Celia Gómez, Director of Professional Organization.
The Ministry of Health has launched the new Family and Community Medicine training program, a document that had not been updated for 18 years and that had become one of the main demands of the sector. The order of the Department of Professional Organization establishes the didactic and teaching criteria of the specialty, taking into account the “multiple demographic, social and technological changes” in recent years, “to which a global pandemic has been added”. “These circumstances have conditioned the need for a new professional profile of the MF&C specialist”, highlights the document, which includes some of the demands of medical societies, such as rotations in rural areas and the “guarantee” that there is one tutor for every five residents at most.
The new Family and Community Medicine training program maintains four years of residence (48 months) in different teaching devices. Health has considered that the specialties in Health Sciences that present a content that results from priority interest for the specialty They are Internal Medicine, Geriatrics, Pediatrics and their specific areas, Medical-Surgical Dermatology and Venereology, Gynecology and Obstetrics, and Psychiatry.
Among other provisions, Health advocates that there are still “initial contact of the resident with Primary Care during the first six months of training”, as well as for carrying out up to 50 percent of this didactic process at the first level of care. Also, pick up a rotation three months in rural health centers during the second and third year of residence “or an equivalent rotation in an urban one in those MIR whose health center is rural.”
In parallel, a rotation of two months in Primary Care Pediatrics during the second or third year and a stay free choice formative, preferably in the last two years of residence, in another teaching unit for three months “to deepen the MFyC skills”. This program will have retroactive effects on those residents who have already started their training.
Another novelty included in the Family training program is linked to the ratio of teachers to residents. The objective is to “guarantee” that there is at least one tutor for every five MIR “at most”, which is another of the great demands of the sector.
Likewise, a period of three years is established for the Teaching Units currently accredited Family and Community Medicine “adapt to the accreditation requirements.
‘Bring closer’ Family formation to Primary
Caroline Darias, Minister of Health, advanced in December that the publication of the new Family and Community Medicine training program would not be delayed beyond the first weeks of January. “It was not appropriate that a formation in the Family was more hospitable than from the health centers themselves, ”confessed the socialist president.
The document itself emphasizes that the family doctor “should lead, from Primary Care, medical attention to the person, the family and the community”. “It is necessary that the training of these specialists incorporates at the patient’s bedside, from the scientific rigor and the humanist dimension, the current knowledge to address the health problems of the population, including chronic and emerging diseases, clinical communication, as well as skills in digital health, clinical management, bioethics, teaching and research”, he points out.
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