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Dutch Medical Curriculum. Rikje Ruiter 5th year of medicine Research project: Slovene general practitioners and taking care of patients with mental health problems Slovene supervisor: Danica Rotar Pavlič, MD, MSc. Numerus Fixus. Study year 2004-2005 5516 students 2850 places available
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Dutch Medical Curriculum Rikje Ruiter 5th year of medicine Research project: Slovene general practitioners and taking care of patients with mental health problems Slovene supervisor: Danica Rotar Pavlič, MD, MSc
Numerus Fixus • Study year 2004-2005 5516 students • 2850 places available • Nijmegen: 330 places
Blocks • First four years: 40 blocks • 34 core blocks • 6 choice blocks • Every block: • 40 hours • 5,7 ECTS • Preparation for the occupation of doctor with special attention for a theoretical and practical training in the process of medically-scientifically justified problem solving.
Basic Blocks • Basic Subjects • B1 Blocks • Fysics • Biochemics • Cell biology • Background of clinical thinking and handling • B2 Blocks • Pathofysiology • General diseases
Organ Blocks • O1 Blocks • Morfology and Fysiology of organs • Background of clinical thinking and handling • O2 Blocks • Complaints, diseases, treatment- and care-possibilities with respect to an organ or an organ-system • The complaint is the point of departure
Practical Clinical Teaching • Specific clinical skills • Nurse training period • First year, 40 hours in nursinghome • Practical Clinical Teaching 1 • Second or Third year • Communication skills • Practical skills • Some small subjects in other blocks
General Blocks • Information that exceeds one discipline • Broad context • Chronic diseases • Acute medicine • Extramural • System of health care in NL
Foundations and Methods Blocks • Reflection • History • Ethics • Scientific Methodology • Statistics • Clinical thinking and handling • Orientation at the medical profession
Choice Blocks • Movement Sciences • Special medicine or surgery • Heart and circulation • Infection and defense • Measuring and evaluation of health and disease • Society and health • Molecular pathology • Metabolism and regulation • Neuro sciences • Oncology • Public health
Choice Blocks • Goal: • More knowledge in one or several disciplines of special interest of the student • More knowledge of scientific research, building on the basics learnt in the core blocks
Free choice subject • A class in another faculty • 5,7 – 11,4 ECTS • Practice: one or two choice blocks • Exams commission
Teaching forms • College 330 • Study task 1 • Working group 15 • Practicum 15-45 • Response College 15-45
Examination • Core Block • Written test (open or multiplechoice) • Choice block • Paper • Presentation • Test • Progress examination • 4 times a year • You need to make progress
Year 5 and 6 • 20 months co-assistant-training • 3 months research elective
Core co-assistant-training • Practical Clinical Education 24 • Introduction training 4 • Internal Medicine 8 • Return 1 4 • Neurology 4 • Psychiatry 4 • Pediatrics 4 • Return 2 4 • Surgery 8 • Gynaecology 8 • Return 3 4 • Senses and skin 4 • General practitioner 8
Choice co-assistant-training • Elderly care OR social medicine 4 • Free choice 4 • Finishing co-assistant-training 4 • Internal medicine, neurology, psychiatry, pediatrics, surgery or gynaecology. • OR co-assistant-training in 12 developing country • Research elective 12
After medicine… • Basic doctor • Work for a few years, experience • Specialisation • Specialist
Medicine Long study Hard working Different health care system Many prescriptions Communication? People and country Beautiful! International office Trips Erasmus Cultural differences My impressions about Slovenia