[Teaching sessions in primary care. Experience in health centres in an area of Madrid]. / Sesiones docentes en Atención Primaria. Experiencia en los centros de un Área de Madrid.

Those responsible for teaching of primary care teams of Area 7 of Madrid have noted a significant disparity in the organisation of teaching sessions. Therefore, the Madrid Area 7 Commission for Teaching and Research organised an idea-sharing day. This article aims to show the different organisational forms, model sessions, the benefits of education sessions, perceived problems and suggestions for improvement. Finally there is a decalogue, which can serve as a guide for organising teaching sessions in primary care.

[Do our patients know what a family medicine resident is?]. / Saben nuestros pacientes qué es un residente de medicina de familia?

OBJECTIVES: To find patients' view of the idea of family and community medicine (FCM) residents and of what they do and patients' satisfaction with their work. DESIGN: Cross-sectional, descriptive study using a questionnaire. SETTING: FCM teaching health centres. Area 7, Madrid, Spain. PARTICIPANTS: Twenty-one tutors' lists, with 220 people. MAIN MEASUREMENTS: Social and demographic variables, concept of FCM resident, satisfaction with resident, comparisons between resident and tutor, changes observed by patients in their doctor. RESULTS: Women patients numbered 146 (66.4%); average age, 56.2 (18.95); 138 (62.7%) did not know exactly what a resident was, although 132 (60%) said he/she was a doctor. Knowledge increased with greater educational level (P< .001) and younger age (P=.04). Eighty-five (38.6%) demanded more from the tutor and tolerated errors of both equally; 196 (89.1%) were calm on being seen by a resident; 203 (92.3%) said they had the same trust in both. They noted no changes in the tutor when the resident was present (206; 93.6%). They wanted to change the same things in both (kappa=0.518). Patients were satisfied or very satisfied: 212 (96.4%), with the time that the doctor devoted to him/her with the resident present; 194 (88.2%), with having 2 doctors; and 214 (97.3%), with the attention and listening of the resident. Finally, 163 (74.1%) would recommend the resident as a doctor. CONCLUSIONS: Most patients do not know exactly what a FCM resident is or does. They believe that the presence of the resident does not affect the consultation with the tutor. Trust and tolerance is similar. Satisfaction with the care received is high.

[Sexuality in older women]. / Sexualidad en las mujeres mayores.

OBJECTIVES: To determine the prevalence of sexual relations in women >or=65 years. To determine factors that affect their activity and interest in sex. To evaluate the impact on their quality of life. DESIGN. Descriptive, cross-sectional study by means of survey. SETTING: Palacio de Segovia Health Centre, Madrid, Spain. Primary care. PARTICIPANTS: Women >or=65 years old. Criteria of exclusion: bed-ridden women, with psychiatric disease and/or moderate-severe cognitive deterioration. Sequential selection from 10 medical lists. MAIN MEASUREMENTS: Social and demographic, medical, geriatric (Katz and Lawton-Brody index), quality of life (WONCA sheets), variables on sexuality. RESULTS: One hundred and sixty two women. Mean age, 74.7 (7.8). Sixty one women with a stable partner (37.7%). Thirty four maintained sexual relations (20.98%), 61.8% (21) of them with coitus: these were satisfactory for 29 women (85.3%). For 50 (30.8%), communication was the most important aspect of sexuality. The lower their age, the more sexual relations they had (P<.022; odds ratio [OR]=0.85; 0.74-0.97). Of 115 women satisfied with the relations of their youth, 28.7% maintained sexual relations now (P<.003; OR=17; 1.7-178.8). The 23.9% maintained their sexual desire, though their partners had more interest in sex (50.9%). Women with stable partners and high self-esteem had more sexual relations than those who had neither, with a significant difference in both cases (P<.001). Maintaining sexual relations is a dependent factor on the Katz index (P<.007). The 32.2% of women thought that their sex life had changed for the worse, while 30.12% (20.54+19.17) thought their sex life had not changed or had improved. CONCLUSIONS: One of every 4 women >64 years old maintain sexual relations. Factors that determine sexual activity are: self-esteem, having a partner, sexual desire, previous sexual history, and the Katz index. Sexual relations are independent of quality of life.