GP = Spécialist

Michel LEVEQUE

Strasbourg

10 novembre 2011

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

• SIX CORE COMPETENCIES:1. Primary care management

2. Person-centred care

3. Specific problem solving skills

4. Comprehensice approach

5. Community orientation

6. Holistic modelling

WONCA définition of GP/FM

• Eleven characteristics1. First contact within the health care system

2. Makes efficient use of health care ressources

3. Develope peros-centred approach

4. Relatioship between doctor and patient

5. Longitudinal continuity of care

6. Specific decision making

WONCA définition of GP/FM• Eleven characteristics (suite)

7. Manages simultaneously acute and chronic health

8. Manages illness in early stage…

9. Promotes health and well being

10.Has a specific responsibility for the health of the community

11.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

WONCA définition of GP/FM

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 clinical teacher (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