1. Training Rural Family Medicine : The Experience
in Catalonia
Juan Mendive (1) ,Sandra Audi (1) ,Jaume Banqué (2) Jordi Casanovas (3), Miguel A.Mercader (4),
Luis Balagué (4) Carme Cases (4) , Eva Cruzado (5) , Josep Otal (6), Rosa Subirats(7)
1- MD. Family Medicine EAP. La Mina . Institut Català de la Salut.(ICS) Barcelona .. -
2- MD. Family Medicine. CAP Xerta (ICS) ABS Tortosa Oest – semFYC and Camfic Rural Working Groups (SRWG – CRWG)
3- MD. Family Medicine. EAP Vic – El Remei, ABS Vic Sud. Regio sanitaria Centre. Barcelona – CR WG
4- MD. Family Medicine. ICS. ABS Anoia Rural. CRWG. 5- MD. Family Medicine. Espitau Val D’Aran. CRWG
6. MD. Family Medicine. ICS. ABS LLeida Rural. CRWG 7. MD. Family Medicine . ICS. CAP Falset. Priorat CRWG
Background:
1. Spain owns one of the most comprehensive Family Medicine Training
Programmes in Europ. At its last update (2005) and for the first time, a
compulsory Rural Medicine Training Period of three months was included on
it. Training of Family Medicine Programme in English is available at
www.semfyc.es
2. Trainees from multiple Teaching Centres in Spain have produced an observational study
assessing the implementation and satisfaction of the Rural Training Period in Spain (2008).
As a conclusions, they enhance a good/very good satisfaction for practising in rural areas
(316/400) and some difficulties in attending this rural time (lake of official responsible and extra
expenses for the transport to the rural centres ).
More information in:
http://www.slideshare.net/grupruralcamfic/rotacion-rural-susana-valiente-istambul-woncaeurope-2008
Catalan study about training in rural settings
An study carried out in 2008 by the Catalan Rural Working Group (CRWG) of the Catalan Association of Family
Medicine (CAMFiC) has tried to know the exact knowledge of the situation of rural training all around Catalonia,
based on a specific questionnaire sent to all Training Units of Family Medicine.
Important results from this study show:
47/50: Rural Training is useful.
28/50: It is ok to be compulsory . Why not: Residents to decide/ Dificult to organise in small areas.
Difficulty if not motivation
Duration of 2-3 months most agree & 3
residents mostly agree ( see both cakes) 15
11
12 1 mes
2 mesos SI
3 mesos 24 NO
6 mesos NC
15
20
48/50: Better for resident to do it than not to do it, Why yes: New visions. Better communication skils, Different
concept health /illness. To cope far from hospital.
More community implication
consultoris rurals
250 214
171 Alt Pirineu
200
143 Catalunya Central
131
150 Terres de l'Ebre
84 Lleida
100 64 69
Camp de Tarragona
50 Girona
Barcelona
0
More information camfic rural working group: consultoris
http://www.slideshare.net/grupruralcamfic
Total 876 rural health settings
medicinadefamiliarural@yahoogroups.com