Integrating Academic Hospital and Faculty of Medicine

Prof. M. Džoljić

Academic Medical Center

University of Amsterdam, The Netherlands

Saba, Netherlands Antilles

Saba University School of Medicine

Since 1986

Basic Science Program

Clinical Medicine in affiliated US hospitals (72 weeks)

Saba AMC

Loose affiliations around the world

Integrated Academic Hospital and Faculty

Saba AMCEU

One prefered Academic Institution

Different Affiliated Hospitals

Dean is head of the Faculty

History AMC

1569: Dolhuis Kloveniersburgwal

1582: St Pietersgasthuis, later BG

1635: Pesthuis, later Wilhelmina gasthuis

1984: AMC: WG and BG

1988: incorporation Emma Children Hospital

1994: integration Academic Hospital and Faculty. First UMC (university medical

centre)

‘Before’

AcademicHospital(Executiveboard)

Patient careTraining specialistsClinical research

Studentsclinical internship

Faculty of Medicine

(Dean)

University

Other faculties

Appointment clinical professors

Teaching basic medicine Training GP’s (training PH doctors) Basic research Public health research

‘After’

University Medical Centre

Patient careTeaching and trainingScience / research

One organisationOne budgetOne executive board, including the dean

University

Otherfaculties

Patient care basic hospital care tertiary care

Teaching and training medical students medical specialists

Science / research basic research clinical research public health research

Core responsibilities

‘Patient care’

Public health service

Primary health care

Hospital care

Academic hospitals

diabetes mellitus met orgaanproblematiek

HIV/AIDShemato-oncologie

bloeddrukregulatie- stoornissen (syncope, etc.)

complexe nierfunctie- vervangende therapie

immunotherapie bij (reumatoide) artritis

familaire dyslipidemie

complexe hemostase/trombose

niertransplantatie

benigne hematologie

bacteriele infecties

M. Graves

geriatrie

hemofilie

tropische geneeskunde

premature atherosclerose (familiair)

adolescenten oncologie

gynaecologische oncologie

Graw itz carcinoom

hereditair angio-oedeem

Lyme borreliose

genetisch metabole ziekten

60%

70%

80%

90%

100%

0% 20% 40% 60% 80% 100% 120% 140% 160% 180%

Verhouding DBC tarief\-kosten

Mate

van r

ele

vantie

secondary educationclassroom clinical internships

secondary education Ba Ma

18 years 4 years 2 years

Teaching basic medicine

‘teaching and training’

Medical specialist 4 – 6 years

General practitioners 3 years

Public health doctors 2 – 3 years

‘teaching and training’

WFG

IJsselmeer

Flevo

Gooi-Noord

Hilversum

WaterlandZMC

BovenIJ

OLVGSLAZ

SLVMentrum

AvL

MCA

Geestgronden

RKBKennemer Gasthuis

Spaarne

H A

DC

De verschillende kleuren verwijzen naar de verschillende OOR’s

D

E F

G

B

Globale OOR-grenzenUMC’s ( A t/m H)Algemene ziekenhuizen

education

research

Clinic

Basic education

Purpose of alliance education patient care research

Performance indicators for alliance Quality assurance

teach the teacher accreditation of teachers feedback from students

Building a common infrastructure library dedicated internet combined patient transport etc.

Next stepAlliance management

…………..and a little bit further………….