Transcript The importance of international experience, capacity

3-4 September 2012
IV Biannual Conference Gothenburg on the
Future of Primary Health Care in Europe IV:
"Crossing Borders in Primary Care“
The importance of international experience,
capacity building activities and consistent environment
and leadership for a critical policy decision and
successful process of Family Medicine specialization
and reeducation initiation in Macedonia
Katerina Venovska
MSPH, FM Spec. MD
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Republic of Macedonia
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PROJECT COORDINATION UNIT
Ministry of Health of Republic of Macedonia
Health Sector Management Project (HSMP) - Loan by the WB (2004 –
2010)
Provided financial & technical support and consistent environment & leadership
Component 1: Health Policy Formulation & Component 3: Service Delivery Improvement
Coordinator: Katerina Venovska, MSPH, FM Spec. MD
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HEALTH SECTOR MANAGEMENT PROJECT
Health Strategy Development Process
• International Health Policy Consultant engaged (2005)
• Health Strategy Working Group established (2005)
• Health Situation analyses & needs assessment carried
out
• Broad discussion & negotiations with stakeholders
• Transparent process involving profession and the public
• International experience reflected (WHO, WB...)
• Health Strategy 2020 developed & enforced by the
Government (2006)
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FAMILY MEDICINE (FM) IMPLEMENTATION
Training & International Experience - Strategic Planning
SOUTHEMPTON
CONFERENCE - 2008
Future of Primary Care in Europe II
Visit to St Mary’s Surgery
HARVDARD SCHOOL OF
PUBLIC HEALTH - 2008
Strengthening Human Resources in
Health
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FAMILY MEDICINE IMPLEMENTATION
Public Relations & Communication (PRC) support
• Adequate communication of Health Reform goals & activities
• Increased cooperation with journalists (opponents to FM)
• Public Relations Working Group established within HSMP
• Technical support to PRC activities provided (2007)
• PRC Strategy developed (2008)
• Study Tour of Journalists in Netherlands organized (2009)
• Joint PRC on FM implementation with main stakeholders
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JOURNALIST STUDY VISIT TO NETHERLAND (2009)
Ministry of Health, Welfare and Sport – Den Haag
Domus Medicus - Utrecht
Family Practice - Den Haag
NIVEL
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FAMILY MEDICINE IMPLEMENTATION
FM Strategy Development & Implementation
• Technical support & cooperation with Slovenian Family
Medicine Department (Medical Faculty - Ljubljana) - HSMP
• Family Medicine Working Group established within HSMP
• FM Strategy and Implementation Plan developed (2009)
• Memorandum of Cooperation in FM implementation signed
(Ministry of Health & Medical Faculty Skopje) - May 2009
• 16 FM Educators / Mentors (skilled CME educators) were
engaged through HSMP and trained (2009/2010)
• FM Educational Board nominated at Skopje Medical Faculty
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FAMILY MEDICINE IMPLEMENTATION
FM Capacity Building Activities
• Training of Core group of 24 FM Educators (2009, Ohrid)
• 6 day training curricula developed
• 50 FM Educators trained - Prilep Educational Centre (2010)
• Visit to FM Educators practices
• FM Continuous Medical Education program initiated
• Close cooperation with Association of GP/FD in Macedonia
• Training of additional groups of FM educators (2010-2011)
• Study visits to Slovenia (Ljubljana & Bled) (2009-2010)
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FAMILY MEDICINE CAPACITY BUILDING
Training of FM educators – Cooperation with Slovenian FM Department Professors
Training of additional groups of FM Educators by the Core Group of FM
Educators
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FAMILY MEDICINE CAPACITY BUILDING
Debriefing of FM Educators after the training
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Group of Certified FM Educators and teachers
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FAMILY MEDICINE IMPLEMENTATION
FM Department establishment at the Medical Faculty
• Family Medicine Educational Board operational
• FM specialization curricula revised and teaching program
developed
• Family Medicine Specialization initiated (October 2009)
• First year of study - financial support provided to first 10 trainees
• Educational Centers in Veles, Gostivar & Strumica visited to plan
their use for FM purposes
• Family Medicine Educational Centre in Skopje established & fully
equipped with HSMP support (2010)
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FAMILY MEDICINE IMPLEMENTATION
FM Specialization Initiation
FAMILY MEDICINE SPECIALIZATION
LAUNCH - October 2009
Medical Faculty Skopje & MOH/PCU
(Vice-Dean, Dean, MOH/PCU FM Coordinator,
Medical Faculty FM Coordinator)
MEMORANDUM OF COOPERATION (FM)
SIGNED - May 2009
Ministry of Health & Medical Faculty
Skopje
(Deputy Minister, Minister, & the Dean)
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FAMILY MEDICINE EDUCATIONAL CENTER – SKOPJE
Reconstruction, Equipping & Launch
Family Medicine Educational Centre Skopje Launch - 2010
Acceptance of renovated & fully equipped
premises
Ministry of Health / PCU
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FAMILY MEDICINE EDUCATIONAL CENTER
International Experience & Cooperation
• Memorandum for Cooperation in the field of FM between
Medical Faculty Skopje & Ljubljana signed (2010)
• Study visit to Slovenia & maintaining close cooperation with
the GP/FM Associations & FM University Departments in
Croatia, Montenegro, Slovenia, Serbia, Bulgaria, Turkey…
• Study visit to Nijmegen University, FM Department,
Netherland and relevant institutions & Family Doctors
• Study visit to Imperial College, London, United Kingdom
• Bilateral Cooperation in FM between Macedonia & Turkey
• Contact established with FM Association in Canada
• Cooperation with Austrian FM University Dep. (CME Course)
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FM INTERNATIONAL EXPERIENCE & COOPERATION
Study visit to Imperial College, London, UK
Study visit to Bled, Slovenia
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FM INTERNATIONAL EXPERIENCE & COOPERATION
Study visit to Nijmegen, Netherland
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Study visit to Domus Medicus, Utrecht, Netherland
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FM INTERNATIONAL EXPERIENCE & COOPERATION
Study visit to Family Practice near Nijmegen, Netherland
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FM INTERNATIONAL EXPERIENCE & COOPERATION
Bilateral Cooperation in FM with MOH / Turkey
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IMPROVED COLLABORATION IN FM IMPLEMENTATION
Established & maintained good cooperation between the key players:
Ministry of Health,
Health Insurance Fund,
Medical Faculty Skopje,
Slovenian FM Department experts
Macedonian Doctors Chamber
Association of GP/FM Doctors in Macedonia
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FAMILY MEDICINE EDUCATIONAL CENTER
Retraining of GPs to become FM Specialists
• FM retraining curricula & teaching program developed
• Bylaw for Specializations referring to FM Specialization &
Retraining of doctors working in GP practices adopted
• Specialization & Retraining Fees agreed between MOH,
Medical Faculty Skopje & the Macedonian Doctors Chamber
• Web Site for FM specialization & FM activities created &
regularly updated
• Second Group of FM specialization started in October 2010
• Retraining of GPs in FM Specialists started in February 2011
in Prilep and Skopje FM Educational Centers
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SKOPJE FAMILY MEDICINE EDUCATIONAL CENTER
Retraining of General Practitioners to FM Specialists
Established Teacher exchange program
with Ljubljana FM University Department
based on the
signed Agreement for Cooperation
Regular Training Sessions in the
FM Educational Center
Within FM Retraining activities
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TRAINING OF MEDICAL FACULTY PROFESSORS
Family Medicine Specialist Exam – Examiners Preparation
•
Appropriate FM Specialist Exam materials and program were
developed
•
The Medical Faculty nominated professors from various related
fields to take part in the team of examiners for the FM Specialist
Exam
•
Orientation Training for the professors for the implementation of FM
Specialist Exam was carried out by the Slovenian FM University
Department Professors
•
The first FM Specialist Exam was organized in May 2011 and
managed by the Ljubljana University FM Department Professors in
collaboration with trained Skopje Medical Faculty Professors
•
First 24 FM Specialists in Macedonia certified in May 2011
•
Since then number of FM Specialists is growing - over 50 (2012)
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TRAINING OF MEDICAL FACULTY PROFESSORS
Family Medicine Specialist Exam – Examiners Preparation
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FIRST GROUP OF FAMILY MEDICINE SPECIALISTS
Certified by Slovenian Professors & Medical Faculty Skopje
May 2011
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THANK YOU
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ANY QUESTIONS?
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