Hernández Perez M A, Martín Gonzalez Mr, Frank Garcia A, Rodríguez A, Jiménez Henandez M D, Morales Ortiz A, López de Silanes C, Delgado Bona G, Martínez-Vila E, Matías-Guiu Guia J
Ministerio de Educación y CienciaComisión Nacional de Neurología, España.
Neurologia. 2009 Jan-Feb;24(1):45-9.
Faced with the promulgation of the Health Care Professionals Ordinance Law and the publication of the new program of the Neurology training, the National Committee of neurology has considered it necessary to know the current situation of the Teaching Units (TU) accredited for the neurology training in regards to the existing accreditation criteria (AC). The purpose of this study is to know said situation.
A cross-sectional study performed by a voluntarily filled-out survey (ad hoc questionnaire) sent by regular mail in the year 2005 to all the TU accredited at that time. It included specific questions regarding the structural, human and organizational requirements contemplated in those accreditation criteria.
A total of 64 questionnaires were sent (response percentage: 76.6%). Eighty seven percent of the TU met the structural requirements for neurological care, although 21 % had fewer than 4 offices for visits and fewer than 15 neurology beds. A total of 25 % of the TU did not met the requirements in regards to full-time staff members. Although almost 100% met the quantitative care organizational requirements, only 69 % reported that there were neurology duties. However, the grade of the tutorial system could not be known due to the survey design. Almost 100% met the teaching and research requirements.
Although the compliance grade of the current AC is high, there are important deficiencies, basically related to the number of full-time staff professionals and the availability of duly tutorized neurology duties.
面对《医疗保健专业人员条例法》的颁布以及神经病学培训新计划的出台,神经病学全国委员会认为有必要了解经认可的神经病学培训教学单位(TU)在现有认可标准(AC)方面的现状。本研究的目的就是了解上述情况。
2005年通过定期邮寄向当时所有经认可的教学单位发送一份自愿填写的调查问卷(特制问卷)进行横断面研究。问卷包括与那些认可标准中所考虑的结构、人员和组织要求相关的具体问题。
共发送了64份问卷(回复率:76.6%)。87%的教学单位符合神经病学护理的结构要求,不过21%的单位门诊室少于4间且神经病学床位少于15张。共有25%的教学单位在全职工作人员方面不符合要求。尽管近100%的单位符合护理组织的量化要求,但只有69%的单位报告设有神经病学职责岗位。然而,由于调查设计的原因,导师制度的情况不明。近100%的单位符合教学和研究要求。
尽管当前认可标准的符合率较高,但仍存在重大缺陷,主要涉及全职专业人员数量以及是否具备适当配备导师的神经病学职责岗位。