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Revista Clínica de Medicina de Familia

versión On-line ISSN 2386-8201versión impresa ISSN 1699-695X


CURA-GONZALEZ, Isabel del  y  GRUPO EDUCAGUIA et al. Barriers and facilitators for the use of clinical practice guidelines by Family and Community Medicine residents: qualitative study with focus groups. Rev Clin Med Fam [online]. 2024, vol.17, n.1, pp.35-44.  Epub 18-Mar-2024. ISSN 2386-8201.

Background and objective:

To identify barriers and facilitators for the use of Clinical Practice Guidelines (CPG) by Family and Community Medicine residents.

Material and methods:

Qualitative methodology. Three focus groups were set up, with a total of 28 participants, 3rd and 4th year residents of the 7 Multiprofessional Family and Community Care Teaching Units of Madrid. The topics explored were based on knowledge, understanding, usefulness and use of CPG. The categories chosen for discussion were drawn up according to the GuiaSalud Methodological Manual. Sociological analysis was performed using a phenomenological approach.


The barriers related to training were the training model received to acquire the necessary skills, the lack of knowledge to evaluate the quality of guidelines and a limited knowledge of the search engines. Among the barriers related to social context and health system, conflict with the patient's expectations or with the recommendations of other specialists, the characteristics of patients who consult in primary care and the limited time available for consultations were all identified. Personal motivation, the tutor's knowledge and professional practice model and clear, brief CPGs and in various formats were all identified as facilitators.


Residents value CPGs as teaching and decision-making tools, as well as a tool to improve their professional practice. However, they detect difficulties and limitations in their use. Training, motivation and the tutor's practice model are considered to be among the greatest facilitators.

Palabras clave : Family Practice; Internship and Residency; Practice Guideline; Qualitative Research.

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