Pc Rural Training

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“ OVERCOMING TRAINING BARRIERS IN PRIMARY CARE – RURAL TRAINING”. EURIPA AND VASCO DA GAMA MOVEMENT JOINT WORSHOP Dr. Raquel Gómez Bravo (Vasco da Gama Movement – Semfyc. Spain ) Wonca Europe, Istanbul 2008

Salud y medicina Educación

Spain has one of the oldest GP programmes in Europe... ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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[object Object],[object Object],TIME LINE “ Defines the Spanish NHS, created from the social security (SS) health services and which during the 20th century constantly widened its coverage and services, as the ensemble of “all structures and public services at the service of health”, and “the combination of state administration and autonomous communities health services”

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[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],GPs in Spain...

GP Residency Training Programme It depends on the Docent Units…

GP Residency Training Programme ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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[object Object],[object Object],[object Object],[object Object],[object Object],Common : - Self learning, - classes, - workshops, - teamwork…

SHIFT HOURS DISTRIBUTION DURING GP TRAINING IN DIFFERENT EMERGENCY DEPARTMENTS 100% 12,5% 12,5% 75% R4 100% 8% 12,5% 4,5% 12,5% 37,5% 25% R2 / R3 100% 75% 25% R1 TOTAL HOSPITAL EMERGENCY MED-SURGICAL TRAUMATOLOGY GYNAECOLOGY PAEDIATRICS HOSPITAL EMERGENCY PM / RURAL

EVALUATION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Marks: 0-3 points Annual

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],BARRIERS IN RURAL GENERAL PRACTICE

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Very good: 155/400. Good: 161/400. Bad: 80/400. Very bad: 4/400. Rural Medicine during the postgraduate training period in our country (Spain) Rate of participation Rate of ID satisfation Valiente Hernández, S. et al. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

At hospital, You have everything… Specialist, training and support, staff, adequate computer system and internet access, friends… Different sort of medicine No possibility of continuity of care in the community, chronic disease management, dermatological conditions, minor surgery... Consultation just for one person not the whole family But…

We consider being rural GP as a career possibility...

Thanks for your attention! It was a pleasure! Please don’t hesitate in contacting me! [email_address]

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Mesa 2. La rotación en Medicina Rural. Existe? Vale la pena?: Han pasado unos 4 años desde la publicación del nuevo programa MIR para la especialidad en Medicina Familiar y Comunitaria (MFyC) en España. La principal novedad del mismo fue en su momento, la prolongación del periodo de residencia de tres a cuatro años. Al mismo tiempo, entre otras novedades destacaba la obligatoriedad de que durante este periodo los médicos de familia en formación realizaran una rotación en el medio rural de tres meses de duración. Muchos interrogantes se abrieron en ese momento dentro y fuera de las Unidades Docentes sobre la idoneidad o no de realizar este periodo de rotación rural. Algunos de ellos fueron: ¿Va a ser atractiva esta rotación para los residentes?¿Realmente la medicina rural es tan diferente de la urbana para hacer esta rotación obligatoria? ¿Habrá algún tipo de ayuda económica para pagar los desplazamientos y la manutención de los residentes? ¿Tendremos suficientes Centros y Tutores Rurales para llevarla a cabo? El objetivo final de la mesa “La Rotación Rural: ¿existe?, ¿vale la pena?”será el de analizar y debatir el estado actual del periodo de rotación rural que realizan los residentes en MFyC en nuestro país y en el resto de países europeos. Contaremos para ello con la experiencia, los trabajos y los diferentes puntos de vista de los ponentes de una mesa integrada básicamente por residentes, y los del público asistente, con la intención de llegar conclusiones que puedan servir como puntos de mejora para todas las partes implicadas en este periodo de formación. http://www.semfyc2009.com/modules.php?name=webstructure&idwebstructure=449

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1. “ OVERCOMING TRAINING BARRIERS IN PRIMARY CARE – RURAL TRAINING ” EURIPA AND VASCO DA GAMA MOVEMENT JOINT WORSHOP Dr. Raquel Gómez Bravo ( Vasco da Gama Movement – Semfyc. Spain )

2. SPAIN

9. GP Residency Training Programme (2005)

10. GP Residency Training Programme

11. GP Residency Training Programme It depends on the Docent Units…

12.

13.

14.

15.

16. SHIFT HOURS DISTRIBUTION DURING GP TRAINING IN DIFFERENT EMERGENCY DEPARTMENTS 100% 12,5% 12,5% 75% R4 100% 8% 12,5% 4,5% 12,5% 37,5% 25% R2 / R3 100% 75% 25% R1 TOTAL HOSPITAL EMERGENCY MED-SURGICAL TRAUMATOLOGY GYNAECOLOGY PAEDIATRICS HOSPITAL EMERGENCY PM / RURAL

17.

18. PRIORITY and RESPONSABILITY LEVELS

19. PRIMARY CARE RURAL TRAINING in SPAIN

20.

21. SOTO DEL REAL (MADRID)

22.

23.

24. MANZANARES EL REAL (MADRID)

25.

26. LA CABRERA (MADRID)

27.

28. CARDONA Montmaneu Cataluña

29.

30.

31.

32. At hospital, You have everything… Specialist, training and support, staff, adequate computer system and internet access, friends… Different sort of medicine No possibility of continuity of care in the community, chronic disease management, dermatological conditions, minor surgery... Consultation just for one person not the whole family But…

33. We consider being rural GP as a career possibility...

34. Thanks for your attention! It was a pleasure! Please don’t hesitate in contacting me! [email_address]

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