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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
Outline ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What is Hippokrates? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
European Definition of Family Medicine
Group discussion Virginia Hernandez Santiago (Spain)  Madeleine Attridge (UK) www.vdgm.eu
Group Discussion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Discuss.. ,[object Object],[object Object]
 
Hippokrates from a Visitor’s perspective Liliana Laranjo (Portugal)
Hippokrates PROGRAMME Visiting the United Kingdom & Denmark
Hippokrates programme - Visiting the United Kingdom & Denmark - Denmark Conclusion United Kingdom Introduction Introduction
Hippokrates programme - Visiting the United Kingdom & Denmark  - ,[object Object],[object Object],[object Object],[object Object],[object Object],Denmark Conclusion United Kingdom Introduction
Hippokrates programme - Visiting the United Kingdom & Denmark - Introduction Conclusion Denmark United Kingdom United Kingdom
Hippokrates programme - Visiting the United Kingdom & Denmark  - Rotherham Introduction Conclusion Denmark United Kingdom
Hippokrates programme - Visiting the United Kingdom & Denmark - Liliana Laranjo | Portugal Introduction Conclusion Denmark United Kingdom Host Dr. David Polkinghorn
Hippokrates programme - Visiting the United Kingdom & Denmark - Market Surgery Introduction Conclusion Denmark United Kingdom
Hippokrates programme - Visiting the United Kingdom & Denmark - Introduction Conclusion Denmark United Kingdom Market Surgery
Hippokrates programme - Visiting the United Kingdom & Denmark - Introduction Conclusion Denmark United Kingdom Market Surgery
Hippokrates programme - Visiting the United Kingdom & Denmark - Introduction Conclusion Denmark United Kingdom Market Surgery
Hippokrates programme - Visiting the United Kingdom & Denmark - Introduction Conclusion Denmark United Kingdom Market Surgery
Hippokrates programme - Visiting the United Kingdom & Denmark - United Kingdom Introduction Conclusion Denmark Denmark
Hippokrates programme - Visiting the United Kingdom & Denmark - Sk ø dstrup United Kingdom Introduction Conclusion Denmark
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)
Hippokrates programme - Visiting the United Kingdom & Denmark - Skødstrup LÌgepraksis United Kingdom Introduction Conclusion Denmark
Hippokrates programme - Visiting the United Kingdom & Denmark - Skødstrup LÌgepraksis United Kingdom Introduction Conclusion Denmark
Hippokrates programme - Visiting the United Kingdom & Denmark - Skødstrup LÌgepraksis United Kingdom Introduction Conclusion Denmark
Hippokrates programme - Visiting the United Kingdom & Denmark - Skødstrup LÌgepraksis United Kingdom Introduction Conclusion Denmark
Hippokrates programme - Visiting the United Kingdom & Denmark - Skødstrup LÌgepraksis United Kingdom Introduction Conclusion Denmark
Hippokrates programme - Visiting the United Kingdom & Denmark - Skødstrup LÌgepraksis United Kingdom Introduction Conclusion Denmark
Hippokrates programme - Visiting the United Kingdom & Denmark - Skødstrup LÌgepraksis United Kingdom Introduction Conclusion Denmark
Hippokrates programme - Visiting the United Kingdom & Denmark - Introduction United Kingdom Denmark Conclusion Conclusion
Hippokrates programme - Visiting the United Kingdom & Denmark - ,[object Object],[object Object],[object Object],[object Object],Introduction United Kingdom Denmark Conclusion
Thank you!
 
Hippokrates from a Host’s perspective Marek  Oleszczyk (Poland) Magda  Moszumaoska (Poland)
Before ,[object Object],www.vdgm.eu
Before ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
In-vivo observation Bronislaw Malinowski on Triobriand Islands
During ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Schedule
Visiting  City Practice
Visiting Rural GP Practice
Sharing experiences
Sightseeing
After ,[object Object],[object Object],[object Object],[object Object],www.vdgm.eu
 
Rural VdGM   Hippokrates Exchange  Claudio Carosino Prize Raquel Gomez Bravo (Spain), VdGM-Semfyc Jaume BanquĂŠ Vidiella (Spain), Euripa-Semfyc [email_address]
 
Advert: ,[object Object],[object Object]
CHRONOLOGY
[object Object],[object Object],CLAUDIO CAROSINO HIPPOKRATES PRIZE
[object Object],[object Object],[object Object],[object Object],CLAUDIO CAROSINO HIPPOKRATES PRIZE
[object Object],CLAUDIO CAROSINO HIPPOKRATES PRIZE
CLAUDIO CAROSINO HIPPOKRATES PRIZE
CLAUDIO CAROSINO HIPPOKRATES PRIZE
How many rural practices do we have until now ? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
www.vdgm.eu BEYOND EUROPE
www.vdgm.eu
www.vdgm.eu
What about the future…?
What about the future…? ,[object Object],[object Object],[object Object],[object Object]
title ,[object Object],www.vdgm.eu
 
The Future? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
 
 
Do you understand your health care system?
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
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
Millennium Development Goals
 
 
Hippokrates is the answer!
Questions ,[object Object],[object Object]
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
National Exchange Coordinator Meeting ,[object Object],[object Object],[object Object],[object Object]

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WONCA Europe 2011 - Hippokrates Exchange

  • 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.
  • 3.
  • 4. European Definition of Family Medicine
  • 5. Group discussion Virginia Hernandez Santiago (Spain) Madeleine Attridge (UK) www.vdgm.eu
  • 6.
  • 7.
  • 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.
  • 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 LĂŚgepraksis United Kingdom Introduction Conclusion Denmark
  • 25. Hippokrates programme - Visiting the United Kingdom & Denmark - Skødstrup LĂŚgepraksis United Kingdom Introduction Conclusion Denmark
  • 26. Hippokrates programme - Visiting the United Kingdom & Denmark - Skødstrup LĂŚgepraksis United Kingdom Introduction Conclusion Denmark
  • 27. Hippokrates programme - Visiting the United Kingdom & Denmark - Skødstrup LĂŚgepraksis United Kingdom Introduction Conclusion Denmark
  • 28. Hippokrates programme - Visiting the United Kingdom & Denmark - Skødstrup LĂŚgepraksis United Kingdom Introduction Conclusion Denmark
  • 29. Hippokrates programme - Visiting the United Kingdom & Denmark - Skødstrup LĂŚgepraksis United Kingdom Introduction Conclusion Denmark
  • 30. Hippokrates programme - Visiting the United Kingdom & Denmark - Skødstrup LĂŚgepraksis United Kingdom Introduction Conclusion Denmark
  • 31. Hippokrates programme - Visiting the United Kingdom & Denmark - Introduction United Kingdom Denmark Conclusion Conclusion
  • 32.
  • 34.  
  • 35. Hippokrates from a Host’s perspective Marek Oleszczyk (Poland) Magda Moszumaoska (Poland)
  • 36.
  • 37.
  • 38. In-vivo observation Bronislaw Malinowski on Triobriand Islands
  • 39.
  • 41. Visiting City Practice
  • 42. Visiting Rural GP Practice
  • 45.
  • 46.  
  • 47. Rural VdGM Hippokrates Exchange Claudio Carosino Prize Raquel Gomez Bravo (Spain), VdGM-Semfyc Jaume BanquĂŠ Vidiella (Spain), Euripa-Semfyc [email_address]
  • 48.  
  • 49.
  • 51.
  • 52.
  • 53.
  • 56.
  • 57.  
  • 61. What about the future…?
  • 62.
  • 63.
  • 64.  
  • 65.
  • 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
  • 74.  
  • 75.  
  • 77.
  • 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.

Editor's Notes

  1. 15:45 – 15:55 (10min)
  2. 15:55 – 16:20 (25)
  3. 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
  4. 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...
  5. 16:25 – 16:40 (15min)
  6. 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.
  7. 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.
  8. In the UK I stayed in Rotherham, which is pointed out in the map.
  9. 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.
  10. The practice I visited was the Market Surgery.
  11. 8.30 – 18.30 weekdays and 8.30-1.30 saturdays.
  12. The practice had approximately 10000 patients and 6 GPs. It also had 5 nurses, 1 nutritionist and 1 physiotherapist.
  13. This was the secretaries room and the reception.
  14. This was the common room for doctors and nurses, where the staff meetings occurred.
  15. In Denmark I stayed in Skodsdrup, which is a town near Arhus, the second biggest city in the country.
  16. 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.
  17. The practice was opened from 8h to 16h. The staff met everyday at 7.50 to review the schedule for that day.
  18. The practice had 11000 patients, 8 GPs, 3 nurses, 6 secretaires and 1 nutritionist. This was the reception.
  19. 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.
  20. These were the waiting rooms.
  21. This was Dr. Per’s consultation room.
  22. 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.
  23. This was the staff room, where everyone met at 11.30 to have lunch and where the practice meetings occured.
  24. 16:40 -16:55 (15min)
  25. 16:55 -17:05 (10min)
  26. Feedback 11:50 -12:00 Can come back to this slide as needed