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“Building a strong foundation for the future: Quality General Practice/Family Medicine education in medical schools” Mette Brekke, Dept. of General Practice, Sept. 9th 2016

Quality General Practice/Family Medicine education in medical...“Building a strong foundation for the future: Quality General Practice/Family Medicine education in medical schools”

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Page 1: Quality General Practice/Family Medicine education in medical...“Building a strong foundation for the future: Quality General Practice/Family Medicine education in medical schools”

“Building a strong foundation for the

future:

Quality General Practice/Family

Medicine education in medical

schools”

Mette Brekke, Dept. of General Practice, Sept. 9th 2016

Page 2: Quality General Practice/Family Medicine education in medical...“Building a strong foundation for the future: Quality General Practice/Family Medicine education in medical schools”

11. april 2011 Ny Powerpoint mal 2011 3

Page 3: Quality General Practice/Family Medicine education in medical...“Building a strong foundation for the future: Quality General Practice/Family Medicine education in medical schools”

Why do bright young people wish to

study medicine?

• - love natural sciences

• - work with people

Page 4: Quality General Practice/Family Medicine education in medical...“Building a strong foundation for the future: Quality General Practice/Family Medicine education in medical schools”

“Building a strong foundation for the

future: Quality General Practice/Family

Medicine education in medical

schools”

Meaning:

- «A sufficient supply of future GPs

demands quality FM education in

medical schools»

Page 5: Quality General Practice/Family Medicine education in medical...“Building a strong foundation for the future: Quality General Practice/Family Medicine education in medical schools”

- A sufficient supply of future GPs

demands quality FM education in

medical schools

1. Is it true?

2. Is it important?

3. How do we do it?

Page 6: Quality General Practice/Family Medicine education in medical...“Building a strong foundation for the future: Quality General Practice/Family Medicine education in medical schools”

Background

• List holding GP,

Students in rotation

• Professor

In charge of GP

education at Univ.

of Oslo

Curriculum reform

Page 7: Quality General Practice/Family Medicine education in medical...“Building a strong foundation for the future: Quality General Practice/Family Medicine education in medical schools”

11. april 2011 Ny Powerpoint mal 2011 8

Page 8: Quality General Practice/Family Medicine education in medical...“Building a strong foundation for the future: Quality General Practice/Family Medicine education in medical schools”

- A sufficient supply of future GPs

demands quality FM education in

medical schools

1. Is it true?

Page 9: Quality General Practice/Family Medicine education in medical...“Building a strong foundation for the future: Quality General Practice/Family Medicine education in medical schools”

How did you meet?

Page 10: Quality General Practice/Family Medicine education in medical...“Building a strong foundation for the future: Quality General Practice/Family Medicine education in medical schools”

What influences career choice?

• Prestige/status

• Lifestyle/family considerations

Page 11: Quality General Practice/Family Medicine education in medical...“Building a strong foundation for the future: Quality General Practice/Family Medicine education in medical schools”

Prestige?

Page 12: Quality General Practice/Family Medicine education in medical...“Building a strong foundation for the future: Quality General Practice/Family Medicine education in medical schools”

Working conditions?

• «….overworked, unhappy people in drab

buildings who have no professional pride in their

specialty»

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Page 13: Quality General Practice/Family Medicine education in medical...“Building a strong foundation for the future: Quality General Practice/Family Medicine education in medical schools”

- A sufficient supply of future GPs

demands quality FM education in

medical schools

1. Is it true? – Yes !

Page 14: Quality General Practice/Family Medicine education in medical...“Building a strong foundation for the future: Quality General Practice/Family Medicine education in medical schools”

- A sufficient supply of future GPs

demands quality FM education in

medical schools

2. Is it important? – Yes !

Page 15: Quality General Practice/Family Medicine education in medical...“Building a strong foundation for the future: Quality General Practice/Family Medicine education in medical schools”

Why important?

• The

obligation of

medical

schools is to

educate the

doctors which

society needs

Page 16: Quality General Practice/Family Medicine education in medical...“Building a strong foundation for the future: Quality General Practice/Family Medicine education in medical schools”

What characterizes general

practice?

• Bio-psycho-social context

• Undifferentiated symptoms

• Several problems

• Complex conditions

• Multi-morbidity

• Uncertainty

• Patient centered

• Continuity

Page 17: Quality General Practice/Family Medicine education in medical...“Building a strong foundation for the future: Quality General Practice/Family Medicine education in medical schools”

• ....the most intellectually demanding

challenge that you can set yourself as a

doctor

• Rewarding!

Page 18: Quality General Practice/Family Medicine education in medical...“Building a strong foundation for the future: Quality General Practice/Family Medicine education in medical schools”

A sufficient supply of future GPs

demands quality FM education in

medical schools

1. Is it true? - Yes!

2. Is it important? – Yes!

Page 19: Quality General Practice/Family Medicine education in medical...“Building a strong foundation for the future: Quality General Practice/Family Medicine education in medical schools”

- A sufficient supply of future GPs

demands quality FM education in

medical schools

3. How do we do it?

(list of essentials,

points i-x)

Page 20: Quality General Practice/Family Medicine education in medical...“Building a strong foundation for the future: Quality General Practice/Family Medicine education in medical schools”

i) Early patient exposure - in a GP setting

Page 21: Quality General Practice/Family Medicine education in medical...“Building a strong foundation for the future: Quality General Practice/Family Medicine education in medical schools”

Studying medicine

«…means studying the human organism, from the

smallest cell up to bigger organs. You will learn how

the body functions optimally and what happens in

case of disease. To become a doctor, you need to

know the machinery of the body, down to the

smallest cell.»

Page 22: Quality General Practice/Family Medicine education in medical...“Building a strong foundation for the future: Quality General Practice/Family Medicine education in medical schools”

What characterizes general

practice?

• Bio-psycho-social context

• Undifferentiated symptoms

• Several problems

• Complex conditions

• Multi-morbidity

• Uncertainty

• Patient centered

• Continuity

Page 23: Quality General Practice/Family Medicine education in medical...“Building a strong foundation for the future: Quality General Practice/Family Medicine education in medical schools”
Page 24: Quality General Practice/Family Medicine education in medical...“Building a strong foundation for the future: Quality General Practice/Family Medicine education in medical schools”

- A sufficient supply of future GPs

demands quality FM education in

medical schools

How do we do it?

ii) GPs as role models

Page 25: Quality General Practice/Family Medicine education in medical...“Building a strong foundation for the future: Quality General Practice/Family Medicine education in medical schools”

- A sufficient supply of future GPs

demands quality FM education in

medical schools

How do we do it?

iii) Family medicine one of the main

clinical topics – present throughout medical

school

Page 26: Quality General Practice/Family Medicine education in medical...“Building a strong foundation for the future: Quality General Practice/Family Medicine education in medical schools”

11. april 2011 Ny Powerpoint mal 2011 27

Page 27: Quality General Practice/Family Medicine education in medical...“Building a strong foundation for the future: Quality General Practice/Family Medicine education in medical schools”

- A sufficient supply of future GPs

demands quality FM education in

medical schools

How do we do it?

iv) Integrated teaching, showing the

«ecology» of medical care

Page 28: Quality General Practice/Family Medicine education in medical...“Building a strong foundation for the future: Quality General Practice/Family Medicine education in medical schools”

Integrated teaching

Page 29: Quality General Practice/Family Medicine education in medical...“Building a strong foundation for the future: Quality General Practice/Family Medicine education in medical schools”

Prestige

Page 30: Quality General Practice/Family Medicine education in medical...“Building a strong foundation for the future: Quality General Practice/Family Medicine education in medical schools”

11. april 2011 Ny Powerpoint mal 2011 31

Page 31: Quality General Practice/Family Medicine education in medical...“Building a strong foundation for the future: Quality General Practice/Family Medicine education in medical schools”

- A sufficient supply of future GPs

demands quality FM education in

medical schools

How do we do it?

v) Clerkships in GP

Page 32: Quality General Practice/Family Medicine education in medical...“Building a strong foundation for the future: Quality General Practice/Family Medicine education in medical schools”

Impact of FM clerkships in undergraduate

medical education: a systematic review. Turkeshi E et al, BMJ Open 2015

• Students

– Satisfaction, unique learning possibilities

– Improved attitudes towards GP

– No impact on future career choice

• GPs

– Increased job satisfaction

– Increased workload

• Patients

– No negative impact

Page 33: Quality General Practice/Family Medicine education in medical...“Building a strong foundation for the future: Quality General Practice/Family Medicine education in medical schools”

….Clerkships

• Costs money!

Page 34: Quality General Practice/Family Medicine education in medical...“Building a strong foundation for the future: Quality General Practice/Family Medicine education in medical schools”

How do we do it?

vi) Curriculum

and textbooks

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Page 35: Quality General Practice/Family Medicine education in medical...“Building a strong foundation for the future: Quality General Practice/Family Medicine education in medical schools”

How do we do it?

vii) Exams!

Page 36: Quality General Practice/Family Medicine education in medical...“Building a strong foundation for the future: Quality General Practice/Family Medicine education in medical schools”

How do we do it?

viii) Strengthen GP academic workforce!

Page 37: Quality General Practice/Family Medicine education in medical...“Building a strong foundation for the future: Quality General Practice/Family Medicine education in medical schools”

How do we do it?

• ix) «Semi-rural» medical schools

Page 38: Quality General Practice/Family Medicine education in medical...“Building a strong foundation for the future: Quality General Practice/Family Medicine education in medical schools”

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Page 39: Quality General Practice/Family Medicine education in medical...“Building a strong foundation for the future: Quality General Practice/Family Medicine education in medical schools”

How do we do it?

New selection criteria?

• x) Involve GPs

into selection

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Page 40: Quality General Practice/Family Medicine education in medical...“Building a strong foundation for the future: Quality General Practice/Family Medicine education in medical schools”

- A sufficient supply of future GPs

demands quality FM education in

medical schools

• Let’s

do it!

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