networks…RB Hays. School of Medicine, Keele University, Staffordshire, UKRural medical education in Europe: the relevance of the Australian experienceRural and Remote Health 7: 683. (Online), 2007
  3. 3. Wonca Europe Conf. 16th Conf. Málaga 10.2010 Workshops 17th Conf. Warsaw 09.2011 Participants: 32 Compulsory RT Experience in Rural (Countries: 23) period for young GP Health ? : 20 partic. in your country ? : 5 (60,6%) countries
  4. 4. Results faced with Core Competences ( European Definition of GP / Family Medicine Euract. Wonca Europe 2005 ) Results grouped into Core Competences – Euract 2005●Abilities, training andknowledge. (42) ●Specific solving problems skills●Working in a rural setting (28) ●Primary care management●Being a GP and a rural doctor ●Person centred care(25) ●Comprehensive approach●Collaborative practice (10) ●Community orientation●Community medicine (10) ●Holistic approach●Family and home care (4)
  5. 5. Abilities, training and knowledge Specific solving problems skills●Skills and training in emergencies●Communicational skills●Paediatrics●Geriatrics●Gynaecology and obstetrics●Palliative care. Pain Control●Up to date in technologies
  6. 6. Working in a rural setting Primary care management / Comprehensive approach/ Holistic approach●Flexibility●Integration with population●Knowing the idiosyncrasy of population where you work●Commitment of at least 3 – 5 years to a rural community●Leadership●Be in touch with other colleagues. Don’t stay isolated.●Being part of your community as private person as well asprofessional (How to live and work in the same and smallcommunity)● Patient guide and rural doctor´s style: going slow without stop.
  7. 7. Being a GP and a rural physicianPrimary care management / Comprehensive /Holistic approach●Dealing with uncertainty●Holistic approach●Facing the challenges: Ability to work under stress andindependently●Physician’s health●Treating all kind of people●Be closed but maintaining your doctor´s role●Greater range of skills: Procedural, diagnostic, public health...●How to prevent and treat occupational diseases●Dealing with CPD and professional development.
  8. 8. Collaborative practicePrimare care management●Networking●Multidisciplinary point of view●How to work with different specialist and institutions : socialservices, local politicians, veterinarians, agricultural engineers....●Collaborating with regional services
  9. 9. Community medicineCommunity orientation●Working with the community●Social, demographic and epidemiologic point of view●Empowering population●Community oriented primary care●Community involvement (coherence between lifestylerecommendations and personal choices)●Knowledge of local culture and community
  10. 10. Family and home carePerson centered care●Collaboration with family to resolve problems●Home care●Long term care for chronic diseases●Traditional care in rural areas.
  11. 11. Rural training concepts●Rural Doctor > Complete family doctor > Core and paradigm of theGP speciality > Model for young family doctors●Rural Practice > Specific kind of practice > Health care for aparticular community > Working with sustainability●Rural Center > Locus for training and learning > Under and PostGraduate Doctors●Rural Rotation > “Not a problem of contents but a problem offuture life conditions”
  12. 12. Rural medicine values for trainees●Getting an opportunity for working and knowing “The GP´s role”inside a defined community●Emphasizing the holistic view in Family Medicine : “The bio-psyco-social model”●Underlining the importance of “Equity” in health services : Equalaccess / Equal utilization / Equal health outcomes

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