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Experience in Europe: Dutch Exchange

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Experience in Europe: Dutch Exchange

  1. 1. EXPERIENCES IN EUROPE: DUTCH EXCHANGE RAQUEL GÓMEZ BRAVO R4 MFYC
  2. 2. <ul><li>Vasco da Gama movement is the WONCA Europe working group for young and future General Practitioners </li></ul><ul><li>The movement is the continuation of the work that was started during the first preconference meeting for junior doctors during the WONCA Europe conference in Amsterdam in 2004 </li></ul>EXPERIENCES IN EUROPE
  3. 3. <ul><li>Providing a forum, support and information for trainees and young GPs through access to WONCA Europe regional conferences and pre-conferences </li></ul><ul><li>Establishing a communication network between European trainees and young GPs and identifying their concerns, doubts and needs and helping to address them </li></ul><ul><li>Improving the quality of training programmes for general practice. </li></ul>EXPERIENCES IN EUROPE
  4. 4. VASCO DA GAMA MOVEMENT
  5. 5. <ul><li>- Dutch national association of GP trainees </li></ul><ul><li>- 98 % </li></ul><ul><li>Was founded in 1980 </li></ul><ul><li>Is represented by local committees on every GP training department of the medical faculties. </li></ul><ul><li>Six working groups: </li></ul><ul><ul><li>Education </li></ul></ul><ul><ul><li>Scientific research </li></ul></ul><ul><ul><li>Politics & Social Issues </li></ul></ul><ul><ul><li>Congress </li></ul></ul><ul><ul><li>Sport & social activity </li></ul></ul><ul><ul><li>WES: European affairs </li></ul></ul>
  6. 6. <ul><li>Is the Dutch abreviation for “Task Force European Affairs” </li></ul><ul><li>WES dedicates itself to the exchange and integrationof the various areas of General Practice in Europe and also outside of Europe. </li></ul><ul><li>Participation in international congresses and symposia </li></ul><ul><li>Exchange programmes </li></ul>
  7. 7. HIPPOKRATES
  8. 8. EXPERIENCES IN EUROPE <ul><li>TUESDAY 20th : arrival in The Netherlands </li></ul><ul><li>WEDNESDAY 21st : Day in a Primary Care Clinic </li></ul><ul><li>THURSDAY 22nd : Interactive educational program at a Dutch University </li></ul><ul><li>FRIDAY 23rd : Congress </li></ul>37 GP trainees from 18 countries
  9. 9. EXPERIENCES IN EUROPE ROTTERDAM
  10. 10. EXPERIENCES IN EUROPE
  11. 11. <ul><li>GP is the pivot of the primary health care </li></ul><ul><li>A “gate” for the patients to the specialists in the hospital </li></ul><ul><li>The access to the GP must be “inmediate, free and permanent” whitin 15 minutes </li></ul><ul><ul><li>FREE: without obstacles </li></ul></ul><ul><ul><li>PERMANENT: 24 hours a day and 7 days a week </li></ul></ul><ul><ul><li>Groups: 1 of them on duty outside office hours to provide this service </li></ul></ul><ul><li>8 universities </li></ul><ul><li>280 GP’s per year </li></ul><ul><li>Since1994: 3 years </li></ul>EXPERIENCES IN EUROPE
  12. 12. EXPERIENCES IN EUROPE >8200 GP’s 16 millions inhabitants An average practice: 2350 patients Full time / Business doctors
  13. 13. EXPERIENCES IN EUROPE <ul><li>Varios sistemas informáticos </li></ul><ul><li>Libre elección de médico </li></ul><ul><li>15 minutos por paciente (10-20 pacientes al día) </li></ul><ul><li>Competencias de enfermería </li></ul><ul><li>Enfermería: Nurse / Nurse practitioner </li></ul><ul><li>Protocolos </li></ul><ul><li>URGENCIAS: Gatekeeper // AMBULANCIAS: Pago si no es justificado </li></ul><ul><li>E-Health </li></ul><ul><li>Salario: Precio por paciente / por visitas a domicilio / consulta telefónica </li></ul><ul><li>Si haces uso de la sanidad (medicación, recursos…): 250 euros anuales </li></ul><ul><li>HORARIO: 8-9  Sesión, 9 – 12 h  Pacientes, 12-13h  Lunch, </li></ul><ul><li>13 – 16h  Pacientes, 16-17h  Sesión, !7-19 horas  Pacientes </li></ul>
  14. 14. <ul><li>Médicos autoempleados (47% single-handed free) </li></ul><ul><li>“ Gatekeeping” </li></ul>?
  15. 15. EXPERIENCES IN EUROPE
  16. 16. ERASMUS HOSPITAL
  17. 17. DUTCH PROGRAM 1 day/week 12 months 3 rd year 1 day/week 3 months 3 months 6 months 2 nd year 1 day/week 12 months 1 st year Psychiatry Chronic care Acute care Educational days CLINICAL ROTATIONS GP- Practice
  18. 18. <ul><li>AÑOS DE RESIDENCIA </li></ul><ul><li>GUARDIAS </li></ul><ul><li>ROTACIONES </li></ul><ul><li>TUTORES POR AÑO </li></ul>100% 12,5% 12,5% 75% R4 100% 8% 12,5% 4,5% 12,5% 37,5% 25% R2 / R3 100% 75% 25% R1 TOTAL HOSPITAL EMERGENCY MED-SURGICAL TRAUMATOLOGY GYNAECOLOGY PAEDIATRICS HOSPITAL EMERGENCY PM / RURAL
  19. 19. CONGRESS (UTRECHT)
  20. 20. Con las semillas del presente, “plantamos” el futuro… Reflexión: ¿Cuál es el mejor sistema sanitario? ¿Podemos cambiar…? Hay que perder el miedo para crecer… ¡GRACIAS POR VUESTRA ATENCIÓN!

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