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Definiendo la formación del médico generalista
M L Rivo1, J W Saultz, S A Wartman
1Council on Graduate Medical Education, Rockville, MD 20857.
JAMA
|May 18, 1994
Resumen
La práctica familiar, la medicina interna y las residencias de pediatría capacitan efectivamente a los médicos de atención primaria. Las recomendaciones incluyen exigir el 90% de las competencias básicas y el 10% de continuidad de atención para la capacitación de médicos generalistas.
Área de la Ciencia:
- Educación médica y educación médica.
- Formación de Médicos de Atención Primaria para la Formación de Médicos de Atención Primaria.
- Competencias de la práctica generalista Competencias de la práctica generalista
Sus antecedentes:
- La atención primaria es esencial para manejar problemas de salud comunes.
- Es crucial evaluar la preparación del programa de residencia para la atención primaria.
- Los médicos generalistas requieren un amplio conjunto de habilidades para la atención integral del paciente.
Objetivo del estudio:
- Evaluar qué tan bien las diferentes especialidades médicas preparan a los residentes para la atención primaria.
- Proponer directrices para mejorar la formación de médicos generalistas.
Principales métodos:
- Se analizaron las principales causas de morbilidad/mortalidad y los datos de la Encuesta Nacional de Atención Médica Ambulatoria de 1991.
- Recopiló 60 componentes esenciales de capacitación para médicos generalistas.
- Evalúa los requisitos de capacitación de residencia para la práctica familiar, medicina interna, pediatría, ginecología y medicina de emergencia contra estos componentes.
Principales resultados:
- Las residencias de práctica familiar (95%), medicina interna (91%) y pediatría (91%) cubren la mayoría de los componentes de capacitación requeridos.
- Los programas de medicina de emergencia (42%) y ginecología (47%) cubren menos componentes.
- La práctica familiar, la medicina interna y los programas pediátricos hacen hincapié en las experiencias de continuidad de atención.
Conclusiones:
- La práctica familiar, la medicina interna y los programas de residencia pediátrica preparan adecuadamente a los médicos para la atención primaria.
- Las directrices recomendadas incluyen requerir el 90% de las competencias básicas y una experiencia de continuidad de atención del 10% para la capacitación de médicos generalistas.
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