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Experience In Europe (Logroño 2008)

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Experience In Europe (Logroño 2008)

  1. 1. EXPERIENCES IN EUROPE: PORTUGAL Raquel Gómez Bravo R3 MFYC, Área 5, Madrid
  2. 2. My General Practice Advisor wrote me, when he realized I´m going to come here: “ I am really impressed, with your participation in the National Congress of Residents in Logroño. It´d seemed to be yesterday , when you were afraid because of your first session, and It was in Cervantes´ language. Think on how speak English our great politicians (Presidents of the Goverment; just think in the last two ones, because the other can not speak English at all), and take it easy. Sure you are going to do much better…” But I´m not agree with him at all, because I don´t usually speak english…so, please, forgive me in advance for my possible (and certain) mistakes… Thanks anyway
  3. 3. 8 Interns from Spain: GRANADA (2) MADRID (3) VALENCIA (3) To Oporto
  4. 5. EXPERIENCE IN PORTUGAL: ROTATION IN “CENTRO DE SAÚDE SENHORA DA HORA” From 24th to 29th of September, 2007
  5. 6. PEDRO HISPANO HOSPITAL
  6. 7. <ul><li>Structured in ‘Unidades de Saúde Familiar’ </li></ul><ul><li>Surgeries / Offices: </li></ul><ul><li>1. Medicina geral e familiar: de vigilancia o de recurso. </li></ul><ul><li>2. Planeamiento familiar </li></ul><ul><li>3. Saúde materna </li></ul><ul><li>4. Grupos de risco </li></ul><ul><li>5. Otras especialidades </li></ul><ul><li>6. Cuidados de enfermagem </li></ul><ul><li>7. VacinaÇao </li></ul><ul><li>8. ServiÇo social </li></ul><ul><li>9. Apoio domiciliario </li></ul><ul><li>10. SASU </li></ul>
  7. 11. Differences in Primary Care system between Spain and Portugal <ul><li>Paid office </li></ul><ul><li>Private medical tests </li></ul><ul><li>Drugs and medical tests are partially financed (It depends on basic salary) </li></ul><ul><li>10-15 patients / day </li></ul><ul><li>15-30 minutes / patient </li></ul><ul><li>At least, 5 emergency rooms, open up to 21 hours a day </li></ul><ul><li>Split schift (morning-evening) </li></ul><ul><li>Chronic chart treatment </li></ul><ul><li>Don´t pay : </li></ul><ul><li>Pregnants </li></ul><ul><li>Under 12 </li></ul><ul><li>Pensioner (Basic salary) </li></ul><ul><li>Unemployed </li></ul><ul><li>Consort </li></ul><ul><li>More than 5% disable </li></ul><ul><li>Blood donor </li></ul><ul><li>Firefighter </li></ul><ul><li>Alcoholics, drugs addict, diabetic, </li></ul><ul><li>Parkinson´s, tuberculosis, AIDS </li></ul><ul><li>Chronic kidney disease, </li></ul><ul><li>Psycho, mental illness </li></ul>
  8. 12. <ul><li>6 years degree+ 2 practical years (700 Euros), and after that, they have to choose their medical speciality </li></ul><ul><li>GP trainer: (3 years) </li></ul><ul><li>1.- First : 6 months in health center, 3 optional rotations (2 months each one, for exmple: Internal Medicine, Gynecology, Paediatrics, Traumatology, Dermatology…) </li></ul><ul><li>2.- Second : 3 months in children’s health (Paediatrics, care of the newborn…), 3 in women´s health (family planing, breastfeeding, high-risk pregnancy…) and the other 6, optional rotacions </li></ul><ul><li>3.- Third: Health center </li></ul>Interns in Portugal (I)
  9. 13. <ul><li>Some areas have established 4 years speciality </li></ul><ul><li>Salary: 1200 euros/month </li></ul><ul><li>Final tests </li></ul><ul><li>Optional duties (4-10 hours in outpatient clinic or in Hospital) </li></ul><ul><li>3 years contract </li></ul>Interns (II)
  10. 15. SCIENTIFIC PROGRAMME: SATURDAY 29th SEPT SALA EÇA QUEIRÓS
  11. 16. SUNDAY 30th SEPTEMBER SALA EÇA QUEIRÓS
  12. 17. WORKSHOPS ICPC A Geral e inespecifico B Sangue/orgãos hematopoiéticos e linfáticos (baço e medula ossea) D Ap. Digestivo F Olho (Visão) H Ouvido (Audição) K Ap Circulatório L Sistema Musculosquelético (Locomoção) N Sistema Nervoso P Psicológico R Aparelho Respiratório S Pele T Endocrino, metabólico and nutrição U Aparelho Urinário W Gravidez, Planeamento familiar (mulher) X Aparelho genital feminino (incluindo mama) (cromossoma x) Y Aparelho genital masculino (cromossoma y) Z Problemas sociais
  13. 20. SUNDAY 30th SEPTEMBER
  14. 22. MONDAY 1st OCTOBER
  15. 23. Learning from one's mistakes http://ipcrg-seville2008.unicongress.com/ http://www.ginasthma.org
  16. 25. DISCUSSING TIME FOR PATIENT . PREVALENCE OF CERVICAL CANCER . VACCINA VPH
  17. 28. TUESDAY 2nd OCTUBER
  18. 29. POSTERS

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