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Revista Clínica de Medicina de Familia

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


LEMA BARTOLOME, Jorge et al. Analysis of variability in specialised health training in Family and Community Medicine in Spain. Rev Clin Med Fam [online]. 2022, vol.15, n.1, pp.28-34.  Epub Apr 04, 2022. ISSN 2386-8201.


to analyze the training programs of all the country’s Family and Community Medicine Teaching departments and find out the degree of adaptation to the Specialty Programme (SP).


secondary data analysis.

Location and participants:

teaching departments that train Family and Community Medicine residents in Spain.

Main measurements:

a search was carried out (internet, by mail and telephone calls to the teaching departments) of the training programs of all the teaching departments in the country (180 in total), in June 2020. The different rotations included in the training itineraries were described and correct adaptation to the recommendations of the SP is checked. Descriptive statistics of the variables were used with SPSS 24.


a total of 179 training programs were analyzed. A total of 44 clinical rotations were identified, 4 of which are practically always scheduled (Internal Medicine, Mental Health, Dermatology and the final rotation with the instructor). Just 10% of the programs fully comply with the recommendations of the Official Programme of the Specialty, with the initial rotation in the Health Centre being the most implemented recommendation (91.1%).


there is a certain homogeneity in the training programs, with a core of rotations that are repeated in most of the teaching departments. The guidelines set out in the Specialty Programme (which especially refers to the importance of training in Primary Care) are only fully complied with in 1 out of 10 programs.

Keywords : Family Practice; internship and residency; specialization; Spain.

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