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GP = Spécialist. Strasbourg 10 novembre 2011. Michel LEVEQUE. Findings. Primary care change Training sites unsuitable : hospital Health needs. proposal from the profession. WONCA définition of GP/FM. http://www.woncaeurope.org/Definition%20GP-FM.htm. WONCA définition of GP/FM.
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GP = Spécialist Strasbourg 10 novembre 2011 Michel LEVEQUE
Findings • Primary care change • Training sites unsuitable : hospital • Health needs
WONCA définition of GP/FM http://www.woncaeurope.org/Definition%20GP-FM.htm
WONCA définition of GP/FM • SIX CORE COMPETENCIES: • Primary care management • Person-centred care • Specific problem solving skills • Comprehensice approach • Community orientation • Holistic modelling
WONCA définition of GP/FM • Eleven characteristics • First contact within the health care system • Makes efficient use of health care ressources • Develope peros-centred approach • Relatioship between doctor and patient • Longitudinal continuity of care • Specific decision making
WONCA définition of GP/FM • Eleven characteristics (suite) • Manages simultaneously acute and chronic health • Manages illness in early stage… • Promotes health and well being • Has a specific responsibility for the health of the community • Deals with health problems in their physical, psychological, social, cultural and existensial dimension
WONCA définition of GP/FM • THREE AREAS: • Clinical tasks • Communication with patients • Management of the practice
The law in France • Loi du 17 janvier 2002 • D.E.S. arr. 22 septembre 2004 • Loi 2008-112 8 février 2008
Challenges • Writing the scientific background • promote the research in primary care • Specific training • Recruit the clinicalteacher (tutors) • Train the teacher (tutors) • Build the areas of learning
The facts • Teacher training since 1984 • Recruitement : • Physician engaged in continuing professional development • Training in pedagogy • Reseach in pedagogy
The academics GP • Professors • Associated professors • Lecturer • Clinical leaders • Tutors
Limits • Each year more students…… • Académic GP are • academics • Searcher • teacher • care giver in their community
limits • resistance of other academic professionals • Insufficient for the needs
Hope… • gained experience of the pioneers should help the new teachers • the development of collaboration with other specialties should support research