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Enhancing Medical Training in Finland: A Balanced Look at Pros and Cons

This document explores the advantages and disadvantages of the medical training curriculum in Finland, as discussed by Milla Juhantalo-Takala, a trainee at Tampere University Hospital. Key positives include the autonomy of trainees, structured rotations, immediate feedback, and a focus on self-evaluation. Challenges such as a stringent national examination, decreased surgical procedures, and insufficient ultrasound training are also highlighted. Suggestions for improvement emphasize the need for web-based courses, practical simulations, and structured lessons to foster scientific understanding and enhance overall training efficacy.

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Enhancing Medical Training in Finland: A Balanced Look at Pros and Cons

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  1. Improvingourtrainingcurriculum Pros and cons in Finland Milla Juhantalo-Takala, Trainee Tampere UniversityHospital

  2. Pros • Independentwork • A senior is awailable, butfirstyoutry to figureit out byyourself • Trust – guardianship • Adultlearners • Responsibility • We are responsible for finding a proper post for training by ourselves

  3. Pros • Rotationscheduleorganised • Focusing on one thing at a time • Orientation • A named tutor • In the universityhospitals

  4. Pros… • Log-book • Practice • Experience • Osats • Immediate feedback • Learning curve • Selfevaluation – whatskillsshouldbeimproved

  5. Objectivestructuredassessment of technical skills www.rcog.org.uk/files/rcog-corp/uploaded-files/Ed-Core-OSATS.pdf

  6. Pros/Cons…? • A national specialist exam which is a written 6 h exam • Compulsory for all the traineesfromdifferentuniversities • Maintains a certainstandard of whatwe’resupposed to learn • Academicskills/ Professional knowledge • Traineeprepares and presentates a lecture of givensubjectfor the wholeclinic

  7. Cons • 50/50 % rule • Forcesmost of us to moveback and forth • ”Doitwhenyou’restillyoung and enthusiast” • Reduction of smallperipheralhospitals

  8. Cons • General reduction in surgicalprocedures • Hysterectomies • Suctioncurettages

  9. Cons • Lack of ultrasound training • Lack of urogynecologictraining • Prenatalpoliclinic is mainlymonotonous for trainees • Somethingelsethangestational diabetes orbreechcontrols?

  10. How to improve? • Surgicalcompetencypretest? • Entry and exit • Specificgoals for eachrotationunit? • Web-basedcourses and surgicaltechniquesshouldbepractisiced in a stressfreeenvironment • Fantoms, simulators • Willtherebeenoughoperations in the future? • Shouldweorientatealready as a trainee?

  11. …improving • Scientific knowledge • Structured lessions for opening and understanding scientific articles (Journal club)

  12. Feedback, feedback and feedback • Immediate • Spesific • Descriptive • Interactive • frommidwives?

  13. In an idealworld • You’dbecome a specialistafteryouhaveachieved the neededknowledge and skills • Nothowmanytricksyoudid • Orwhereyoulearntitgeographically

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