1.10 years ID Medicine: the outcome 2. 10 years training in ID Medicine: the results 3. The training program: making it future proof 4. 10 years ID Medicine:

1. 10 years ID Medicine: the outcome

2. 10 years training in ID Medicine: the results

3. The training program: making it future proof

4. 10 years ID Medicine: looking back, looking forward

The training program The structure

First year: in-patient care

Second year: external individualised traineeships

research project

Third year: out-patient care, consultation

4 days: supervised learning in practice

1 day: academical training at ErasmusMC

The training programmaking it future proof

2004 – 2007: Project Modernisation

A daring initiative

33 medical specialisms

- - 33 new Canmeds based profiles

- - 33 new curricula (content, methods, tests)

CanMEDS: roles and relations

Medical expert and decision

maker

Colla

boratorCommuni

cator

Health advocate

ManagerProfessional

Scholar

The ID Physician as Health advocate

The medical specialist:

- improves the health of the patient and the community as a whole

The ID physician: - recognizes the determinants of disparities and inequities

in health- supports the remaining capacity of decision making of the patient

The ID Physician as Professional

The medical specialist:

- shows efficient personal and interpersonal professional behavior

The ID physician:

- knows how to handle the ethical and juridical quandaries which are specific for the medical care for people with an intellectual disability

- carefully handles the area of tension between professional secrecy and adequate supply of care

The training programDIDACT a new curriculum for trainees

Characteristics:

- Competence based

- Modular

Overview (in english):

www.erasmusmc.nl/AVGopleiding

1, 2 3 4 5 6 7 8, 9 10 11 12 13

Tw o day introduction

course XScientif ic education day 1 & 2

EASTER (VAR)

ev: Transcultura-lisation (w ith help

of trainees)

Supervision 1 X Supervision

2

Presentation current scientif ic

research?

Reactivation of general develop-mental

psychology

Epilepsy and people

w ith ID XLevel of

development and

medical acting

Characteris-tics of ID-medicine

VG Zorgland: stand van zaken, te

verw achten ontw .Werke

n in organisatie

Scientif ic education day 1 & 2

Parents and represen-

tatives

Consultation course X To be

defined

Presentation current scientif ic

research? Progress evaluation

Tw o day course

Workshop 3

Workshop 4 Workshop 5 a. extra

1 2 3 4 5 6 7 8 9 10 11

X EASTER (VAR)

Presentation current scientif ic

research?

Parties and developments in The Netherlands

Transculturalisation X On in the

w orld

Severe multiple

disabilities 1

Severe multiple

disabilities 2

To be defined

gastro-intest. 1

gastro-intest. 2

To be defined

gastro-intest. 3

Presentation current scientif ic

research?

a. extra

1 2 3 4 5 6 7 9 10

X X EASTER (VAR)

Intervision 1 XPresentation current scientif ic

research?

MODULE 1: BASIC CONCEPTS (FEBRUARY THROUGH APRIL)

BLOC 1 BLOC 2 BLOC 3

MODULE 1

BLOC 1: The Netherlands and the world BLOC 2: specific medical problems BLOC 3: specific medical problems

MODULE 1: COMPLEX HEALTH NEEDS/COMPLEX ENVIRONMENT

BLOC 1: complex healthproblems BLOC 2: images of illness and disability BLOC 3: capita

The training program for supervisors Train the trainers

46 supervisors out of 165 ID physicians nationwide

Under construction: a new curriculum for supervisors

- Starting point: a better than average ID physician

- 4 years

- modular

- training in didactics

- peer supervision

- Final point: excellent and registrated medical supervisor

1. 10 years ID Medicine: the outcome

2. 10 years training in ID Medicine: the results

3. The training program: making it future proof

4. 10 years ID Medicine: looking back, looking forward

10 years ID Medicine: looking back

Overall challenge for the next future:

1. ID Medicine or better health care for people with ID is not substantially present in the medical curricula

2. In general: the position of ID Medicine in the medical landscape is still weak, to weak to address important health needs

Looking forward: NVAVG

- - Writing a comprehensive textbook ID Medicine

- - Define the core business of the ID Physician:

what can the patient (and the insurance company) expect at a given reason for encounter

Looking forward: Specialist training ID Medicine

2011:

Training program for GP’s who are delivering medical care for people with ID

2011:

Summerschool for MD (+ Heleen Evenhuis)

2012(?):

Virtual knowledge centre: training in ID Medicine

undergraduate / postgraduate

(+ Henny Lantman)

Summery

10 years ID Medicine in the Netherlands

- - a striking leap forward in clinical knowledge

- - a substantial improvement of the quality and

accessibility of specialized medical care

- - a (to) slowly growing awareness of the health needs

of people with ID in general health care

- - an interesting life for the professionals involved

Conclusion

Formal recognition of ID Medicine as a specialism

proved to be an effective way to achieve the main

objective of the NVAVG

to improve the quality of medical care for children

and adults with  an intellectual disability