1 Leuven-symposium, "Managing 3-4 trainee doctors in our Danish practice“ Roar Maagaard, GP & Ass. professor, University of Aarhus, President Danish College of GP’s.

2 Danish GP-clinic in Skødstrup

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4 Leuven-symposium, GP’s 3 (6) trainee doctors 3 nurses 6 secretaries/clinical assistants 1 dietician 1 person to “do-all-the-rest”

5 Leuven-symposium, The Danish training system in short…

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8 Leuven-symposium, Structure of learning/training: -each trainee has a dedicated trainer each day

9 Leuven-symposium, Structure of learning/training: -each trainee has a dedicated trainer each day – 11.30: supervision/feedback session

10 Leuven-symposium, Structure of learning/training: -each trainee has a dedicated trainer each day – 11.30: supervision/feedback session Feedback session

11 Leuven-symposium, Structure of learning/training: -each trainee has a dedicated trainer each day – 11.30: supervision/feedback session -allways clinical help when needed

12 Leuven-symposium, Plus: -2 week introduction period -”fly on the wall” – direct supervison -reflection and use of e-portfolio -becoming ”part of the team” -journal club for trainee doctors -particpates in CME for GP’s in our area

13 Leuven-symposium, week introduction period: -introduced to and follow each of the doctors and all staff members for some time -each of us has some specific tasks: to introduce the trainee to specific items -”get to know each other”

14 Leuven-symposium, ”A fly on the wall session”: at least 2 times pr. month minutes consultation 15 – 20 minutes feedback by observing trainer

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16 Leuven-symposium, Reflection and use of e-portfolio: – is for reflection and using the electronic portfolio

17 Leuven-symposium, Becoming ”part of the team”: 7.55 – 8.00: ”Morning parole” for all – 11.00: Social coffee break for all – 14.00: Lunch and conference for doctors

18 Leuven-symposium, Becoming ”part of the team”: involving the trainee doctors in all social events for doctors and staff

19 Leuven-symposium, Journal club for trainee doctors: -established by the trainees themselves -1 hour per month -guidelines from our College of GP’s -new papers in GP/Family Medicine research

20 Leuven-symposium, Particpates in CME for GP’s in our area: Per year: -4 sessions (3 hours) together with GP’s in the area -8 sessions (2 hours) for doctors in our clinic

21 Leuven-symposium, ”formal sessions” (1 hour) per half year: Start Mid-way End

22 Leuven-symposium, Start ”where do you come from – and where shall we help you to go” SWOT analysis making specific plans for how to acquire the competencies

23 Leuven-symposium, Mid-way progression as expected? adjustments to the training plan needed?

24 Leuven-symposium, End all competencies aquired? feedback to the trainee: advice on the next steps in the training program feedback from trainee to the clinic

25 Thank you for listening