Situación laboral de los médicos de familia formados en una unidad docente / Employment situation of general practioners trained in a teaching unit

ObjetivoConocer la situación laboral de los médicos de familia que se forman en una unidad docente.DiseñoEstudio descriptivo transversal.EmplazamientoUnidad Docente de Medicina Familiar y Comunitaria de Santiago de Compostela.ParticipantesTodos los médicos de familia formados en esta Unidad Docente (n=161).Mediciones principalesSexo, edad, promoción, procedencia, nuevo MIR, especialidad previa, plaza en la actualidad, localidad de trabajo, tipo de vínculo laboral, fecha del primer contrato estable, desempeño de puestos de responsabilidad de libre designación y participación en actividades de docencia.ResultadosLa mayor parte de nuestros ex residentes ocupan plazas en atención primaria (51,9%), le siguen las plazas hospitalarias y el 061 (con el 23,1 y el 18,1%, respectivamente). En las primeras promociones de egresados predominó el destino en Centro de Salud (89,5%), y disminuyó progresivamente hasta la actualidad en que ocupa el cuarto lugar (4,8%), detrás de 061 (47,6%), Urgencias Hospitalarias (23,8%) y Punto de Atención Continuada (14,3%). Algo más de la mitad (50,6%) tienen la plaza en propiedad, el 41,1% son interinos y el restante 8,2% son eventuales. La demora mediana en conseguir un contrato estable (fijo o interino) desde la fecha de finalización de la residencia fue de 18,9 meses (desviación cuartil=11,9), y se evidenció variabilidad entre las distintas promociones (en la actualidad es de un año). Han ocupado, en algún momento, cargos directivos en áreas de atención primaria el 6,5% y en jefaturas de servicios centrales el 5,2%.ConclusionesHay predominio de estabilidad en los puestos de trabajo y de poca demora en conseguirla. El 061 y las Urgencias Hospitalarias son el destino preferente de las recientes promociones de médicos de familia(AU)

ObjectiveTo find out the employment situation of general practitioners who are trained in a teaching unit.DesignCross-sectional descriptive study.SettingA Family and Community Medicine Teaching Unit (UDMFyC) in Santiago de Compostela.ParticipantsAll general practitioners trained in this Teaching Unit (N=161).Main measurementsSex, age, promotion, origin, new MIR, previous specialty, current position, type of work contract, date of first stable contract, line position duties and participation in teaching activities.ResultsThe majority of ex-residents are employed in Primary Care (51.9%), followed by hospital posts and 061 (Emergency Doctor Service) with 23.1% and 18.1%, respectively. Most of the graduates start off in a health centre (89.5%), gradually decreasing until it occupies the fourth place (4.8%), behind 061 (47.6%), hospital emergency departments (23.8%) and CPD (14.3%). More than half (50.6%) have a tenured post; 41.1% are interns and the remaining 8.2% are temporary. The median delay in obtaining a stable contract (permanent or temporary) is 18.9 months (SD=11.9); with variations of one year between some promotions and being in the post. At some time, 6.5% have occupied management posts in Primary Care and 5.2% in central services headquarters.ConclusionsThere is much stability in the employment positions and little delay in obtaining them. The emergency doctor service and hospital emergency department are the preferred destinations of the recently promoted general practitioners(AU)

[Employment situation of general practitioners trained in a teaching unit.]. / Situación laboral de los médicos de familia formados en una unidad docente.

OBJECTIVE: To find out the employment situation of general practitioners who are trained in a teaching unit. DESIGN: Cross-sectional descriptive study. SETTING: A Family and Community Medicine Teaching Unit (UDMFyC) in Santiago de Compostela. PARTICIPANTS: All general practitioners trained in this Teaching Unit (N=161). MAIN MEASUREMENTS: Sex, age, promotion, origin, new MIR, previous specialty, current position, type of work contract, date of first stable contract, line position duties and participation in teaching activities. RESULTS: The majority of ex-residents are employed in Primary Care (51.9%), followed by hospital posts and 061 (Emergency Doctor Service) with 23.1% and 18.1%, respectively. Most of the graduates start off in a health centre (89.5%), gradually decreasing until it occupies the fourth place (4.8%), behind 061 (47.6%), hospital emergency departments (23.8%) and CPD (14.3%). More than half (50.6%) have a tenured post; 41.1% are interns and the remaining 8.2% are temporary. The median delay in obtaining a stable contract (permanent or temporary) is 18.9 months (SD=11.9); with variations of one year between some promotions and being in the post. At some time, 6.5% have occupied management posts in Primary Care and 5.2% in central services headquarters. CONCLUSIONS: There is much stability in the employment positions and little delay in obtaining them. The emergency doctor service and hospital emergency department are the preferred destinations of the recently promoted general practitioners.

[Proposal for presbycusis screening in a primary care clinic]. / Propuesta de cribado de la presbiacusia en una consulta de atención primaria.

OBJECTIVES: Presbycusis is one of the causes of deafness that has increased most in our society. To show the levels of presbycusis in people over 60 who attend our health centre for other reasons and to assess the utility of certain tests employed in primary care to detect hearing problems. PATIENTS AND METHOD: One-hundred and ten people. EXCLUSION CRITERIA: prior specialist diagnosis, lack of consent or impossibility of running the tests. Assessment of auditory invalidity: otoscopy, Weber, Rinne, whispered voice, auditory disability test. Audiological validation by audiometry assessed by ORL. Results analysed with SPSS statistical packet. RESULTS: Mean age 714 (6.1). Otoscopy was normal in 81.8%. Weber's test had no significant relationship with the otoscopy, but did with the Rinne. Presbycusis was seen in 68.2% of the audiometries. Everyone (100%) who had worked in a noisy environment had audiometric deficit. CONCLUSIONS: There were high figures (87%) for hypoacusis in our population of elderly people. In 68.2%, this was due to presbycusis. The sensitivity and negative predictive value (Vp-) of most of the tests used in primary care to detect auditory disorders are low.

Propuesta de cribado de la presbiacusia en una consulta de atención primaria / Proposal for presbycusis screening in a primary care clinic

Objetivo. La presbiacusia es una de las causas de sordera cuyo índice ha aumentado más en nuestra sociedad. El objetivo de nuestro estudio es poner de manifiesto los valores de presbiacusia en personas mayores de 60 años que acuden a nuestro centro de salud por otros problemas, y valorar la utilidad de algunas pruebas utilizadas en atención primaria para detectar problemas auditivos. Pacientes y método. Participaron 110 individuos. Los criterios de exclusión fueron: diagnóstico previo especializado, falta de consentimiento o imposibilidad para hacer las pruebas. La valoración de la discapacidad auditiva se hizo según la otoscopia, prueba de Weber, prueba de Rinne, la voz susurrada y el test de discapacidad auditiva. La validación audiológica se realizó por audiometría valorada por el servicio de otorrinolaringología. El análisis de resultados se efectuó con el paquete estadístico SPSS. Resultados. Edad media 71 ± 6,1 años. La otoscopia fue normal en el 81,8%. La prueba de Weber no tuvo relación significativa con la otoscopia; sin embargo, sí la tuvo la prueba de Rinne. La presbiacusia se objetivó en el 68,2% de las audiometrías. El 100% de las personas que habían trabajado en ambiente ruidoso presentaba déficit audiométrico. Conclusiones. Hay cifras elevadas (87%) de hipoacusia en nuestra población de ancianos, y en el 68,2% de los casos se debe a presbiacusia. La sensibilidad y el valor predictivo negativo de la mayoría de las pruebas para detección de alteraciones auditivas utilizadas en primaria son bajos

Objectives. Presbycusis is one of the causes of deafness that has increased most in our society. To show the levels of presbycusis in people over 60 who attend our health centre for other reasons and to assess the utility of certain tests employed in primary care to detect hearing problems. Patients and method. One-hundred and ten people. Exclusion criteria: prior specialist diagnosis, lack of consent or impossibility of running the tests. Assessment of auditory invalidity: otoscopy, Weber, Rinne, whispered voice, auditory disability test. Audiological validation by audiometry assessed by ORL. Results analysed with SPSS statistical packet. Results. Mean age 714 (6.1). Otoscopy was normal in 81.8%. Weber's test had no significant relationship with the otoscopy, but did with the Rinne. Presbycusis was seen in 68.2% of the audiometries. Everyone (100%) who had worked in a noisy environment had audiometric deficit. Conclusions. There were high figures (87%) for hypoacusis in our population of elderly people. In 68.2%, this was due to presbycusis. The sensitivity and negative predictive value (Vp-) of most of the tests used in primary care to detect auditory disorders are low