Læknablaðið - 01.08.1977, Side 81

LÆKNABLAÐIÐ
173
KENNARALIÐ
Sé gert ráð fyrir að 4—5 stúdentar geti
verið samtímis við nám á einni heilsu-
gæslustöð og að hægt sé að dreifa náminu
yfir 15 vikna tímabil, eins og líklegt virð-
ist, ef skipulag sjötta námsárs helst með
svipuðum hætti og nú er, þarf kennslan
að fara fram á a.m.k. 2 heilsugæslustöðv-
um. Þegar verkleg kennsla á 2., 3., 4. og
5. námsári hefst, verður henni varla kom-
ið fyrir á færri en fjórum heilsugæslu-
stöðvum.
Nefndin telur að á 'hverri kennsluheilsu-
gæslustöð eigi að vera a.m.k. einn fastur
kennari (lektor eða dósent) í hlutastarfi.
Auk kennslu þarf hinn fastráðni kennari
að sjá um skipulagningu og umsjón kennsl-
unnar í heilsugæslustöðinni í samvinnu við
prófessorinn í hemilislæknisfræði. Þá
kennslu er þarf umfram starf hins fast-
ráðna kennara, er sennilega heppilegast að
kaupa sem stundakennslu.
Prófessor í heimilislæknisfræði þarf að
hluta að vinna við heimilislækningar og er
heppilegast að hann hafi aðstöðu á kennslu-
heilsugæslustöð. Auk klínískrar vinnu og
kennslu þarf hann að hafa yfirumsjón með
kennslunni og forgöngu um rannsóknir í
greininni. Þar sem hér er um mjög unga
sérgrein að ræða og algjörlega nýja
kennslugrein við læknadeild Háskóla ís-
lands telur nefndin eðlilegt að prófessor-
inn i heimilislæknisfræði fái verulegan
tíma í upphafi starfsins til þess að afla sér
frekari þekkingar, t.d. í rannsóknarvinnu
og til þess að vinna að undirbúningi kennsl-
unnar.
10.6 1977.
Greinargerðin er samin í samráði við Örn
Bjamason, lektor, Hrafn Tulinius prófessor
og Benedikt Tómasson, fyrrverandi skólayfir-
lækni, en sá siðastnefndi gaf góðar ráðlegging-
ar um málfar.
SUMMARY
Teaching in Medical Practice at the Medical
Faculty of the University of Iceland
A committee was appointed in 1976 by the
Ministry of Education to make recommend-
ations on future developments of teaching in
Publich Health, General Practice and Hygiene
at the University of Iceland.
The following is an English Summary of
that part of the report which concerns General
Practice.
A Introduction
In the light of the ever increasing medical
knowledge and the ever increasing demands
made of doctors it has become more and more
evident, that undergraduate training in medi-
cine makes the candidate no more able to go
into general practice than into other special-
ties. At the same time the need for teaching
in General Practice at undergraduate level has
become widely recognized.
These matters have been reviewed in detaii
by the committee and recommendations are
made later in this report on the principles
that future development of teaching in Gene-
ral Practice should be based.
B Historical background
In 1862 the Chief Medical Officer of Iceland
Dr. Jón Hjaltalín, wfas permitted to teach
Medicin. Those who qualified from his school,
obtained a full and unrestricted licence to prac-
tice medicine in Iceland. In 1871 all candidates
were required to serve in an Obstetric Clinic in
order to obtain a full licence. When the Ice-
landic Medical School wTas founded in 1876
all candidates were required to work in a
hospital for one semester in addition to the
service in the Obstetric clinic before they were
registred as doctors. The same requirements
were made after the foundation of the Uni-
versity of Iceland in 1911. To day all candidates
must complete 12 months of hospital work in a
recognized hospital before registration. Since
June 1976 it is, hórwever, no longer necessary to
work in a department of Obstetrics and Cynæ-
cology for registration purposes.
Before 1923 any doctor who wished, was
allowed to call himself a specialist if he
thought this was proper. In 1923 all doctors
in Iceland agreed that The Icelandic Medical
Association should decide which doctors quali-
fied as specialists. In 1932 a bill of law was
passed which stated that no Icelandic doctor
could call himself a specialist unless he had
fulfilled certain minimal requirements for
specialist training, and also obtained specialist
licence for the Minister of Health. A regula-
tion dated 19th March 1970 recognized General
Practice as a speciality and makes require-
ments for specialist training, comparable to
those for other specialties.
C Pre-parations for teaching in General
Practice at the University of Iceland
Much preparating work has been done
within the Faculty of Medicine in the leist de-
cade for the teaching in General Practice. The
entire teaching system at the Faculty was re-
viewed during the years 1965—1967, which re-
sulted in a reorganization of all teaching in
1969. From the beginning it was felt that a
new department was required, a department of
General Practice, consisting of 1 professor and
two assistant teachers. The new regulation
from 1969 stated that teaching in General
Practice should start in the 6th year and finish