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General practitioner
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==== Netherlands and Belgium ==== General practice in the Netherlands and Belgium is considered advanced. The ''huisarts'' (literally: "home doctor") administers first line, primary care. In the Netherlands, patients usually cannot consult a hospital specialist without a required referral. Most GPs work in private practice although more medical centers with employed GPs are seen. Many GPs have a specialist interest, e.g. in [[palliative care]]. In Belgium, one year of lectures and two years of [[residency (medicine)|residency]] are required. In the Netherlands, training consists of three years (full-time) of specialization after completion of internships of 3 years.<ref>{{cite web|url=http://www.uemo.eu/gp-in-europe/83-the-netherlands.html|title=GP in Europe: The Netherlands|publisher=UEMO|access-date=31 May 2014|url-status=dead|archive-url=https://web.archive.org/web/20140531125001/http://www.uemo.eu/gp-in-europe/83-the-netherlands.html|archive-date=31 May 2014}}</ref> First and third year of training takes place at a GP practice. The second year of training consists of six months training at an emergency room, or internal medicine, paediatrics or gynaecology, or a combination of a general or academic hospital, three months of training at a psychiatric hospital or outpatient clinic and three months at a nursing home (verpleeghuis) or clinical geriatrics ward/policlinic. During all three years, residents get one day of training at university while working in practice the other days. The first year, a lot of emphasis is placed on communications skills with video training. Furthermore, all aspects of working as a GP gets addressed including working with the medical standards from the Dutch GP association NHG (Nederlands Huisartsen Genootschap).<ref>{{cite web|url=http://nhg.artsennet.nl/kenniscentrum/k_richtlijnen/k_nhgstandaarden.htm |title=NHG-Standaarden |publisher=Nhg.artsennet.nl |date=2012-10-18 |access-date=2012-10-28 |url-status=dead |archive-url=https://web.archive.org/web/20130116222730/http://nhg.artsennet.nl/kenniscentrum/k_richtlijnen/k_nhgstandaarden.htm |archive-date=2013-01-16 }}</ref> All residents must also take the national GP knowledge test (Landelijke Huisartsgeneeskundige Kennistoets (LHK-toets)) twice a year.<ref name="huisartsopleiding.nl">{{cite web|url=http://huisartsopleiding.nl/content.asp?kid=10072029&bid=10028521 |title=Huisartsopleiding Nederland - LHK-toets |publisher=Huisartsopleiding.nl |access-date=2012-10-28 |url-status=dead |archive-url=https://web.archive.org/web/20130521130104/http://huisartsopleiding.nl/content.asp?kid=10072029&bid=10028521 |archive-date=2013-05-21 }}</ref> In this test of 120 multiple choice questions, medical, ethical, scientific and legal matters of GP work are addressed.<ref name="huisartsopleiding.nl"/><ref>{{cite web|url=http://knmg.artsennet.nl/Opleiding-en-Registratie/opleiding/hvrc.htm |archive-url=https://archive.today/20120710164147/http://knmg.artsennet.nl/Opleiding-en-Registratie/opleiding/hvrc.htm |url-status=dead |archive-date=2012-07-10 |title=Opleiding tot huisarts |publisher=Knmg.artsennet.nl |access-date=2012-10-28 }}</ref>
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