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AULA DOCENTE Mesa 2: La rotación en medicina rural Dra. Raquel Gómez Bravo Vocal JMF SoMaMFyC Miembro VdGM Recruitment
La rotación en Medicina Rural…  ¿Existe?  ¿Vale la pena? Programa formativo de la especialidad de Medicina Familiar y Comunitaria. Enero 2005.  Depende. . .
“ El médico rural es un hombre afortunado…”
La experiencia nos condiciona… ,[object Object],[object Object],[object Object]
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[object Object],http://www.vdgm.eu/
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[object Object],[object Object],[object Object],[object Object],[object Object],TOPICS:
RURAL MEDICINE ,[object Object],[object Object],[object Object],[object Object]
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“ OVERCOMING TRAINING BARRIERS IN  PRIMARY CARE – RURAL TRAINING ” EURIPA AND VASCO DA GAMA MOVEMENT JOINT WORSHOP Dr. Raquel Gómez Bravo ( Vasco da Gama Movement – Semfyc.  Spain  )
Fernidando Petrazzuoli (EURACT)  John Wynn Jones (EURIPA) Jaume Banque Vidiella (EURIPA) Raquel Gómez Bravo (VdGM) We put forward the experience of working in rural areas from different points of view: learning, teaching, feeling, working and dreaming.  WONCA EUROPE 2008, ISTANBUL
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Spain has one of the oldest  GP programmes in Europe...
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It depends on the Docent Units…
SHIFT HOURS DISTRIBUTION DURING GP TRAINING IN DIFFERENT EMERGENCY DEPARTMENTS PM /  RURAL HOSPITAL EMERGENCY PAEDIATRICS GYNAECOLOGY TRAUMATOLOGY MED-SURGICAL HOSPITAL EMERGENCY TOTAL R1 25% 75% 100% R2 / R3 25% 37,5% 12,5% 4,5% 12,5% 8% 100% R4 75% 12,5% 12,5% 100%
Rural Medicine during the postgraduate  training period in our country (Spain) Valiente Hernández, S. et al. Aim:  To asses the implementation of the RMPP (three-month-compulsory-stage on a national basis since 2005) and the degree of internal doctors (ID) satisfation. Aim:  To asses the implementation of the RMPP (three-month-compulsory-stage on a national basis since 2005) and the degree of internal doctors (ID) satisfation. Methods:  Transverse, observational study carried out in a four-month-period in 2008. Subjects of study:  154 central training units  (CTU). Information sources: CTU and ID through the email surveys, supported by telephone calls and interviews. Variables: RMPP implementation (duration, training year, distance between health centre and hospitals, number of visits per day, infrastructure problems) and degree of ID satisfation.
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],CCAA: CTU: VARIABLES  IMPLEMENTATION TIME OF RURAL PRACTICAL ATTENDED VISITS/DAY RATE OF INTERNAL DOCTORS SATISFATION INCONVENIENTS
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[object Object],[object Object],[object Object],RECRUITMENT
A NEW GUIDELINES FOR GP RURAL TRAINING PROGRAM THROUGH THE DIFFERENCES BEETWEEN EUROPEAN COUNTRIES
METHODS:  Through a cross-sectional study, we compare the structure and quality of the GP vocational training schemes in the rural areas among VdGM countries.    ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],Lionis C, Wynn-Jones J. Establishing academic rural practice: a future and challenging target. Rural and Remote Health 7 (online), 2007: 727. Available from:  http://www.rrh.org.au
Sent by email to VdGM_Forum
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[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],RURAL ROTATION COMPULSORY / ELECTIVE ,[object Object],?
? -  Training for emergencies, chronic disease management with limited human and material resources, cardiovascular and skill disease, mother and child health, contraception, vaccination programmes, obstetrics problems, home care for elderlies, minor surgery, palliative care, poisonings - Become conscious about oneself - Difficult communication between hospital and GPs - Isolation, less social life, more distances, difficult access… - More heavy, technology and financial problems,working longer… - Lacks of…  ,[object Object],[object Object]
RESULTS:   The evaluation has registered vast differences whithin compulsory GP programmes but the same needs in each country.
> 50% ? CONCLUSIONS:  GP Education must include a special practice training based in rural settings, because remote medicine is another way to feel what kind of doctor you are!
 
 
[object Object],CENTRO  DE SALUD / ATENCIÓN PRIMARIA HOSPITAL: ROTACIONES / GUARDIAS SAR, ROTACIÓN RURAL, GUARDIAS ROTACIONES EXTERNAS OTROS
 
MANZANARES EL REAL (MADRID)
SOTO DEL REAL (MADRID)
LA CABRERA (MADRID)
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BUITRAGO DE LOZOYA, GARGANTA DE LOS MONTES, CANENCIA DE LA SIERRA Y EL CUADRÓN  (MADRID) 80 Km
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¡GRACIAS POR VUESTRA ATENCIÓN! [email_address]

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La rotación en Medicina Rural. ¿Existe? ¿Vale la pena?

  • 1. AULA DOCENTE Mesa 2: La rotación en medicina rural Dra. Raquel Gómez Bravo Vocal JMF SoMaMFyC Miembro VdGM Recruitment
  • 2. La rotación en Medicina Rural… ¿Existe? ¿Vale la pena? Programa formativo de la especialidad de Medicina Familiar y Comunitaria. Enero 2005. Depende. . .
  • 3. “ El médico rural es un hombre afortunado…”
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  • 14. “ OVERCOMING TRAINING BARRIERS IN PRIMARY CARE – RURAL TRAINING ” EURIPA AND VASCO DA GAMA MOVEMENT JOINT WORSHOP Dr. Raquel Gómez Bravo ( Vasco da Gama Movement – Semfyc. Spain )
  • 15. Fernidando Petrazzuoli (EURACT) John Wynn Jones (EURIPA) Jaume Banque Vidiella (EURIPA) Raquel Gómez Bravo (VdGM) We put forward the experience of working in rural areas from different points of view: learning, teaching, feeling, working and dreaming.  WONCA EUROPE 2008, ISTANBUL
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  • 18. It depends on the Docent Units…
  • 19. SHIFT HOURS DISTRIBUTION DURING GP TRAINING IN DIFFERENT EMERGENCY DEPARTMENTS PM / RURAL HOSPITAL EMERGENCY PAEDIATRICS GYNAECOLOGY TRAUMATOLOGY MED-SURGICAL HOSPITAL EMERGENCY TOTAL R1 25% 75% 100% R2 / R3 25% 37,5% 12,5% 4,5% 12,5% 8% 100% R4 75% 12,5% 12,5% 100%
  • 20. Rural Medicine during the postgraduate training period in our country (Spain) Valiente Hernández, S. et al. Aim: To asses the implementation of the RMPP (three-month-compulsory-stage on a national basis since 2005) and the degree of internal doctors (ID) satisfation. Aim: To asses the implementation of the RMPP (three-month-compulsory-stage on a national basis since 2005) and the degree of internal doctors (ID) satisfation. Methods: Transverse, observational study carried out in a four-month-period in 2008. Subjects of study: 154 central training units (CTU). Information sources: CTU and ID through the email surveys, supported by telephone calls and interviews. Variables: RMPP implementation (duration, training year, distance between health centre and hospitals, number of visits per day, infrastructure problems) and degree of ID satisfation.
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  • 25. A NEW GUIDELINES FOR GP RURAL TRAINING PROGRAM THROUGH THE DIFFERENCES BEETWEEN EUROPEAN COUNTRIES
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  • 28. Sent by email to VdGM_Forum
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  • 32. RESULTS: The evaluation has registered vast differences whithin compulsory GP programmes but the same needs in each country.
  • 33. > 50% ? CONCLUSIONS: GP Education must include a special practice training based in rural settings, because remote medicine is another way to feel what kind of doctor you are!
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  • 38. MANZANARES EL REAL (MADRID)
  • 39. SOTO DEL REAL (MADRID)
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  • 42. BUITRAGO DE LOZOYA, GARGANTA DE LOS MONTES, CANENCIA DE LA SIERRA Y EL CUADRÓN (MADRID) 80 Km
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  • 48. ¡GRACIAS POR VUESTRA ATENCIÓN! [email_address]