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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  )
SPAIN
Spain has one of the oldest GP programmes in Europe... ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],TIME LINE
[object Object],[object Object],TIME LINE “ Defines the Spanish NHS, created from the social security (SS) health services and which during the 20th century constantly  widened its coverage and services, as the ensemble of “all structures and public services at the service of health”, and “the combination of state administration and autonomous communities health services”
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],TIME LINE
[object Object],[object Object],[object Object],[object Object],[object Object],TIME LINE
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],GPs in Spain...
GP Residency Training Programme (2005)
GP Residency  Training Programme
GP Residency  Training Programme It depends on the Docent Units…
GP Residency  Training Programme ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],Common :  - Self learning,  - classes,  - workshops,  - teamwork…
SHIFT HOURS DISTRIBUTION DURING GP TRAINING IN DIFFERENT EMERGENCY DEPARTMENTS 100% 12,5% 12,5% 75% R4 100% 8% 12,5% 4,5% 12,5% 37,5% 25% R2 / R3 100% 75% 25% R1 TOTAL HOSPITAL EMERGENCY MED-SURGICAL TRAUMATOLOGY GYNAECOLOGY PAEDIATRICS HOSPITAL EMERGENCY PM /  RURAL
EVALUATION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Marks: 0-3 points Annual
PRIORITY and RESPONSABILITY LEVELS
PRIMARY CARE RURAL TRAINING in SPAIN
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],BARRIERS IN RURAL GENERAL PRACTICE
SOTO DEL REAL (MADRID)
[object Object],[object Object],SOTO DEL REAL (MADRID)
Very good: 155/400. Good: 161/400. Bad: 80/400. Very bad: 4/400. Rural Medicine  during  the postgraduate  training period  in our country (Spain) Rate of participation Rate of ID satisfation Valiente Hernández, S. et al. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MANZANARES EL REAL (MADRID)
  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
    LA CABRERA (MADRID)
    ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],GP TRAINEES / TRAINER
    CARDONA Montmaneu Cataluña
    ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
    At hospital,  You have everything… Specialist, training and support, staff,  adequate computer system  and internet access, friends… Different sort of medicine No possibility of  continuity of care in the community, chronic disease management, dermatological conditions, minor surgery...   Consultation just for one  person not the whole family But…
    We consider being rural GP  as a career possibility...
Thanks for  your attention! It was a pleasure! Please don’t hesitate in contacting me! [email_address]

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Pc Rural Training

  • 1. “ 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 )
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  • 9. GP Residency Training Programme (2005)
  • 10. GP Residency Training Programme
  • 11. GP Residency Training Programme It depends on the Docent Units…
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  • 16. SHIFT HOURS DISTRIBUTION DURING GP TRAINING IN DIFFERENT EMERGENCY DEPARTMENTS 100% 12,5% 12,5% 75% R4 100% 8% 12,5% 4,5% 12,5% 37,5% 25% R2 / R3 100% 75% 25% R1 TOTAL HOSPITAL EMERGENCY MED-SURGICAL TRAUMATOLOGY GYNAECOLOGY PAEDIATRICS HOSPITAL EMERGENCY PM / RURAL
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  • 19. PRIMARY CARE RURAL TRAINING in SPAIN
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  • 21. SOTO DEL REAL (MADRID)
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  • 24. MANZANARES EL REAL (MADRID)
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  • 26.     LA CABRERA (MADRID)
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  • 28.     CARDONA Montmaneu Cataluña
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  • 32.     At hospital, You have everything… Specialist, training and support, staff, adequate computer system and internet access, friends… Different sort of medicine No possibility of continuity of care in the community, chronic disease management, dermatological conditions, minor surgery... Consultation just for one person not the whole family But…
  • 33.     We consider being rural GP as a career possibility...
  • 34. Thanks for your attention! It was a pleasure! Please don’t hesitate in contacting me! [email_address]