Dec 8, 2016 10:01
7 yrs ago
13 viewers *
Dutch term
Portugal
kaderhuisarts
Dutch to English
Medical
Medical: Health Care
Vaak werd contact gelegd met de kaderhuisarts GGZ, die meestal het thema op de agenda heeft
....I'm using 'primary care physician' for 'huisarts', as this is US English
....I'm using 'primary care physician' for 'huisarts', as this is US English
Proposed translations
(English)
References
| Ref |
Kitty Brussaard
|
Proposed translations
13 days
Terry Costin
Netherlands
Netherlands
Native in English
Netherlands
Cambridge Business English Higher
Native in: English (Variant: British)
Works in: Dutch to English
Related KudoZ points
:
8
Selected
GP with specialisation in ... (for example, revalidation)
GF who is doctor (specialist ouderengeneeskunde), says that in her line of work a 'kader arts' is someone who is a doctor with a specialisation in a given field.
4 KudoZ points awarded for this answer.
+1
4 hrs
Peter Leeflang
United States
United States
Native in Dutch
&
English
United States
Law Agriculture Finance Technical work
Native in: Dutch 
, English
Works in: French to English, German to English, English to Dutch, and 5 more.
family physician with a certificate of added qualification(s)
Declined
See my explanation below. Thsi fits best for US situation.
Note that the expression is 'kader huisarts GGZ' so it would become 'family physician with a certificate of added qualification for mental health care'.
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Note added at 4 days (2016-12-13 09:05:53 GMT)
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Richard, I assume you meant you liked my previously mentioned 'general practitioner with a special interest'. I like it linguistically more, but contextually it just does not fit the USA. Then again, none really fits well as there is no such role in the USA. The division of labor is simply different there due to the different scale and difference in regulatory impact.
I do not mind putting it back up, but just be aware, as aid before, it is not a common term in the USA. It is British and it is only used in veterinary practice in the USA as well as in legal practice in some places.
Yes, the CAQ is an actual certificate for MD's and they need to keep up that certification.
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Note added at 5 days (2016-12-13 10:11:58 GMT)
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Thanks for the reference to that book, Richard. The problem is that a PCP in the USA is not always a 'family physician'. A PCP can specialize in family medicine, pediatrics or internal medicine. In the Netherlands a 'huisarts' is the equivalent of a PCP specialized in family medicine. So the PCP designation is overly broad and could also refer (likely in the USA) to an internal medicine PCP at a hospital with a specialization.
Note that the expression is 'kader huisarts GGZ' so it would become 'family physician with a certificate of added qualification for mental health care'.
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Note added at 4 days (2016-12-13 09:05:53 GMT)
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Richard, I assume you meant you liked my previously mentioned 'general practitioner with a special interest'. I like it linguistically more, but contextually it just does not fit the USA. Then again, none really fits well as there is no such role in the USA. The division of labor is simply different there due to the different scale and difference in regulatory impact.
I do not mind putting it back up, but just be aware, as aid before, it is not a common term in the USA. It is British and it is only used in veterinary practice in the USA as well as in legal practice in some places.
Yes, the CAQ is an actual certificate for MD's and they need to keep up that certification.
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Note added at 5 days (2016-12-13 10:11:58 GMT)
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Thanks for the reference to that book, Richard. The problem is that a PCP in the USA is not always a 'family physician'. A PCP can specialize in family medicine, pediatrics or internal medicine. In the Netherlands a 'huisarts' is the equivalent of a PCP specialized in family medicine. So the PCP designation is overly broad and could also refer (likely in the USA) to an internal medicine PCP at a hospital with a specialization.
Note from asker:
| Thanks Peter, but I have the same doubts as with Kitty's answer, do these doctors actually have specific extra certification? I actually preferred your first answer.... |
| https://books.google.pt/books?id=0EArAAAAYAAJ&pg=PA29&lpg=PA29&dq=primary+care+physician+with+a+special+interest&source=bl&ots=hevsYn1Ads&sig=2lZkY-GXwn0Qfnm1zmZpiiv3ryw&hl=en&sa=X&ved=0ahUKEwiu_ZXi6vDQAhXoxFQKHUlyD0oQ6AEILTAD#v=onepage&q=primary%20care%20physician%20with%20a%20special%20interest&f=false actually uses the term, and it's what I used in my translation 'Primary care physicians with a special interest in occupational and.....' |
Peer comment(s):
| agree |
Kitty Brussaard
: Definitely an option worth considering.
3 days 1 hr
|
|
Thanks, Kitty.
|
1 day 3 hrs
Kitty Brussaard
Netherlands
Netherlands
Native in Dutch
Netherlands
Business Language Solutions
Native in: Dutch (Variant: Netherlands) 
Works in: English to Dutch, Dutch to English, Dutch
Related KudoZ points
:
12
primary care physician with an accredited specialization (here: in mental health)
Declined
Having digested yesterday's discussion (see D-box) and based on some additional research, I think this might be the clearest translation for readers who are not familiar with the Dutch 'kaderhuisarts' concept (or with its UK equivalent: the 'general practitioner with a special interest' (GPwSI)).
Alternatively:
- primary care physician with an accredited special interest in mental health
- primary care physician with accredited expertise in mental health
- primary care physican with accredited mental health expertise
Using the more compact translation suggested by Maja ('specialized primary care physician', see D-box) would be another option, but the accreditation aspect remains more implicit then.
I would avoid using 'specialist primary care physician' which, if I remember correctly, was an option you considered yourself (in replying to Peter's initial/first answer). See my reference comment.
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Note added at 3 days5 hrs (2016-12-11 15:08:25 GMT)
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Bruggenbouwer
De kaderhuisarts voorziet in de vraag van het werkveld en beroepsorganisaties naar huisartsen met specifieke bekwaamheden.
In het competentieprofiel van de kaderhuisarts zijn zeven taakgebieden gedefinieerd:
1. behandelen,
2. verbeteren van de praktijkvoering,
3. adviseren,
4. initiëren,
5. bijscholen,
6. netwerken, en
7. ontwikkelen van de eigen professionaliteit.
Kaderhuisartsen leveren in hun eigen praktijk op het gebied van diagnostiek, wijze van registreren of het formuleren van verbeteringen van de praktijkvoering zorg die als voorbeeld kan dienen voor collega-huisartsen. Hun bijzondere bekwaamheden liggen bij het ondersteunen van collega-huisartsen in de patiëntenzorg. Zij hebben bijvoorbeeld een bijzonder patiëntenaanbod op het gebied van oogheelkunde, verloskunde, reizigersvaccinatie of echografie.
https://www.medischcontact.nl/nieuws/laatste-nieuws/artikel/...
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Note added at 3 days5 hrs (2016-12-11 15:17:06 GMT)
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LHV en NHG hebben met ingang van oktober 2005 een College voor Huisartsen met Bijzondere Bekwaamheden (CHBB) ingesteld. Dit college heeft tot taak, het aanleggen en bijhouden van registers voor huisartsen met deskundigheid in het kader van het bijzonder aanbod van huisartsenzorg richting patiënt en in het kader van door de beroepsgroep geïnitieerde specifieke taken, gericht op de verbetering van de kwaliteit van de huisartsenzorg.
(...)
De taken van de GGZ kaderhuisarts kunnen zeer divers zijn. De kaderhuisarts GGZ houdt zich bezig met:
- Ontwikkelen en geven van deskundigheidsbevordering aan huisartsen en andere GGZ-hulpverleners
- Initiëren, coördineren en participeren in (regionale) verbeterprojecten op GGZ-gebied
- Aanspreekpunt voor diverse GGZ-organisaties
- Deelname aan commissies, werkgroepen met als doel het verbeteren van de samenwerking binnen de 1e lijn of tussen de 1e en 2e lijn
- Deelname aan wetenschappelijk onderzoek en het schrijven van artikelen betreffende GGZ-problematiek.
https://chbb.lhv.nl/sites/default/files/kaderhuisarts_ggz_20...
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Note added at 5 days (2016-12-13 11:50:30 GMT)
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@Richard: Good point. As far as I can see, UK GPwISs are definitely 'GPs with a special interest accreditation'. See for instance http://www.rcgp.org.uk/clinical-and-research/clinical-resour...
I borrowed the UK terminology for the above answer but it would probably be more accurate to translate/paraphrase 'kaderhuisarts' as: general practitioner (UK) / primary care physician (US) with a registered special interest (in XXX)'. Or something similar along these lines.
Dutch GPs can be registered as 'kaderhuisarts XXX' in the relevant CHBB register based on relevant qualifications (i.e. a completed 'NHG-kaderopleiding' in the relevant field) or demonstrable competencies (knowledge and experience) in the relevant field. See for instance https://chbb.lhv.nl/registreren-0.
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Note added at 5 days (2016-12-13 11:54:43 GMT)
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Oops: GPwISs >> GPwSIs. I also messed up the italics. Haastige spoed is zelden goed :-).
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Note added at 5 days (2016-12-13 11:55:58 GMT)
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PS. In the Netherlands, it's actually the 'NHG-kaderopleidingen' that are accredited.
Alternatively:
- primary care physician with an accredited special interest in mental health
- primary care physician with accredited expertise in mental health
- primary care physican with accredited mental health expertise
Using the more compact translation suggested by Maja ('specialized primary care physician', see D-box) would be another option, but the accreditation aspect remains more implicit then.
I would avoid using 'specialist primary care physician' which, if I remember correctly, was an option you considered yourself (in replying to Peter's initial/first answer). See my reference comment.
--------------------------------------------------
Note added at 3 days5 hrs (2016-12-11 15:08:25 GMT)
--------------------------------------------------
Bruggenbouwer
De kaderhuisarts voorziet in de vraag van het werkveld en beroepsorganisaties naar huisartsen met specifieke bekwaamheden.
In het competentieprofiel van de kaderhuisarts zijn zeven taakgebieden gedefinieerd:
1. behandelen,
2. verbeteren van de praktijkvoering,
3. adviseren,
4. initiëren,
5. bijscholen,
6. netwerken, en
7. ontwikkelen van de eigen professionaliteit.
Kaderhuisartsen leveren in hun eigen praktijk op het gebied van diagnostiek, wijze van registreren of het formuleren van verbeteringen van de praktijkvoering zorg die als voorbeeld kan dienen voor collega-huisartsen. Hun bijzondere bekwaamheden liggen bij het ondersteunen van collega-huisartsen in de patiëntenzorg. Zij hebben bijvoorbeeld een bijzonder patiëntenaanbod op het gebied van oogheelkunde, verloskunde, reizigersvaccinatie of echografie.
https://www.medischcontact.nl/nieuws/laatste-nieuws/artikel/...
--------------------------------------------------
Note added at 3 days5 hrs (2016-12-11 15:17:06 GMT)
--------------------------------------------------
LHV en NHG hebben met ingang van oktober 2005 een College voor Huisartsen met Bijzondere Bekwaamheden (CHBB) ingesteld. Dit college heeft tot taak, het aanleggen en bijhouden van registers voor huisartsen met deskundigheid in het kader van het bijzonder aanbod van huisartsenzorg richting patiënt en in het kader van door de beroepsgroep geïnitieerde specifieke taken, gericht op de verbetering van de kwaliteit van de huisartsenzorg.
(...)
De taken van de GGZ kaderhuisarts kunnen zeer divers zijn. De kaderhuisarts GGZ houdt zich bezig met:
- Ontwikkelen en geven van deskundigheidsbevordering aan huisartsen en andere GGZ-hulpverleners
- Initiëren, coördineren en participeren in (regionale) verbeterprojecten op GGZ-gebied
- Aanspreekpunt voor diverse GGZ-organisaties
- Deelname aan commissies, werkgroepen met als doel het verbeteren van de samenwerking binnen de 1e lijn of tussen de 1e en 2e lijn
- Deelname aan wetenschappelijk onderzoek en het schrijven van artikelen betreffende GGZ-problematiek.
https://chbb.lhv.nl/sites/default/files/kaderhuisarts_ggz_20...
--------------------------------------------------
Note added at 5 days (2016-12-13 11:50:30 GMT)
--------------------------------------------------
@Richard: Good point. As far as I can see, UK GPwISs are definitely 'GPs with a special interest accreditation'. See for instance http://www.rcgp.org.uk/clinical-and-research/clinical-resour...
I borrowed the UK terminology for the above answer but it would probably be more accurate to translate/paraphrase 'kaderhuisarts' as: general practitioner (UK) / primary care physician (US) with a registered special interest (in XXX)'. Or something similar along these lines.
Dutch GPs can be registered as 'kaderhuisarts XXX' in the relevant CHBB register based on relevant qualifications (i.e. a completed 'NHG-kaderopleiding' in the relevant field) or demonstrable competencies (knowledge and experience) in the relevant field. See for instance https://chbb.lhv.nl/registreren-0.
--------------------------------------------------
Note added at 5 days (2016-12-13 11:54:43 GMT)
--------------------------------------------------
Oops: GPwISs >> GPwSIs. I also messed up the italics. Haastige spoed is zelden goed :-).
--------------------------------------------------
Note added at 5 days (2016-12-13 11:55:58 GMT)
--------------------------------------------------
PS. In the Netherlands, it's actually the 'NHG-kaderopleidingen' that are accredited.
Note from asker:
| Tanks Kitty, but are these doctors actually accredited, since accreditation is very specific? |
Peer comment(s):
| neutral |
Barend van Zadelhoff
: Ik zie de adviserende/educatieve etc. functie hierin niet terug. 'GPwSI' lijkt okay. // De kaderhuisarts is er primair voor zijn/haar collega's.
1 hr
|
|
Dank je wel. Wat betreft de adviserende/educatieve rol, dat is voor een niet-ingewijde ook niet 1-2-3 op te maken uit de term 'GPwSI' (is ook nog eens 'UK-specific'). Het blijft al met al een lastig begrip om te vertalen. // Ja en nee, zie hierboven.
|
Reference comments
9 hrs
Kitty Brussaard
Netherlands
Netherlands
Native in Dutch
Netherlands
Business Language Solutions
Native in: Dutch (Variant: Netherlands)
Works in: English to Dutch, Dutch to English, Dutch
Related KudoZ points
:
12
Reference:
Ref
The NHS Plan (2000) set ambitious goals for developing and formalising the role of over 1,000 Specialist GPs. The stated intention of the initiative would be to take pressure off secondary care, by minimising hospital referrals and carrying out one million extra outpatient appointments in primary care by 2006.
(...)
A joint paper by the RCGP and Royal College of Physicians argued that the term Specialist GP – as used in the NHS Plan - implied that GPs were not already specialists in their own discipline. The paper suggested that General Practitioners with a Special Interest (GPwSI) was a more appropriate term - a title that has been generally adopted henceforth. The joint paper envisaged a wide scope of specialised functions for GPwSIs, operating both within clinical care and outside of it. This included roles in:
• Specific clinical areas.
• Education (undergraduate teaching, vocational training and postgraduate education).
• Leadership in service provision and representative organisations.
• Research and academic general practice.
• Quality assurance (including examiners, mentors, appraisers and assessors).
• Management (for example in primary care organisations
(...)
Implementation of GPs and other staff with special interests is service driven, with PCTs identifying areas of service development in which the appointment of a GPwSI might be appropriate. Where a role is developed locally the specifications and responsibilities of the position are determined by the PCT, based on national standards. The example below – which is a real GPwSI Dermatology role specification from Craven, Harrogate and Rural District PCT – illustrates how the responsibilities of GPwSIs can stretch beyond the clinical care of patients to strategy development, teaching, and quality assurance.
http://www.fsk.it/download/Content/Eventi/4092/o/20060627a.p...
(...)
A joint paper by the RCGP and Royal College of Physicians argued that the term Specialist GP – as used in the NHS Plan - implied that GPs were not already specialists in their own discipline. The paper suggested that General Practitioners with a Special Interest (GPwSI) was a more appropriate term - a title that has been generally adopted henceforth. The joint paper envisaged a wide scope of specialised functions for GPwSIs, operating both within clinical care and outside of it. This included roles in:
• Specific clinical areas.
• Education (undergraduate teaching, vocational training and postgraduate education).
• Leadership in service provision and representative organisations.
• Research and academic general practice.
• Quality assurance (including examiners, mentors, appraisers and assessors).
• Management (for example in primary care organisations
(...)
Implementation of GPs and other staff with special interests is service driven, with PCTs identifying areas of service development in which the appointment of a GPwSI might be appropriate. Where a role is developed locally the specifications and responsibilities of the position are determined by the PCT, based on national standards. The example below – which is a real GPwSI Dermatology role specification from Craven, Harrogate and Rural District PCT – illustrates how the responsibilities of GPwSIs can stretch beyond the clinical care of patients to strategy development, teaching, and quality assurance.
http://www.fsk.it/download/Content/Eventi/4092/o/20060627a.p...
Discussion
consultant (1) adviseur, deskundige, expert
consultant (2) medisch specialist
We moeten terug naar het functieprofiel:
Door andere huisartsen te ondersteunen, speelt de kaderhuisarts een rol in het kwaliteitsbeleid van de huisartsenzorg en de professionalisering van de huisartsgeneeskunde.
- De kaderhuisarts is het antwoord op de toenemende en veranderende zorgvraag in de eerste lijn.
- Vanuit zijn bijzondere bekwaamheid richt de kaderhuisarts zich niet primair op de patiëntenzorg, maar vervult specifieke taken ten behoeve van kwaliteitsverbetering.
- De kaderhuisarts slaat een strategische brug tussen innovatieve kennis en de dagelijkse praktijk en tussen zorgverleners uit de eerste en de tweede lijn.
http://tinyurl.com/gswlgqs
https://www.researchgate.net/publication/232496837_The_prima...
I'll leave it to you guys 'n gals from here.
een 'specialist binnen de primary care'
primary care consultant Mental Health (ggd)
Het gaat om een opwaardering van het beroep.
Het is een respons op gelijksoortige ontwikkelingen als die in Nederland.
Work is continuously being placed into our hands, whether from secondary care, tertiary care or the community itself. In England, GPs remain frontline clinicians but now manage more complexity than ever before. The population is ageing and with this comes increased morbidity, polypharmacy, and demand for resources but also heightened public expectation about what can and cannot be offered.
So I propose the term primary care consultant. This term reflects the role of a GP as someone with detailed knowledge of their patients’ health needs, alongside a comprehensive detailed insight into primary care, its operations, and its critical role within an ever-complicated 21st century NHS.
Asking for trouble, als je het mij vraagt: 'hospital-based', 'placed on the specialist register in their specialty', 'their role is entirely distinct to that of general practitioners' ....
Zie link consultant.
primary care consultant Mental Health
Ik kom de term 'primary care consultant' verder vooral in dit soort publicaties tegen: https://www.amazon.com/Primary-Care-Consultant-Psychologists...
Ik ben het ook niet helemaal met Maja eens dat het hier om een typische laaglandfunctie gaat. Zie wederom de rolbeschrijving van de GPwSI. Dat komt behoorlijk dicht in de buurt volgens mij.
https://en.wikipedia.org/wiki/Consultant_(medicine)
We zouden hier dan van doen met een 'primary care'-specialist.
Waar de persoon uit de koppeling op doelt, denk ik.
http://www.pulsetoday.co.uk/views/opinion/gp-id-rather-be-kn...
Also, 'kaderhuisartsen' do not necessarily have special qualifications. Dutch GPs may also be registered as such based on their expertise. See f.i. https://psyhag.nhg.org/.
Samenvatting:
Door andere huisartsen te ondersteunen, speelt de kaderhuisarts een rol in het kwaliteitsbeleid van de huisartsenzorg en de professionalisering van de huisartsgeneeskunde.
- De kaderhuisarts is het antwoord op de toenemende en veranderende zorgvraag in de eerste lijn.
- Vanuit zijn bijzondere bekwaamheid richt de kaderhuisarts zich niet primair op de patiëntenzorg, maar vervult specifieke taken ten behoeve van kwaliteitsverbetering.
- De kaderhuisarts slaat een strategische brug tussen innovatieve kennis en de dagelijkse praktijk en tussen zorgverleners uit de eerste en de tweede lijn.
Als er voldoende overlap is met het 'functieprofiel' van een kaderarts is het okay, waarbij die adviesfunctie (met name) dan gedefinieerd is in het 'profiel'.
If we desire perfection, then it would have to become something like 'family physician with a certificate of added qualification(s) and a collegial advisory role', but that seems just too long.
En zie bijvoorbeeld ook de link die ik had vermeld in mijn 'agree' bij het eerste antwoord van Peter (inmiddels door hem verwijderd, wat mij betreft overigens geheel onnodig):
A GP with a Special Interest (GPwSI) supplements their role as a generalist by providing an additional service while still working in the community.
(...)
GPwSIs can improve patient care in a number of important ways:
(...)
improve skills and facilitate more effective management of patients in primary care, using the GPwSI’s insight into general practice and their specialty to disseminate education and training
http://www.rcgp.org.uk/clinical-and-research/clinical-resour...
Ze fungeren ook als een kader voor 'gewone huisartsen'.
Dat aspect moet ook in de vertaling van de term 'kaderhuisartsen' tot uitdrukking komen.
Zie ook koppeling van Maja: https://www.medischcontact.nl/nieuws/laatste-nieuws/artikel/...
en mijn koppeling: http://tinyurl.com/zdv6qnz
Educating primary care physicians to focus on specific cases forms a cornerstone of the Harvard Pilgrim program.
Greineder, the allergy nurse care manager, and primary care physicians with a special interest in asthma work together to highlight specific cases and provide information to other primary care physicians on how they could improve care.
https://www.ahcmedia.com/articles/56720-better-control-of-as...
I would recommend this text to all cardiologists and cardiac surgeons, to trainees in these areas, and to internists as well as to primary care physicians with a special interest in cardiac disease.
Charles R. Lambert. M.D., Ph.D.,
Professor of Medicine, University of Florida
Director, Health First Heart Institute
Melbourne, Florida
http://onlinelibrary.wiley.com/doi/10.1002/clc.4960210423/pd...
In America GP's can specialize in a limited number of disciplines and get a Certificate of Added Qualification (GAQ). So this would be a general practitioner with a certificate of added qualification(s)
See:
https://www.theabfm.org/caq/
Alternately it can also be called 'family physician with a certificate of added qualification(s)" as the American Board of Family Medicine uses that term.
See http://www.jabfm.org/content/29/6/818
In this case their special field of expertise is palliative care.
'GP with special interest' looks fine in the UK
Een kaderhuisarts heeft een specialisatie op een bepaald gebied en ondersteunt daarmee ook andere huisartsen. Zie link: daarin wordt het heel duidelijk uitgelegd.
could it mean specialist?
p