The Netherlands

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Medical Schools

See also list of medical schools in the world.

Medical Education

  • On average 2500 students admitted each year (number limited by the Ministry of Eductaion through numerus fixus)
    • Admission only to students who followed highest level of high school programme (VWO/Atheneum/Gymnasium) or who followed other or lower grade higher eduction previously.
    • Around 4000 students apply each year
    • Selection through weighed lottery, based on results national high school exam. The higher your results in your national exam are, the higher your chances are to get a place.
    • Extremely high grades in the national high school exam (average 8 or higher on a scale of 10) qualify for placement without lottery
    • Some medical centres offer decentral selection to alimited number of students as an alternative to the lottery. Students have to qualify to additional requirements an tests before being admitted.
  • 6 Years of education to basic qualification
    • 60 ETCS per year
    • Study programme is different in each medical centre
    • All programmes are based on national "end terms", first laid down in the "Blue print" in the early nineties. These end terms define the knowledge and skills a student should have upon basic qualification. Each medical centre is free to determine how to teach a student in order to comply with these end terms.
    • Programmes are evaluated every 4 to 6 years through visitation. Visitation asseses the quality of the programma and identifies problems. Although no ranking is made by the visitation committee, the press does distill a ranking. Bad results in the visitation process often result in curriculum reforms.
    • Each medical centre tries to diversify its programme from other medical centres and often offers a unique focus throughout the programme in order to attract additional applications. This means that some centres for example have a high focus on ethics teaching, while others focus more on biomedical research.
    • Most programmes use new teaching methods such as integrated curricula, problem based learning or competence based learning. Traditional curricula (where each subject as physiology, chemistry, pathology is taught seperately by one professor and which has its own exam) are not longer in place.
  • Bachelor/Master system is being implemented in most medical centres, but not in all.
    • Before the Bachelor/Master system all curricula were based on 1 year of propadeusis, 3 years of doctoral and 2 years of clinical rotations/internschips (co-schappen). In the propadeusis and doctoral most education was theoretical (lectures, practicum, groupwork, assignments, exams), although both preclinical and clinical subjects were taught. The co-schappen were purely clinical eduction and consisted of a two year programme of 40+ hours of work in a specific department, changing departments every few weeks. There was a strict seperation between learning oustide and inside the hospital.
    • With the introduction of the Bachelor Master system each programme consists of two periods of 3 years: the Bachelor and the Master. The seperation between those two periods is however purely theoretical. It is not possible to switch institutions between Bachelor and Master, in reality students are forced to do both in the same institution.
    • With the introduction the seperation between theoretical training and clinical training becomes less sharp. Students are trained inside the hospital at an earlier stage while still being offered lectures and other theoretical education during the rotations.
  • Scientific training is included in all curricula
    • Mostly 12-24 weeks of scientific research at the end of the career (in the doctoral or master phase)
  • Qualification after 6 years makes you a doctor
    • There is no (national) qualification exam, just finish all your seperate assigments and course exams and you're done.
    • The hippocratic oath is taken upon graduation
    • Your official title will be 'basis-arts' ('arts' is the word for medical doctor in Dutch)
    • You are allowed to practice
    • You are not allowed to open your own practice in fields where specialisation is required (virtually all fields, except cosmetic surgery). Also General Practice and Insurance Medicine are considered specialisations.
    • Most graduates work for 1/2 to 2 year as 'arts-assistent' with a specialist before entering specialisation
    • Specialisation is open to all 'basis-artsen' but the number of places are limited. Selection takes place through interview, although a high level of clientalism is in place, for small specialisations or specialisations with high interests it helps to know educators in specialist training centres. Selection for specialist training is more based on experience an personality of the student then on results in the undergraduate medical training.

IFMSA

The Netherlands is represented in both IFMSA and it's Standing Committee on Medical Education by IFMSA-The Netherlands.

SCOME-NL Annual Reports

Past NOME's

  • 2004-2005 Menno Smit
  • 2005-2006 Emmaline Brouwer
  • 2006-2007 Florence de Man
  • 2007-2008 Nynke Houtsma
  • 2008-2009 Margot Weggemans

More information on Medical Education

Participants of the Bologna Process Workshop 2009 in Cordoba, Spain have compiled flipcharts about different medical education systems.
Among those was the following flipchart about the medical education in the Netherlands.

Image:P7071380-the netherlands.jpg

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