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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

Improvingourtrainingcurriculum

Pros and cons in Finland

Milla Juhantalo-Takala, Trainee

Tampere UniversityHospital

slide2
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
slide3
Pros
  • Rotationscheduleorganised
    • Focusing on one thing at a time
  • Orientation
  • A named tutor
    • In the universityhospitals
slide4
Pros…
  • Log-book
    • Practice
    • Experience
  • Osats
    • Immediate feedback
    • Learning curve
    • Selfevaluation – whatskillsshouldbeimproved
slide5

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

pros cons
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
slide7
Cons
  • 50/50 % rule
    • Forcesmost of us to moveback and forth
    • ”Doitwhenyou’restillyoung and enthusiast”
  • Reduction of smallperipheralhospitals
slide8
Cons
  • General reduction in surgicalprocedures
    • Hysterectomies
    • Suctioncurettages
slide9
Cons
  • Lack of ultrasound training
  • Lack of urogynecologictraining
  • Prenatalpoliclinic is mainlymonotonous for trainees
    • Somethingelsethangestational diabetes orbreechcontrols?
how to improve
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?
improving
…improving
  • Scientific knowledge
    • Structured lessions for opening and understanding scientific articles (Journal club)
feedback feedback and feedback
Feedback, feedback and feedback
  • Immediate
  • Spesific
  • Descriptive
  • Interactive
    • frommidwives?
in an ideal world
In an idealworld
  • You’dbecome a specialistafteryouhaveachieved the neededknowledge and skills
    • Nothowmanytricksyoudid
    • Orwhereyoulearntitgeographically