Medical education in central hospitals and health care centers
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Medical education in central hospitals and health care centers. Jukka Mustonen Professor, Vice Dean University of Tampere. Medical Faculty in the University of Tampere. 105 new students a year Problem based learning (PBL) 1994 Clinical courses after 3.5 years

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Medical education in central hospitals and health care centers

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Medical education in central hospitals and health care centers

Jukka Mustonen

Professor, Vice Dean

University of Tampere


Medical Faculty in the University of Tampere

  • 105 new students a year

  • Problem based learning (PBL) 1994

  • Clinical courses after 3.5 years

  • Courses of Internal Medicine and Surgery (4th or 5th year) as well as General Practice (5th or 6th year) last nine weeks


Background

  • Several educational aspects supporting decentralisation (Medical Faculty)

  • Local interests in Seinäjoki Central Hospital and Hospital District of Southern Osthrobothina


Seinäjoki Central Hospital

  • 170 km North from Tampere

  • Medical education since 1991

  • Internal Medicine (one group of students)

  • Surgery (one group)

  • General Practice (one group)


Teaching staff in Seinäjoki

  • Three clinical lecturers

    • General Practice

    • Internal Medicine

    • Surgery

  • One nurse instructor (VIP)


Students in Seinäjoki

  • All students stay 6 weeks in Seinäjoki

  • Two weeks in Internal Medicine

  • Two weeks in Surgery

  • Two weeks in General Practice

  • All groups are there at the same time

  • All students overnight in Seinäjoki


Groups of Internal Medicine and Surgery

  • Normal hospital learning adviced by the clinical lecturers and hospital staff in Seinäjoki central hospital

  • Attitude of the hospital staff is positive and encouraging

  • Students see more common illnesses


Group of General Practice

  • Seven surrounding health care centers

  • Local staff of health care centers

  • Travelling from Seinäjoki and back every day (by own cars)

  • Students examine the patients and follow other activities in health care centers

  • ”Friday-seminar” once in two weeks in SJ


”Friday-seminar”

  • On the last friday in Seinäjoki

  • Integrated patient seminar

  • Active role of the students (PBL)

  • All three groups are present

  • Local teaching staff

  • Other teachers from Tampere


Patients of the seminar

  • Patients whom the students (GP) have sent to Seinäjoki Central Hospital

  • What has happened to these patients in the hospital (Int Med and Surgery)

  • What happens to the patients after they leave the hospital (GP)

  • Other intersting patients (all students)


Goals of the seminar

  • To learn what happens to the patients in different levels of our health care system

  • Collaboration between primary care and central hospital

  • Ethical discussions are common


Feedback from students

  • Very positive continuously since 1991

  • Attitude of the local hospital staff and the patients

  • More time for the students

  • This feeback irrespective of certain practical problems (travelling etc.)


Extra costs

  • Accommondation in Seinäjoki

  • Travelling costs between Tampere and Seinäjoki

  • Travelling costs between Seinäjoki and heath care centers


Summary

  • Decentralization has been succesfull

  • Good co-operation between the university, central hospital and heath care centers

  • Demanding process

  • Local teaching staff is necessary

  • Feedback from students and other partners has been very positive


Special thanks

  • Irma Virjo, Professor of General Practice

  • Airi Jussila, Clinical lecturer

  • Anna-Maija Koivukoski, Clinical lecturer

  • Heikki Lahtinen, Clinical lecturer

  • Pauliina Suomela, Nurse instructor


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