ABSTRACT
Introducción: La formación en urgencias neurológicas es fundamental en el programa formativo de los residentes de Neurología. La Comisión Nacional de Neurología (CNN), decidió obtener información sobre el grado en que la Unidades Docentes de Neurología acreditadas posibilitan la realización de guardias específicas de Neurología y su grado de tutorización. Métodos: Realización de una encuesta a los tutores de las Unidades Docentes de Neurología para comprobar que se cumplen los criterios de la formación en guardias de neurología indicados en el programa oficial de formación.Resultados: Se obtuvo respuesta del 98,5% de las unidades docentes de Neurología que existen. En el 47% el médico de plantilla de Neurología tiene guardias de presencia física de 24 horas supervisando directamente al médico residente de Neurología. En el resto existe una diversidad de modelos que no cumplen de manera completa los criterios establecidos por el programa de especialidad. La distribución de los distintos modelos de guardias de Neurología varía mucho entre las distintas unidades docentes y entre las distintas Comunidades Autónomas. Sólo el 65% de los médicos residentes de Neurología realizan su formación en unidades docentes de Neurología que tienen guardias de Neurología autorizadas de manera correcta.Conclusiones: Hay una variabilidad injustificada en el cumplimiento de los criterios de formación en guardias de Neurología en las distintas unidades docentes distribuidas por todo nuestro país, habiendo diferencias de formación entre unos médicos residentes en Neurología y otros (AU)
Introduction: Training in emergency neurological illness is very important for the neurologist today. The Neurology National Commission has decided to obtain information on the work duties of neurologist residents in the different neurology units of the hospitals of our country and the supervision of the training in urgent pathology. Method: A survey of adult neurology program directors to find out if their hospital fulfils the program criteria for the residents duty work. Results: A response rate of 98.5% was obtained. In 47% of the neurology training units a neurologist supervised resident duty work 24hours a day. In the rest of the neurology training units they did not fulfil all the training program criteria. We analysed the differences between the neurologist training units, and there are great differences between the hospitals and all regions and communities in our country. Only 65% of neurology residents do their education in neurology units who fullfill the national program criteria on training on urgent neurology pathologyConclusions: There is too much diversity in resident duty work in neurologist training units and not all the units meet the national training program requirements (AU)
Subject(s)
Humans , Internship and Residency/organization & administration , Neurology/education , Practice Patterns, Physicians'/trends , Teaching Care Integration Services/standardsABSTRACT
INTRODUCTION: Training in emergency neurological illness is very important for the neurologist today. The Neurology National Commission has decided to obtain information on the work duties of neurologist residents in the different neurology units of the hospitals of our country and the supervision of the training in urgent pathology. METHOD: A survey of adult neurology program directors to find out if their hospital fulfils the program criteria for the residents duty work. RESULTS: A response rate of 98.5% was obtained. In 47% of the neurology training units a neurologist supervised resident duty work 24 hours a day. In the rest of the neurology training units they did not fulfil all the training program criteria. We analysed the differences between the neurologist training units, and there are great differences between the hospitals and all regions and communities in our country. Only 65% of neurology residents do their education in neurology units who fulfill the national program criteria on training on urgent neurology pathology CONCLUSIONS: There is too much diversity in resident duty work in neurologist training units and not all the units meet the national training program requirements.
Subject(s)
Education, Medical, Graduate , Emergency Medicine/education , Internship and Residency , Nervous System Diseases , Neurology/education , Education, Medical, Graduate/standards , Emergency Medicine/standards , Hospitals , Humans , Neurology/standards , Spain , WorkloadABSTRACT
Introducción. Ante la promulgación de la Ley de Ordenación dela Profesiones Sanitarias y la publicación del nuevo programa de laespecialidad de neurología, la Comisión Nacional de Neurología considerónecesario conocer la situación actual de las unidades docentes(UD) acreditadas para la especialidad en lo referente a los criterios deacreditación vigentes. El objetivo de este trabajo es conocer dichasituación.Métodos. Estudio transversal mediante una encuesta de cumplimentaciónvoluntaria (cuestionario ad hoc) remitida por correoen el año 2005 a todas UD acreditadas en ese momento. Incluyópreguntas específicas respecto a los requerimientos estructurales,humanos y de organización contemplados en dichos criterios deacreditación.Resultados. Se remitieron 64 cuestionarios (porcentaje de respuesta:76,6%). El 87 % de las UD cumplían los requisitos estructuralespara la asistencia neurológica, aunque el 21 % tenían menos de4 despachos para consulta y menos de 15 camas neurológicas. El 25%de las UD no cumplían los requisitos en lo referente a los facultativos deplantilla con dedicación a tiempo completo. Aunque prácticamente el100% cumplían los requisitos organizativos cuantitativos asistenciales,sólo el 69 % refirieron tener guardias de neurología, aunque porel diseño del cuestionario no es posible conocer su grado de tutorización.Prácticamente el 100% cumplen los requisitos de docencia einvestigación.Conclusiones. Aunque el grado de cumplimiento de los actualesCA es alto, existen deficiencias preocupantes, fundamentalmente enrelación al número de facultativos de plantilla contratados a tiempocompleto y a la disponibilidad de guardias de neurología debidamentetutorizadas (AU)
Introduction. Faced with the promulgation of the HealthCare Professionals Ordinance Law and the publication of the newprogram of the Neurology training, the National Committee ofneurology has considered it necessary to know the current situationof the Teaching Units (TU) accredited for the neurology trainingin regards to the existing accreditation criteria (AC). Thepurpose of this study is to know said situation.Methods. A cross-sectional study performed by a voluntarilyfilled-out survey (ad hoc questionnaire) sent by regular mailin the year 2005 to all the TU accredited at that time. It includedspecific questions regarding the structural, human andorganizational requirements contemplated in those accreditationcriteria.Results. A total of 64 questionnaires were sent (response percentage:76.6%). Eighty seven percent of the TU met the structuralrequirements for neurological care, although 21 % had fewerthan 4 offices for visits and fewer than 15 neurology beds. A totalof 25 % of the TU did not met the requirements in regards to fulltimestaff members. Although almost 100% met the quantitativecare organizational requirements, only 69 % reported that therewere neurology duties. However, the grade of the tutorial systemcould not be known due to the survey design. Almost 100% metthe teaching and research requirements.Conclusions. Although the compliance grade of the currentAC is high, there are important deficiencies, basically related tothe number of full-time staff professionals and the availability ofduly tutorized neurology duties (AU)
Subject(s)
Humans , Accreditation , Data Collection/methods , Neurology/education , Cross-Sectional Studies , Neurology/legislation & jurisprudence , Clinical Competence , Surveys and Questionnaires , SpainABSTRACT
INTRODUCTION: Faced with the promulgation of the Health Care Professionals Ordinance Law and the publication of the new program of the Neurology training, the National Committee of neurology has considered it necessary to know the current situation of the Teaching Units (TU) accredited for the neurology training in regards to the existing accreditation criteria (AC). The purpose of this study is to know said situation. METHODS: A cross-sectional study performed by a voluntarily filled-out survey (ad hoc questionnaire) sent by regular mail in the year 2005 to all the TU accredited at that time. It included specific questions regarding the structural, human and organizational requirements contemplated in those accreditation criteria. RESULTS: A total of 64 questionnaires were sent (response percentage: 76.6%). Eighty seven percent of the TU met the structural requirements for neurological care, although 21 % had fewer than 4 offices for visits and fewer than 15 neurology beds. A total of 25 % of the TU did not met the requirements in regards to full-time staff members. Although almost 100% met the quantitative care organizational requirements, only 69 % reported that there were neurology duties. However, the grade of the tutorial system could not be known due to the survey design. Almost 100% met the teaching and research requirements. CONCLUSIONS: Although the compliance grade of the current AC is high, there are important deficiencies, basically related to the number of full-time staff professionals and the availability of duly tutorized neurology duties.
Subject(s)
Accreditation , Education, Medical, Graduate/standards , Neurology/education , Clinical Competence , Cross-Sectional Studies , Data Collection/methods , Education, Medical, Graduate/legislation & jurisprudence , Humans , Neurology/legislation & jurisprudence , Spain , Surveys and QuestionnairesSubject(s)
Neurosciences/history , Physicians , Research Personnel , Adolescent , Child , History, 20th Century , History, 21st Century , HumansABSTRACT
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