Training Rural Family Medicine : The Experience in Catalonia

Juan Mendive (1) ,Sandra Audi (1) ,Jaume Banqué (2) Jordi Casanovas (3), Miguel A.Mercader (4), Luis Balagué (4) Carme Cases (4) , Eva Cruzado (5) , Josep Otal (6), Rosa Subirats(7)

1- MD. Family Medicine EAP. La Mina . Institut Català de la Salut.(ICS) Barcelona .. -2- MD. Family Medicine. CAP Xerta (ICS) ABS Tortosa Oest – semFYC and Camfic Rural Working Groups (SRWG – CRWG)

3- MD. Family Medicine. EAP Vic – El Remei, ABS Vic Sud. Regio sanitaria Centre. Barcelona – CR WG 4- MD. Family Medicine. ICS. ABS Anoia Rural. CRWG. 5- MD. Family Medicine. Espitau Val D’Aran. CRWG

6. MD. Family Medicine. ICS. ABS LLeida Rural. CRWG 7. MD. Family Medicine . ICS. CAP Falset. Priorat CRWG

1.Spain owns one of the most comprehensive Family Medicine Training Programmes in Europ. At its last update (2005) and for the first time, a compulsory Rural Medicine Training Period of three months was included on it. Training of Family Medicine Programme in English is available at www.semfyc.es

An study carried out in 2008 by the Catalan Rural Working Group (CRWG) of the Catalan Association of Family Medicine (CAMFiC) has tried to know the exact knowledge of the situation of rural training all around Catalonia, based on a specific questionnaire sent to all Training Units of Family Medicine.

Important results from this study show:47/50: Rural Training is useful. 28/50: It is ok to be compulsory . Why not: Residents to decide/ Dificult to organise in small areas. Difficulty if not motivation Duration of 2-3 months most agree &residents mostly agree ( see both cakes)

48/50: Better for resident to do it than not to do it, Why yes: New visions. Better communication skils, Different concept health /illness. To cope far from hospital.

More community implication

2. Trainees from multiple Teaching Centres in Spain have produced an observational study assessing the implementation and satisfaction of the Rural Training Period in Spain (2008).

As a conclusions, they enhance a good/very good satisfaction for practising in rural areas (316/400) and some difficulties in attending this rural time (lake of official responsible and extra expenses for the transport to the rural centres ). More information in: http://www.slideshare.net/grupruralcamfic/rotacion-rural-susana-valiente-istambul-woncaeurope-2008

84

143

64

171

131

214

69

0

50

100

150

200

250

consultoris

consultoris rurals

Alt Pirineu

Catalunya Central

Terres de l'Ebre

Lleida

Camp de Tarragona

Girona

Barcelona

Background:

Catalan study about training in rural settings

Total 876 rural health settings

More information camfic rural working group: http://www.slideshare.net/grupruralcamfic medicinadefamiliarural@yahoogroups.com

12

3

20

15

1 mes2 mesos3 mesos6 mesos

11

15

24

SINONC