Abstract:
BACKGROUND:The Spanish Family Medicine National Commission is proposing a new portfolio-type Specialist Training Book (STB). OBJECTIVE:To pilot its contents, structure, and implementation strategies. DESIGN:Cross-sectional, descriptive study. SETTING:A Provincial Family Medicine Teaching Unit. PARTICIPANTS:Twenty-eight tutors and 36 residents. METHODS:For 9 months the participants conducted a training assessment on diverse areas of competence by means of tasks at work. Tutors recorded information on the quality of reflection achieved by residents and the tasks they performed by means of the card model proposed in the STB. Residents filled in an ad hoc survey. A univariate analysis of quantitative data was conducted. RESULTS:Thirty-three surveys were received from residents; 21 tutors handed in 67 evaluation reports (average: 3 per tutor). They dealt with all the areas of competence, particularly those of communication, teaching, and ethics. Tasks most used were clinical sessions, critical incidents and video-recording. Both tutors and residents thought that the new method could be useful for reflecting on clinical practice, understanding their own areas of competence better and for strengthening the tutor-trainee relationship, especially if some suggestions to improve its practical use and reduce time and effort involved were taken into account. CONCLUSIONS:The new STB in its current version or with some modifications is a useful tool for residents' training assessment and is probably accepted well in our ambit.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
Ruiz Moral R,Aguado C,Amian M,Baena F,Bueno JM,Fernández Fernández MJ,Fernández MA,Fernández JA,Gascón S,Gavira J,González Lama J,Hidalgo A,López Casaseca C,Martínez de la Iglesia J,Merino J,Mínguez J,Muñoz M,Ortega Mildoi
10.1157/13109498subject
Has Abstractpub_date
2007-09-01 00:00:00pages
479-83issue
9eissn
0212-6567issn
1578-1275pii
13109498journal_volume
39pub_type
杂志文章abstract:OBJECTIVE:To investigate the habits and risk factors of adolescents from two Health Centres in two semi-urban populations using a structured clinical interview with open questions. DESIGN:Cross-sectional descriptive study. SETTING:Two semi-urban populations from the Malaga area. PARTICIPANTS:Adolescents aged between...
journal_title:Atencion primaria
pub_type: 杂志文章,多中心研究
doi:10.1016/j.aprim.2010.02.008
更新日期:2011-04-01 00:00:00
abstract:OBJECTIVES:Evaluate the effectiveness of the implementation of independently or combined dietary and physical activity programs on the blood glucose values and lipid profile in patients with type 2 diabetes, including participants aged 60 years and over. DESIGN:Systematic review. DATA SOURCE:PubMed/Medline database, ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2017.06.012
更新日期:2018-12-01 00:00:00
abstract:OBJECTIVE:To measure with primary data the kinds of family doctor consultations, the reasons for them and the interruptions. DESIGN:Observational, transversal, and multi-centred study. SETTING:All the health centres in Area 17 of the Community of Valencia. PARTICIPANTS:Representative sample of 2051 patients belongin...
journal_title:Atencion primaria
pub_type: 杂志文章,多中心研究
doi:10.1157/13071914
更新日期:2005-02-15 00:00:00
abstract:OBJECTIVES:To describe the qualitative-quantitative features of Primary Care prescriptions originated by specialists. DESIGN:A crossover descriptive study. SETTING:Txantrea Health Centre (Pamplona). PATIENTS AND OTHER PARTICIPANTS:All the prescriptions originated by out-clinic or hospital specialists over a two-mont...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1995-11-30 00:00:00
abstract:OBJECTIVE:To analyse the opinion and satisfaction shown by a sample of primary care (PC) doctors about the patient discharge form (PDF) and to assess proposals for improvement. Design. Descriptive study of the result of a questionnaire. SETTING:All the health districts in the city of Mataró (Barcelona).Participants. 3...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(02)79106-3
更新日期:2002-11-30 00:00:00
abstract::A sample of 360 people was analyzed. They had received the protocol of preventive activities of the "Unitat Docent de Medicina Familiar i Comunitària de Barcelona" during 1989. The results of those activities directed to the prevention of cardiovascular risk and to the detection of excessive alcohol intake are reporte...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1991-04-01 00:00:00
abstract:AIM:Description of a clinical case of enteropathic arthritis. DESIGN:Descriptive study. SITE. Health Centre. PATIENTS AND OTHER PARTICIPANTS:A clinical case is described, starting with back pain where X-rays perceive no irregularity. Later a diagnosis of Crohn's disease is made. Finally lesions characteristic of anch...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1992-01-01 00:00:00
abstract:OBJECTIVE:To evaluate diagnostic concordance in the interpretation of electrocardiograms (ECG) between general practitioners and a referral cardiologist. DESIGN:Crossover and descriptive. SETTING:Seven General Medicine consulting rooms at Burgo de Osma Health Centre. PATIENTS AND OTHER PARTICIPANTS:318 ECGs included...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1995-09-15 00:00:00
abstract:OBJECTIVE:To examine how some factors connected with Continuous Care Points (CCP) affect attendance at hospital Casualty departments and admittance from them. DESIGN:Ecological study. SETTING:León Health area. PATIENTS AND OTHER PARTICIPANTS:All the CCP's belonging to the León Health area. MEASUREMENTS AND MAIN RES...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1993-11-30 00:00:00
abstract:OBJECTIVE:To find whether the systematic investigation of the contacts of Pulmonary Tuberculosis patients is carried out. DESIGN:Crossover and descriptive. SETTING:Asturias Health Area VIII. PATIENTS AND OTHER PARTICIPANTS:We examined whether contacts of the cases of Pulmonary Tuberculosis diagnosed in our area duri...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1994-09-15 00:00:00
abstract:OBJECTIVE:To evaluate the efficacy of an educational intervention to minimise the prescription of those new medicines whose therapeutic effects are of little benefit. DESIGN:Controlled and randomised experimental study. SETTING:27 health centres in the province of Sevilla, Spain. PARTICIPANTS:376 general practitione...
journal_title:Atencion primaria
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1157/13080299
更新日期:2005-10-31 00:00:00
abstract:OBJECTIVE:To determine the pap smear adequacy, and to compare the quality using cervical cytobrush with that obtain by using cotton swab in the endocervical sample. DESIGN:Transversal study. Carried out in two periods both pre and post intervention. SETTING:Primary care centre in the south of Madrid. INTERVENTION:We...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(00)78604-5
更新日期:2000-06-15 00:00:00
abstract:OBJECTIVES:To detect in young people requesting Primary Care treatment the presence of hidden health problems common to this age-group and to evaluate the factors which may affect their being rarely mentioned. DESIGN:Descriptive study. PARTICIPANTS:Young people between 14 and 19 who attended two clinics at the Pola d...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1995-12-01 00:00:00
abstract:OBJECTIVE:To discover the evolvement of Primary Care doctors' tobacco consumption in Guipuzcoa and their attitudes to tobacco dependency. DESIGN:A descriptive study of a crossover type. October 1992. SETTING:Primary Health care. PARTICIPANTS:381 general physicians and paediatricians from Guipuzcoa province. MEASURE...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1994-11-30 00:00:00
abstract:OBJECTIVE:To describe the adverse drug events (ADEs) reported by doctors of a primary health care centre in the patient's medical record. DESIGN:A retrospective, descriptive study. SETTING:Burriana Health Centre (Castellón), Spain. PARTICIPANTS:All patients over 75 with a clinical history held on paper at the health...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1157/13116153
更新日期:2008-02-01 00:00:00
abstract::Eight cases of monoclonal gammapathy of uncertain significance are reported. They were detected from routine analysis in patients from the general population who consulted for several diseases to a primary care center. One patient developed multiple myeloma and the rest remained stable. As there is no effective method...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1990-01-01 00:00:00
abstract:OBJECTIVE:To evaluate the efficacy of a training technique to improve clinical interview skills connected with Primary Care doctors' psycho-diagnostic ability: visual contact, posture, verbal and non-verbal ways of advancing the interview, verbal interruptions and questions with a psychological content. DESIGN:The doc...
journal_title:Atencion primaria
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:1998-02-28 00:00:00
abstract:OBJECTIVES:To find the views of family doctors (FD) on care demand, its conditioning factors, its repercussions and possible rationalizing measures, and to relate these to personal and professional characteristics. DESIGN:A descriptive crossover study. SETTING:Primary care. PARTICIPANTS:140 of 262 FD from Health Cen...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1997-06-15 00:00:00
abstract:OBJECTIVE:To quantify and describe consultations carried out with third parties in General Medicine. DESIGN:Prospective and descriptive study. SETTING:Three General Medical consulting rooms in INSALUD's Health Area IV, Madrid. PARTICIPANTS:All those consultations carried out with third parties from 15 February 1993 ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1994-05-31 00:00:00
abstract:OBJECTIVE:To find the sociodemographic and family characteristics of our Health Centre's over-user, along with the connection between psychological malaise, family dysfunction and greater or lesser attendance. DESIGN:We carried out a descriptive crossover study, after a prior simple random sampling. SETTING:La Felgue...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1996-02-15 00:00:00
abstract:OBJECTIVE:To determine the validity of the Centor score (cervical adenopathy, tonsillar exudate, fever, and absence of catarrh symptoms) in diagnosing streptococcal pharyngitis (gold standard: throat swab). DESIGN:Descriptive study. SETTING:San Fernando 2 Health Centre, Madrid (outer urban area), Spain. PARTICIPANTS...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1157/13107724
更新日期:2007-07-01 00:00:00
abstract:OBJECTIVE:To identify health professionals concerns on the organisational issues of a randomised clinical trial. DESIGN:A qualitative cross-sectional, descriptive study. SETTING:Primary Care Area 11, Madrid, Spain. PARTICIPANTS:Twenty-four doctors and nurses from 4 primary care teams. METHOD:Three planning meetings...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(06)70527-3
更新日期:2006-10-31 00:00:00
abstract:OBJECTIVES:Development and training of a neurone network that enables the patients who attend the clinic with symptoms of dyspepsia to be classified into two groups: those who very probably have peptic ulcer disease or gastro-oesophageal reflux (GOR) and those more likely to have functional or idiopathic dyspepsia. Res...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:2002-06-30 00:00:00
abstract:OBJETIVE:To assess the prevalence and risk factors associated with diabetic retinopathy (DR) in Cantabria. DESIGN:ross-sectional population based study. LOCATION:Health center of Cantabria. PARTICIANTS:A random sample of 442 patients with type 2 diabetes. MAIN MEASUREMENTS:Non-mydiatric retinography, classifying th...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2018.10.001
更新日期:2020-01-01 00:00:00
abstract:OBJECTIVES:The main objective was to evaluate the use of two diagnostic instruments for mental disorders in primary care (PC): the PRIME-MD and the Goldberg anxiety and depression scales. Second, to determine the concordance between the two tests and evaluate the quality of psychiatric diagnosis records in the clinical...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1999-03-31 00:00:00
abstract:OBJECTIVES:To describe referrals from primary care (PC) to mental health (MH) and to study the diagnostic and therapeutic concordance between the two. DESIGN:Retrospective, descriptive study. SETTING:Gavà II Primary Care Centre, Barcelona.Participants. All patients referred to MH in 1998, 1999 and 2000 (n=380). MAIN...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(03)70782-3
更新日期:2003-11-30 00:00:00
abstract:OBJECTIVE:To evaluate the impact of joining a home care program on primary caregivers of dependent elderly people. DESIGN:Non-randomised "before-after" intervention study. SETTING:Primary Care. PARTICIPANTS:Primary carers of elderly dependent people included in a home care program (n=156; 7.8% loss to follow up). I...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2010.09.011
更新日期:2011-09-01 00:00:00
abstract:OBJECTIVE:To assess heart failure prevalence, epidemiology, co-morbidities and polypharmacy in our region from electronic patient records. To evaluate gender differences in heart failure patients. DESIGN:Descriptive, cross-sectional study. SETTING:Primary care Lleida (Spain). PARTICIPANTS:All patients from 21 primar...
journal_title:Atencion primaria
pub_type: 杂志文章,多中心研究
doi:10.1016/j.aprim.2010.03.021
更新日期:2011-02-01 00:00:00
abstract:OBJECTIVE:To know the health professional profile in the province of Lleida with regard to health education. DESIGN:Observational transversal study. SETTING:All the medicine, nursery and social work colleges in the province of Lleida (3060). PARTICIPANTS:Bachelors in medicine (208), graduates in nursery (252), gradu...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1999-07-01 00:00:00
abstract:OBJECTIVES:To find the factors linked to erectile dysfunction, to evaluate this as a possible marker of health status, to analyse the evolution of clinical parameters of associated illnesses and the response to Viagra.Design. Intervention study without a control. SETTING:Alguazas Health Centre (Murcia). PARTICIPANTS:...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(02)79030-6
更新日期:2002-09-30 00:00:00