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Annex 1 EURACT Council meeting BOSNIA & HERZEGOVINA Health Care System Current situation is a bit chaotic in whole health care system. Whole country is in transition period including health care reform with stress on primary level and family medicine. It seems we are in a half of way and additional five years will need for finishing this task. Now, education of primary care medical staff, equipment and opening new spaces for family medicine team work are results of this reform. Special task is to form sufficient number of FM teams with such educational and practical abilities for solving as many problems as they can on the first level and be closer to the patients especially in the field. Basic Medical Education This is the most stable part of family medicine education. From this year 6th year medical students have family medicine as a subject two semesters (previously only last one). Department members adjusted curriculum regarding the most common FM clinical problems but as well respecting student's needs for additional education. So, we have each year quite flexible curriculum for BME. Specialisation Education It is still 2 or 3 years residency program depending on previous education related with family medicine. A half of residency program is clinical rotation and the other half is in Family Medicine Teaching Center working with patients, being supervised by mentors and preparing presentation for different clinical topics. Resident evaluations about their satisfaction during residency program showed that this program is not still effective for residents from different reasons and this is the main task for improvement in the near future. CPD/CME Last three years Program of Additional Training (PAT) is running as a re-training program for GP physicians and nurses supported by Ministry of Health. PAT is one academic year training with very structured curriculum and final exam at the end of training. After successfully finishing this Program participants are certificated and have a profession of family physician or nurse. This is how PHC reform can be more efficient in family medicine implementation. We already have two graduate PAT generations. CME is under Physician's Chamber umbrella with point system gathering during 5 or 6 years depending of different part of country. First licence is given 2000. and is approaching time for re-licensing in some country areas. What I have done as EURACT Council member After spring Madeira meeting I had circular presentation about EURACT organisation, review about New definition and core competences and Educational Agenda in four main Departments of Family Medicine in my country. This was lecture for Department members but for FM residents as well. Also, I regularly sent all information about EURACT activities, Leonardo EURACT Course and Young Doctors Program. |
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