Education programs of Education programs of Family Medicine Family Medicine in Bosnia in Bosnia

and Herzegovinaand Herzegovinaand Herzegovinaand Herzegovina

Maja Račić, MD, PhDDepartment for primary health care and public health

Medical faculty, University of East Sarajevo

� First Family Medicine Teaching Centre (ECPM) in BiH opened in Tuzla 12.06.1998. Health Centre “Dr Mustafa Šehović”

First Family Medicine Teaching First Family Medicine Teaching Centre in RS (Health Centre Banja Centre in RS (Health Centre Banja

Luka)Luka)1st of November 19991st of November 1999

Sarajevo Banja LukaFoča

Sarajevo ZenicaMostar

� Residency

� Undergraduate training in family medicine

The role of Family medicine The role of Family medicine departmentsdepartments

family medicine

� Professional additional training in family medicine

� Training for nurses

The role of Family medicine The role of Family medicine departmentsdepartments

� Continuing professional development

� Research and science� Research and science

� Assistance with clinical guidelines development

� Publications

Curriculum Rotation Threeyears Two years

1 Family medicine 18 months 6 months

2 Internal medicine 5 months 5 months

3 Pediatrics 2 months 2 months

4 Emergence medicine 2 months 2 months

Curriculum of family medicine residency (RS)

4 Emergence medicine 2 months 2 months

5 Gyneacology 2 months 2 months

6 Psychiatry 1 month 1 month

7 Neurology 1 month 1 month

8 Surgery 2 months 1 month

9 Public health 1 month 1 month

10 Electives 2 months 2 months

Curriculum Rotation Four years 1 Family medicine 20 m 2 Internal medicine 7 m 3 Pediatrics 4 m 4 Emergence medicine 2 m

Curriculum of family medicine residency (Federation BiH)

4 Emergence medicine 2 m 5 Gyneacology 1.5 m 6 Psychiatry 1 m 7 Surgery 3 m

8 Public health, quality assurance 1 m

9 Neurology 1 m

10 Infective diseases 1 m

11 Dermatology 1 m

12 Emergence medicine 1.5 m

13 Elective 1 m

ProgramProgram

� Theoretical training� i) consultation, discussion with mentor

(33%)� ii) seminars (33%)� iii) independent learning (34%)

� Practical training� i) working in FTMC or at the hospital wards

(70%)� ii) clinical skills demonstration, case

discussion (25%)� iii) research (5%)

� Academic half day� Once a week =144 AHD (432 hours) or 48 AHD a year

� Sitting in

� OSCE

� Clinical skills demonstration

� Resident‘s lectures based on evidence

Formative evaluationsFormative evaluations

� Resident‘s lectures based on evidence

� Evaluation - standardized forms

Research projectsResearch projects

� Stimulate creativity and scientific thinking

� Critical assessment � Critical assessment

� Studying topics that are relevant to residents and family medicine

Sumative evaluationSumative evaluation

•Portfolio•Practical skills assessmentassessment

•Written exam•Oral exam

25

30

35

Number of new specialists in family medicine in RS per year (2001 -2012)

Number of new specialists in family medicine in RS per year (2001 -2012)0

5

10

15

20

25

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012

Specialists-250Residents -48

Specialists-310Residents - 40

Specialists-180Residents -16

Specialists-138Residents -20

Specialists-71Residents -14

Family Medicine Teaching Centers,Family Medicine Teaching Centers,BiHBiH

Specialists-91Residents -10

Specialists-138

Specialists-10Residents -31

768+131

� Mainly during the 11th and 12th semester

� Total amount from 120 to 210 hours

� 9 months long

Includes� 20 theoretical modules

Field supervisions

Additional training in FMAdditional training in FM

� Field supervisions� Four audits� Final exam