Linking Medical Schools with Teaching Hospitals Perspective of a clinical Professor

1. Linking Medical Schools with Teaching Hospitals Perspective of a clinical Professor MªTeresa Estrach, Lisboa 15 June 2007

3. In Spain there is a gap between Linking Medical Schools &Teaching Hospitals Medical schools Teaching hospitals Ministry Education Ministry Health

4. Post graduate training/Specialist/ Hospitals Undergraduate/ Doctoral programmes / Medical schools Ministry Health Ministry Education

5. Linking Medical Schools &Teaching Hospitals • In addition there are few financial resources for undergraduate education in teaching hospitals Health Ministry Education Ministry

6. 28 Spanish Medical Schools

7. Linking Medical Schools &Teaching Hospitals • The first premise is that we need teaching hospitals for the formation of future doctors • What sort of teaching hospitals ? • What are the best for learning ?

8. Linking Medical Schools &Teaching Hospitals • What does a Teaching hospital mean? • A tertiary university hospital ? • A small hospital ? • A primary health care centre ? ALL

9. Linking Medical Schools &Teaching Hospitals Barcelona University Faculty of Medicine Natural links with tertiary hospitals Makes agreements with secondary hospitals, and primary health care centres

10. ....Some years ago Faculty of Medicine Barcelona

11. Faculty Medicine&Teaching Hospital Clinic Barcelona

12. Campus Clinic Campus Bellvitge FACULTY MEDICINE UB University Hospitals Campus St Joan de Déu

13. 8 associated hospital 20 primary health care centres

14. Faculty Medicine&Teaching Hospital Clinic Barcelona • What is the perspective of a clinical professor ( of Dermatology for example) ?

15. Linking Medical Schools &Teaching Hospitals • There are some difficulties • There is No connection between hospital staff and - university staff • The director/financial manager of teaching hospitals does not necessarily belong to the university • In the university hospitals there are medical non teaching staff and medical / teaching staff

16. Linking Medical Schools &Teaching Hospitals • The clinical professor must « be » a doctor and work as a doctor • All medical staff should be involved in teaching : undergraduate and postgraduate

17. Linking Medical Schools &Teaching Hospitals • Clinical Professor • Different jobs • The day has only 24 hours

18. Linking Medical Schools &Teaching Hospitals Clinical professor must act as : • A Doctor • A Teacher • A Researcher • And sometimes as a university manager!!

19. Linking Medical Schools &Teaching Hospitals • Different standards of promotion teacher / researcher • There is no balance • Researcher > Teacher teacher researcher

20. Linking Medical Schools &Teaching Hospitals • In a teaching tertiary hospital • Pressing attendance • Pressing research ( Impact factor !!) • Difficulties to organize the clinical practices

21. Linking Medical Schools &Teaching Hospitals • Possible solutions • Councils with people from both university/hospital • University of Health Sciences ?

22. Linking Medical Schools & Teaching Hospitals Improve linking Medical schools Teaching hospitals & Education Ministry Health Ministry

24. THANKS!!

25. SEE YOU IN BARCELONA IN JUNE 2008