RAQUEL GÓMEZ BRAVO

R4 MFYC

• Vasco da Gama movement is the WONCA Europe working group for young and future General Practitioners

• The movement is the continuation of the work that was started during the first preconference meeting for junior doctors during the WONCA Europe conference in Amsterdam in 2004

• Providing a forum, support and information for trainees and young GPs through access to WONCA Europe regional conferences and pre-conferences

• Establishing a communication network between European trainees and young GPs and identifying their concerns, doubts and needs and helping to address them

• Improving the quality of training programmes for general practice.

- Dutch national association of GP trainees

- 98 %

- Was founded in 1980

- Is represented by local committees on every GP training department of the medical faculties.

- Six working groups:-Education-Scientific research-Politics & Social Issues-Congress-Sport & social activity-WES: European affairs

-Is the Dutch abreviation for “Task Force European Affairs”

-WES dedicates itself to the exchange and integrationof the various areas of General Practice in Europe and also outside of Europe.

-Participation in international congresses and symposia

-Exchange programmes

• TUESDAY 20th: arrival in The Netherlands

• WEDNESDAY 21st: Day in a Primary Care Clinic

• THURSDAY 22nd: Interactive educational program at a Dutch University

• FRIDAY 23rd: Congress 37 GP trainees from 18 countries

GP is the pivot of the primary health care A “gate” for the patients to the specialists in the hospital The access to the GP must be “inmediate, free and

permanent” whitin 15 minutes FREE: without obstacles PERMANENT: 24 hours a day and 7 days a week Groups: 1 of them on duty outside office hours to provide this

service

8 universities 280 GP’s per year Since1994: 3 years

>8200 GP’s

16 millions inhabitants

An average practice: 2350 patients

Full time / Business doctors

- Varios sistemas informáticos

- Libre elección de médico

- 15 minutos por paciente (10-20 pacientes al día)

- Competencias de enfermería

-Enfermería: Nurse / Nurse practitioner

-Protocolos

- URGENCIAS: Gatekeeper // AMBULANCIAS: Pago si no es justificado

-E-Health

-Salario: Precio por paciente / por visitas a domicilio / consulta telefónica

- Si haces uso de la sanidad (medicación, recursos…): 250 euros anuales

- HORARIO: 8-9 Sesión, 9 – 12 h Pacientes, 12-13h Lunch,

13 – 16h Pacientes, 16-17h Sesión, !7-19 horas Pacientes

-Médicos autoempleados (47% single-handed free)

-“Gatekeeping”

ERASMUS ERASMUS HOSPITALHOSPITAL

GP-

Practice

CLINICAL ROTATIONS

Educational days

Acute care

Chronic care

Psychiatry

1 st year 12 months

1 day/week

2 nd year

6 months

3

months

3

months

1 day/week

3 rd year

12

months

1 day/week

PM / RURALPM / RURAL HOSPITAL HOSPITAL EMERGENCYEMERGENCY

PAEDIATRICSPAEDIATRICS GYNAECOLOGYGYNAECOLOGY TRAUMATOLOGYTRAUMATOLOGY MED-MED-SURGICALSURGICAL

HOSPITAL HOSPITAL EMERGENCYEMERGENCY

TOTALTOTAL

R1 25% 75% 100%

R2 / R3

25% 37,5% 12,5% 4,5% 12,5% 8% 100%

R4 75% 12,5% 12,5% 100%

• AÑOS DE RESIDENCIA

• GUARDIAS

• ROTACIONES

• TUTORES POR AÑO

CONGRESS (UTRECHT)

Con las semillas del presente, “plantamos” el futuro…

Reflexión: ¿Cuál es el mejor sistema sanitario?

¿Podemos cambiar…?

Hay que perder el miedo para crecer…