Objectives: At the end of the course the participant will:

KNOW the epidemiology of patterns of co-morbidity in primary care.

UNDESTAND the implications of co-morbidity for primary care in terms of the inteactions of:

· Disease-disease

· Drug-drug

· Provider-provider

· Doctor-patient

· Patient-family

· Doctor-family

KNOW HOW

· to assess the patient with co-morbidity

· to relate information on co-morbidity to the patient

· to keep records

· to use avaialble evidence to make management decisions

ACCEPT that co-morbidity is an important factor in primary care

APPRECIATE that there are many ways to cope wih co-morbidity

VALUE the role of teamwork in managing the patient with co-morbidity

VALUE reflection in the management of co-morbidity

Methods: Homework exercise – Before the course the partcipant will prepare a report on one patient with co-morbidity. This will consist of a list of diagnoses, current medications and other practitioners involved in the care of the patient along with basic demographic data. The participant will state the major teaching point arising from the case or will propose a management question arising from the case. This will be submitted by electronic mail before the start of the course.

TIMETABLE

Tuesday, September 20: INTRODUCTION TO THE COURSE

Time Activity Leader

8.00 - 8.30 Arrival and registration Janez Rifel (SLO)

8.30 - 9.00 Welcome, introduction to the course Janko Kersnik (SLO)

9.00 - 9.30 Introduction by the participants Janko Kersnik (SLO)

9.30 - 10.00 Introdcution to co-morbidity, epidemiology, importance and implications for primary care Yonah Yaphe (IZ)

10.00 – 10.15 Discussion Yonah Yaphe (IZ)

10.15 - 10.45 Coffee

10.45 - 12.30 Practice experiences with comorbidity: Group leaders

12.30 - 14.30 Lunch

14.30 - 15.00 Cholistic concept and F/GP – Using the best available evidence to manage comorbidity Manfred Maier (A)

15.00 – 16.00 Comorbidity: Group leaders

16.00 – 16.30 Coffee break

16.30 – 17.30 What to teach about comorbidity? Group leaders

17.30 - 18.00 Presentations of ideas from the working groups Manfred Maier (A)

19.00 Sport acitivities, reception Nena Kopčavar-Guček

Wednesday, September 21: MANAGEMENT ISSUES IN COMORBIDITY

Time Activity Leader

8.45 - 9.00 Warming-up session Jaime Correia de Sousa (P)

9.00 - 9.30 Practice management in comorbid patients Jaime Correia de Sousa (P)

9.30 - 9.45 Discussion Amanda Howe (UK)

9.45 - 11.00 Practice management in comorbid patients Group leaders

11.00 - 11.30 Coffee

11.30 - 13.00 Practice management in comorbid patients Group leaders

13.00 - 14.30 Lunch

14.30 - 15.00 How to communicate wtih a patient with multiple health problems and managing primary care? Amanda Howe (UK)

15.00 – 17.00 Group work Group leaders

16.00 – 16.30 Coffee break

17.00 - 17.30 Presentations of ideas from working groups Amanda Howe (UK)

19.00 Dancing lessons, waterpolo game Nena Kopčavar-Guček

Thursday, September 22: IMPACT OF COMORBIDITY

Time Activity Leader

8.45 – 9.00 Warming-up session Manfred Maier (A)

9.00 - 9.30 Measiring outcomes of co-morbidity management: the using of quality of life and functional status indicators Jaime Correia de Sousa (P)

9.30-9.45 Discussion

9.45 – 11.00 Assessment of the health status Group leaders

11.00 - 11.30 Coffee

11.30 - 13.00 Preparation of a module Group leaders

13.00 - 14.30 Lunch

14.30 – 19.00 Exercise, field work, reports from home visits Group leaders

19.00 – 20.00 SOCIAL PROGRAMME Nena Kopčavar-Guček

Friday, September 5: ETHICAL ASPECTS OF PATIENT NEEDS

Time Activity Leader

8.45 – 9.00 Warming-up session Amanda Howe (UK)

9.00 – 9.15 Reports from the field work Amanda Howe (UK)

9.15 - 9.45 Ethical dilemmas of raising needs vs. limited resources Manfred Maier (A)

9.45 – 10.00 Discussion Manfred Maier (A)

10.00 – 11.00 Raising needs vs. limited resources Group leaders

11.00 - 11.30 Coffee

11.30-12.00 Somatisation Amanda Howe (UK)

12.00 - 13.00 Preparation of a module Group leaders

13.00 - 14.00 Lunch

14.00 – 14.15 “Joker session”: Enjoy and leave to die Igor Švab

14.15 – 15.15 Plenary – Feed-back, evaluation and reflection from the paritcipants Janko Kersnik (SLO)

15.15 – 15.30 Clousure of the course Janko Kersnik (SLO)

15.30 – 16.00 Coffee break

16.00 – 16.15 Oppening of the conference Janko Kersnik (SLO)

16.15 – 17.00 The role of EURACT in developing assessment in GP/FP. Justin Allen (UK)

17.00 – 17.30 Selection of the right assessment method. Mladenka Vrcić-Keglević (CRO)

17.30 – 19.00 Oral presentaions

19.00 – 20.00 Reception

20.00 – 22.00 Gala dinner

Saturday, September 6: CONFERENCE

Time Activity Leader

9.00 – 9.30 Assessment driven learning Manfred Maier (A)

9.30 – 10.00 Assessment in basic medical education Yonah Yaphe (IZ)

10.00 – 10.30 How can you assess your personal learning plan Igor Švab (SLO)

10.30 – 11.00 Coffee break and poster display

11.00 – 12.30 Workshops

12.30 – 14.00 Lunch and poster display

14.00 – 15.30 Presentations

15.30 - 16.00 Coffee break and poster display

16.00 – 16.30 Subjective vs. objective in assessment

Jaime Correia de Sousa (P)

16.30 – 17.00 Future perspectives in assessment of GPs in vocational training Justin Allen (UK)

17.00 – 18.00 Closing of the conference

19.00 Departure

SOCIAL EVENTS:

Pre-conference: sightseeing, mountain trip etc. Participants have to apply through the hotel.

During conference: dancing lessons, one afternoon visit to Bled, vine inspection, waterpolo, farewell gala dinner etc.

GENERAL INFORMATION:

The course will be held in Kranjska Gora, Slovenia. Kranjska Gora is a tourist resort in the Northwest of Slovenia on the border to Italy and Austria and is easily accessible by car, train or plane. The course fee is set at 250 EURO + V.A.T. and will include course materials free accessible on the web, organisation of the course, conference attendance, lunch in Saturday lunch brake during the conference and the participation in exciting social events including gala dinner. There is a 40 EURO reduction of the course fee for EURACT members. A limited number of sponsored places is available through the EURACT sponsorship programme. Deadline for application is July 1^st. Details will are available at the EURACT website: http://www.euract.org/. Detailed programme will be available on Slovene Family Medicine Society web page http://www.drmed.org/ and http://www.drmed-mb.org/ or through EURACT web-page http://www.euract.org/.