Family Medicine

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World Book of Family Medicine – European Edition 2015 Medical practitioners need to be trained in how to become competent in cross cultural care. To improve their communication with and treatment of patients, medical practitioners should be trained on the basis of the pyramid of building competence in cross-cultural care in order to acquire, apply and practise their knowledge. Better cross-cultural care means better medical practice. Original abstract http://www.woncaeurope.org/content/1014-wo-teaching-cross-cultural-care References Betancourt J., Green A.R., Carrillo J.E. and Ananeh-Firempong O. (2003)‘Defining cultural competence: a practical framework for addressing racial / ethnic disparities in health and health care’,Public Health report, 118, pp. 293-302. Betancourt J., Green A.R., Carrillo J.E. and Park E.R. (2005)‘Cultural competence and health care disparities: key perspectives and trends’, Health Affairs, 24(2), pp. 499-505. Cultural Competence.Train-the-Trainer Manual. (2011) Available at: https://www.sickkids.ca/culturalcompetence/37976- NISN%20-%20Train-the-Trainer%20Manual%20-%202011.pdf Davis M, Forrest K. (2008)How to teach continuing medical education. Oxford: Wiley-Blackwell. Helman C. (2007)Culture, health and illness.5 th edn. London: Hodder Arnold. Kaufman DM, Mann KV. (2010)‘Teaching and learning in medical education: how theory can inform practice’, in Swanwick, T.(ed.) Understanding medical education: evidence, theory and practice. Chichester: Wiley-Blackwell, pp. 16-36. Mehay, R. (2012) The Essential Handbook for GP Training & Education. 1 st edn. Oxford: Radcliffe Publishing Ltd. Waxler-Morrison N., Anderson J.M., Richardson E. and Chambers N.A. 2005. Cross-cultural caring: a handbook for health professionals. 2 nd edn. Vancouver: UBC Press. 190
World Book of Family Medicine – European Edition 2015 Monica Lindh monica.lindh@telia.com 62 – How to Recruit and Select Your Future Colleagues? Monica Lindh, specialist in GP/FM, Hofors Health Centre, Region Gävleborg, Sweden. Swedish EURACT Councilrepresentative (2004-2010). Co-authors Fergus O’Kelly, Prof, Ireland Margus Lember, Prof, Univ of Tartu, Estonia Roar Maagaard, GP & Ass Prof, Univ of Aarhus, Denmark Bernhard Rindlisbacher, Specialist in GP/FM, Switzerland Dolores Forés, GP, Spain Roger Price, MB BS, FRCGP. Ass Postgrad Dean in Health Education East Midlands, UK Recruitment of new colleagues to general practice/family medicine is essential for the viability of the specialty. Selection of “the right” colleagues for training in general practice/family medicine is also essential in order to give the trainees a satisfying professional life and their patients excellent GPs/family doctors! A survey conducted in 2004 by EURACT, the European Academy of Teacher´s in General Practice/Family Medicine, on specific selection processes for GP trainees in 28 European countries indicated different processes, even within the same country in 50% of the countries. The selection was done by course organizers in 75% and by universities in 25%, usually using interview and university scores. Training Programmes in other specialties sometimes gave credit in general practice programmes. The future trend was predicted to involve “more control by GPs in the process”. This issue was further explored at an interactive workshop at the WONCA Europe conference 2005 in Kos organized by EURACT. The aim was to strive to produce European recommendations for recruiting and selecting GP trainees. Introductory presentations by EURACT-Council members (Table 1) gave insight into a very diverse situation in different countries in Europe, ranging from nearly no selection “who is volunteering for GP ?” to very elaborate selection processes. In some places non-GP-specialists were doing the selection – in other places GPs were leading the process. A clinical testing period and references on collaborative competences were sometimes included. Table 1 Dr Monica Lindh Prof Fergus O’Kelly Prof Llukan Rrumbullaku Prof Margus Lember Dr Roar Maagaard Dr Bernhard Rindlisbacher Dr Dolores Forés Dr Roger Price Sweden Ireland Albania Estonia Denmark Switzerland Spain United Kingdom According to the literature review presentation, selection practices are relatively unsystematic (1) and also ineffective, uneconomical and unfair (2). The most important factors in selecting applicants have been reported as the personal interview and earlier performance on clinical rotations (3). Knowledge tests at the entrance are not suitable (4). Personal attributes need to be considered rather than academic and clinical competence alone (5,6). In addition, it is recommended to target on six competences essential for family medicine: empathy and sensitivity; communication skills; clinical expertise; problem solving; professional integrity and coping with pressure (1). The UK was in the process of introducing a new application procedure: firstly a 191
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Family Medicine

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