ABSTRACT
OBJECTIVES: To describe the teaching sessions of a primary care team in the three-year period 1996-1998. To identify the professionals who ran them and study the areas of knowledge tackled. DESIGN: A retrospective, cross-over, descriptive study. SETTING: Teaching health centre belonging to a rural health district. PARTICIPANTS: All the teaching sessions that took place during the three-year period (n = 249). INTERVENTIONS: The following variables were extracted from the monthly register sheet of the ongoing training programme of our management: date of activity, duration, number attending, type of session, teaching professional and contents of activity (classified by pathology according to organs and systems for bibliographic, clinical and expert sessions; portfolio of 1996 Primary Care-INSALUD services for session on programme; computer studies). MEASUREMENTS AND MAIN RESULTS: Mean sessions per month: 6.9 (SD: 4.8). Mean attendance: 9.3 persons (SD: 3.01). Mean length: 36.5 minutes (SD: 11.0). Type of session: bibliographic 65.2%, on programme 18%, session with expert 7.2%, computer studies 5.6%, clinical 4%. Responsible for teaching: intern 39.4%; family doctor tutor 34.9%; family doctor not a tutor 7.2%; nurse 6.4%; hospital doctor 4%; locum family doctor 3.6%; pharmacist 2.8%; paediatrician 1.2%; physiotherapist 0.4%. Most common contents: non-specific general pathology (16.1%), skin diseases (8.8%), diseases of the endocrine system (7.6%). CONCLUSIONS: Low frequency of clinical sessions. The teachers in charge were mainly family doctor tutors and interns, with the rest of the staff participating little.
Subject(s)
Education, Medical, Continuing , Primary Health Care , Humans , SpainABSTRACT
Objetivo. Describir las sesiones docentes de un equipo de atención primaria en el trienio 1996-1998. Identificar los profesionales que las realizaron, así como estudiar las áreas del conocimiento abordadas. Diseño. Estudio descriptivo transversal, retrospectivo. Emplazamiento. Centro de salud docente perteneciente a una zona de salud rural. Participantes. Total de sesiones docentes realizadas durante el trienio estudiado (n = 249). Intervenciones. De la hoja de registro mensual del programa de formación continuada de nuestra gerencia, se extrajeron las siguientes variables: fecha actividad, duración, número de asistentes, tipo de sesión, profesional docente y contenido de actividad (clasificada por patología según órganos y sistemas para sesión bibliográfica, clínica y con experto; cartera servicios de atención primaria-INSALUD 1996 para sesión sobre programa; informática). Mediciones y resultados principales. Sesiones por mes: media 6,9 (DE, 4,8). Media asistentes: 9,3 (DE, 3,01). Duración media: 36,5 minutos (DE, 11,0). Tipo de sesión: bibliográfica, 65,2 por ciento; sobre programa, 18; sesión con experto, 7,2; informática, 5,6; clínica, 4. Responsables docentes: médico residente, 39,4 por ciento; médico de familia tutor, 34,9; médico de familia no tutor, 7,2; ATS, 6,4; médico hospitalario, 4; médico de familia sustituto, 3,6; farmacéutico, 2,8; pediatra, 1,2; fisioterapeuta, 0,4. Contenido actividades más frecuentes: patología general inespecífica, 16,1 por ciento; enfermedades de la piel, 8,8, y enfermedades del sistema endocrino, 7,6 por ciento. Conclusiones. Baja frecuencia de sesiones clínicas. Los responsables docentes fueron mayoritariamente médicos de familia tutores y médicos residentes, siendo escasa la participación del resto de personal (AU)
Subject(s)
Humans , Primary Health Care , Education, Medical, Continuing , SpainABSTRACT
A total of 592 samples of 21 species of fish, cephalopods, crustaceans and molluscs were analyzed for mercury concentrations between November 1992 and February 1993 at four sites on the Tarragona coast in Catalonia, Spain. The results of this study show that mercury discharges into the marine environment of Tarragona Province have increased the mercury content of marine organisms, with fish and crustaceans being the groups which accumulated the highest levels of this element. In a subsequent study, the individual dietary intake of mercury from fish and seafood consumption by the population of Tarragona Province was estimated to be 16 micrograms day-1. This intake of mercury would not signify a health hazard for consumers of fish and seafood from the Tarragona coastal waters.