Abstract

RAMIREZ-PUERTA, D. et al. Clinical competence of the general practitioners in 14 Spanish Different Communities. Educ. méd. [online]. 2006, vol.9, n.4b, pp.234-244. ISSN 1575-1813.

Objective: The Continuous Professional Development (CPD) is a process of acquisition, maintenance and improvement of knowledge, abilities, attitudes and professional competence. In Spain, the manteinance of the clinical competence is responsibility of the professional. The professional for it must detect his déficts of formation objectively. This study detects differences in levels of clinical competence and deficits of formation in general practitioners of different Spanish Communities, in 2005. Method: Cross sectional study. 1158 doctors of 14 Communities were evaluated. The Objective Structured Clinical Examination (OSCE) was used as a tool with 15 different clinical situations. The global scores were compared. By competitions and area of knowledge by means of ANOVA. The reliability of the test was assessed of alpha Cronbach. Results: The global score average was 59.08 (SD 6,12)(IC 95 58,52-59,31). Significant differences were detected between Cataluña (63,65 SD 5,2) and Castilla Leon (55,37 SD 5,78), Valencia (57,20 SD 7,18), Andalucia (57,67 SD 6,04) and Murcia(57,19 SD 5,50). By competential component, the best result corresponded to the area of communication (80.11% of ideal) and the worse one to family attention (45,54%). By areas of knowledge was detected, the greater in abdominal pain (75,94 SD 14,70) and the minor in diabetes (43,36 SD 15.97). The global coefficient of reliability of the test was 0,79. Conclusions: This study shows to the competential map of the Spanish general practitioner and the existing differences between Communities. The clinical competence is globally good. This type of study contributes to an integral vision of the general practitioner on its CPD, it will serve to him as a guide in their formation, to obtain the professional excellence and to maintain it.

Keywords : General practitioner; Continuous Professional Development (CPD); OSCE (Objective Structured Clinical Examination).

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