The New Specialist Training in Sweden

1
The New Specialist Training in Sweden

• Charlotta Sävblom MD
• President Swedish Junior Doctors Association
  04-07
• Member of the National Board for Specialist
  Training
• Junior Doctors Conference
• London 28th April 2007

2
Medical Education and Training in Sweden

• Basic training 5,5 yrs at 6 medical faculties
• 1130 intake/yr
• Pre-registration training internships min. 1,5
  yrs
• Registration 1 957 yearly
• 57 MD from abroad
• Specialist training min. 5 yrs
• The Swedish National Board on Health and Welfare
  issues medical qualifications
• 28 900 active physicians, 44 Females
• 313 inhabitans/physicians (Population of 9,05
  million)

3
The Swedish Junior Doctors Association (SYLF)

• Founded in 1921
• 7400 members, 59 female
• Represents 79 of Junior Doctors
• Member of the Swedish Medical
• Association
• Major Goals
• a high quality in post graduate medical training
• good terms of employment and working conditions
• a diversity of employers in the Swedish Health
  Care sector

4
Revision of the Specialist Training by National
Board of Health and Welfare

• Reforms of Health Care Sector
• Demographic changes in the Swedish population
• Tendency of superspecialisation of doctors
• EU harmonization
• An increase in the quality of the Specialist
  Training was necessary
• External judgement
• Increase in theoretical courses
• National Board for Specialist Training
• Director of Studies

5
New Structure of the Medical Specialities

• In July 2006 a new structure for the medical
  specialites was implemented
• 56 specialites
• 21 base specialities
• 23 branch specialites
• 2 additonal specialites
• Specialist qualification in base and additional
  specialites requires specialist qualification in
  certain base specialites according to
  instructions from the National Board on Health
  and Welfare
• Qualifications from research education included
  in Specialist Training

6
Ex Branch Specialities to Base Speciality Surgery

• Urology
• Vascular Surgery
• Plastic and Reconstructive Surgery
• Paediatric Surgery
• Specialist Training in Base and Branch Speciality
  6,5 -7,5 yrs

7
A new National Board for Specialist Training

• Advisory board to the Swedish National Board on
  Health and Welfare with the tasks to
• Prepare official descriptions of training
  objectives
• Support the Head of Hospitals and Primary Health
  Care Services in achieving a high quality in
  their specialist training
• Promote the education of supervisors
• Follow-up on the quality of the specialist
  training
• Set criteria for all units training doctors
• Assist the National Board on Health and Welfare
  regarding individual doctors qualifications in
  relation to the offical descriptions of training
  objectives

8
New Model for Offical Descriptions of Training
Objectives for each Speciality

• Currently under preparations by the different
  Specialist Associations/Sections
• Ready in 2008
• A part from Specific Medical Qualifications are
  qualifications in leadership, communication and
  medical science and quality work required for
  Specialist Qualification

9
Qualifications in Communication

• Patients right
• Transcultural aspects and langugage, ethnic,
  sexual orientation, religion and gender aspects
• Interprofessional relationship
• Pedagogic skills
• Professional conduct
• ethics

10
Qualifications in Leadership

• The doctor in training also a
• Co-worker/Tutor/Leader
• Knowledge of the Health
• Care Sector
• Organisation
• Administration
• Economy
• Regulations

11
Qualifications in Medical Science and Quality work

• Research, PhD-work
• Knowledge in Quality work in order to evalute the
  work at their own clinic
• Public Health and prevention