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					Exchange experience
        CELJE
  Johanna Aaltonen, Finland
                       Celje
•   Beautiful small town
•   Located 70 km north-east Ljubljana
•   About 100 000 inhabitants
•   Celje hospital
    – 3rd largest hospital in Slovenia
    – All major specialities represented
           Celje – Ob & Gyn
• 1700 deliveries
• 1300 major operations
• 10 specialists, 1-2 residents
  – 2 doctors in house during night shift


• 15 primary care gynecologists in the area
           Celje - Obstetrics
• 5 beds for deliveries
  – two private rooms, one room for 3 patients
  – epidural analgesia is not common
• Department for antenatal & postnatal care
• 2D Ultrasound with Doppler
          Celje - Gynecology
• Two operation rooms for major operations
  – one room for small procedures
  – newest technology, Ligasure
• No special monitoring room post. op.
  – Skilled anestesiologists (2) !
• Department for pre- and postoperative
  care
• Ambulatory room
• 2D ultrasound with Doppler
                    Celje
• 8.10 meeting with all doctors
  – report from the night, previous day operations
    and plans for the day
  – the head dr. decides who does what daily
• 9.00 – 15.00 operative work possible, lack
  of anestesiologists is the limit
• All do almost anything
• Good atmosphere!
          Exchange in Celje
• myself & dr. Barbora Kasova
  – Two days in operative room
  – One day in primary care
  – One day in delivery room, ultrasound,
    ambulatory
• Warm welcome, a lot to see & experience!
• No language problems after breaking the
  ice!
           Major differences
• Role of the primary care doctors
• How the work is shared between doctors &
  nurses
  – 2 doctors in house during the night
  – Training of the nurses & midwifes!
• Documentation
• Responsibilies of the residents vs.
  specialists
Biology is the same, medicine
    is nearly the same, the
organization and culture differs
           the most.

 Thank you Celje & Slovenia!

				
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posted:8/15/2012
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