de Lelis F P, Almela Quilis A, Casanova Matutano M A, de Higes Villegas A, Roger Busquets R, Roig Osca M A
Aten Primaria. 1989 Aug-Sep;6(7):470-2, 474-6.
We present a methodological innovation for the Teaching Unit of Family and Community Medicine in Valencia, consisting in a stage of the first year residents in the Health Centers during the first week after their incorporation to the teaching program. At the same time, we attempt to evaluate the level of clinical knowledge of these residents about common problems in primary care; to assess their knowledge about organization, information systems, health programs, etc.; to evaluate their degree of preference for the specialty and to analyze how such an experience may be helpful for the education of the family physicians. The mean number of correct answers to a test-type examination about common clinical problems in that level of care was 31.6%. The mean level of knowledge about primary care was self-rated as poor. Only 2 out of 22 residents had freely chosen this specialty, and only as a third choice. At the end of the stage, 74.7% of the residents evaluated it as useful or highly useful. We propose some recommendations which might improve the structure and implementation of the teaching.
我们介绍了一种针对巴伦西亚家庭与社区医学教学单元的方法创新，该方法包括在第一年住院医师加入教学计划后的第一周，安排他们在健康中心实习。同时，我们试图评估这些住院医师对初级保健常见问题的临床知识水平；评估他们对组织、信息系统、健康项目等方面的了解；评估他们对该专业的偏好程度，并分析这样的经历对家庭医生的教育有何帮助。在该护理水平下，关于常见临床问题的测试型考试中，正确答案的平均数量为31.6%。对初级保健知识水平的自我评估为较差。22名住院医师中只有2人是自由选择该专业的，而且只是作为第三选择。在该阶段结束时，74.7%的住院医师认为它有用或非常有用。我们提出了一些建议，可能会改进教学的结构和实施。
