Family and Community Medicine. Rural Training Period in Spain
1. Family and Communitiy
Medicine Rural Training Period
in Spain
Jaume Banqué Vidiella
CAP Xerta. ICS - ABS Tortosa Oest - Spain
Euripa – Semfyc Rural Working Group
2. Training in Family and
Community Medicine in Spain
• Family and Community Medicine Speciality was
created in 1978.
• Health Centres. Primary Care Teams.
• Teaching Centres - Docent Units in Family
Medicine. Coordinators and Tutors for Trainees.
• First Training Programme in 1985. Three years of
practical period.
• Mandatory and Optional stages. From one to six
months in length.
• Four years of practical period in 2005:Compulsory
Rural Training Period for three months.
3. Rural Medicine Training Period:
Aims. (Semfyc Rural WG)
• Promoting and Stimulating a positive
approach to Rural Practice.
• Applying “The European Definition of Family
Medicine” (Euract – Wonca Europe 1992).
• Fostering and Completing professional
competences in Family and Community
Medicine.
4. Rural Medicine Values for
Trainees (Semfyc Rural WG)
• An opportunity for working in a defined
community. Knowing the GP´s role inside it.
• Practicing and experiencing : “The Solo Practice”.
• Emphasizing the holistyc approach in Family
Medicine. “Bio-Psycho-Social Model”.
• Tacking into account and stressing the Family and
Community approach to health and disease.
5. Teaching and learning
methodology (Semfyc Rural WG)
• Self directed learning.
• Learning in context.
• Classes.
• Small group learning.
• Workshops.
6. Rural Medicine Training Period
in Spain
• What kind of practical period:
> Compulsory and avaliable for all trainees.
> 2/3 months in length.
• Who would work as a trainer ?
> Rural doctors with certain experience (at least
more than a year in rural areas). Tutors and
collaborators.
> Rural doctors with a desire for teaching, learning
and producing research. Quality.
> They will prepare an specific Rural Training
Project with the Teaching Centre - Docent Unit.
7. Rural Medicine Training Period
in Spain
• What kind of rural centre could participate?
> Only one doctor in the centre . With or without
nurse or administrative assistant.
> Centre locates in little villages under 3000
inhabitants.
• Where we are ?
> Docent Units without Rural Centres...
> Promoting supporting and revising trainers, rural
centres...
> Rural Working Groups Semfyc and Camfic...
8. Draft: What could the trainee
know in our rural centre ?
• Generalities
• Primary Care Team and the Local Health Centre.
• Internal organization in our centre.
• How can we work with or without administrative
assistant support ?.
• How can we work with or without nurse ?.
• How the rural doctor act in his room ?
9. Draft: What could the trainee
know in our rural centre ?
• Relations with Social Services.
• Relations with Specialized Care. Isolation.
Transportation.
• Treating the emergencies.
• Out hours services in our centre.
• Specific abilities for the Family Physician.
10. Draft: What could the trainee
know in our rural centre ?
• Relations with Social Services.
• Relations with Specialized Care. Isolation.
Transportation.
• Treating the emergencies.
• Out hours services in our centre.
• Specific abilities for the Family Physician.