Rodríguez Rodríguez M, Aparcero Gallardo M, Amodeo Arahal M C, Romero Solís P
Centro de Salud El Porvenir, Distrito de Atención Primaria Sevilla, Sevilla, España.
Centro de Salud El Porvenir, Distrito de Atención Primaria Sevilla, Sevilla, España.
Semergen. 2018 May-Jun;44(4):243-248. doi: 10.1016/j.semerg.2017.05.007. Epub 2017 Oct 24.
To determine the ideal volume of activity to be carried out by residents in Family and Community Medicine in order to acquire the competencies of their professional activity.
The consensus opinion of a group of experts in the training of residents in Family and Community Medicine was collected from 152 tutors using an online Delphi-type questionnaire.
The overall medians obtained in the different activities that should be developed by residents of Family and Community Medicine were: individual diagnostic/therapeutic interventions: retinography 60, spirometry 40, anticoagulation 45, cryo/electrocoagulation 35, infiltrations 45, tele-dermatology 60, and others 45; women's health: pregnancy 45, gynaecological ultrasound/IUD 41, cytology 32.5, family planning 19.5, and maternal education 17; lifestyle and care interventions: geriatrics 30, nursing 45, individual tobacco advice 30, group advice 15, health problems 15, and dietary advice 15; community intervention: sessions with youth 15, and social risk 15; training: sessions 40, continuing education 40.
This information has defined the activity volumes that should be developed by the residents in order to acquire an adequate level of competence in the areas of individual diagnostic and therapeutic interventions, women's health, interventions to change lifestyles, community intervention, and clinical and training sessions. The consensus obtained could serve as a basis for the creation of a road map in the training of residents as a complementary tool to the Resident's Book, which is obligatory in all specialties.
确定家庭与社区医学住院医师为获得专业活动能力而应开展的理想活动量。
通过在线德尔菲式问卷，收集了152名导师对家庭与社区医学住院医师培训方面的专家共识意见。
家庭与社区医学住院医师应开展的不同活动的总体中位数如下：个体诊断/治疗干预：视网膜造影60次、肺活量测定40次、抗凝45次、冷冻/电凝35次、浸润45次、远程皮肤病学60次以及其他45次；妇女健康：妊娠45次、妇科超声/宫内节育器41次、细胞学32.5次、计划生育19.5次以及孕产妇教育17次；生活方式与护理干预：老年医学30次、护理45次、个体烟草咨询30次、团体咨询15次、健康问题15次以及饮食咨询15次；社区干预：与青年的会议15次以及社会风险15次；培训：课程40次、继续教育40次。
这些信息确定了住院医师为在个体诊断与治疗干预、妇女健康、生活方式改变干预、社区干预以及临床与培训课程等领域获得足够能力水平而应开展的活动量。所达成的共识可作为制定住院医师培训路线图的基础，作为对所有专科都必须有的《住院医师手册》的补充工具。
