OBJECTIVE: To determine the level of preventive activities carried out by Family and Community Medicine medical residents during their stay in the Health Centre, as well as to estimate the time involved in carrying them out. DESIGN: Cross-sectional, descriptive, observational study. SETTING: Teaching Health Centres in the Central- Cordoba and Guadalquivir Primary Care Districts. PARTICIPANTS: Forty medical residents and 384 clinical interviews with patients who were seen at the clinic. MAIN MEASUREMENTS: The consultations were video recorded and looked at by three medical residents who recorded the preventive activities carried out according to the 2005 PAPPS (Health Promotion and Disease Prevention Activities) recommendations, as well as the time employed in performing these activities. RESULTS: No preventive activities were performed in 72.1% (95% CI: 67.6 to 76.5%) of the consultations. The most frequent activities were secondary prevention (70.1%), mainly the taking of blood pressure (8.1%). The mean consultation time when there were no preventive activities carried out was 5.6 min (SD=3.1), whilst in those that did perform them it was 7.04 min (SD=3.05) (P<0.0001). CONCLUSIONS: The performing of preventive activities by medical residents in Primary Care clinics is very limited. A consultation that includes preventive activities requires a significantly longer time than in those that do not include them.
OBJECTIVE: To determine the level of preventive activities carried out by Family and Community Medicine medical residents during their stay in the Health Centre, as well as to estimate the time involved in carrying them out. DESIGN: Cross-sectional, descriptive, observational study. SETTING: Teaching Health Centres in the Central- Cordoba and Guadalquivir Primary Care Districts. PARTICIPANTS: Forty medical residents and 384 clinical interviews with patients who were seen at the clinic. MAIN MEASUREMENTS: The consultations were video recorded and looked at by three medical residents who recorded the preventive activities carried out according to the 2005 PAPPS (Health Promotion and Disease Prevention Activities) recommendations, as well as the time employed in performing these activities. RESULTS: No preventive activities were performed in 72.1% (95% CI: 67.6 to 76.5%) of the consultations. The most frequent activities were secondary prevention (70.1%), mainly the taking of blood pressure (8.1%). The mean consultation time when there were no preventive activities carried out was 5.6 min (SD=3.1), whilst in those that did perform them it was 7.04 min (SD=3.05) (P<0.0001). CONCLUSIONS: The performing of preventive activities by medical residents in Primary Care clinics is very limited. A consultation that includes preventive activities requires a significantly longer time than in those that do not include them.
Authors: Toni Suzuki Laidlaw; David M Kaufman; Heather MacLeod; Sander van Zanten; David Simpson; William Wrixon Journal: Med Educ Date: 2006-01 Impact factor: 6.251
Authors: L Salleras; A Martín Zurro; J M Bertrán; J M Gené; D Forés; J L Taberner; G Tarín; J Ribot Journal: Med Clin (Barc) Date: 1994 Impact factor: 1.725
Authors: María de la Villa Juárez-Jiménez; Alejandro Pérez-Milena; Francisco Javier Valverde-Bolívar; Carmen Rosa-Garrido Journal: Aten Primaria Date: 2015-02-20 Impact factor: 1.137