[Teaching objectives in resident rotation in a health centre like R4. Can they really be achieved?].
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ABSTRACT: To discover the attitude of tutors to tutoring and describe how they apply the teaching programme during the period interns spend at the Health Centre. Crossover study. Stratified random sampling by Teaching Units. Primary Care Centres with teaching accreditation. 258 tutors from the state-wide Teaching Programme. Tutors' attitudes and the activities undertaken with the interns were studied by means of a self-filled questionnaire. The attitudes scale revealed a good attitude toward tutoring. Above all ability to motivate (73%) was required of the good tutor. Shared quotas was the commonest model of tutoring (85%). Clinical care was the activity the tutors developed best (70%), with the doctor-patient relationship in second place (46%). The majority discussed the Clinical History with their intern (75%). Few supervised the carrying out of procedures (36%). 68% of interns performed at least one piece of research, although tutors thought they should do more investigative work (41%). During the three intern years, the relationship was hardly ever maintained (13%). Tutors' attitude to tutoring is adequate. There is agreement with the basic features of the Programme, which is best developed in the area of care. The general model is that of a shared quota. Teaching must be improved in the non-care aspects, with specific training being made available to tutors.Atención Primaria 06/1995; 15(8):481-6. · 0.89 Impact Factor
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ABSTRACT: To find the health-care activity of Family and Community Medicine (FCM) Interns (I) during their third year of Primary Care duties, to check the existence of significant differences with the Tutor's (T) health-care activity, and to evaluate, using the requests for complementary tests and the referral rate, possible qualitative differences in the outcome of on-demand consultations. A descriptive and retrospective observation study, with two parts, each corresponding to one objective. Primary Health Care. The Carmen Health Centre in Murcia, used for teaching postgraduate FCM. A sample of 489 cases of those requesting health consultations between February 1st and December 21st, 1990 for the first part of the study; and all those consultations between April 8th and May 8th, 1991 for the second part. Covering five family practices. The variables studied were: gender, age, the first or second medical consultation, administrative consultations, reasons for the consultation, the number of inter-referrals and the number of complementary tests. The I had fewer consultations a day than the T (p < 0.001), with a greater proportion of young people between 26 and 35 (p < 0.001) and with first (p < 0.001) and administrative (p < 0.001) consultations predominating. However no differences were observed regarding requests for complementary tests and referral rates. 1. Significant differences exist between the health-care activity of the T and the I. 2. The population selects the doctor who is going to care for them. 3. There were no differences observed in requests for complementary tests and the referral rates. 4. It would be important to assess the teaching repercussion of these differences and to introduce corrective mechanisms if it is thought necessary.Atención Primaria 01/1994; 14(3):661-4. · 0.89 Impact Factor
- Medicina Clínica 05/1996; 106(13):517. · 1.25 Impact Factor