Integrating Academic Hospital and Faculty of Medicine
Prof. M. Džoljić
Academic Medical Center
University of Amsterdam, The Netherlands
Saba, Netherlands Antilles
Saba University School of Medicine
Since 1986
Basic Science Program
Clinical Medicine in affiliated US hospitals (72 weeks)
Saba AMC
Loose affiliations around the world
Integrated Academic Hospital and Faculty
Saba AMCEU
One prefered Academic Institution
Different Affiliated Hospitals
Dean is head of the Faculty
History AMC
1569: Dolhuis Kloveniersburgwal
1582: St Pietersgasthuis, later BG
1635: Pesthuis, later Wilhelmina gasthuis
1984: AMC: WG and BG
1988: incorporation Emma Children Hospital
1994: integration Academic Hospital and Faculty. First UMC (university medical
centre)
‘Before’
AcademicHospital(Executiveboard)
Patient careTraining specialistsClinical research
Studentsclinical internship
Faculty of Medicine
(Dean)
University
Other faculties
Appointment clinical professors
Teaching basic medicine Training GP’s (training PH doctors) Basic research Public health research
‘After’
University Medical Centre
Patient careTeaching and trainingScience / research
One organisationOne budgetOne executive board, including the dean
University
Otherfaculties
Patient care basic hospital care tertiary care
Teaching and training medical students medical specialists
Science / research basic research clinical research public health research
Core responsibilities
‘Patient care’
Public health service
Primary health care
Hospital care
Academic hospitals
diabetes mellitus met orgaanproblematiek
HIV/AIDShemato-oncologie
bloeddrukregulatie- stoornissen (syncope, etc.)
complexe nierfunctie- vervangende therapie
immunotherapie bij (reumatoide) artritis
familaire dyslipidemie
complexe hemostase/trombose
niertransplantatie
benigne hematologie
bacteriele infecties
M. Graves
geriatrie
hemofilie
tropische geneeskunde
premature atherosclerose (familiair)
adolescenten oncologie
gynaecologische oncologie
Graw itz carcinoom
hereditair angio-oedeem
Lyme borreliose
genetisch metabole ziekten
60%
70%
80%
90%
100%
0% 20% 40% 60% 80% 100% 120% 140% 160% 180%
Verhouding DBC tarief\-kosten
Mate
van r
ele
vantie
secondary educationclassroom clinical internships
secondary education Ba Ma
18 years 4 years 2 years
Teaching basic medicine
‘teaching and training’
Medical specialist 4 – 6 years
General practitioners 3 years
Public health doctors 2 – 3 years
‘teaching and training’
WFG
IJsselmeer
Flevo
Gooi-Noord
Hilversum
WaterlandZMC
BovenIJ
OLVGSLAZ
SLVMentrum
AvL
MCA
Geestgronden
RKBKennemer Gasthuis
Spaarne
H A
DC
De verschillende kleuren verwijzen naar de verschillende OOR’s
D
E F
G
B
Globale OOR-grenzenUMC’s ( A t/m H)Algemene ziekenhuizen
education
research
Clinic
Basic education
Purpose of alliance education patient care research
Performance indicators for alliance Quality assurance
teach the teacher accreditation of teachers feedback from students
Building a common infrastructure library dedicated internet combined patient transport etc.
Next stepAlliance management
…………..and a little bit further………….