Alonso-Coello Pablo, Villa Josep Jiménez, Hijar Antonio Monreal, Tuduri Xavier Mundet, Puime Angel Otero, Zurro Amando Martín
Iberoamerican Cochrane Centre, CIBERESP-IIB Sant Pau, Barcelona, Spain.
BMJ Open. 2011 Dec 21;1(2):e000231. doi: 10.1136/bmjopen-2011-000231. Print 2011.
Background Despite the fact that family medicine (FM) has become established as a specialty in the past 25 years, this has not been reflected in the inclusion of the specialty in the majority of medical schools in Spain. Almost 40% of the students will work in primary care but, in spite of this, most universities do not have an assessed placement as such. There are only specific practice periods in health centres or some student-selected components with little weight in the overall curricula. Objectives To evaluate the attitudes and perceptions of medical students about FM in the health system and their perception about the need for specific training in FM at the undergraduate level. To explore change over time of these attitudes and perceptions and to examine potential predictive factors for change. Finally, we will review what teaching activity in FM is offered across the Spanish schools of medicine. Methods Descriptive cross-sectional survey. Each one of the different analyses will consist of two surveys: one for all the students in the first, third and fifth year of medical school in all the Spanish schools of medicine asking about their knowledge, perceptions and attitudes in relation to primary care and FM. There will be an additional survey for the coordinating faculty of the study in each university about the educational activities related to FM that are carried out in their centres. The repetition of the study every 2 years will allow for an analysis of the evolution of the cohort of students until they receive their degree and the potential predictive factors. Discussion This study will provide useful information for strategic planning decisions, content and educational methodology in medical schools in Spain and elsewhere. It will also help to evaluate the influence of the ongoing changes in FM, locally and at the European level, on the attitudes and perceptions of the students towards FM in Spain.
尽管家庭医学（FM）在过去25年已成为一门专业，但这一点在西班牙大多数医学院将该专业纳入课程方面并未得到体现。近40%的学生将从事基层医疗工作，但尽管如此，大多数大学并没有此类经过评估的实习安排。仅有在健康中心的特定实习阶段，或者是一些学生自主选择的、在整体课程中权重较小的部分。
评估医学生对卫生系统中家庭医学的态度和看法，以及他们对本科阶段家庭医学特定培训必要性的认知。探究这些态度和看法随时间的变化，并考察变化的潜在预测因素。最后，我们将审视西班牙各医学院提供的家庭医学教学活动。
描述性横断面调查。每一项不同的分析将包括两项调查：一项针对西班牙所有医学院校医学专业一、三、五年级的全体学生，询问他们关于基层医疗和家庭医学的知识、看法及态度。另一项针对各大学的研究协调教师，调查其所在中心开展的与家庭医学相关的教育活动。每两年重复进行这项研究，以便分析学生群体直至获得学位的发展情况以及潜在的预测因素。
本研究将为西班牙及其他地区医学院校的战略规划决策、教学内容和教育方法提供有用信息。它还将有助于评估家庭医学在地方和欧洲层面正在发生的变化对西班牙学生对家庭医学的态度和看法的影响。
