Natural Europe Educational Pathways Sofoklis Sotiriou Ellinogermaniki Agogi.
Analysis of Two Different Educational Systems of General Practice in Europe
1
Menin Alessandro 1 Constantino Liliana 2 1 General Practitioner; Vicenza (Italy) E-mail address: [email protected] Conclusions Starting 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 systems of General Practice in Europe 2 General Practitioner; Coimbra (Portugal) E-mail address: [email protected] Threats Opportunities Weaknesses Strengths Portugal - The lack of symmetry on common standards and the absence of recognition of merit to the best tutors results in asymmetric education standards - The increasing number of residents per tutor can lower the education standards - The lack of recognition of merit to the best tutors results in lower education standards - The absence of common standards can cause a worsening of the teaching quality - Trainees with their study projects as residents could help increase research in GP/FM - With their work, trainees can help increase research in the General Practice Portugal Italy Portugal Italy - Variability between regions and Health Centres - Lack of knowledge about research among tutors - Lack of a more solid foundation in family therapy tecniques - Too much variability between regions and Schools - Lack of educational knowledge among tutors - Lack of an university programme (Regional School) - Holistic approach to the patient (ICPC2) - Organization run by Coordinations of GP/FM - Long training in General Practice/ Family Medicine - Functional regional programme - Theorical courses in the programme - Holistic approach to the patient - Organization run by General Practitioners Portugal Italy Italy Threats Opportunities Weaknesses Strengths Portugal - The reduced financial incentives (recently aggravated) may result in a reduced interest about the GP/FM - Little time for domiciliary visits can become a more evident problem - Excessive bureaucracy and time per consultation limit the plans of action in General Practice - The reduced financial incentives may result in a reduced interest about the General Practice - The lack of a standardized prevention can cause reduced control of the prevalence of disease - Excessive bureaucracy limits the plans of action in General Practice - Conditions with the purpose of maintaining the holistic approach in GP/FM can allow a better response from the health services for the patients’ needs and satisfaction - The use of ICPC2 in electronic data (SOAP) can be an important supporting tool to manage and support the WONCA Europe definition of GP/FM - A better organization of the patient-oriented services can improve the response to the patients’ needs and satisfaction level - A better organization and management of the patient can offer a better response in a time of crisis Portugal Italy Portugal Italy - Delay in the management of acute patients - Patients difficulty in speaking with their own GP out of the setting - Billable services for patients - Reduced economic incentive for extra services - Lack of a planned prevention - A trend to equalizing on low levels (reduced economic incentive for extra services) - Good results on great statistics (low mortality and high lifespan) - Planned prevention - Holistic vision - Large variability of services offered (including family planning, pregnancy, children health vigilance), community oriented - Gate keeping / advocate of patient (NHS) - Good informatized system, emproving management - Good results on great statistics (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) Portugal Italy Italy CSeRMEG SWOT Analysis of the School of General Practice SWOT Analysis of the General Practice
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This poster was presented in WONCA Europe 2012 byu Alessandro Menin and Liliana Constantino.
Transcript of Analysis of Two Different Educational Systems of General Practice in Europe
Menin Alessandro 1
Constantino Liliana 2
1 General Practitioner; Vicenza (Italy)E-mail address: [email protected]
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: [email protected]
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
