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      Medicina Familiar y Comunitaria. Profesionales polivalentes Translated title: Family and Community Medicine. Versatile professionals

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          Abstract

          RESUMEN Una de las competencias en la Medicina Familiar y Comunitaria es la atención a la patología urgente, ya sea en el ámbito hospitalario o extrahospitalario. El programa de la especialidad así lo recoge y la formación de los profesionales de Medicina Familiar y Comunitaria se establece de forma muy polivalente y capacita para la atención en todas las etapas de la vida. Es muy relevante la necesidad de formación cualificada y polivalente en el ámbito rural por la intensa variabilidad de situaciones que hay que resolver. Para analizar esa polivalencia en el ámbito de la Atención Primaria frente a la urgencia, se diseñó un cuestionario, que se difundió entre nuestros socios y socias a través de internet, mediante el que se pretendía recoger las diferencias y las oportunidades de mejora para las/los profesionales. La encuesta de este estudio transversal se difundió a través de las sociedades federadas de la Sociedad Española de Medicina Familiar y Comunitaria (semFYC) y se obtuvieron datos del 88% del territorio. Aunque la muestra evaluada es pequeña, se concluye que el 92% cree que es positivo poder trabajar en ambos ámbitos, ya que aporta seguridad y mejor manejo del paciente más allá del entorno donde se desarrolle la atención.

          Translated abstract

          ABSTRACT One of the skills in family and community medicine is care of emergency pathology, whether in the hospital or out-of-hospital setting. The specialty programme includes this and family and community medicine professional training is set out in a very versatile way and enables care at all stages of life. The need for qualified and versatile training in rural areas is especially relevant due to the intense variability of situations to be tackled. To analyze this versatility in the field of primary versus emergency care, an online questionnaire was devised to be disseminated among our members over the Internet. By means of this questionnaire it was intended to collate the differences and opportunities for professional improvement. The survey of this cross-sectional study was disseminated by means of the Federated Societies of the Spanish Society of Family and Community Medicine and data were obtained from 88% of Spain. Although the sample evaluated is small, it is concluded that 92% believe that it is positive to be able to work in both areas, since it provides security and better management of the patient beyond the setting where she was treated.

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          The Impact of Sleep and Circadian Disorders on Physician Burnout

          Nearly 50% of physicians report symptoms of clinical burnout. Occupational factors and personal health play substantial roles in physician burnout. The role of sleep in physician burnout is not well understood. Burnout is at epidemic levels in health care, with research suggesting nearly one in two physicians experience clinical burnout as defined according to the Maslach Burnout Index. Sleep deprivation, burnout, and clinician health are intricately intertwined. The relation between sleep deprivation and burnout is not only suggested in hypothetical models but also confirmed in observational studies of workers of all types. Models describing the relation between burnout and sleep suggest as potential causative mechanisms of sleep disturbances the following: (1) a chronic depletion of energy stores; or (2) activation of the hypothalamic-pituitary-adrenal axis and increasing levels of bodily stress. Sleep deprivation and burnout are widespread in health-care workers, affecting not only nurses but also medical students, physicians-in-training, and practicing physicians. Although sleep deprivation is associated with clinical burnout, direct studies showing that sleep extension can improve burnout recovery are lacking. Early detection and early intervention to improve both sleep deprivation and burnout are warranted in health-care professionals. Interventions should be directed not only at individuals but also at the entire health system. This review highlights the latest developments and emerging concepts concerning the role of sleep and circadian disorders in physician burnout.
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            Burnout Syndrome among Emergency Department Staff: Prevalence and Associated Factors

            Objectives Emergency department (ED) professionals are exposed to burnout syndrome due to excessive workload and high demands for care. The objective of our study was to assess the prevalence burnout among all ED staff and to determine associated factors. Methods A cross-sectional survey was conducted in 3 EDs. The data were collected using a standardized questionnaire. It included demographical and occupational data, general health questions, burnout level (Maslach Burnout Inventory), job strain (Karasek), and quality of life (Medical Outcome Study Short Form). Results Of the 529 professionals working in EDs, 379 responses were collected (participation rate of 71.6%). Emotional exhaustion (EE) and depersonalization (DP), the major components of burnout, were reported, respectively, by 15.8% and 29.6% of the professionals. Burnout prevalence was 34.6%, defined as a severely abnormal level of either EE or DP. The medical category was significantly more affected by the burnout compared with their colleagues: nearly one ED physician out of two had a burnout (50.7%). In the multivariate analysis of covariance, job strain and a low mental component score were the two main factors independently associated with burnout (p < 0.05). Conclusion The results of our study show that ED professionals are a vulnerable group. Preventive approaches to stress and burnout are needed to promote quality of work life.
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              Burnout in emergency medicine physicians: a meta-analysis and systematic review

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                Author and article information

                Journal
                albacete
                Revista Clínica de Medicina de Familia
                Rev Clin Med Fam
                Sociedad Española de Medicina de Familia y Comunitaria (Barcelona, Cataluña, Spain )
                1699-695X
                2386-8201
                2023
                : 16
                : 3
                : 280-285
                Affiliations
                [2] Huelva orgnameÁrea de Gestión Sanitaria Norte de Huelva orgdiv1Hospital de Riotinto orgdiv2Servicio de Urgencias España
                [4] Oviedo Asturias orgnameHospital Universitario Central de Asturias orgdiv1Servicio de Urgencias España
                [6] La Rioja orgnameCentro de Salud Nájera orgdiv1Consultorio Hormilla-Hormilleja España
                [7] Barcelona orgnameCAP Larrard (Parc Sanitari Pere Virgili) España
                [1] orgnamesemFYC orgdiv1Grupo de Trabajo de Urgencias y Atención Continuada
                [3] Las Palmas de Gran Canaria Las Palmas orgnameHospital Insular de Gran Canaria orgdiv1Servicio de Urgencias España
                [5] Madrid orgnameCentro de Salud Las Calesas España
                Article
                S1699-695X2023000300007 S1699-695X(23)01600300007
                10.55783/rcmf.160307
                21d7fe25-1c23-496c-8fd8-4cc25fc0c6ba

                This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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                Figures: 0, Tables: 0, Equations: 0, References: 11, Pages: 6
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