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Medical education in central hospitals and health care centers. Jukka Mustonen Professor, Vice Dean University of Tampere. Medical Faculty in the University of Tampere. 105 new students a year Problem based learning (PBL) 1994 Clinical courses after 3.5 years
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Medical education in central hospitals and health care centers Jukka Mustonen Professor, Vice Dean University of Tampere
Medical Faculty in the University of Tampere • 105 new students a year • Problem based learning (PBL) 1994 • Clinical courses after 3.5 years • Courses of Internal Medicine and Surgery (4th or 5th year) as well as General Practice (5th or 6th year) last nine weeks
Background • Several educational aspects supporting decentralisation (Medical Faculty) • Local interests in Seinäjoki Central Hospital and Hospital District of Southern Osthrobothina
Seinäjoki Central Hospital • 170 km North from Tampere • Medical education since 1991 • Internal Medicine (one group of students) • Surgery (one group) • General Practice (one group)
Teaching staff in Seinäjoki • Three clinical lecturers • General Practice • Internal Medicine • Surgery • One nurse instructor (VIP)
Students in Seinäjoki • All students stay 6 weeks in Seinäjoki • Two weeks in Internal Medicine • Two weeks in Surgery • Two weeks in General Practice • All groups are there at the same time • All students overnight in Seinäjoki
Groups of Internal Medicine and Surgery • Normal hospital learning adviced by the clinical lecturers and hospital staff in Seinäjoki central hospital • Attitude of the hospital staff is positive and encouraging • Students see more common illnesses
Group of General Practice • Seven surrounding health care centers • Local staff of health care centers • Travelling from Seinäjoki and back every day (by own cars) • Students examine the patients and follow other activities in health care centers • ”Friday-seminar” once in two weeks in SJ
”Friday-seminar” • On the last friday in Seinäjoki • Integrated patient seminar • Active role of the students (PBL) • All three groups are present • Local teaching staff • Other teachers from Tampere
Patients of the seminar • Patients whom the students (GP) have sent to Seinäjoki Central Hospital • What has happened to these patients in the hospital (Int Med and Surgery) • What happens to the patients after they leave the hospital (GP) • Other intersting patients (all students)
Goals of the seminar • To learn what happens to the patients in different levels of our health care system • Collaboration between primary care and central hospital • Ethical discussions are common
Feedback from students • Very positive continuously since 1991 • Attitude of the local hospital staff and the patients • More time for the students • This feeback irrespective of certain practical problems (travelling etc.)
Extra costs • Accommondation in Seinäjoki • Travelling costs between Tampere and Seinäjoki • Travelling costs between Seinäjoki and heath care centers
Summary • Decentralization has been succesfull • Good co-operation between the university, central hospital and heath care centers • Demanding process • Local teaching staff is necessary • Feedback from students and other partners has been very positive
Special thanks • Irma Virjo, Professor of General Practice • Airi Jussila, Clinical lecturer • Anna-Maija Koivukoski, Clinical lecturer • Heikki Lahtinen, Clinical lecturer • Pauliina Suomela, Nurse instructor