1. Primary healthcare based teaching 16th Nordic Congress of General Practice Copenhagen, Denmark 13-16 May 2009 Maria Tasola Charlotte Leanderson

2. Background new programme 2007 new programme 2007 themebased education themebased education teaching goals, integration, problembased, professional and scientific development, electives teaching goals, integration, problembased, professional and scientific development, electives primary health care integrated, 13 weeks primary health care integrated, 13 weeks

3. Aims early clinical experience early clinical experience integration integration practice under supervision practice under supervision

4. Method 174 health care centers 174 health care centers students in groups of 2-4 students in groups of 2-4 sem 1-4 4 days sem 1-4 4 days sem 6-8 5-10 days sem 6-8 5-10 days sem 9-11 5-6 days sem 9-11 5-6 days 1000 SEK/student/day 1000 SEK/student/day

5. Method Lecturers develop and supervise clinical teaching Lecturers develop and supervise clinical teaching Curriculum development - primary healthcare perspective Curriculum development - primary healthcare perspective Constructive dialogue: basic science- and clinical institutions / check-lists Constructive dialogue: basic science- and clinical institutions / check-lists Education tutors - networks Education tutors - networks

6. Clinical teaching Patient-based learning/integrated tasks Patient-based learning/integrated tasks feedback, formative assessment feedback, formative assessment Seminars Seminars clinical examination/laboratory testing clinical examination/laboratory testing communicational skills/video communicational skills/video clinical cases clinical cases orthopedic medicine etc. orthopedic medicine etc.

7. Experiences Primary healthcare concept successful Primary healthcare concept successful Quality of teaching skills varying Quality of teaching skills varying Family medicine - institutions/clinics Family medicine - institutions/clinics patient categories patient categories Teaching assignment Teaching assignment

8. Conclusions Successful concept Successful concept Initial and final parts most suitable? Initial and final parts most suitable? Pedagogical education crucial Pedagogical education crucial Family medicine a separate course Family medicine a separate course Primary healthcare- can deliver large scale clinical teaching Primary healthcare- can deliver large scale clinical teaching