ABSTRACT

A strong organization structure is needed between the medical faculties and training and research hospitals as well as between health workers and other components of the health system in terms of academic activities, patient care services and other clinical applications. Training and research hospitals all around the world are often affiliated with medical schools and work closely with medical students and medical resident doctors. The aim of this study is to determine the advantages and disadvantages of specialty training model in this macro structure and discuss it in the light of the literature. Health Sciences University was founded in İstanbul in 2015 as a new university and a different macro organizational model. In this model, there is a medical faculty with affiliated 56 training and research hospitals and specialized training is under the responsibility of the dean of the medical faculty. In addition to the departments and academic committees that are connected to the dean, a Medical Specialty Training Board under the responsibility of the chief physician has been established. An education coordinator will be determined in every health care department, and it is decided that in every education year formative and summative exams will be held. Designing of electronic files to record performance and to form remote monitoring systems for residents and trainers are planned to be established. As a result, we think that this macro organization structure will have middle to long term benefits to our country. The academic quality and the education standards between Health Sciences University and the affiliated hospitals will be strengthened in the future. It will also help to improve the fields of health such as medical research, education, clinical applications etc.. The success between institutions will be ensured with a good coordination and power-sharing.

Keywords: Health Sciences University, teaching and research hospital, macro organization