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      Estudio cualitativo de la opinión de los estudiantes del Grado de Medicina sobre su rotación en atención primaria Translated title: Qualitative research of the opinion of Medical Degree students on their rotation in primary care

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          Abstract

          Objetivo: Conocer la opinión de los estudiantes de medicina que han realizado su rotación por el centro de salud en los últimos años, mediante el análisis de su opinión reflejada en la memoria de la estancia práctica que elaboran al final de su rotación en tercer y sexto curso. Sujetos y métodos: Se realizó un análisis documental de la opinión expresada por los estudiantes de medicina en la memoria de estancia práctica. Se analizaron un total de 15 memorias de estudiantes del Grado de Medicina de la Universidad Complutense de Madrid que han rotado por dos consultas de un centro de salud desde el año 2011 hasta 2019. Resultados: Se han identificado seis categorías en las que se pueden agrupar las opiniones de los estudiantes de medicina sobre su rotación práctica en atención primaria: utilidad de la rotación para su formación, existencia de ideas preconcebidas sobre medicina de familia, grado de satisfacción de la rotación, duración de la rotación, aspectos positivos y negativos de la atención primaria y la medicina de familia, y relación con el tutor. Conclusiones: La opinión del estudiante del grado de medicina sobre sus rotaciones en atención primaria es muy positiva sobre la utilidad y satisfacción con las rotaciones a pesar de su corta duración y la existencia de ideas preconcebidas negativas sobre la medicina de familia y la atención primaria. La rotación ha servido para conocer los aspectos conceptuales de la atención primaria y los valores de la medicina de familia.

          Translated abstract

          Aim: To know the opinion of medical students who have performed their rotation by the health center in recent years by analyzing their opinion reflected in the report of the practical stay they perform at the end of their rotation in third and sixth grades. Subjects and methods: A documentary analysis of the opinion expressed by medical students in the practical stay report was carried out. A total of 15 reports of Universidad Complutense de Madrid Medical Degree students who have rotated by two health primary care centers from 2011 to 2019. Results: Six categories have been identified in which medical students' opinions on their practical rotation in primary care can be grouped: usefulness of rotation for their training; the existence of preconceived ideas on family medicine; the degree of rotation satisfaction; duration of rotation; positive and negative aspects of primary care and family medicine; and relationship with the tutor. Conclusion: The medical grade student's opinion of his or her rotations in primary care is very positive about the usefulness and satisfaction with rotations despite their short duration and the existence of negative preconceived ideas about the medicine of family and primary care. Rotation has served to understand the conceptual aspects of primary care and the values of family medicine.

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          Medical students’ perceptions and attitudes about family practice: a qualitative research synthesis

          Background During the last decade medical students from most Western countries have shown little interest in family practice. Understanding the factors that influence medical students to choose family medicine is crucial. Objective To systematically review and synthesize published evidence about medical students’ attitudes and perceptions towards family practice. Methods A qualitative systematic review. The literature search was undertaken in July 2010 in PubMed, EMBASE, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Social Science Citation Index (SSCI), and ProQuest Dissertations & Theses. Two authors independently selected the studies for their inclusion and assessed their quality. The selected studies were thoroughly read. Key themes and categories were identified. A matrix was created for allowing the comparison of each theme across studies. Results Ten studies were finally included. Seven broad themes were identified across them: 1) Scope and context of practice was a broad theme comprising linked sub-themes: perception of a varied specialty, broad practice, holistic perspective and flexibility that allows having a family; 2) Lower interest or intellectually less challenging: treating common disease, repetitive, quasi administrative job; 3) Influence of role models, either positive and negative, and society: negative comments from other professionals, peers and family; 4) Lower prestige; 5) Poor remuneration; 6) Medical school influences, being important both the length and quality of the exposure; 7) Post graduate training, where the shorter duration and the lower intensity were perceived as positive aspects. After identifying these seven key themes, were also looked into patterns in the distribution of these themes among studies. Conclusions Our qualitative review provides a comprehensive picture of medical students’ attitudes towards family practice in the available literature. In general, although some students find family medicine appealing, it is regarded as a career of low interest and prestige. More research is needed on the influence of role models, medical school and post graduate training.
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            Acercar la medicina de familia al estudiante: una tarea de todos

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              Los estudiantes de medicina españoles y la medicina de familia. Datos de las 2 fases de una encuesta estatal

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                Author and article information

                Journal
                fem
                FEM: Revista de la Fundación Educación Médica
                FEM (Ed. impresa)
                Fundación Educación Médica y Viguera Editores, S.L. (Barcelona, Barcelona, Spain )
                2014-9832
                2014-9840
                2020
                : 23
                : 3
                : 151-154
                Affiliations
                [3] Zaragoza orgnameHospital Universitario Miguel Servet España
                [2] Madrid orgnameServicio Madrileño de Salud orgdiv1Centro de Salud Universitario Las Calesas España
                [1] Madrid Madrid orgnameUniversidad Complutense de Madrid Spain
                Article
                S2014-98322020000300009 S2014-9832(20)02300300009
                4443aacb-3da8-4e15-9bd8-88ed5a537d59

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

                History
                : 12 February 2020
                : 04 February 2020
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 9, Pages: 4
                Product

                SciELO Spain

                Categories
                Originales

                Atención primaria,Estudiantes de medicina,Primary care,Educación médica,Medical education,Medical student

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