Qué, cómo y cuánto debe hacer un residente de Medicina Familiar y Comunitaria para ser un buen especialista / What, how, and how much should a Family and Community Medicine resident do to become a good specialist?

RESUMEN

Objetivo: Determinar cuál es el volumen idóneo de actividad que deben llevar a cabo los residentes de Medicina Familiar y Comunitaria para adquirir las competencias propias de su desempeño profesional. Material y método: Se recogió la opinión consensuada de un grupo de expertos en formación de residentes en Medicina Familiar y Comunitaria mediante una encuesta realizada con el método Delphi vía online en la que participaron 152 tutores. Resultados: La mediana total obtenida en las diferentes actividades a desarrollar por los residentes de Medicina Familiar y Comunitaria son intervenciones individuales diagnósticas/terapéuticas retinografías 60, espirometrías 40, anticoagulación 45, crio/electrocoagulación 35, infiltraciones 45, teledermatología 60, otras 45; salud mujer embarazo 45, ecografía ginecológica/DIU 41, citologías 32,5, planificación 19,5, educación maternal 17; intervenciones estilo vida y cuidados geriatría 30, enfermería 45, tabaco individual 30, grupal 15, problemas salud 15, consejo dietético 15; intervención comunitaria sesiones con jóvenes 15, riesgo social 15; formación sesiones 40, continuada 40

ABSTRACT

Objective: To determine the ideal volume of activity to be carried out by residents in Family and Community Medicine in order to acquire the competencies of their professional activity. Material and method: The consensus opinion of a group of experts in the training of residents in Family and Community Medicine was collected from 152 tutors using an online Delphi-type questionnaire. Results: The overall medians obtained in the different activities that should be developed by residents of Family and Community Medicine were individual diagnostic/therapeutic interventions: retinography 60, spirometry 40, anticoagulation 45, cryo/electrocoagulation 35, infiltrations 45, tele-dermatology 60, and others 45; women's health pregnancy 45, gynaecological ultrasound/IUD 41, cytology 32.5, family planning 19.5, and maternal education 17; lifestyle and care interventions: geriatrics 30, nursing 45, individual tobacco advice 30, group advice 15, health problems 15, and dietary advice 15; community intervention sessions with youth 15, and social risk 15; training sessions 40, continuing education 40. Conclusions: This information has defined the activity volumes that should be developed by the residents in order to acquire an adequate level of competence in the areas of individual diagnostic and therapeutic interventions, women's health, interventions to change lifestyles, community intervention, and clinical and training sessions. The consensus obtained could serve as a basis for the creation of a road map in the training of residents as a complementary tool to the Resident's Book, which is obligatory in all specialties