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Family and Community Medicine. Rural Training Period in Spain
- 1. Family and Communitiy Medicine Rural Training Period in Spain Jaume Banqué Vidiella CAP Xerta. ICS - ABS Tortosa Oest - Spain Euripa – Semfyc Rural Working Group
- 2. Training in Family and Community Medicine in Spain • Family and Community Medicine Speciality was created in 1978. • Health Centres. Primary Care Teams. • Teaching Centres - Docent Units in Family Medicine. Coordinators and Tutors for Trainees. • First Training Programme in 1985. Three years of practical period. • Mandatory and Optional stages. From one to six months in length. • Four years of practical period in 2005:Compulsory Rural Training Period for three months.
- 3. Rural Medicine Training Period: Aims. (Semfyc Rural WG) • Promoting and Stimulating a positive approach to Rural Practice. • Applying “The European Definition of Family Medicine” (Euract – Wonca Europe 1992). • Fostering and Completing professional competences in Family and Community Medicine.
- 4. Rural Medicine Values for Trainees (Semfyc Rural WG) • An opportunity for working in a defined community. Knowing the GP´s role inside it. • Practicing and experiencing : “The Solo Practice”. • Emphasizing the holistyc approach in Family Medicine. “Bio-Psycho-Social Model”. • Tacking into account and stressing the Family and Community approach to health and disease.
- 5. Teaching and learning methodology (Semfyc Rural WG) • Self directed learning. • Learning in context. • Classes. • Small group learning. • Workshops.
- 6. Rural Medicine Training Period in Spain • What kind of practical period: > Compulsory and avaliable for all trainees. > 2/3 months in length. • Who would work as a trainer ? > Rural doctors with certain experience (at least more than a year in rural areas). Tutors and collaborators. > Rural doctors with a desire for teaching, learning and producing research. Quality. > They will prepare an specific Rural Training Project with the Teaching Centre - Docent Unit.
- 7. Rural Medicine Training Period in Spain • What kind of rural centre could participate? > Only one doctor in the centre . With or without nurse or administrative assistant. > Centre locates in little villages under 3000 inhabitants. • Where we are ? > Docent Units without Rural Centres... > Promoting supporting and revising trainers, rural centres... > Rural Working Groups Semfyc and Camfic...
- 8. Draft: What could the trainee know in our rural centre ? • Generalities • Primary Care Team and the Local Health Centre. • Internal organization in our centre. • How can we work with or without administrative assistant support ?. • How can we work with or without nurse ?. • How the rural doctor act in his room ?
- 9. Draft: What could the trainee know in our rural centre ? • Relations with Social Services. • Relations with Specialized Care. Isolation. Transportation. • Treating the emergencies. • Out hours services in our centre. • Specific abilities for the Family Physician.
- 10. Draft: What could the trainee know in our rural centre ? • Relations with Social Services. • Relations with Specialized Care. Isolation. Transportation. • Treating the emergencies. • Out hours services in our centre. • Specific abilities for the Family Physician.