The SEMG presents a decalogue on family and community medicine

SEMG decalogue on the specialty of Family and Community Medicine

1. Importance of university training: The specialty of Family and Community Medicine (MFYC) should have a greater presence in university medical training to encourage their choice among future doctors. 76% of respondents chose the specialty after studying a specific subject and 89% carried out practices in a health center during the university career.
2. Variety and continuous learning: The specialty offers a great diversity of pathologies and constant learning, which makes it dynamic and enriching. Resident doctors choose it for their versatility, integral and longitudinal vision of the patient.
3. “Be at the head”: The close relationship with patients, their closeness and monitoring over time is one of the most valued aspects.
4. More teaching and training: There is a need for an increase in time for training, with a greater number of scientific sessions and more teaching during guards and hospital rotations, ensuring that they are relevant to their training.
5. Balance between primary and hospitable care in MIR training: It is suggested to avoid the ‘HospitaloCentrista’ approach of the MFYC, requesting to increase the training time in primary care and reduce time in hospital rotations.
6. High welfare load: One of the main challenges is work overload, which can affect the quality of the doctor. 96% of respondents consider that the workload during residence affects the quality of their learning. They claim the unbalance of the consultations, request a decent attention time in consultation and the end of the open agendas as primary factors to solve.
7. IMPULSE FOR RESEARCH IN PRIMARY CARE: It is essential to promote research within family medicine. More resources, incentives and recognition for the research work are needed in this area. So Only 46% of resident doctors perform during their period of some type of research work and in 50% of cases it is a mandatory work in the teaching unit to which it belongs.
8. Reinforce the role of community medicine: Family medicine should be key in the promotion of health and prevention of diseases at the community level. It is necessary to strengthen and train the doctor, and this is requested by resident doctors, in public health programs, health education and community intervention projects. Review that During MIR 54% of respondents have carried out some community project.
9. Promotion of the specialty: More diffusion is needed on the role of the family doctor to attract more vocations, highlighting its impact and versatility. In addition, it is proposed to expand the opportunities for “super” specialization within family medicine to make it more attractive.
10. Vocation and commitment: Despite the challenges, many resident doctors consider that the specialty is vocational, gratifying and essential for the health system. Being the MFYC specialty chosen as a priority option in 74% of respondents.