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Experiences of a Slovak PhD pioneer

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It has all started 10 years ago, at my first WON CA Europe conference in Istanbul in 2008, where I became amazed by so many general practitioners, who performed and presented their scientific work there. However it took me 7 years since the idea to start my PhD studies until it´s final completion in 2017. My PhD journey wasn´t straight, but rather twisty, with 2 interruptions. In 2011 I started to earn my basic research skills at 2 courses. The first one was the European General Practice Research Network (EGPRN) course in Nice and the second University of Crete´s research workshop in Slovakia lead by Professor Christos Lionis. The easiest part of my PhD studies was the clinical one – administering questionnaire and performing spirometry with my patients at my rural general practice. I also enjoyed teaching medical students at undergraduate as well as postgraduate level. I gave lectures at national conferences and published articles about general medicine in Slovak scientific journals, focusing on prevention, patient safety and respiratory diseases, especially COPD. I also contributed to two medical text books. My research was presented as posters or oral presentations at 3 WONCA Europe conferences, where I found a great space for sharing research ideas and results. Final results of my PhD thesis are going to be presented at Krakow conference. Even though I was a fruitful author of publications, reaching the goal of an international publication was the most difficult part for me, not achievable without a help of experienced colleague, Austrian general practitioner, Professor Gustav Kamenski.
The academic development of general practice (GP) within countries of Central and Eastern Europe began only after the political changes in the 1990s. From a research perspective GP has a reputation for being amongst the least intellectually rigorous clinical disciplines. This has several serious consequences; loss of self-confidence, lack of attractiveness as an intellectual discipline and less application of critical thinking in routine clinical work. The only solution is an effort to develop research in primary care, as this is the ultimate attribute of scientifically oriented disciplines such as medicine. GP research in the Czech Republic has a low level of awareness and support. Its development is slow and faces many barriers; lack of financial resources, lack of leading personalities within the field, lack of ideas, lack of scientific education, lack of experience, and insufficient research capacity. As GPs, we do not have enough skills to write and publish scientific papers. Research is also not recognised as an essential component of GP training. However, research in primary care is developing and here I present several successful research projects within our department. Research has been proposed as a vital agenda towards the new concept of general practice, as recently presented to the government by the Society of GPs.
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