Katerina Venovska MSPH, FM Spec. MD
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Transcript of Katerina Venovska MSPH, FM Spec. MD
The importance of international experience, capacity building activities and consistent
environment and leadership for a critical policy decision and successful process of Family
Medicine specialization and reeducation initiation in Macedonia
Katerina VenovskaMSPH, FM Spec. MD
3-4 September 2012 IV Biannual Conference Gothenburg on the Future of Primary Health Care in Europe IV:"Crossing Borders in Primary Care“
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PROJECT COORDINATION UNITMinistry of Health of Republic of Macedonia
Health Sector Management Project (HSMP) - Loan by the WB (2004 – 2010)
Provided financial & technical support and consistent environment & leadership
Component 1: Health Policy Formulation & Component 3: Service Delivery Improvement
Coordinator: Katerina Venovska, MSPH, FM Spec. MD21/04/23 Republic of Macedonia 2
HEALTH SECTOR MANAGEMENT PROJECT Health Strategy Development Process
• International Health Policy Consultant engaged (2005)
• Health Strategy Working Group established (2005)
• Health Situation analyses & needs assessment carried out
• Broad discussion & negotiations with stakeholders
• Transparent process involving profession and the public
• International experience reflected (WHO, WB...)
• Health Strategy 2020 developed & enforced by the Government (2006)
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FAMILY MEDICINE (FM) IMPLEMENTATION Training & International Experience - Strategic
Planning
HARVDARD SCHOOL OF PUBLIC HEALTH - 2008
Strengthening Human Resources in Health
SOUTHEMPTON CONFERENCE - 2008
Future of Primary Care in Europe II
Visit to St Mary’s Surgery
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FAMILY MEDICINE IMPLEMENTATION Public Relations & Communication (PRC) support
• Adequate communication of Health Reform goals & activities
• Increased cooperation with journalists (opponents to FM)
• Public Relations Working Group established within HSMP
• Technical support to PRC activities provided (2007)
• PRC Strategy developed (2008)
• Study Tour of Journalists in Netherlands organized (2009)
• Joint PRC on FM implementation with main stakeholders
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JOURNALIST STUDY VISIT TO NETHERLAND (2009)
Ministry of Health, Welfare and Sport – Den Haag
Domus Medicus - Utrecht
Family Practice - Den Haag NIVEL
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FAMILY MEDICINE IMPLEMENTATION FM Strategy Development & Implementation
• Technical support & cooperation with Slovenian Family Medicine Department (Medical Faculty - Ljubljana) - HSMP
• Family Medicine Working Group established within HSMP
• FM Strategy and Implementation Plan developed (2009)
• Memorandum of Cooperation in FM implementation signed (Ministry of Health & Medical Faculty Skopje) - May 2009
• 16 FM Educators / Mentors (skilled CME educators) were engaged through HSMP and trained (2009/2010)
• FM Educational Board nominated at Skopje Medical Faculty
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FAMILY MEDICINE IMPLEMENTATION FM Capacity Building Activities
• Training of Core group of 24 FM Educators (2009, Ohrid)
• 6 day training curricula developed
• 50 FM Educators trained - Prilep Educational Centre (2010)
• Visit to FM Educators practices
• FM Continuous Medical Education program initiated
• Close cooperation with Association of GP/FD in Macedonia
• Training of additional groups of FM educators (2010-2011)
• Study visits to Slovenia (Ljubljana & Bled) (2009-2010)
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FAMILY MEDICINE CAPACITY BUILDING
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Training of FM educators – Cooperation with Slovenian FM Department Professors
Training of additional groups of FM Educators by the Core Group of FM Educators
FAMILY MEDICINE CAPACITY BUILDING
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Debriefing of FM Educators after the training
Group of Certified FM Educators and teachers
FAMILY MEDICINE IMPLEMENTATION FM Department establishment at the Medical
Faculty
• Family Medicine Educational Board operational
• FM specialization curricula revised and teaching program developed
• Family Medicine Specialization initiated (October 2009)
• First year of study - financial support provided to first 10 trainees
• Educational Centers in Veles, Gostivar & Strumica visited to plan their use for FM purposes
• Family Medicine Educational Centre in Skopje established & fully equipped with HSMP support (2010)
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FAMILY MEDICINE IMPLEMENTATION FM Specialization Initiation
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MEMORANDUM OF COOPERATION (FM) SIGNED - May 2009
Ministry of Health & Medical Faculty Skopje
(Deputy Minister, Minister, & the Dean)
FAMILY MEDICINE SPECIALIZATION LAUNCH - October 2009
Medical Faculty Skopje & MOH/PCU(Vice-Dean, Dean, MOH/PCU FM Coordinator, Medical Faculty FM
Coordinator)
FAMILY MEDICINE EDUCATIONAL CENTER – SKOPJEReconstruction, Equipping & Launch
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Acceptance of renovated & fully equipped premises
Ministry of Health / PCU
Family Medicine Educational Centre - Skopje Launch - 2010
Family Medicine Educational Centre - Skopje Launch - 2010
FAMILY MEDICINE EDUCATIONAL CENTER International Experience & Cooperation
• Memorandum for Cooperation in the field of FM between Medical Faculty Skopje & Ljubljana signed (2010)
• Study visit to Slovenia & maintaining close cooperation with the GP/FM Associations & FM University Departments in Croatia, Montenegro, Slovenia, Serbia, Bulgaria, Turkey…
• Study visit to Nijmegen University, FM Department, Netherland and relevant institutions & Family Doctors
• Study visit to Imperial College, London, United Kingdom
• Bilateral Cooperation in FM between Macedonia & Turkey
• Contact established with FM Association in Canada
• Cooperation with Austrian FM University Dep. (CME Course)
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FM INTERNATIONAL EXPERIENCE & COOPERATION
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Study visit to Imperial College, London, UK
Study visit to Bled, Slovenia
FM INTERNATIONAL EXPERIENCE & COOPERATION
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Study visit to Domus Medicus, Utrecht, Netherland
Study visit to Nijmegen, Netherland
FM INTERNATIONAL EXPERIENCE & COOPERATION
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Study visit to Family Practice near Nijmegen, Netherland
FM INTERNATIONAL EXPERIENCE & COOPERATIONBilateral Cooperation in FM with MOH / Turkey
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IMPROVED COLLABORATION IN FM IMPLEMENTATION
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Established & maintained good cooperation between the key players:
Ministry of Health, Health Insurance Fund, Medical Faculty Skopje,
Slovenian FM Department expertsMacedonian Doctors Chamber
Association of GP/FM Doctors in Macedonia
FAMILY MEDICINE EDUCATIONAL CENTER Retraining of GPs to become FM Specialists
• FM retraining curricula & teaching program developed
• Bylaw for Specializations referring to FM Specialization & Retraining of doctors working in GP practices adopted
• Specialization & Retraining Fees agreed between MOH, Medical Faculty Skopje & the Macedonian Doctors Chamber
• Web Site for FM specialization & FM activities created & regularly updated
• Second Group of FM specialization started in October 2010
• Retraining of GPs in FM Specialists started in February 2011 in Prilep and Skopje FM Educational Centers
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SKOPJE FAMILY MEDICINE EDUCATIONAL CENTER Retraining of General Practitioners to FM Specialists
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Regular Training Sessions in the FM Educational Center
Within FM Retraining activities
Established Teacher exchange program
with Ljubljana FM University Department based on the
signed Agreement for Cooperation
TRAINING OF MEDICAL FACULTY PROFESSORS Family Medicine Specialist Exam – Examiners
Preparation
• Appropriate FM Specialist Exam materials and program were developed
• The Medical Faculty nominated professors from various related fields to take part in the team of examiners for the FM Specialist Exam
• Orientation Training for the professors for the implementation of FM Specialist Exam was carried out by the Slovenian FM University Department Professors
• The first FM Specialist Exam was organized in May 2011 and managed by the Ljubljana University FM Department Professors in collaboration with trained Skopje Medical Faculty Professors
• First 24 FM Specialists in Macedonia certified in May 2011
• Since then number of FM Specialists is growing - over 50 (2012)
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TRAINING OF MEDICAL FACULTY PROFESSORS Family Medicine Specialist Exam – Examiners Preparation
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FIRST GROUP OF FAMILY MEDICINE SPECIALISTS Certified by Slovenian Professors & Medical Faculty Skopje
May 2011
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THANK YOU
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ANY QUESTIONS?
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