Attitudes of Slovene young family doctors towards their postgraduate educational training

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Attitudes of Slovene young family doctors towards
their postgraduate educational training

• Rade Ilja, Vojislav Ivetic

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In only ten years

• Our own specialization
• Medical departments on two Medical faculties
• 7 university teachers and more than fifty
  affiliates to FM Department
• Many international and local research and
  educational projects
• Dozen international and local conferences and
  professional meetings each year

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Slovenian FM have got

• WONCA conference 2003
• Presidency and secretariat of WONCA till 2004
• Representatives in all important European GM/FM
  societies and boards

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At the same time we faced with

• Shortage of GPs/FPs
• Expected reforms of health care system
• Thriftiness of states insurance service
• Political pressures
• Affairs about PHCs
• Clinicians jealousy?
• Too high public expectations?

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Postgraduate training

• New specialization /started in 2000/
• 4 years
• 2 years in practices
• 20 workshops

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Cross-sectional study

• Structured and semi-structured interview
• 103 young family doctors participating
• open-ended question on suggestions on recommended
  improvements in their postgraduate training -
  central part in our study

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Central question

• Please, give us some suggestions on current
  postgraduate training and some recommendations
  for its improvement.
• 44 participants (42.7) suggested some changes in
  current postgraduate educational process.

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• Generally, young doctors were very critical of
  hospital training and much more satisfied with
  workshops and training performed in family
  medicine settings

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The main complaints

• Hospital training isnt oriented toward our
  real needs
• We need more community based practice prior to
  hospital training (1,2,1 model)
• Specialists couldnt find time to talk with us
• We are needles there, and their methods are
  useless to us.

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Desires to be satisfied

• Missing clinicians lectures and chance for
  fair discussion about hot topics.
• I am interested in practice in community
  hospitals.
• One week on clinical ward is too short period.
• More work in regional hospitals wards needed
  (good for later cooperation, closer to home,
  cheaper)

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Suggestions about non-hospital part of PG
education

• Not enough tutors on the country
• Shortage of separate examining rooms
• Missing more discussion with tutor
• Need more autonomous work

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Some interested suggestions

• To follow successful models abroad more
  practical work and less theoretical one
• More extensive use of informatics technology on
  hospital wards as well as in practices

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Heartfelt wishes

• Need more tutors on the country
• To many patients in practices lists. To reduce
  number of practice visits as well of coddled
  patients.
• Hospital training should start after a year in a
  family practice/community setting,so that we
  could identify our personal developmental and
  learning needs.
• Much work with tutors in practice settings with
  counseling and appraising.

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Optimistic views

• It should be better, when we get more family
  doctors in Slovenia. This way,well get much more
  time for study and training.
• We should have a personal tutors who could be
  completely committed to each of us.
• We need to learn an uniform medical doctrine ,
  not the local hospitals tenet.

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The best one

• When you have a proper working conditions
  /acceptable number of practice visits and on duty
  days, separate urgency etc/ FM is the best field
  of medicine, which assumes holistic health care
  for entire human being, not just a part of
  hers/his body.
• Do we demand too much?

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I wish you a nice weekend!