Tn Norwegian Health Care System

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GMS UEMS Meeting in OsloMay 19th 2007
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Population of Norway

• Population 4.6 mill
• 0-14 years 19,8
• 15-64 years 65,4
• gt 64 years 14,8
• Median age 37,9 years
• Birth rate/1000 11,9

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May 17th 1814
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Demographics
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• 4 health regions
• 19 counties
• 431 municipalities
• In each county- a central hospital- smaller
  county hospitals
• 9 university hospitals
• 5 in Oslo

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Specialised Health Services Act 2001

• Five regional health enterprises (owned by the
  state)
• East 1,639,188
• South 891,436
• West 941,129
• Mid 642,809
• North 462,895

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Norwegian Health Care Systems

• Primary care
• General Practitioners
• District Nurses
• Nursing homes
• Schools
• Prisons

• Specialised services
• Somatic hospitals
• Psychiatric institutions
• Private specialist services
• physicians
• psychologists
• radiology
• laboratories
• Ambulance service
• Drug and alcohol abuse

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Norwegian economy
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The position of Geriatric Medicine
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Pre-graduate teaching of geriatric medicine

• University hospitals
• Oslo/Bergen/Trondheim/Tromsø
• Different curriculums
• Oslo/Bergen/Tromsø Traditional
• 2-3 weeks the 6th year
• Trondheim
• 2, 3, 5 6th year
• Formal testing
• During internship
• Hospital departments (internal medicine)
• Nursing homes
• Evaluation
• Very good
• Awards (Oslo/Trondheim)

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Specialty of Geriatric Medicine I

• Subspecialty of internal medicine
• Approved specialist of internal medicine
• 6 years of training in approved departments
• Minimum 1 ½ year in a category I department
• 1 year of research
• Specific training in geriatric medicine
• 2 years which may be included into the specialty
  training for internal medicine
• Approved department(s) (category I or II)
• In-patient services
• Out-patient clinic
• (Day hospital)
• (Ambulatory geriatric team)

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Specialty of Geriatric Medicine II

• Learning programme
• Individual plan tutor
• Formal meetings
• Annual follow-up of residents and accreditation
  of departments
• 4 hrs of lectures/article presentations/case
  presentations per week
• e-learning less than 50
• No formal testing/exams
• Checklist of topics/skills/procedures
• Mandatory courses
• 130 hrs of defined aspects of geriatrics
• 68 hrs in 3 module courses
• 62 hrs in courses approved for the specialty

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