Phase III or the future

 

The Pomor program in Primary Health Care Education was formally ended with the Conference i Arkhangelsk in 2014. A report of the Conference has been issued, link.

All together 35 GPs and tutors have completed two years the Pomor Program.

Futher informations conserning the Norwegian Program for specialization in General Medicine can be found here (Norwegian link).

Cut from the Norwegian organization of specialist training:
(norweigan link,  Fremtidens legespesialister En gjennomgang av legers spesialitetsstruktur Рog innhold. IS-2079 Rapport. Juni 20113
ISBN-nr. 978-82-8081-291-9).

Until 2012, specialist training started after a mandatory internship periode, but by a Regulatory change in 2012 authorization was obtained by cand med.- examination. The internship consisted of one year at the hospital, preferably Internal Medicine and surgical ward and a half year in community health services in collaboration a general practitioner, but also through participation in nursing, school-health services and public health centre. The aim has been that the doctors at work in emergency rooms should learn to assess and help critically ill patients, and that all doctors should get a general knowledge of how the health service works on both levels, regardless where they will work later.

The training of specialist includes practice carried out in departments approved by the Directorate of Health for this purpose. Each of the specialties has their own rules defining which of the hospital department that may count in the specialist education and for how long. This is considered definite for each department/section, and is approved by The Directorate of Health after consulting the Medical Association for professional advice. For the most specialties it is required that the service shall be in so-called Group I hospital, i.e. hospital with the most specialized treatment. It is a mandatory claim of guidance and teaching internally, but the important learning arena is the daily activity under supervision (master – apprentice) and the collaboration with other colleagues and other health professionals. In addition to the mandatory practice/service the candidate may also get approved relevant service in another subject or in research. Most oftenly the time-frame for another relevant service is one year.

Time of completion of internship to become certified specialist is on average 8 years, with variation between specialties from 7 to 10 years.

The second element of specialist training is compulsory and elective courses. The framework for course participation is for most specialties approximately 200 hours during the specialization time, and candidates are entitled to leave with pay to attend such courses.

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