Estudio Cualitativo: uso de la guía para la estimación del riesgo cardiovascular global en la práctica clínica / Pesquisa Qualitativa: Uso Dos Guias Para A Estimativa De Risco Cardiovascular Global Na Prá- Tica Clínica / Qualitative Study: The Use Of The Guidelines For The Assessment Of Absolute Cardiovascular Disease Risk In Clinical Pracice

El Ministerio de Salud, a través del Programa Remediar y con la participación de 24 Facultades de Medicina, implementa un Programa de Capacitación en Terapéutica Racional de Atención Primaria de la Salud (TRAPS) destinado a médicos/as que se desempeñan en el primer nivel de atención (PNA). En el Curso sobre Riesgo Cardiovascular Global (RCVG) se promueve la utilización de la Guía de la OMS adaptada para Argentina para la estimación del riesgo. Objetivo. Presentar los resultados de un estudio cualitativo que indaga, entre los profesionales que habían asistido al curso, el conocimiento y la utilización de la Guía. Material y Método. Población: médicos/as que se desempeñan en Centros de Salud en las provincias de Catamarca y La Rioja...

The Ministry of Health, through a Program called “Remediar” and with the participationof 24 Schools of Medicine, is implementing a Training Program on Rational Therapeuticsin Primary Health Care intended for doctors working in the fi rst level of care. In theCourse on Absolute Cardiovascular Disease Risk (ACVDR), the use of WHO Guidelinesfor the Assessment of Risk adapted for Argentina is promoted.Objective: To present the results of a qualitative study enquiring professionals who attendedthe course, regarding the knowledge and use of the Guidelines.Material and Method: Semi-structured deep interviews to explore dimensions such as patient-doctorrelationship, the approach to people with cardiovascular disease risk and thefactors involved in the process of patient care.Population: Doctors who work in Health Centers in the provinces of Catamarca and LaRioja and took the course on ACVDR.Results: Interviews took place between...

O Ministério da Saúde, por meio do Programa “Remediar” e com a participação de 24Faculdades de Medicina, implementa um Programa de Treinamento sobre Terapêutica Racionalde CuIdados Primários da Saúde (TRAPS) para médicos as que servem no primeiro nível de cuidados (PNA). No curso sobre Risco Cardiovascular Global (RCVG) é promovidaa utilização do Guia da OMS adaptado para a Argentina para a estimativa de risco.Escopo: Apresentar os resultados de um estudo qualitativo que questiona, entre os profi ssionaisque participaram do curso, sobre o conhecimento e o uso do Guia.Material e métodos: Entrevistas em profundidade semi-estruturadas, através das quais sãopesquisadas as dimensões, tais como relação médico-paciente, a abordagem de pessoascom risco cardiovascular e dos fatores institucionais envolvidos no processo dos cuidadosPopulação: Médicos que trabalham em centros de saúde nas províncias de Catamarca e LaRioja, e que fi zeram o curso em RCVG...

Uso racional de medicamentos: Evaluación de un curso de capacitación / Uso racional de medicamentos: avaliação de um curso de formação / Rational use of drugs: assessment of a training course

El Programa Remediar del Ministerio de Salud de la Naciónimplementó, entre 2006 y 2008 un Curso en Uso Racionalde Medicamentos destinado a médicos y odontólogos quese desempeñaban en los Centros de Atención Primaria dela Salud que recibían el botiquín con los medicamentosdel Programa Remediar. El Curso tenía como propósitogeneral promover el uso racional de medicamentos entrelos profesionales prescriptores del primer nivel de atención.Se establecieron acuerdos entre el Ministerio de Salud de laNación (MSAL), los Ministerios de Salud Provinciales y 23Facultades de Medicina. La política del MSAL fue involucrara la comunidad académica en un trabajo conjunto orientadoa jerarquizar la Atención Primaria de la Salud (APS). Elcurso se dictó para tres cohortes, en total 4463 profesionalesiniciaron el curso y 2776 lo completaron aprobando unexamen final. Funcionaron 118 sedes-aulas; participarontodas las jurisdicciones del país. El curso URM fue evaluadopor el Área de Monitoreo y Evaluación del Remediar usandolos registros de datos administrativos sobre rendimientoacadémico por provincia y realizando 15 grupos focales endistintas localidades. El objetivo del presente artículo es dara conocer la metodología utilizada y los resultados obtenidos en la Evaluación del Curso URM con el propósito de hacer un a contribución para elmejoramiento de futuras intervenciones.

Remediar Program of the National Ministry of Health implemented between 2006 and 2008Rational Use of Drugs’ Courses for doctors and dentists who worked in the Primary CareCenters Health receiving the kit with medicines from Remediar. The training was intendedgenerally to promote rational use of medicines for professional primary care prescribers.Agreements were established between the National Health Ministry, Provincial HealthMinistries and 23 medical schools. The Health Ministry policy was to involve the academiccommunity in a joint effort aimed at prioritizing the Primary Health Care. The course washeld for three cohorts, totaling 4463 professional, 2776 started the course and completed itby passing a final exam. They ran 118 seats of classrooms, involving all jurisdictions. URMCourse was evaluated by the Monitoring and Evaluation Area using administrative data onacademic performance by province and conducting 15 focus groups in different locations.The aim of this paper is to present the methodology used and the results obtained in theURM Course Evaluation in order to make a contribution to improve future interventions.

A countrywide programme of continuing professional development in Argentina. Argentine Society of Paediatrics, Subcommittee of Continuing Paediatric Education.

The Argentinean Society of Paediatrics introduced in 1993 a continuing professional development (CPD) programme to raise standards of clinical practice. The aims of the project were to introduce a structured, distance learning programme accessible to all paediatricians in the country, but especially for those working far from centres of paediatric excellence. The programme is planned on an annual basis. It includes four activities: a written manual designed by a team of medical experts and educationalists comprising 12 topics; field work for participants; annual meetings in several locations in the country for discussion of the subjects; and an evaluation based on centrally designed multiple choice questions distributed by mail. In spite of a registration free of 90 Pounds a year, participation in the programme increased from 3357 in 1993 to 4126 in 1996, from a membership of 10 216 paediatricians in Argentina. The popularity of the programme may result from an appropriate interpretation of professional needs of paediatricians in Argentina, adequate organisational arrangements that reach all colleagues, including those working in remote areas, and a genuine motivation of paediatricians for participating in a learning process.

[The selection of resident physicians. The evaluation of their cardiology knowledge and of their pregraduate experience]. / Selección de médicos residentes. Evaluación de los conocimientos cardiológicos y de las experiencias del pregrado.

The purpose of this work was to assess the level of cardiological knowledge in a population of recently graduated physicians and to compare the examination results with pregraduation experiences. The results of the residency entrance examinations of 230 physicians from different universities were analyzed (Table 1). The examination consisted of 70 questions (69 by multiple choice and 1 of professional competence). The cardiovascular area was explored through 28 questions including basic and clinical subjects (Fig. 1). A qualitative and quantitative analysis of the examination was made based on difficulty and discrimination levels (Annex 1-2). A danger level was established when the answer involved a potential risk of death for the patient. Thirty percent of applicants passed the exam (60% of correct answers). Informative questions were easier than those of application and interpretation. A greater difficulty was evidenced with respect to questions in the clinical area (Fig. 3). A higher performance was noted in men, graduates from the University of Buenos Aires and those applicants with assistance and teaching experience. A remarkable positive correlation between average marks during the students career and the level of marks obtained in this exam (Fig. 2) was noted. Twenty-six percent of the physicians who failed gave potentially dangerous answers (Fig. 4). The examination results give us the opportunity to obtain information regarding features of university education.

Selección de médicos residentes. Evaluación de los conocimientos cardiológicos y de las experiencias del pregrado. / [The selection of resident physicians. The evaluation of their cardiology knowledge and of their pregraduate experience]

The purpose of this work was to assess the level of cardiological knowledge in a population of recently graduated physicians and to compare the examination results with pregraduation experiences. The results of the residency entrance examinations of 230 physicians from different universities were analyzed (Table 1). The examination consisted of 70 questions (69 by multiple choice and 1 of professional competence). The cardiovascular area was explored through 28 questions including basic and clinical subjects (Fig. 1). A qualitative and quantitative analysis of the examination was made based on difficulty and discrimination levels (Annex 1-2). A danger level was established when the answer involved a potential risk of death for the patient. Thirty percent of applicants passed the exam (60

of correct answers). Informative questions were easier than those of application and interpretation. A greater difficulty was evidenced with respect to questions in the clinical area (Fig. 3). A higher performance was noted in men, graduates from the University of Buenos Aires and those applicants with assistance and teaching experience. A remarkable positive correlation between average marks during the students career and the level of marks obtained in this exam (Fig. 2) was noted. Twenty-six percent of the physicians who failed gave potentially dangerous answers (Fig. 4). The examination results give us the opportunity to obtain information regarding features of university education.

Selección de médicos residentes. Evaluación de los conocimientos cardiológicos y de las experiencias del pregrado. / [The selection of resident physicians. The evaluation of their cardiology knowledge and of their pregraduate experience]

The purpose of this work was to assess the level of cardiological knowledge in a population of recently graduated physicians and to compare the examination results with pregraduation experiences. The results of the residency entrance examinations of 230 physicians from different universities were analyzed (Table 1). The examination consisted of 70 questions (69 by multiple choice and 1 of professional competence). The cardiovascular area was explored through 28 questions including basic and clinical subjects (Fig. 1). A qualitative and quantitative analysis of the examination was made based on difficulty and discrimination levels (Annex 1-2). A danger level was established when the answer involved a potential risk of death for the patient. Thirty percent of applicants passed the exam (60

of correct answers). Informative questions were easier than those of application and interpretation. A greater difficulty was evidenced with respect to questions in the clinical area (Fig. 3). A higher performance was noted in men, graduates from the University of Buenos Aires and those applicants with assistance and teaching experience. A remarkable positive correlation between average marks during the students career and the level of marks obtained in this exam (Fig. 2) was noted. Twenty-six percent of the physicians who failed gave potentially dangerous answers (Fig. 4). The examination results give us the opportunity to obtain information regarding features of university education.