Barcelona Spain

1
BARCELONA-SPAIN
2
Catalunya some Data.

• Situation north-east of Spain.
• 7 millions inhabitants.
• 2 official.
• languages
• Catalan.
• Spanish.

3
A look around Catalunya
4
(No Transcript)
5
Barcelona some Data

• The most important city in Catalunya with 3,5
  millions inhabitans.
• 25 of population is over 65 years old.

6
Barcelona
7
(No Transcript)
8
(No Transcript)
9
(No Transcript)
10
(No Transcript)
11
Health Care System in Catalunya.

• Coexistence of public and private health care.
• 2 health care systems
• -Servei Català de la salut (SCS).
• -Institut català de la salut (ICS).
• Most of the reference Hospitals are located in
  Barcelona.

12
Health Care in Catalunya II

• 100 0f the population is covered by the public
  Health.
• Financed by taxes.
• Managed by the goverment.

13
Advantages and disadvantages

• ADVANTAGES.
• 100 of the population is covered.
• Equity.

• DISADVANTAGES.
• Low budget to cover full population.
• Long waiting list.
• Bureaucracy (civil service).
• Abuse of emergency services.
• Abuse of drugs use.

14
Obstetric and Gynaecologic Training in Spain.

• Medical university degree takes 6 years.
• Perform a multiple choice examination to be
  admitted in the training programme.
• About 13.000 doctors perform the exam every year.

15
Obstetric and Gynaecologic Training in Spain.

• 5500 trainees are admitted.
• Only 195 are admitted in Obstetrics and
  Gynaecology training programme.
• We have 11 public and one private hospital in
  Barcelona area that admit trainees.

16
Trainees in Catalunya.

• 45 trainees are admitted in Catalunya in
  Obstetrics and Gynaecology.
• 34 of them work in Barcelona and the
  surroundings.
• Salary 750 euros 5 euros every hour on duty
  .
• 1-2 duties every week. Day off after duty since
  2000.

17
Trainees in Catalunya (II)

• We have theoric, practical and research
  objetives.
• Trainee period is dividedd in 5 blocks
• General Obstetrics.
• General Gynaecology.
• High risc Obstetrics and Sonography.
• Reproductive medicine.
• Gynaecology Oncology and Breast Pathology.

18
SERGO

• Spanish Society of trainees of Obstetrics and
  Gynaecologists.
• It is a very young organisation.
• We have less than one year of live.
• We hope that the next ENTOG meeting will help to
  improve our situation.

19
SERGO II

• Some of our objectives are
• Create a directory of all the trainees members of
  the SEGO.
• Inform trainees about congres, courses...
• Get information about scholarships for trainees
  in Spain.
• Try to fix taxes for trainees.

20
Vall dHebron University Hospital (Maternity and
Children area)
21
Vall dHebron University Hospital

• Vall dHebron is a health care institution within
  the Catalan public health care system.
• Attends to the health problems originated in its
  area.
• It also attends to the health problems originated
  in other areas when its necessary.

22
Vall dHebron University Hospital

• Is one of the biggest Hospitals in Spain and it
  is comprised of four health care centers (
  general area, maternity and Childrens area, the
  Traumatology and Reahabilitation area and the
  outpatient Surgery Unit).

23
Vall dHebron University Hospital

• Other centers of the complex
• -Transfusion center and Tisue Bank.
• -Anatomical Pathology, Microbiology and
  parasitology unit.
• -Diagnostic Imaging Area.
• -Foundation for Biomedical Research and Teaching.

24
Vall dHebron University Hospital

• -Agency for Knowledge Management and Teaching.
  -Biochemistry and molecular Biology Research
  Center.
• -School of medicine of the Autonomus University
  of Barcelona.
• -University Nursing School.

25
Vall dHebron University Hospital. Basic Data

• 1.290 Beds
• 6.367 Work force
• 62.391 Admissions
• 662.384 Outpatients visits

26
Maternal area Committes

• Trainning.
• Congenital Defects.
• Legal Abortion.
• High Risk.
• Fetal Surgery.
• IVF.
• General Gynaecology.

27
Maternal Area Some Data

• 80 doctors.
• 24 trainees.
• 18 fellows.
• 210 beds.
• 110 (maternal and Reproductive).
• 100 (general Gynecology and Oncology).

28
Some Data

• In 2003 3917 deliveries.
• In 2003 17,7 cesarean section.
• In 2003 18,12 prematurity.
• In 2003 Mean mother age 29,3.
• In 2003 35 of mothers with more than 35 years,
  were the first pregnancy.

29
Hospital Entrance
30
IVF laboratory
31
Neonatologic
Area
32
Hospital
33
High Risk Area (ARO)
34
Delivery room
35
Fetal Surgery
36
Fetal Surgery
37
Labour area
38
High risk Team
39
The youngest......
(379 g at birth)
40
Echografic area
41
Vall dHebron Webb
42
XV European Meeting

• Its a pleasure for Valle dHebron Hospital and
  SERGO to invite you next year to the exchange
  programme in Spain and to the ENTOG meeting in
  Barcelona on 7-12 of November.

43
XV European Meeting

• This are some of the hospitals all around Spain
  that will be pleasured to join the exchange
  programme next year
• H. Virgen del rocío (Sevilla).
• H. Virgen macarena (Sevillla).
• H. Juan XXIII (Tarragona).
• H. Clínico universitario de valencia.
• H. La fe (valencia).
• H de cruces (Barakaldo).
• H. Clínico universitario de Zaragoza.
• H. Miguel Server (Zaragoza).

• H. Son Dureta (palma de Mallorca).
• H.Universitari Germans Trias i Pujol.
• H.Clínic i provincial.
• H.De la santa Creu i Sant Pau.
• H. Institut universitari.
• H. Sant Joan de Deu.
• H. Consorci Hospitalari (Sabadell).
• H. Consorci Sanitari de Terrasa.
• H. Mutua de Terrasa.
• H. Marqués de Valdecilla (Santander).
• H. Josep Trueta (Girona).
• H. Virgen de las nieves (granada).
• H.Arquitecto Marcide (el Ferrol).
• H. Juan Canalejo (la Coruña).
• Complejo sanitario Santiago de Compostela.
• H. Clínica universitaria (Pamplona).

44

• NEXT YEAR IN BARCELONA!!!