|
The Hippokrates Programme in Spain
Why in Spain?
Spain has one of the oldest GP programmes in Europe and has come
through important developments in Family Medicine in the last few years.
Spanish is a worldwide spread language that attracts many people to get
to know it. Furthermore, Spanish people and our outgoing culture pull
toward millions of tourists to visit our country.
How is Family Medicine Training in Spain?
Since 1978 until 2005 it was a three years vocational
postgraduate training programme. It is compulsory in Spain to work as a
GP in the public system (after the EU Directive from 1995). From 2005 it
became a four years programme, with the advantages that this has. The
fourth year fully takes place in a teaching surgery under the
supervision of an accredited tutor.
The teaching in GP in Spain is based on what we call Docent Units,
everyone with its own coordinator, which controls and supervises the
resident's learning and skills, also reviewing the quality of teaching
of every tutor in the Unit. The Units not only run the resident's
education, but also the sanitary personnel that work in its area of
Health, by offering courses, giving advice on research, etc.
Except for some few universities in Spain, Family Medicine is not very
much integrated in the pregraduation curricula, so in general there is
not much involvement of GPs at University teaching. We are improving in
this matter though.
How is the Health System in Spain?
IIt is a public universal system with open access to almost all
of the services. It is also based on the idea of Primary Care Services
acting on a gate-keeping role.
The population receives all services with "no money in the middle", as
all services are covered through national central taxes paid from
workers on their wages and pensions.
How to run the Hippokrates programme in Spain?
The idea is to have the visitors in some of the excellent health
centres in many places, including Barcelona, where the central office of
the Spanish Society of Family and Community Medicine (SemFYC- member of
WONCA) is established. SemFYC has the leadership in Spain in all issues
related to research and CME activities for family physicians and
residents. SemFYC runs every year the largest GP Conference in Europe
with some 4500 delegates.
Country coordinator for Spain:
Dr. Dolors Forés, member of Euract and Family physician,
Barcelona.
E-mail: dfores.cp.ics@gencat.net
Asturias coordinator (from VdGM Spain):
Dr. María Solís, Young doctor and Family physician, Asturias.
E-mail: mariasolis@hotmail.com
Madrid coordinator (from VdGM Spain):
Dr. Sara del Olmo, Resident of 3rd year in Family Medicine, Madrid.
E-mail: saradelof@hotmail.com
Catalunya coordinator:
Dr. Fina Tomas, Family physician, Barcelona.
E-mail: fina@moustyy.com
Spain - HOST PRACTICE
CAP La Marina
C/ Amnistia Internacional, 8
08038 BARCELONA
Tel. +34 93 298 88 50
Fax +34 93 298 88
51
Introduction, Location
Our Primary Health Care Centre, (Centre d’Atenció
Primària- CAP) La Marina, is placed at one of the outskirt districts of
Barcelona just a few minutes from the Olympic area with the Montjuïc mountain,
situated at east, Gran via de les Corts Catalanes at north and the coast to the
west.
How to arrive? It
has an easy access by public bus (no. 9, 37, 79,109, from Plaça Espanya metro
station) or Magòria station by FGC (Ferrocarrils de la Generalitat de Catalunya)
from Plaça Espanya also. By train it is possible to arrive to Sants station and
then take bus number 109.In the future (2008?) by Line number 9 of metro.
Our population is mainly medium-low income social class. Industrial estates have
been replaced by more than 10.000 new apartments, in such a way that it has been
an important influx of patients to the health centre. The population in the area
mainly speak Spanish more than Catalan, and in the last years the immigrant
population has increased, especially from Morocco and South America.
We have no local
hospitals nearby resulting in an increasing workload.
Work force, Activities (teaching and research)
In our centre there are two working turns: morning (8am- 3pm) and
afternoon (2pm-8 pm). There are: 12 family physicians, 4 paediatricians, 1
dentist and 14 nurses (8 paediatrics nurses) and 2 nurses assistant. There are
also 10 administrative staff and a social worker. Others specialists work some
days in the centre: rheumatologist, endocrinologist, neurologist, psychiatrist,
psychologist, pulmonologist and cardiologist. Some complementary medical tests
are performed in our centre: spirometry, doppler ultrasound, blood test,
electrocardiogram, pulse oxymetry.
Our CAP La Marina
has been accredited as a teaching centre since 1996, we have had more than 60
family doctors in training, and train 11 medical students and 26 nurse students
every year. We have a professor from the University of Barcelona and we give
doctors everything they need to do the doctoral thesis.
There’s a big
research activity in the centre and it is one of the centres with most
scientific production of Barcelona and Catalonia. There are solid lines of
research: cardiovascular risk, Diabetes mellitus, Helicobacter pylori
infections, mental disorders, on which we have received several awards and
produced lots of publications. We also do community activities on health–related
issues.
Two clinical
meetings are taking place daily, early in the morning and late in the evening. A
third session at 2 pm is shared by both turns. Different related medical
sessions are programmed .We have a very friendly and familiar atmosphere among
all professionals.
Most of GPs would be very open to the possibility of a foreign colleague to
visit us in our practices. Most of GPs have knowledge of written English
although only some can speak it. It is therefore desirable that our visitors can
speak Spanish or French (second language of most GPs in our centre).
It would also be
desirable if the visit would not be around Christmas time or during the summer
period avoiding GPs holiday terms.
We will try to facilitate accommodation at a cheap rate and perhaps in some
periods particular accommodation might be possible.
The current centre coordinator is Dr. R. Hernandez and the current teaching
coordinator Dr. JM Baena (jmbaena.pbcn@ics.scs.es).
You can always
contact me for whatever issue related to the ongoing of this program.
Dr. Fina Tomàs
fina@moustyy.com
ftomas@osona.scs.es
CAP LAS VEGAS
C/ Rubén Darío sn
Las Vegas-Corvera- Asturias
Tel:
+985515140 or +985579362
INTRODUCTION
First of all we would like to welcome you to the
Hippokrates Program in Spain.
The Las Vegas
Primary Health Care Centre is located at the outskirst of Avilés, the third most
important city in Asturias.
The age of
the population in this area includes both young couples starting their lives and
elderly people. Most of people have a low-medium income and work in the nearby
factories and others in agriculture.
This area is
a quiet half urban-half rural neighbourhood and is well connected to the city
centre by bus and also by train.
ACTIVITIES
Our working day goes from 8am until 3pm from
Monday to Friday and we both do consultations in the centre and home visits. The
Health Centre continues open until 10pm on working days and also during the
weekends to attend emergencies.
The Health
Centre staff includes 6 family physicians, 2 paediatricians, 1 dentist, 8
nurses, 3 nurses assistants, 1 physiotherapist, 1 midwife, 1 social worker, 5
administratives and 1 attendant. This multidisciplinary team allows us to attend
many different aspects of the Primary Health Care. The Centre is equipped with
several basic tools such as blood and urine tests, electrocardiogram, spirometry,
pulse oxymetry, doppler ultrasound, Wood lamp, etc.
Two clinical
meetings are held every Wednesday and Friday morning to discuss medical
protocols, clinical cases and bibliographic reviews.
Our Centre
was accredited as a training centre for Family Phisician residents in 1998. Ever
since then we have been training two or three residents each year and according
to the final opinion questionary they are very satisfied with the Centre
training skills.
In order to
offer you the best attention we would prefer having only one visitor at a time.
We would be delighted to show you our daily routine and our multidisciplinary
work. We would also do our best to help you find accommodation either in a hotel
or staying with a family.
Please do not
hesitate to contact us if you have any doubts or issues related to the program.
Dra. Begoña
González
begona.gonzalez@sespa.princast.es;
begonza@iies.es
Links:
www.avilessalud.org
www.lne.es/secciones/noticia.jsp?pRef=1881_36_596444__Aviles-hospital-inicia-plan-piloto-para-estudiar-pr
www.lne.es/secciones/noticia.jsp?pRef=1541_36_490249__aviles-polipos-cancer
www.avilessalud.org/index.php?option=com_content&task=blogcategory&id=20&Itemid=283
www.infoasturias.com
________________________________________________________________________________
Centro de Salud
Vélez Sur
C/ Fernando Vivar s/n
29700, Vélez Malaga, Malaga.
Tel.
+34 951289361
Fax +34 951289367
Location
Our Primary Health Care Centre, (Centro de Salud Vélez Sur), is located
in the city of Vélez Malaga in the outskirts of Malaga city, district of
Axarquía, just a few minutes from Malaga city.
How to arrive?
Most of our visitors come from Malaga city. They take the bus
“ALSINA-GRAELLS” to Vélez Málaga from the bus station in Malaga city or in
the Muelle Heredia in front of the Marina Square. Alsina Graells
telephone number in Málaga is 0034952318995 / 0034952341738 or 0034952501731 in
Vélez Málaga. This bus takes you directly to the city of Velez Malaga, where our
health centre is located.
Our population is mainly from a medium-low income social class. Big areas are
business and tourist. Population in that area mainly speaks Spanish and over the
last years immigrant population has been increasing, especially from Africa,
South America and East Europe. We refer to a 3rd level hospital, and in our
primary care health centre we have a Mental Health Centre District.
Activities (teaching and research): In our centre there are two working shifts:
morning (8am- 3pm) and afternoon (1pm-8 pm). We are: 16 family physicians, 3
paediatricians, 1 dentist and 13 nurses (1 paediatrics nurse) and 2 assisting
nurses. There are also 6 administrative staff members and a social worker. In
our primary health care centre there is an emergency care setting 24 hours a day
every day of the year. Some complementary medical tests are carried out in our
centre: spirometry, doppler ultrasound, blood test, electrocardiogram, pulse
oxymetry, digital retinography.
Vélez Sur was accredited as a teaching centre in 2005, we have more than 4
family doctors in training, and a mean of 5 nurse assistant nurses every
year. We are currently involved in several multicenter research studies, in
collaboration with the “Unidad Docente de Medicina Familiar y Comunitaria de
Málaga”.
In our centre, there are 4 solid lines of investigation: Cardiovascular risk,
Diabetes mellitus, COPD, Smoking cessation programme. Two clinical meetings take
place daily, early in the morning and late in the evening. A third session at 2
pm is shared by both shifts. Many medical sessions are scheduled. We have a very
friendly and familiar atmosphere among all the professionals.
Most GPs are very willing to receive a foreign visitor in our practice. Most GPs
understand written English although only some of them can speak it. It is
therefore desirable that our visitors can speak Spanish. It would also be
desirable if the visit was not neither in Christmas nor in summer time.
We will try to facilitate accommodation at a cheap rate and perhaps in some
dates a particular place for accommodation might be possible.
The current centre and teaching coordinator is Dr. José Leiva. You can always
contact me for any query related to the ongoing program.
Dr. José Leiva Férnandez
leivafern@hotmail.com | 
Contents