Pérez Valencia Juan José, Vázquez Díaz José Ramón
Unidad Docente Multiprofesional de Atención Familiar y Comunitaria La Laguna-Tenerife Norte (Tenerife zona II-La Laguna), Gerencia de Atención Primaria del Área de Salud de Tenerife, Servicio Canario de la Salud, Santa Cruz de Tenerife, España.
Unidad Docente Multiprofesional de Atención Familiar y Comunitaria La Laguna-Tenerife Norte (Tenerife zona II-La Laguna), Gerencia de Atención Primaria del Área de Salud de Tenerife, Servicio Canario de la Salud, Santa Cruz de Tenerife, España.
Aten Primaria. 2023 Jul;55(7):102650. doi: 10.1016/j.aprim.2023.102650. Epub 2023 Jun 21.
The training program for the Family and Community Medicine specialty (MFyC), which has been in effect since 2005, is currently undergoing a review and update process. This article proposes contributions to deepen the specific contents of the specialty in order to guide towards a more significant competency development. To carry out values-oriented training, it is suggested to deploy the values function and promote the creation of care spaces where the daily experience of those values is possible. It is proposed to establish a scale of values where the two essential values of the family physician are, in this order, a commitment to the individual person, and a commitment to the group of people under their care. Additionally, it is proposed to reorganize the competency map around five competency integrators or meta-competencies: patient-centered clinical method, population-based clinical governance, primary care oriented to the community, health promotion or community health based on assets, and research in the family and community field.
自2005年起实施的家庭与社区医学专业培训计划(MFyC)目前正在进行审查和更新。本文提出了一些建议,以深化该专业的具体内容,从而引导实现更显著的能力发展。为了开展以价值观为导向的培训,建议发挥价值观的作用,并促进创建能够践行这些价值观日常体验的照护空间。建议建立一个价值观量表,其中家庭医生的两个基本价值观依次为:对个体的承诺,以及对其照护人群群体的承诺。此外,建议围绕五个能力整合者或元能力重新组织能力图谱:以患者为中心的临床方法、基于人群的临床治理、面向社区的初级保健、基于资产的健康促进或社区健康,以及家庭和社区领域的研究。