Physician specialisation and the YEK pipeline
Internships and specialisation
After completing your fourth year of medical school, you will be eligible for employment as a substitute or a summer job at the Päijät-Häme Central Hospital, the Rehabilitation Hospital Jalmari, inpatient wards at social services and health care centres (Heinola and Orimattila), as well as inpatient geriatric units. Also ask if there’s a spot for you in the popular Akuutti24 intern ring!
After completing your fifth year, you can work appointments independently in a social services and health care centre. At this point, it is a good idea to ensure your place in the YEK (specific training in general medical practice) programme.
Your specific training in general medical practice (YEK) will be planned while taking your wishes into account. We call it the YEK pipeline, as the entire course will be tailored to your needs. You can also resume an incomplete course while working for us.
You can complete the obligatory health centre service as part of the YEK pipeline at the Asikkala, Heinola, or Hollola social services and health care centres. If interested, you also have the option to complete three months of the health centre service working at the Akuutti24 emergency department or in the primary health care inpatient hospital services.
Hospital service will take place at the Päijät-Häme Central Hospital, which is the second largest central hospital in the nation, as well as a broad-based emergency and trauma centre. Hospital service can also alternatively be performed at the Rehabilitation Hospital Jalmari, as well as the inpatient wards in Orimattila and Heinola. Our central hospital is a warm and welcoming community. It is easy to find peer support and social opportunities in Päijät-Häme!
Our senior medical officer in charge of training, Leea Kallio, is there to support you and is glad to provide more information on the YEK pipeline.
Leea Kallio, senior medical officer in charge of training
leea.kallio@paijatha.fi
050 539 1634
In Akuutti, you can also perform three months of your YEK service or obligatory health centre service included in your specialisation programme. Even a brief spell at the emergency department is a good educational opportunity. We can customise a service period that fits your situation and meets university standards.
Akuutti24 can also host obligatory service periods of various lengths in a several different specialties.
”I had the chance to get to know different specialties without pressure before making my choice.”
We are able to extensively customise your specialisation period to match your hopes and needs. Working for us, you can build the kind of career you want to have, and you have our full support. If you are considering embarking on a research career, or have already begun, our hospital is an excellent setting. In your facilities, you can perform most or, depending on the specialty, even the entirety of your core obligatory service, as well as most of the additional service.
In the 2021 ranking of residency venues by the Finnish Junior Doctors’ Association, all of our units included in the survey received four or five stars. For example, the Anaesthesiology and Intensive Care Unit received a full five-star grade with a net promoter score of 100. Furthermore, our social services and health care centre in Hollola has received a commendation for its intern friendliness from the Medical Students’ Association.
”Excellent assistance from seniors, good mentoring, great colleagues”
In Akuutti24, we currently have 20 doctors on the path to a specialisation in emergency medicine. Judging by the number of specialising residents, we are probably Finland’s largest emergency medicine unit under a single roof. We continue to expand the opportunities for specialising physicians to perform their additional services. At the moment, we are able to fulfil all obligatory service associated with the specialty (anaesthesiology, paediatrics, prehospital emergency medicine) as well as neurology and internal medicine services.
For specialising physicians, we can offer your entire residency programme in one house, naturally excluding the university service. Apart from the 10 training days mentioned above, the training package for specialising physicians includes, in addition to a designated training tutor, excellent consultation opportunities, and hands on training, weekly training events. The weekly working hours are 38 hours and 15 minutes with no additional on-call time on top. With us, a specialising physician has more free time, and even a chance for rest and recreation.
We have our own dedicated training programme in emergency medicine, with physicians specialising in emergency medicine assigned to training in their shift list either half a day or a full day a week on alternating weeks. Separate training events are also organised. The training includes not only demonstrations, but also simulation, procedure training, practise assignments, workshops, and ultrasound training.
Psychiatry is a diverse speciality that is undergoing rapid development. Working in the psychosocial services teaches you to treat mental health disorders on the basis of constantly updated scientific knowledge. During their specialisation period, physicians work both in inpatient wards and outpatient appointments. They learn to apply biological and developmental and social psychiatric knowledge in their interactions with patients and the treatment they provide. A resident is always supported by guidance from a senior physician. A senior physician in charge of training with a full professor’s qualifications ensures the teaching is of appropriate quality on a weekly basis.
If you are interested in the human mind, the brain, and human behaviour, psychiatry could be the specialty for you.
Heli Peltola, senior physician and department manager for psychiatry
A physician specialising in psychiatric disciplines also learns to make use of the multiprofessional team that is so vital to a psychiatrist’s work, i.e. complementing their own learning and the treatment of the patient with the skills of nurses, psychologists, and social counsellors. As your psychiatric specialisation proceeds, you can acquire deeper knowledge in fields such as geriatric or substance abuse prevention psychiatry as your interest may dictate.
With us, you can perform specialising training within the outpatient and inpatient service periods of your specialty to such an extent that only six months of obligatory university service in psychiatry and youth psychiatry remain! Furthermore, we provide additional benefits to colleagues choosing to specialise in psychiatry. If desired, you can do research under the tutelage of a professor of psychiatry, and we can offer a docent-qualified trainer in the youth psychiatry field.