{"id":6690,"date":"2019-09-05T18:35:55","date_gmt":"2019-09-05T16:35:55","guid":{"rendered":"https:\/\/blog.zhaw.ch\/sml-international\/?p=6690"},"modified":"2020-08-10T17:23:41","modified_gmt":"2020-08-10T15:23:41","slug":"birthday-general-practitioners-and-the-plague","status":"publish","type":"post","link":"https:\/\/blog.zhaw.ch\/sml-international\/birthday-general-practitioners-and-the-plague\/","title":{"rendered":"Birthday, General Practitioners and the plague!"},"content":{"rendered":"\n<p>07:00 am, good morning London! <\/p>\n\n\n\n<p>At 08:00 am we started towards Elephant &amp; Castle, where we had to take the Northern line towards Edgware. The first two trains we had to skip because of overcrowded tube. Thus, we also got to know the real London with the commuter traffic in the underground. After a few stations the train emptied and at the station Euston we could leave the tube. <\/p>\n\n\n\n<p>08:45 am, with five minutes delay we reached our first destination: Royal College of General Practitioners (RCGP). As the name suggests, they represent General Practitioners (GP) throughout the UK.\u00a0It is a huge network with over 52&#8217;000 Docters. They act as the voice of GPs on education, training, research and clinical standards. In addition, RCGP International, supporting Family Medicine Worldwide and has been for over 60 years. <\/p>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"768\" src=\"https:\/\/blog.zhaw.ch\/sml-international\/files\/2019\/09\/IMG_20190905_091308-1024x768.jpg\" alt=\"\" class=\"wp-image-6691\" srcset=\"https:\/\/blog.zhaw.ch\/sml-international\/files\/2019\/09\/IMG_20190905_091308-1024x768.jpg 1024w, https:\/\/blog.zhaw.ch\/sml-international\/files\/2019\/09\/IMG_20190905_091308-300x225.jpg 300w, https:\/\/blog.zhaw.ch\/sml-international\/files\/2019\/09\/IMG_20190905_091308-768x576.jpg 768w, https:\/\/blog.zhaw.ch\/sml-international\/files\/2019\/09\/IMG_20190905_091308-400x300.jpg 400w, https:\/\/blog.zhaw.ch\/sml-international\/files\/2019\/09\/IMG_20190905_091308.jpg 1824w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><figcaption>Meeting Room at RCGP &#8211; Prof. Dr. Alfred Angerer is visibly happy about the provided water.<\/figcaption><\/figure>\n\n\n\n<p>At 09:00 am the presentation started in a beautiful conference room with plenty of coffee and ballpens not working (only our student Adnan knew how to use them).<br>After a short introduction we started with a lot of information. <\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/blog.zhaw.ch\/sml-international\/files\/2019\/09\/IMG_20190905_100141-1-1024x768.jpg\" alt=\"\" class=\"wp-image-6693\" \/><figcaption>Tricky ballpen.<\/figcaption><\/figure>\n\n\n\n<p>The importance of the GPs can be illustrated by the following facts:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>90% of patient\ncontacts are in general practice (primary care) <\/li><li>over 1 million GP\nconsultations every day<\/li><\/ul>\n\n\n\n<p>The GPs manages both, acute &amp; chronic\ndisease, co-ordinates care, promotes Health and they are responsible for the\nhealth of community.<\/p>\n\n\n\n<p>Further, they have the following key\nfeatures:<br>\nFirst point of medical contact, manages undifferentiated illness, Holistic Care\n(physical, social, psychological). Very important to know, GPs are free agents\nand not paided by the NHS.<\/p>\n\n\n\n<p>Nevertheless, recent substantial\ngrowth in the number of GPs employed on a salaried basis. To this end, the GPs\nconclude contracts with the practices, but not with the NHS. This further\nunderpins their independence.<\/p>\n\n\n\n<p>In future (5 year plan of the NHS) groups of neighboring GP practices will work together serving a population of 30&#8217;000 &#8211; 50&#8217;000 people. This shifts towards an integrated care an focuses on population health. This is expected to result in a better patient care, value for money, economy of scale and last but not least, its continuous improvements to population health. Challenges to integrated care are e.g. shared records and it systems, complexity of care, ageing, chronic disease and much more. <\/p>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"768\" src=\"https:\/\/blog.zhaw.ch\/sml-international\/files\/2019\/09\/IMG_20190905_111249-1024x768.jpg\" alt=\"\" class=\"wp-image-6694\" srcset=\"https:\/\/blog.zhaw.ch\/sml-international\/files\/2019\/09\/IMG_20190905_111249-1024x768.jpg 1024w, https:\/\/blog.zhaw.ch\/sml-international\/files\/2019\/09\/IMG_20190905_111249-300x225.jpg 300w, https:\/\/blog.zhaw.ch\/sml-international\/files\/2019\/09\/IMG_20190905_111249-768x576.jpg 768w, https:\/\/blog.zhaw.ch\/sml-international\/files\/2019\/09\/IMG_20190905_111249-400x300.jpg 400w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><figcaption>Debriefing in the RCGP entrance hall.<\/figcaption><\/figure>\n\n\n\n<p>After about 2 hours of presentation and a lot of information, we started the lunch break, which lasted until 14:00 pm. At this point we would like to say thanks for the great presentation of the RCGP and are looking forward to the guided tour &#8220;Path-ologies&#8221; of the National Gallery. <\/p>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"768\" src=\"https:\/\/blog.zhaw.ch\/sml-international\/files\/2019\/09\/IMG_20190905_135907-1024x768.jpg\" alt=\"\" class=\"wp-image-6695\" srcset=\"https:\/\/blog.zhaw.ch\/sml-international\/files\/2019\/09\/IMG_20190905_135907-1024x768.jpg 1024w, https:\/\/blog.zhaw.ch\/sml-international\/files\/2019\/09\/IMG_20190905_135907-300x225.jpg 300w, https:\/\/blog.zhaw.ch\/sml-international\/files\/2019\/09\/IMG_20190905_135907-768x576.jpg 768w, https:\/\/blog.zhaw.ch\/sml-international\/files\/2019\/09\/IMG_20190905_135907-400x300.jpg 400w, https:\/\/blog.zhaw.ch\/sml-international\/files\/2019\/09\/IMG_20190905_135907.jpg 1824w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><figcaption>Woman ignoring our group taking a group picture.. <\/figcaption><\/figure>\n\n\n\n<p>14:00 pm, the tour in the afternoon was staggering and mind blowing. First we looked at pictures in the National Gallery, which were always related to diseases. Second, we went outside where we looked at locations that were related to people or diseases. All in all, the tour invited us to think about the past and the future. So the tour ended with a discussion about the origin of the vaccination and its current implementation, which leaves a lot to be desired. <br>In this sense stay healthy. <\/p>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"768\" height=\"1024\" src=\"https:\/\/blog.zhaw.ch\/sml-international\/files\/2019\/09\/IMG_20190905_143353-768x1024.jpg\" alt=\"\" class=\"wp-image-6696\" srcset=\"https:\/\/blog.zhaw.ch\/sml-international\/files\/2019\/09\/IMG_20190905_143353-768x1024.jpg 768w, https:\/\/blog.zhaw.ch\/sml-international\/files\/2019\/09\/IMG_20190905_143353-225x300.jpg 225w, https:\/\/blog.zhaw.ch\/sml-international\/files\/2019\/09\/IMG_20190905_143353.jpg 1368w\" sizes=\"auto, (max-width: 768px) 100vw, 768px\" \/><figcaption>Portrait of a woman suffering from Paget&#8217;s disease by Quinten Massys (about 1513)<\/figcaption><\/figure>\n\n\n\n<p>Tonight the whole group will have dinner together. More about that tomorrow.<\/p>\n\n\n\n<p>NOT TO FORGET: Happy Birthday to our fellow student Rahel St\u00e4heli! LET&#8217;S CELEBRATE!<\/p>\n","protected":false},"excerpt":{"rendered":"<p>07:00 am, good morning London! At 08:00 am we started towards Elephant &amp; Castle, where we had to take the Northern line towards Edgware. The first two trains we had to skip because of overcrowded tube. Thus, we also got to know the real London with the commuter traffic in the underground. After a few [&hellip;]<\/p>\n","protected":false},"author":493,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"ngg_post_thumbnail":0,"footnotes":""},"categories":[1566],"tags":[],"features":[],"class_list":["post-6690","post","type-post","status-publish","format-standard","hentry","category-msc-health-economics-health-care-management-study-trip-london-2019"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Birthday, General Practitioners and the plague! - SML International Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blog.zhaw.ch\/sml-international\/birthday-general-practitioners-and-the-plague\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Birthday, General Practitioners and the plague!\" \/>\n<meta property=\"og:description\" content=\"07:00 am, good morning London! At 08:00 am we started towards Elephant &amp; Castle, where we had to take the Northern line towards Edgware. The first two trains we had to skip because of overcrowded tube. Thus, we also got to know the real London with the commuter traffic in the underground. 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