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Revista Clínica de Medicina de Familia

On-line version ISSN 2386-8201Print version ISSN 1699-695X


SAURA LLAMAS, José et al. How critical incidents affect Family and Community Medicine residents. Rev Clin Med Fam [online]. 2022, vol.15, n.1, pp.20-27.  Epub Apr 04, 2022. ISSN 2386-8201.


To ascertain and analyze the consequences of the critical incidents (CI) that have been identified and collected by Family and Community Medicine (FCM) residents in their training portfolio, as part of this programmed teaching task.

Materials and methods:

This is a descriptive, quantitative-qualitative, retrospective, analytical and multicentre study on the CIs reported by the residents. Setting: Primary Care. Specialized health training. Health Centres belonging to a Teaching Unit in Murcia. From a total of 76 FCM residents who were training in the Teaching Unit in 2015, a total of 62 residents and their training portfolios were included. Cases are the CI reports that contain qualitative and handwritten answers in the open response sections. Residents were asked for informed consent to access their CIs and data for this research. The most outstanding characteristics presented by the CIs were analyzed by collecting the open answers from the CI reports, which were then discreetly coded. These characteristics were collected and tabulated and data were presented in absolute and percentages figures. Responses were collected, grouped, encoded, tabulated and the consequences of the CIs were analyzed. Results are shown in absolute figures and percentages.


a total of 150 out of 165 CI reports (90.91%) were included in this study, which encompass those containing qualitative and handwritten answers to the question “What consequences did the critical incident have for you? A total of 311 responses were obtained, which can be classified into 42 different groups, with an average of 5.01 (+/- 2.71) responses per resident. Most analyzed CIs had important consequences and repercussions for residents. Out of these, 113 responses reported negative consequences (36.33%); 125 responses reported ambivalent consequences (40.19%), that is, consequences than can potentially be positive or negative; and 73 responses reflected positive consequences (23.47%).


Most analyzed CIs have important consequences for almost all residents, which can be negative, ambivalent or positive. Residents show high motivation regarding these consequences. Early detection of the resident’s CI, characterization and consideration of its consequences are of major interest as opportunities to improve the training of residents.

Keywords : Consequence analysis; Critical incident technique; Family Practice; Internship and Residency.

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