1. Postgraduate Medical Education (PME) How is it managed ? How is it managed ? How is it organised ? How is it organised ?

2. Management of PME Ministry of Health National Board of Health The National Board of PME The Regional Boards of PME (3) The University Hospitals The Regional Hospitals I II III IV

3. Description of PME Statement of Aims: Competences Programs for Education Competences: Where and How Individual Plans for Education The National Board Of Health The Regional Boards of PME The Hospitals

4. Organisation of the PME The Basic Clinical Education (1 yr) The Basic Clinical Education (1 yr) The Introductory Education (1 yr) The Introductory Education (1 yr) The Main Education (4-5 yrs) The Main Education (4-5 yrs)

5. The Basic Clincal Education From 1. August 2008: From 1. August 2008: Acute Unit Acute Unit Elective Unit Elective Unit Electronic Application Electronic Application Start Start Medicin/Surgery (½yr) Many specialities, but 80% in GP (½yr) < 3months after Candidate Graduation

6. The Introductory Education 1 year 1 year Common for all surgical specialities Common for all surgical specialities Common for all medicine specialities Common for all medicine specialities Specific for other specialities Specific for other specialities Dimension ??? Dimension ???

7. The Main Education (4-5 Yrs) Start: < 4 year after Candidate graduation Start: < 4 year after Candidate graduation Highly specialized University Department (2/3 yrs) Highly specialized University Department (2/3 yrs) Specialized Regional Department (2/3 yrs) Specialized Regional Department (2/3 yrs)  Focused stay (1-3 months). Specific competences  Generel courses ( National/regional)  Specific courses

8. ”Supply and Demand” Of Doctors?? Of Doctors?? Of Specialists?? Of Specialists??  DK: 3.6 Doctors per 1000 inhabitants  Swe: 3.5 ”--------”  Nor: 3.4 ”--------”  OECD: 3.0 ”--------” Are doctors doing the the job which is demanded??? (Patient contact?, Administration? Etc)

9. Amount of Authorizations (2000-07) 2000447 2001548 2002635 2003711 2004775 2005818 2006860 2007884

10. Demands and Vacances of specialists (1.2.08) RegionN Not occupied Vacances Capital297554418.3% Sealand87110712.3% South169532619.2% Medio152032021.1% North67716023.6% Total7738145718.8%

11. Plan for dimensioning 2008-12 The Main Education: 472/ yr in the 38 specialities The Main Education: 472/ yr in the 38 specialities The Introductory Education: 472 x 1.5-2.5 (depending on speciality) The Introductory Education: 472 x 1.5-2.5 (depending on speciality)

12. Research!!!!! ”The need toward a Strategy for Resarch in Health Science” ( DMA, 19.sept. 2007). ”The need toward a Strategy for Resarch in Health Science” ( DMA, 19.sept. 2007). Action: Action:  31 strategic subjects of research  Identifying the areas into which the Government are going to give financial support for the next years!!!