Menin Alessandro 1

Constantino Liliana 2

1 General Practitioner; Vicenza (Italy)E-mail address: alessandro.menin1@alice.it

ConclusionsStarting from the same principles, the two educational systems prepare the new doctors in a different manner and also the organization of the Practice is very different in regards to the management of chronic and acute patients. A comparison between the two systems could make an improvement in the quality and efficacy of the provided services.

Analysis of two different educational systemsof General Practice in Europe

2 General Practitioner; Coimbra (Portugal)E-mail address: lili_rute@yahoo.com.br

ThreatsOpportunities

WeaknessesStrengthsPortugal

- The lack of symmetry on common standards and the absence of recognition ofmerit to the best tutorsresults in asymmetriceducation standards

- The increasing number of residents per tutor can lower the educationstandards

- The lack of recognition of merit to the best tutorsresults in lower educationstandards

- The absence of common standards can cause a worsening of the teachingquality

- Trainees with their studyprojects as residentscould help increaseresearch in GP/FM

- With their work, traineescan help increaseresearch in the GeneralPractice

PortugalItalyPortugalItaly

- Variability between regionsand Health Centres

- Lack of knowledge aboutresearch among tutors

- Lack of a more solidfoundation in family therapy tecniques

- Too much variabilitybetween regions and Schools

- Lack of educational knowledge among tutors

- Lack of an university programme (RegionalSchool)

- Holistic approach to the patient (ICPC2)

- Organization run byCoordinations of GP/FM

- Long training in GeneralPractice/ Family Medicine

- Functional regionalprogramme

- Theorical courses in the programme

- Holistic approach to the patient

- Organization run byGeneral Practitioners

PortugalItalyItaly

ThreatsOpportunities

WeaknessesStrengthsPortugal

- The reduced financialincentives (recentlyaggravated) may result in areduced interest about theGP/FM

- Little time for domiciliaryvisits can become a moreevident problem

- Excessive bureaucracy andtime per consultation limitthe plans of action in General Practice

- The reduced financialincentives may result in a reduced interest about the General Practice

- The lack of a standardizedprevention can cause reduced control of the prevalence of disease

- Excessive bureaucracylimits the plans of action in General Practice

- Conditions with the purpose of maintaining the holistic approach in GP/FM can allow a better responsefrom the health services forthe patients’ needs and satisfaction

- The use of ICPC2 inelectronic data (SOAP) canbe an important supportingtool to manage and supportthe WONCA Europedefinition of GP/FM

- A better organization of the patient-oriented servicescan improve the responseto the patients’ needs and satisfaction level

- A better organization and management of the patientcan offer a better responsein a time of crisis

PortugalItalyPortugalItaly

- Delay in the management of acute patients

- Patients difficulty in speaking with their own GP out of the setting

- Billable services forpatients

- Reduced economicincentive for extra services

- Lack of a plannedprevention

- A trend to equalizing on low levels (reducedeconomic incentive forextra services)

- Good results on greatstatistics (low mortality and high lifespan)

- Planned prevention- Holistic vision- Large variability of services

offered (including familyplanning, pregnancy,children health vigilance), community oriented

- Gate keeping / advocate of patient (NHS)

- Good informatized system, emproving management

- Good results on greatstatistics (low mortality and high lifespan)

- Rapid answer to acute diseases

- Holistic vision vs- nosographic vision- Domiciliary medical

treatment of terminal patients

- Free of charge and accessibility

- Entrepreneurial attitude(professional)

PortugalItalyItaly

CSeRMEG

SWOT Analysis of the School of General Practice SWOT Analysis of the General Practice