¿Qué opinan pediatras y residentes de Pediatría sobre la rotación por Atención Primaria? / What do Pediatricians and Pediatric Residents think of the rotation inTO Primary Health Care?

Introducción: Desde 2007 y de forma obligatoria, los médicos especialistas en formación de Pediatría (MIR) deben rotar por centros de salud durante 3 meses. Al discrepar de la forma de rotación propuesta, el grupo de docencia MIR de la Asociación Española de Pediatría de Atención Primaria (AEPap) se planteó conocer las opiniones de pediatras hospitalarios (PH), pediatras de Atención Primaria (PAP) y MIR en cuanto a necesidad, duración, período de realización y expectativas de la rotación. Metodología: Estudio transversal con encuesta validada de 13 preguntas, cuya distribución a las distintas asociaciones de la AEPap y su cumplimentación se realizó a través de su página web. Los datos se procesaron con el paquete estadístico SPSS 12.0, utilizándose en su análisis el test de χ2. Resultados: Se analizaron 323 encuestas de 13 comunidades, contestadas por el 56% de PAP, el 38,7% de MIR y el 5,3% de PH, siendo mujeres el 67,5%; predominan 2 tramos de edad: menores de 30 años y entre 41 y 50 años. De los encuestados, el 99% cree necesaria la rotación, con una duración para el 73,3% de los PAP de 6 meses con respecto a una duración de uno o 2 meses para el 56,9% de los MIR (p<0,001), preferentemente para realizar en 2 períodos (65,1% de PAP). De los PAP, el 75,5% considera que los MIR que vayan a trabajar en Atención Primaria (AP) deberían rotar 6 meses más el ultimo año de residencia (p<0,001). De los MIR, el 63,9% espera mejorar su formación en la rotación por Atención Primaria. Conclusiones: La necesidad de rotar por AP es casi unánime, 3 meses son insuficientes para la mayoría de los encuestados y los PAP consideran más adecuada una rotación de 6 meses. En la forma de realizar la rotación hay 2 preferencias mayoritarias: durante un período en cualquier año de residencia o en 2 períodos. Los MIR que piensan trabajar en AP deben rotar 6 meses durante el cuarto año de residencia. La expectativa de los MIR en su rotación es mejorar su formación (AU)

Introduction: Since 2007, on a mandatory, pediatric residents (PR) have been obliged to rotate into primary health care centers for 3 months. On disagreeing with the type of rotation proposed, the teaching group of the Spanish Primary Care Pediatrics Association (AEPap) was raised to find out the views of Hospital Pediatricians (PH), Pediatrics Health Care (PHC) and PR in terms of need, length, year in which it should take place and rotation expectations. Methodology: Cross-sectional study using a 13 question validated questionnaire, which was distributed to the various AEPap associations, and completed via the website. The data was processed with SPSS 12.0 and analysed using the Chi2 test. Results: A total of 323 surveys from 13 Autonomous Regions were analysed, of which 56% were answered by PHC, 38.7% by PR and 5.3% by PH, 67.5% of which were women, with two age groups; one under 30 years old and the other between 41–50 years. Of the participants, 99% believed it was necessary to rotate, with a duration of 6 months proposed by the PHC (73.3%) while PR considered 1 or 2 months (56.9%), (P<0001), preferably performed in two periods (65.1% of PHC). Of the PHC, 75.5% believed that the PR who were going to work in Primary Care should work 6 months more in their last year of residency (P<0001). Of the PR, 63,9% hoped to improve their training in the rotation into Primary Health Care. Conclusions: The need to rotate into Primary Health Care was almost unanimous and three months are insufficient for the majority of respondents and PHC believe it should be 6 months. There appears to be two preferences for rotation: in a period in any year of residence or in two periods. Those PR who are thinking of working in a Primary Health Care should rotate 6 months during the fourth year of residency. The PR expect rotation to improve their training (AU)

[What do pediatricians and pediatric residents think of the rotation into Primary Health Care]. / ¿Qué opinan pediatras y residentes de Pediatría sobre la rotación por Atención Primaria?

INTRODUCTION: Since 2007, on a mandatory, pediatric residents (PR) have been obliged to rotate into primary health care centers for 3 months. On disagreeing with the type of rotation proposed, the teaching group of the Spanish Primary Care Pediatrics Association (AEPap) was raised to find out the views of Hospital Pediatricians (PH), Pediatrics Health Care (PHC) and PR in terms of need, length, year in which it should take place and rotation expectations. METHODOLOGY: Cross-sectional study using a 13 question validated questionnaire, which was distributed to the various AEPap associations, and completed via the website. The data was processed with SPSS 12.0 and analysed using the Chi(2) test. RESULTS: A total of 323 surveys from 13 Autonomous Regions were analysed, of which 56% were answered by PHC, 38.7% by PR and 5.3% by PH, 67.5% of which were women, with two age groups; one under 30 years old and the other between 41-50 years. Of the participants, 99% believed it was necessary to rotate, with a duration of 6 months proposed by the PHC (73.3%) while PR considered 1 or 2 months (56.9%), (P<0001), preferably performed in two periods (65.1% of PHC). Of the PHC, 75.5% believed that the PR who were going to work in Primary Care should work 6 months more in their last year of residency (P<0001). Of the PR, 63,9% hoped to improve their training in the rotation into Primary Health Care. CONCLUSIONS: The need to rotate into Primary Health Care was almost unanimous and three months are insufficient for the majority of respondents and PHC believe it should be 6 months. There appears to be two preferences for rotation: in a period in any year of residence or in two periods. Those PR who are thinking of working in a Primary Health Care should rotate 6 months during the fourth year of residency. The PR expect rotation to improve their training.