2. Skødstrup
Skødstrup

3. Specialist training of GP’s in Europe:
- European trends
- an example: the Danish situation
Roar Maagard,
GP – repr. Danish College of GP’s

4. Specific Training Committee
Margus Lember (chair) – Estonia
Dolores Fores – Spain
Llukan Rrumbullaku – Albania
Fergus O’Kelly – Ireland
Janos Szabo – Hungary
Roar Maagaard – Denmark

5. EURACT and vocational training for GP?
Selection of trainers and teaching practices
Hospital post used for training of GP’s
Vocational training schemes

6. EURACT and vocational training for GP?
Definition of GP
Core competencies of GP
Trainee assessment
Selection of trainees

7. Selection of trainers/teaching practices
a booklet has been produced
see it on
inspiration for all countries in Europe

8. 2. Hospital posts used for training of GP’s
a booklet has been produced
see it on
inspiration for planners of VT-schemes

9. 3. Vocational training schemes
- very great variation!!!
- many different ”routes”!
- do they all end at the same level?
- the best or ”right” way?

10. VT-schemes in Europe:
a survey is to be published on

11. New definition of GP – June 2002
Core competencies of GP’s – June 2002
- to be implemented in blueprints and curricula!

12. 6. Trainee assessment
survey
workshop in Ljublana, June 2003
formative?
summative?
during training?
end-point?
none!

13. 7. Selection of trainees for training posts
great variation
Spain
Denmark
UK / Sheffield
next step to be taken

14. Example:
The new Danish scheme

15. 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

16. 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

18. In the new Danish ”Blueprint” of GP/FM
we have described 119 minimum
competences a future GP should master

19. These 119 competences are grouped in 7 ”roles”:
Medical expert
Professional
Communicator
Cooperator
Leader and administrator
Health promoter
Academics

20. 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)

21. To become a specialist in GP:
acquire the 119 competences
accomplish the 5 y scheme

22. Obstacles?
Yes…
- economy
- lack of teaching practices
- GP-trainers must be trained
- trainers in hospital must be trained

23. 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

24. Will we be successful with all this??
Yes!