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Improving our training curriculum

Improving our training curriculum. Pros and cons in Finland Milla Juhantalo-Takala, Trainee Tampere University Hospital. Pros. Independent work A senior is awailable , but first you try to figure it out by yourself Trust – guardianship Adult learners Responsibility

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Improving our training curriculum

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  1. Improvingourtrainingcurriculum Pros and cons in Finland Milla Juhantalo-Takala, Trainee Tampere UniversityHospital

  2. Pros • Independentwork • A senior is awailable, butfirstyoutry to figureit out byyourself • Trust – guardianship • Adultlearners • Responsibility • We are responsible for finding a proper post for training by ourselves

  3. Pros • Rotationscheduleorganised • Focusing on one thing at a time • Orientation • A named tutor • In the universityhospitals

  4. Pros… • Log-book • Practice • Experience • Osats • Immediate feedback • Learning curve • Selfevaluation – whatskillsshouldbeimproved

  5. Objectivestructuredassessment of technical skills www.rcog.org.uk/files/rcog-corp/uploaded-files/Ed-Core-OSATS.pdf

  6. Pros/Cons…? • A national specialist exam which is a written 6 h exam • Compulsory for all the traineesfromdifferentuniversities • Maintains a certainstandard of whatwe’resupposed to learn • Academicskills/ Professional knowledge • Traineeprepares and presentates a lecture of givensubjectfor the wholeclinic

  7. Cons • 50/50 % rule • Forcesmost of us to moveback and forth • ”Doitwhenyou’restillyoung and enthusiast” • Reduction of smallperipheralhospitals

  8. Cons • General reduction in surgicalprocedures • Hysterectomies • Suctioncurettages

  9. Cons • Lack of ultrasound training • Lack of urogynecologictraining • Prenatalpoliclinic is mainlymonotonous for trainees • Somethingelsethangestational diabetes orbreechcontrols?

  10. How to improve? • Surgicalcompetencypretest? • Entry and exit • Specificgoals for eachrotationunit? • Web-basedcourses and surgicaltechniquesshouldbepractisiced in a stressfreeenvironment • Fantoms, simulators • Willtherebeenoughoperations in the future? • Shouldweorientatealready as a trainee?

  11. …improving • Scientific knowledge • Structured lessions for opening and understanding scientific articles (Journal club)

  12. Feedback, feedback and feedback • Immediate • Spesific • Descriptive • Interactive • frommidwives?

  13. In an idealworld • You’dbecome a specialistafteryouhaveachieved the neededknowledge and skills • Nothowmanytricksyoudid • Orwhereyoulearntitgeographically

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