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Explore the specialist training of GPs in Europe, focusing on the Danish situation as an example. Discusses vocational training schemes, core competencies, selection processes, and assessment methods. Learn from the new Danish scheme and its challenges and resources.
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Specialist training of GP’s in Europe: - European trends - an example: the Danish situation Roar Maagard, GP – repr. Danish College of GP’s
Specific Training Committee Margus Lember (chair) – Estonia Dolores Fores – Spain Llukan Rrumbullaku – Albania Fergus O’Kelly – Ireland Janos Szabo – Hungary Roar Maagaard – Denmark
EURACT and vocational training for GP? • Selection of trainers and teaching practices • Hospital post used for training of GP’s • Vocational training schemes
EURACT and vocational training for GP? • Definition of GP • Core competencies of GP • Trainee assessment • Selection of trainees
Selection of trainers/teaching practices • a booklet has been produced • see it on www.euract.org • inspiration for all countries in Europe
2. Hospital posts used for training of GP’s • a booklet has been produced • see it on www.euract.org • inspiration for planners of VT-schemes
3. Vocational training schemes - very great variation!!! - many different ”routes”! - do they all end at the same level? - the best or ”right” way?
VT-schemes in Europe: a survey is to be published on www.euract.org
New definition of GP – June 2002 • Core competencies of GP’s – June 2002 - to be implemented in blueprints and curricula!
6. Trainee assessment • survey • workshop in Ljublana, June 2003 • formative? • summative? • during training? • end-point? • none!
7. Selection of trainees for training posts • great variation • Spain • Denmark • UK / Sheffield • next step to be taken
Example: The new Danish scheme
Why a new scheme? • specific and relevant training needed! • more time in GP! • training schemes for all specialities change right now in DK • GP-specialist training must be equal to training for other specialities
The Danish situation: Pregraduate: 6 y University study Postgraduate: 1½ y basic clinical training (incl. ½ y GP for all) Specialist: 5 (-6) y spec. training
In the new Danish ”Blueprint” of GP/FM we have described 119 minimum competences a future GP should master
These 119 competences are grouped in 7 ”roles”: • Medical expert • Professional • Communicator • Cooperator • Leader and administrator • Health promoter • Academics
Competence number 16 – part of cooperator-role – should be achieved early in the curriculum Objectives That is Learning strategies Assessment Be able to cooperate within the GP-surgery Establish and develop relations (with offspring in mutual respect) with patients, staff and colleagues Working in a teaching GP-surgery Structured assessment by colleagues (tutor), peers and staff Ability to utilize the human ressources in the clinic (patient-care and running of clinic)
To become a specialist in GP: • acquire the 119 competences • accomplish the 5 y scheme
Obstacles? Yes… - economy - lack of teaching practices - GP-trainers must be trained - trainers in hospital must be trained
Possibilities and ressources? Yes, certainly! - GP-trainers commitment - regional GP-training organisers - soon serious shortage of GP’s - heavy support/back-up from - College and GP’s Trade Union - National Health Board - Counties and Government
