Integrating Academic Hospital and Faculty of Medicine
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Integrating Academic Hospital and Faculty of Medicine Prof. M. Džoljić Academic Medical Center University of Amsterdam, The Netherlands Saba, Netherlands Antilles Saba University School of Medicine Since 1986 Basic Science Program Clinical Medicine in affiliated US hospitals (72 weeks) Saba Loose affiliations around the world AMC Integrated Academic Hospital and Faculty EU Saba AMC One prefered Academic Institution Different Affiliated Hospitals Dean is head of the Faculty History AMC 1569: Dolhuis Kloveniersburgwal 1582: St Pietersgasthuis, later BG 1635: Pesthuis, later Wilhelmina gasthuis 1984: AMC: WG and BG 1988: incorporation Emma Children Hospital 1994: integration Academic Hospital and Faculty. First UMC (university medical centre) ‘Before’ Academic Hospital (Executive board) Appointment clinical professors University Students Faculty of clinical internship Medicine (Dean) Patient care Training specialists Clinical research Other faculties Teaching basic medicine Training GP’s (training PH doctors) Basic research Public health research ‘After’ University Medical Centre Patient care Teaching and training Science / research One organisation One budget One executive board, including the dean University Other faculties Core responsibilities Patient care basic hospital care tertiary care Teaching and training medical students medical specialists Science / research basic research clinical research public health research ‘Patient care’ Academic hospitals Hospital care Primary health care Public health service immunotherapie bij (reumatoide) artritis 100% M. Graves benigne hematologie diabetes mellitus met orgaanproblematiek bloeddrukregulatie- stoornissen (syncope, etc.) HIV/AIDS hemato-oncologie 90% Mate van relevantie complexe hemostase/trombose en ie kt l og ie n rz mo e i e ocorin li tid kl ld rcdino cu n s hi a n sc c-e va ite uusro xe te ange le ni ph mp i eli g so o c og a ol m oe at re ml iai hebi o- oun tic m ea im cr n pa st am ce niertransplantatie bacteriele inf ecties l tr Graw itz carcinoom premature atherosclerose (f amiliair) an sp lan ta tie s complexe nierf unctievervangende therapie tropische geneeskunde genetisch metabole ziekten 80% f amilaire dyslipidemie geriatrie adolescenten oncologie gynaecologische oncologie Lyme borreliose hemof ilie 70% hereditair angio-oedeem 60% 0% 20% 40% 60% 80% 100% 120% Verhouding DBC tarief\-kosten 140% 160% 180% ‘teaching and training’ 18 years secondary education 4 years classroom 2 years clinical internships Teaching basic medicine secondary education Ba Ma ‘teaching and training’ Medical specialist 4 – 6 years General practitioners 3 years Public health doctors 2 – 3 years MCA WFG Geestgronden RKB Kennemer Gasthuis Spaarne Mentrum ZMC Waterland BovenIJ OLVG SLAZ AvL SLV IJsselmeer Flevo Gooi-Noord Hilversum B HA E F D G Globale OOR-grenzen D UMC’s ( A t/m H) Algemene ziekenhuizen De verschillende kleuren verwijzen naar de verschillende OOR’s C Clinic research education Basic education Next step Alliance management Purpose of alliance education patient care research Performance indicators for alliance Quality assurance teach the teacher accreditation of teachers feedback from students Building a common infrastructure library dedicated internet combined patient transport etc. …………..and a little bit further………….