Skip to main content
Atencion Primaria logoLink to Atencion Primaria
. 2013 Apr 5;27(5):324–330. [Article in Spanish] doi: 10.1016/S0212-6567(01)79375-4

Medicina de familia: ¿la cenicienta del pregrado? Estudio de la opinión de los estudiantes de medicina sobre la especialidad de medicina familiar y comunitaria

Family medicine: the cinderella of undergraduate studies? study of the views of medical students about the speciality of family and community medicine

J Santos Suárez a,*, M Santiago Álvarez a, PM Alonso Hernández a, MA Alonso Llamas a, E Merladet Artiach a,, E Corrales Fernández b
PMCID: PMC7681383  PMID: 11333552

Abstract

Objective

To find the views of students doing the last year of medicine on the speciality of family and community medicine (FCM).

Design

Cross-sectional study through self-administered questionnaire.

Setting

Medical faculties of the Universities of Oviedo and Cantabria.

Participants

Sixth-year medical students with possibilities of completing their degrees in the year 2000.

Interventions

22-question multiple-choice questionnaire, including assessment of undergraduate FCM training and view of its inclusion as a subject, choice of speciality in the next residents (MIR) exam, status of FCM, choice of professional to treat common pathologies in primary care, and knowledge of an activity (management of short-term time off) of GPs.

Main results

73% of the 94 medical students polled had no theoretical training in FCM, but 89% were in favour of including it in the degree programme. 6% wanted to work as GPs. 77% thought that the status of FCM was comparable to that of other specialities. The rest thought it was inferior, although its status would rise for half of these if the FCM residency lasted 4 years. 50% would not choose FM to treat common pathologies in primary care. 55% identified the GP as the person empowered to issue sick notes for common illness.

Conclusions

Lack of undergraduate training in FCM is the cause of lack of interest in this speciality among medical students, its lack of status and students’ lack of knowledge.

Keywords: Family and community medicine, Medical student, Status

Bibliografía

  • 1.Martín Zurro A., Cano Pérez J.F. Docencia en atención primaria y medicina de familia. In: Martín Zurro A., Cano Pérez J.F., editors. Atención primaria. Conceptos, organización y práctica clínica. 4.a ed. Harcourt Brace; Madrid: 1999. pp. 144–160. [Google Scholar]
  • 2.Block S., Clark-Chiarely N., Peters A., Singer J. Academia's chilly climate for primary care. JAMA. 1996;276:677–682. [PubMed] [Google Scholar]
  • 3.Colwill J.M. Where have all the primary care applicants gone? N Engl J Med. 1992;326:387–393. doi: 10.1056/NEJM199202063260606. [DOI] [PubMed] [Google Scholar]
  • 4.Ley 14/1986, de 25 de abril, General de Sanidad. BOE n.o 102, de 29 de abril de 1986.
  • 5.Real Decreto 1.558/1986, de 28 de junio, de la Presidencia del Gobierno, por el que se establecen las bases generales de conciertos entre las universidades y las instituciones sanitarias. BOE n.o 182, de 31 de julio de 1986.
  • 6.Real Decreto 1.417/1990, de 26 de octubre, del Ministerio de Educación y Ciencia por el que se establece el título universitario oficial de licenciado en medicina y las directrices generales propias de los planes de estudios conducentes a la obtención de aquél. BOE n.o 278, de 20 de septiembre de 1990.
  • 7.Buitrago F. Medicina basada en la afectividad, medicina de familia y universidad. Med Clin (Barc) 1999;113:757–758. [PubMed] [Google Scholar]
  • 8.Buitrago F. ¿Departamentos universitarios de medicina familiar en España? Aten Primaria. 1992;10:858–859. [PubMed] [Google Scholar]
  • 9.Buitrago F. La incorporación de la medicina de familia en el ámbito universitario. ¿Ilusión o realidad? Aten Prim. 2000;25:71–72. doi: 10.1016/S0212-6567(00)78465-4. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 10.Cartera de Servicios del INSALUD 1999.
  • 11.Buitrago F., Vergeles J.M., Cano-Hernández E. Evaluación de la rotación en centros de salud de los alumnos de la Facultad de Medicina de la Universidad de Extremadura. Aten Prim. 1994;13:118–124. [PubMed] [Google Scholar]
  • 12.Quirce F., Gil V.F., Uris J., Orozco D., Ruiz M.T., Jimenéz L.T. Formación de pregrado en atención primaria: seis años de experiencia en la Universidad de Alicante. Aten Primaria. 1993;11:281–285. [PubMed] [Google Scholar]
  • 13.Erney S., Biddle B., Siska K., Riesenberg L.A. Change in medical student's attitudes about primary care during the third year of medical school. Acad Med. 1994;69:927–929. doi: 10.1097/00001888-199411000-00017. [DOI] [PubMed] [Google Scholar]
  • 14.Campos-Outcalt D., Senf J., Watkins A.J., Bastacky S. The effects of medical school curricula, faculty role models, and biomedical research support on choice of generalist physician careers. a review and quality assessment of the literature. Acad Med. 1995;70:611–619. doi: 10.1097/00001888-199507000-00012. [DOI] [PubMed] [Google Scholar]
  • 15.Lynch D.M., Newton D.A., Grayson M.S., Whitley T.W. Influence of medical school on medical students’poinions about primary care practice. Acad Med. 1998;73:433–435. doi: 10.1097/00001888-199804000-00019. [DOI] [PubMed] [Google Scholar]
  • 16.Martini C.J.M., Veloski J.J., Barzansky B., Xu G., Fields S.K. Medical school and student characteristics that influence a generalist career. JAMA. 1994;272:661–668. [PubMed] [Google Scholar]
  • 17.Colwill J.M. Where have all the primary care applicants gone? N Engl J Med. 1992;326:387–393. doi: 10.1056/NEJM199202063260606. [DOI] [PubMed] [Google Scholar]
  • 18.Fincher R-ME, Lewis L.A., Jackson T.W. Why students choose a primary care or nonprimary care career. Am J Med. 1994;97:410–417. doi: 10.1016/0002-9343(94)90320-4. [DOI] [PubMed] [Google Scholar]
  • 19.Burack J.H., Irby D.M., Carline J.D., Ambrozy D.M., Ellsbury K.E., Stritter F.T. A study of medical students’ specialtychoice pathways: trying on possible selves. Acad Med. 1997;72:534–541. doi: 10.1097/00001888-199706000-00021. [DOI] [PubMed] [Google Scholar]
  • 20.Bowman M.A., Haynes R.A., Rivo M.L., Killian C.D., Davis P.H. Characteristics of medical students by level of interest in family practice. Fam Med. 1996;28:713–719. [PubMed] [Google Scholar]
  • 21.Morrison J.M., Stuart T. Career preferences of medical students: influence of a new four-week attachment in general practice. Br J Gen Pract. 1996;46:721–725. [PMC free article] [PubMed] [Google Scholar]
  • 22.Vaglum P., Wiers-Jenssen J., Ekeberg O. Motivacion for medical school: relationship to gender and specialty preferences in a nationwide sample. Med Educ. 1999;33:236–242. doi: 10.1046/j.1365-2923.1999.00293.x. [DOI] [PubMed] [Google Scholar]
  • 23.Deforge B.R., Richardson J.P., Stewar D.L. Attitudes of graduating seniors at one medical school toward family practice. Fam Med. 1993;25:111–113. [PubMed] [Google Scholar]
  • 24.Whitcomb M.E., Desgroseilliers J.P. Primary care medicine in Canada. N Eng J Med. 1992;326:1469–1472. doi: 10.1056/NEJM199205283262205. [DOI] [PubMed] [Google Scholar]
  • 25.Musham C., Chessman A. Changes in medical students’perceptions of family practice resulting from a required clekship. Fam Med. 1994;26:500–503. [PubMed] [Google Scholar]
  • 26.Grayson M.S., Newton D.A., Klein M., Irons T. Promoting institutional change to encourage primary care: experiences at New York Medical College and East Carolina University School of Medicine. Acad Med. 1999;74(Supl 1):9–15. doi: 10.1097/00001888-199901001-00025. [DOI] [PubMed] [Google Scholar]
  • 27.Bonal Pitz P, Gil Guillén V, Martín Zurro A, Pinto Hespnhol A. La medicina de familia como área de conocimiento. Documento de la Sociedad Española de Medicina Familiar y Comunitaria. n.° 10.

Articles from Atencion Primaria are provided here courtesy of Elsevier

RESOURCES