Læknablaðið - 01.08.1977, Side 82

174
LÆKNABLAÐIÐ
with an oral examination which would be a
part of the final examination. It had not been
decided, however ,how the teeaching should
be performed, and in 1973 the Faculty of Medi-
cine appointed a committee to make recom-
mendations about requirements of a new de-
partment and methods of teaching. This com-
mittee recommended that the teaching of
General Practice should start in the 3rd year
and should be performed in health eentres. It
is also recommended that the University acqui-
res a health center for teaching purposes.
It has not yet been decided how or when the
Faculty will take up teaching in general prac-
tice, hence the appointment of the present
committee.
D The committee has reviewed reports on
teaching of Gensral Practice in Britain, Den-
mark, Norway, Sweden, Finland, Canada and
The United States, and also recent definition
of the role of general practice.
E Recoviviendations
It is recommended that the teaching in gene-
ral practice at the University of Iceland shouid
start in the 2nd year and should continue
through 4th, 5th and 6th year with increasing
cmphasis on clinicial aspects and problem-
solving, and always in close connection with
teaching in Public Health and Hygienies as
well as tradional Surgery of Medicine. The
main objects of teaching would be:
1. To train the student in reaching a diagnosis
by taking into aecount simultaneously the
patients' domestic, social and psychological
state.
1. To teach him about diseasss that are rarely
ssen in hospital, but account for consider-
able ailment in general.
3. To train the student in the management of
chronic disease.
4. To train the student in team-work and let
him familiarise himself with the role of
such teamwork in the management of
patients outside hospitals.
5. To assure the students’ interest in primary
health care, and further training in general
practice.
It is recommended that teaching in General
Practice should be based in á health centre,
run by the university. Until such a centre is
available, other health centers should be used.
To begin with two health centres could be
used, each taking groups of 4-5 students. In
this way the two health centres could cope
with the teaching of students in the 6th year.
It is foreseeable, however, that as soon as
teaching of 2nd year students is started, no less
than 4 health centres are required, and each
centre should have at least one parttime
teacher (lecturer or senior lecturer).
A professor of General Practice is clearly
needed in the near future to coordinate the
teaching in General Practice, to organize and
carry the responsibility for ressarch, to organ-
ize post-graduate training etc.
The pictures show how the committee
thinks it feasible to fit the teaching of General
Practice into the present curriculum, starting
in the 2nd year.
June 10, 1977.
HEIMILDASKRÁ
1. Eyjólfur Þ. Haraldsson, Ólafur F. Mixa og
Pétur I. Pétursson, Sérnám í heimilislækn-
ingum. Greinargerð og nefndarálit um sér-
nám í heimilislækningum til Læknafélags Is-
lands, 25.2 1977. Lbl. (stytting á Læknabiað-
ið) 5.-6. tbl. 1977.
2. JAMA vol. 234, No. 13, Dec. 29, 1975.
3. Kristbjörn Tryggvason; Álitsgerð nefndar,
er læknadeild Háskóia Islands skipaði 4.4.
’73 til að gera tillögur um fyrirkomulag
kennslu og nauðsynlega starfsaðstöðu kenn-
ara í heimilislækningum, 30.4. 1973.
4. Læknadeild Háskóla íslands; Tillögur til
breytinga á reglugerð 17. júní 1958 um Há-
skóla íslands, Mai 1969.
5. Petersdorf, G.R.: Issues in Primary Care:
The Academic Perspective, J. Med. Educ. vol.
50 No. 12 part 2, 1975, pp. 5-13.
6. Rakel, R.E.; Training of Family Physicians.
J. Med. Educ. vol. 50 No. 12, part 2 1975 pp.
145-153.
7. Tómas Helgason og Jónas Hallgrímsson; Til-
lögur um nýtt kennslukerfi við iæknadeild
Háskóla Islands, No. II október 1967.
8. Vilmundur Jónsson, Lárus H. Blöndal:
Læknar á íslandi, fyrra bindi, Læknafélag
Islands og Isafoldarprentsmiðja.