Johann Agust Sigurdsson
Background and activities
CV (short version) Name: Jóhann Águst Sigurdsson Born : February 3, 1948, Siglufjördur, Iceland Nationality: Icelandic Languages: Icelandic (native), Swedis
Last version Februar 2014
Born : February 3, 1948, Siglufjördur, Iceland
Languages: Icelandic (native), Swedish, English.
(understand Danish and Norwegian).
Profession: Professor in general practice (50%), and senior researcher (50%) at the General Practice Research Unit, Department of Public Health and General Practice, Norwegian University of Science and Technology (NTNU), Trondheim, Norway
Professor in Family Medicine (24%), University of Iceland/ The Developmental at the Primary Health Care of the Capital Area, Iceland.
1975: Graduated from The Medical School at the University of Iceland.
1977: Certified medical doctor in Iceland.
1979: Certified medical doctor in Sweden.
1980: Specialist in General Practice in Sweden
1981: Specialist in Family Medicine in Iceland.
1982: Doctor of Medical Science at the University of Gothenburg, Sweden. Tutor: Professor Calle Bengtsson.
1989: Docent (associate professor, an educational and scientific degree) at the University of Gothenburg.
Pedagogic education and skills
At the beginning of my academic career, the “docent” degree in Gothenburg was considered to be the basic pedagogic course needed for an academic chair. Besides this pedagogic degree, I have attended several courses in pedagogy, for example:
“Samtalsteknik med videoplay-back” in 1980, Gert Wredmark. One week course.
“PBL”, a 3 day-course in 1999 in Iceland. Our teacher was Dr. Stewart Mennin, from Albuquerque, New Mexico. This course was the same course held by Mennin for NTNU, Trondheim, some years earlier. This type of teaching was implemented in the Faculty of Medicine in 2001.
“Teaching the Teachers” 2-day course (Arranged by EURACT Wonca).
Most of my pedagogic skills, however, are based on my formal positions and experience as a teacher since 1986. Of importance is what I have been teaching. This is therefore illustrated in the headlines of my lectures at CME meetings (see list of lectures below) as well as the group-based learning seminars in undergraduate teaching done with other teachers in general practice (see scheme below), rotating stations, small group teaching in the sixth year of medical school in 2010).
I have now held an academic position as a teacher since 1986. During this time, I have been involved in the teaching and professional development of general practice at all levels of teaching, that is, in the undergraduate, postgraduate and the CME phases. I have experience with PBL teaching, small group teaching, one-to-one clinical teaching and as a lecturer and a plenary speaker at national and international conferences.
Overview of lectures (yellow) and rotating stations (small groups) in general practice in the sixth year of medical school.
1975-77: Trainee at hospitals and in primary health care in Iceland.
1977-78: Trainee in gynaecology and obstetrics (1 year) in Vänersborg-Trollhättan, Sweden.
1978-81: Trainee in general practice (Sahlgrenska sjukhuset and health care centres) in Gothenburg, Sweden.
1981- To present: General Practitioner (100% from1981 to 1991, and 20% after 1991) at the Health Centre of Hafnarfjördur, Iceland.
1981- 91 Chief Medical Officer (distriktsöverläkare/fylkeslege) in Reykjanes District, Iceland, (50,000 inhabitants).
1986-90: Assistant and later associate Professor of the Department of Family Medicine, University of Iceland.
1991-2013 Professor in Family Medicine, Department of Family Medicine, University of Iceland. In parallel, working as part-time GP (30%) in Solvangur Health Centre, Hafnarfjördur.
1998-00 Dean of the Faculty of Medicine, University of Iceland.
2009-13 Head of the Developmental Unit (Centre of Prevention, Education, Research and Development), Primary Health Care of the Capital Area, Reykjavík.
2013- Professor in general practice (50%), Department of Public Health and General Practice, Norwegian University of Science and Technology (NTNU), Trondheim, Norway
2013- Senior Researcher, General Practice Research Unit, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.
Research activities and profile
Cardiovascular risk factors- epidemiological studies
In the beginning of my academic career, my research was mainly within the field of epidemiology. We studied traditional risk factors for cardiovascular diseases among women. This research was based on the population study of women in Göteborg (Kvinnoundersökningen), which started in 1967-68 with a follow-up at 6, 12, 24, and 32 years. This study is still going on.
The content of practice
We have done several studies on the content of general practice. With the help of computerized medical records in primary health care in the 1990s, we were able to gather large databases of all primary care contacts. We studied the reasons for contact, main diagnoses and diagnostic categories, as well as the problem-solving processes.
Infectious diseases, epidemiology and antimicrobial resistance
Infectious diseases in primary care have been one of my favourite research fields. We have published several papers on upper respiratory tract infections, otitis media, Herpes zoster, and urinary tract infections. These studies are connected to further studies on prescribing habits as well as the association between frequent use of antimicrobial drugs and development of resistant bacteria outside hospitals.
Modelling studies on the implementation of clinical guidelines
In recent years I have collaborated fruitfully with the University of Trondheim on modelling studies on implementing new guidelines within the field of cardiovascular epidemiology. These studies are based on the HUNT population studies in North Tröndelag, Norway. Our present projects on multimorbidity are based on the HUNT 2 and HUNT 3 studies.
Ethical issues and dilemmas
I and my co-workers have published several research papers and debate papers, editorials, books, book chapters and a supplement on ethical issues, for example, on early ultrasound screening during pregnancy, cancer screening, medicalisation and problems with implementing clinical guidelines.
Maternity care and baby wellbeing
From 2008 to 2010, we have collected a large amount of data based on questionnaires from pregnant women in Iceland; phase I in weeks 12-20 of their pregnancies; phase II 2-4 months after birth; and phase III 12-18 months after birth. The cohort in phase I was about 25% of all pregnant women in Iceland at that time. We are presently designing different PhD, MsD and other projects, based on this databae and have published our first papers from this cohort..
A detailed list of all publications is to be found in a separate document (file).
1980 Konrad and Helfrid Johansson's Medical Research Foundation, Gothenburg.
- 1981 Konrad and Helfrid Johansson's Medical Research Foundation, Gothenburg.
1982 Educational grant for PhD education, Gothenburg.
1984 Letterstedska Foundation, Gothenburg.
1984 The Medical Faculty Committee, Gothenburg.
1987 and 1993 Scientific Foundation at the University of Iceland for several projects.
1995 Nordic prize award (Agda and Friederics Foundation, Denmark)
1995-to present. Grants from the Scientific Fund – The Icelandic College of Family Physicians of about ISK 1,000,000 per year for different projects connected to supervision of general practitioners.
Scandinavian Journal of Primary Health Care.
I had the opportunity to join the group which created the Scandinavian Journal of Primary Health Care and belong to the editorial board from the very start in 1982 until 2010 (28 years in all):
Member of the Editorial Board, Iceland 1983-1985.
National Editor, Iceland from 1986 to June 2010.
During this time we worked on the quality of the journal, indexing in Index Medicus, financial contracts with the publishers, layout, and creation of the Nordic Federation of General Practice, which then owned the journal.
“Infektioner i primävården” (Infections in primary care)” - a Scandinavian textbook. I was one of six editors (Mårdh PA, Borchgrevink C, Gorbatow O, Hovelius B, Mabeck CE, Schwan A, Sigurdsson JA.) 1-427 p, Stockholm, Almquist & Wiksell förlag 1986.
Læknablaðið (The Icelandic Medical Journal)
Editor from 1994-1998.
Supervision for higher academic degrees
Main supervisor for Thorsteinn Njálsson, who defended his PhD thesis 1995.
Co- supervisor for Karl Krisjánsson, who defended his PhD thesis 2002.
Main supervisor for Vilhjálmur Ari Arason, who defended his PhD thesis 2006.
Supervisor for Ágústa Gudmarsdottir, who defended her MsD thesis 2008.
Co-supervisor for Hálfdán Pétursson, who defended his PhD thesis 2012.
Co- supervisor for Margrét Ólafía Tómasdottir. Ongoing PhD project.
Supervision for other academic projects and professional development
I have been a supervisor for dozens of doctors, working on smaller projects, which have led to publication of one or more scientific papers or reports. This type of supervision is further illustrated in my publication list on original papers and abstracts.
Opponent for PhD defences
Eva Melander, University of Malmö/Lund, 2000
Ronny Gunnarsson, University of Göteborg, 2001
Anni Britt Sternhagen Nielsen, University of Copenhagen, 2005
Katarina Hedin, Lund University, 2007
Eivind Ness-Jensen, NTNU 25 febr 2014, (3 opponent)
XX cc University of Göteborg 23 May 2014.
Evaluation committees for higher academic qualifications/posts
Member of evaluation committees for applicants seeking the post of professor/head of research unit in: Oslo (1993), Tammerfors (1993), Uppsala (1995), Göteborg (1998), Turku (2004), Göteborg (2006, Bertil Marklund promotion to a part-time post), Odense (2010), Århus (2010), Turku (2011-2012), Tampere (2011-2012), Oslo (2014)
Other higher academic qualifications/posts
Member of several committ0ees for evaluation of applicants for lector (assistant professor) or docent (associate professor) qualifications or promotions to professor qualifications (Bryndís Benediktsdóttir, Gudrun Kristjánsdóttir, Geir Gunnlaugsson, Bertil Marklund (2000), Emil L. Sigurdsson, Thorsteinn Njálsson, XYnurse, Rafn Benediktsson, Sigurdur Thorlacius)
International networking in general practice
I have participated in several international teams and research groups with the aim of increasing the quality of primary health care and the professionalism in general practice. I will mention some of these:
Kvinnoundersökningen i Göteborg (I have been on the research team the last 34 years); see further my list of publications.
Helseundersökelserne i Nord Tröndelag The HUNT studies, together with my wife, Linn Getz, and others at the research unit at NTNU, Trondheim, Norway. See further my list of publications.
Nordic Risk Group. A network of 20 people, representing all the Nordic countries. We meet yearly to discuss new research fields, ideology and strategies for sustainable medicine. This co-operation has led to new ideas and formulation of new research questions. We have published book in Swedish and Danish and organized workshops on several topics at the Nordic congresses of General Practice and Wonca Europe conferences.
Creation of the academic milieu in general practice (Department of Family Medicine Iceland)
The Faculty of Medicine at the University of Iceland established a chair for professor in General Practice/Family Medicine in 1991. I became the first professor. Since then I have been responsible for the academic development of general practice in Iceland. The aim was to create an academic discipline meeting a standard similar to that of newly established departments in general practice in the other Nordic countries. We were responsible for undergraduate teaching, postgraduate teaching, research, development of the discipline of primary health care and administrative work within the academy. Early on we started a course in early patient contact (at 1st year), course in “Humaniora” (medicinska adfersfag), with courses in communication and consultation skills, and courses in integrated biography and biology. For the 3rd year medical curriculum we were responsible for teaching the “Scientific Methods” course in statistics and critical appraisal of the medical literature. In the 6th year we were also seeing to the clinical teaching at the health care centres.
I drew the black part of the picture to the right in 1992, to illustrate that our academic steps to publications in highly respected journals had to be based on a firm platform (reading left to right and top to bottom: Education, Time, Clinical Practice, Funds, Knowledge, People and Patients). I considered my role to be the supporter (under the stairway).
The platform of the academic stair
Our academic tasks have therefore always been to support this platform. There, our college, The Icelandic College of Family Practice, has played a central role and been the main supporter of the platform and all our academic work.
In 1992, we started to create research projects based on the interests of the General Practitioners working at the Health Care Centres all around Iceland (decentralised, practice based research). The results of this work can be seen in our publications, most of which can be found in my publication list. By an agreement with the state, part of GPs salaries go to a certain Research Fund, This fund now which finances most of our research an developmental projects in primary care.
In 1995 we managed to start an educational program for specialist training in family medicine. At present we have 28 doctors who participate in this programme.
At present we have managed to establish academic general practice of high quality, but it can still be better, and we have challenging tasks ahead.
Promoting general practice in Trondheim
The whole medical curriculum at the university of Tronheim (NTNU) is under revision from 2013. One of the aims of the new curriculum is to increase the quality of primary health care professionals. From 2014, I am a head of of a sub-committee working on primary health care in this new curriculum.
Scientific, academic and artistic work
A selection of recent journal publications, artistic productions, books, including book and report excerpts. See all publications in the database
- (2019) Association between prescription of hypnotics/anxiolytics and mortality in multimorbid and non-multimorbid patients: a longitudinal cohort study in primary care. BMJ Open. vol. 9 (12).
- (2019) Reforming disease definitions: A new primary care led, people-centred approach. BMJ Evidence-Based Medicine.
- (2019) Redefining hypertension: 130/80 – why, and what are the consequences?. 21st Nordic Congress of General Practice 17-20 June 2019, Aalborg, Denmark.
- (2019) Core values, principles and purposes of general practice in the Nordic countries. 21st Nordic Congress of General Practice 17-20 June 2019, Aalborg, Denmark.
- (2019) Our core values in a changing world. 24th WONCA Europe Conference. Bratislava, Slovakia, June 26-29, 2019.
- (2019) Birth and growth of academic practice in the Nordic countries. 21st Nordic Congress of General Practice 17-20 June 2019, Aalborg, Denmark.
- (2018) Turning general practitioners into researchers: how research schools can contribute to more and better PhDs in general practice. 23rd Wonca Europe Conference, 24th -27th of May 2018, Krakow, Poland.
- (2018) Use of pregnancy ultrasound before the 19th week scan: an analytical study based on the Icelandic Childbirth and Health Cohort. BMC Pregnancy and Childbirth. vol. 18 (512).
- (2018) Redefining hypertension: 130/80 – Why and what are the consequences?. 23rd Wonca Europe Conference, 24th -27th of May 2018, Krakow, Poland.
- (2018) Policy and practice in the European countries regarding overdiagnosis and quaternary preventon. BMJ Evidence Based Medicine. vol. 23.
- (2018) Overdiagnosis and quaternary prevention - policy and practice in the european countries. 23rd Wonca Europe Conference, 24th -27th of May 2018, Krakow, Poland.
- (2018) Overdiagnosis and preventive measures - Policy and practice in the European countries. 22nd WOCNA world conference. October 17-21, 2018. Seol, Korea.
- (2017) Prevalence of complex multimorbidity in primary healthcare in Iceland. 20th Nordic Congress of General Practice 14-16 Juni 2017..
- (2017) Patients with immigrant background - challenges and possibilities when meeting our fellow citizens. 20th Nordic Congress of General Practice 14-16 Juni 2017..
- (2017) Multimorbidity among diabetic patients in primary care. Seven years follow-up in general practice, Iceland. 20th Nordic Congress of General Practice 14-16 Juni 2017..
- (2017) Multimorbidity among diabetic patients in primary health care. Seven years follow-up in general practice, Iceland. Nidaroskongressen 2017, Trondheim 16.-20 oktober 2017. Program, s 76.
- (2017) Multimorbidity among diabetic patients in primary health care. Seven years follow-up in general practice, Iceland. Poster session. 22nd WONCA Europe Conference. June 28-Juli 1, 2017, Prague, Czech Republic,.
- (2017) Overdiagnosis in General Practice: How can it be limited? A position paper from the Nordic Federation of General Practitioners. 20th Nordic Congress of General Practice 14-16 Juni 2017..
- (2016) Fjölsjúkdómar og notkun róandi lyfja og svefnlyfja: þversniðs- og eftirfylgdarrannsókn á heilsugæslustöðvum á Íslandi. Vísindaþing heimilislækna Reykjavík 7.- 8. október 2016, Reykjavik.
- (2016) Multimorbidity and use of hypnotic and anxiolytic drugs: Cross-sectional and follow-up study in primary healthcare in Iceland. BMC Family Practice. vol. 17 (69).