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Selected Group Call 2011 2011

The 23 / 3, 2011 meeting was held for the selection of FACE training group this year. It eligierno 23 people to join the group.
Thank you all for the dedication and hard time we had!

clses Start: Monday April 4

18h Selected List:

1. Arena, Maria Belen

2. Ballester, Julia

3. Colonel Cañete, Celeste

4. Coll, Maria de los Milagros

5. Diakaki Nuri

6. Ezcurra, Ana

7. Fantini, Denise

8. Friedman, Laura

9. Ibarra, Mauro

10. Kozlowski, Johanna

11. Manrique, Natalia

12. Mendola, Luciana

13. Michan, Belara

14. Nardi, Iara

15. Parra Orrego, Janet

16. Pebe, Barbara

17. Rodriguez Molina, Andrea Carolina

18. Santillán Rodal, Renata

19. Sposato, Magali Lucia

20. Stuart Ruiz, Veronica Patricia

21. Ayelén Velasquez, Cassandra

22. Yaquira, Camila

23. Zulberti, Melisa

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SPECIALIST FAMILY AND COMMUNITY MEDICINE AND EMERGENCY ...? Efficiency

New Reflections of our R4, Dr. Yanira de la Torre

As we all know time does not exist in our country specialized in emergency medicine and emergency, so that, in most cases, emergencies are handled by specialists in Family and Community Medicine.

Given this situation, one would expect in this specialty are properly train residents to perform efficiently and certain ease his work in the field of Family Medicine and in the ER. I am a resident family of "near seniors" and begin to consider the employment potential in the future I will have next. I am interested in the work that my colleagues are doing now, "adjuntillos." Many make substitutions in a health center, but many others working in the EMU or a PCES, like it or not, is the work that has been offered.

Given this reality, I wonder, am I really ready for proper care in the field of outpatient emergency? What do I know intubation, stops, mobilization of multiple trauma, non-invasive ventilation, intraosseous medication ....? NOTHING. And training is provided in the last year of residency the acquisition of these skills? NO.

spent many hours in the hospital emergency room, but as cheap labor, since most of the guards performed the pits watching the interesting cases, but also a lot of trash and, of course, many situations of risk vital imminent. I think I can count on the fingers of "hemodynamic" I've seen in years and never was alone, of which I have to say I'm glad. Also in the Morales Meseguer Hospital is giving priority to training in "beds" where they are more severely ill patients, residents, hospital specialty, so The family partners have now been completed in the best case, about 50 guards in beds, 5 guards for a month for 10 months (while "scholars" are from Year 2 made). 10 months to 4 years. Why so few? For the rest of the time is spent taking work forward in the pits. But our contract is a contract of training in addition to care? SI.

This text attempts to reflect on the functioning of the system. If you expect to be ready to deal with emergencies in any context, why not me is my management? To this question I have no answer ...

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intra-Community Health Services NHS

So to round are to the cohesion of the SNS in the different autonomous communities, sometimes we forget what happens in each one of them.

is a good thing to remind
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cohesion

The Tribune Interactive Open Physician , Marciano Sanchez Bayle explains, much better than I The previous post , the problem of cohesion in the public health system and inequities in providing access to health services for the citizens of our country. As access to the document, although free, requires subscription, I present you presented below:

OPEN FORUM: The cohesion of the National Health System

Marciano Sanchez Bayle, president of the International Association of Health Policy and FADSP spokesman

Since the transfers were completed, there has been a drift in the National Health System which has primacy over-particularism of the autonomous regions, facilitated by the absence of effective systems of coordination and inability to articulate a common policy line in health between the Ministry of Health and the Health Departments of the Autonomous


Madrid (02/01/1911) .- The lack of cohesion in the National Health System a fairly clear that highlights some abracadabra situations such as the absence of a routine immunization schedule despite the evidence that the epidemiological reality and knowledge Scientists do not respect the boundary lines of the CCAA, but also in other less known facts, but no less important for the implications this has for the design of health policies, such as lack of updated information and approved at the NHS . There

course differences in health indicators of the CCAA, differences that appear to be mediated primarily by socioeconomic status. So the maximum difference in life expectancy at birth is 2.4 years between Navarre and the Canary Islands (mean 79.6 years) in the percentage of population with poor health expectancy at birth is 5.5 per cent between Galicia and La Rioja (mean 24.8 percent), and on the rate of potential years of life lost per 1,000 inhabitants, the maximum difference of 9.61 between the Canary Islands and Castilla y León (average 39.68).

is known that the influence of the health system on population health is limited (explains about 14-20 percent of it) and also their impact will occur in the medium to long term, it is likely differences are detected now only produce identifiable differences of 15-20 years (one study shows that an increase in health spending $ 100 a decrease in mortality of 0.01 per cent).

The large differences in resources between the ACs have basically two explanations. The first related to the financing model not being a finalist allows health funds to be decided by each autonomous region and end up being very different. If we look at per capita budgets for 2010 we see that there is a difference of € 556.71 (on average € 1443.94) and that this difference between the highest and lowest per capita funding does not have a tendency to decrease.

Congruently, resource differences are striking, both in hospital beds per 1,000 population (1.8 beds with an average maximum difference of 3.6), as well as professional resources in primary care (1,067 inhabitants per doctor maximum difference on an average of 1,410) and technology, and logically active (vaccination coverage for children and over 65 years, offering diagnostic and therapeutic procedures, etc) which also generates large differences in waiting lists (over 130 days in the first consultation of the specialist and more than 15 percent in the percentage having this consultation with a delay exceeding 15 days) and surgery rates and the delay access to them. A major problem is that the expected delays are not public disaggregated by regions, preventing evaluation. Obviously

this is already producing inequalities in access to health care and end up having repercussions on the health of the population.

The second reason has to do with the health care model is advocated from each region. Some ACs are betting so decided by the health privatization funds and consequently reduce the public health system, as well as the PFI model and administrative concessions to private companies that produce inflexible financial commitments in times of cuts further reduce funding of schools public.

What can be done? It seems obvious that the first thing is to ensure coordination the NHS as a whole, it is indispensable to provide the Inter-Territorial Council the ability to make common decisions binding on all, then establish health objectives for the NHS as a whole, or, which is, to adopt the Integrated Plan Health is still pending since 1986 is contained in the General Health Law and the RD 938/1989 and never saw the light, making good that claim Sánchez Albornoz that Spain is characterized by good laws that routinely fail. Should also make sure the final character of health financing and establish minimum standards of health provision (infrastructure, personnel, etc) and of course, two key issues: an approved health information, disaggregated by regions and public (can not steal from the public knowledge of what is done with their taxes) and the intervention of the Ministry of Health where, as in the case of privatization, is called into question the essential characteristics of public health system.

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The Committee condemned the increasing inequality in the health system

The newspaper El Pais just published the report that the Economic and Social Council has made about the lack of coordination of our state's regional health. This is an exclusive function of the Ministry of Health and is obviously manifest inefficiency. As shown in the
CES document, increasingly become more evident the inequalities in health between the 17 +2 health services and this is no longer a matter of "political correctness" nor has much to do the electoral game, the parochial interests of nationalism or sovereignty of the game then make a pact with the nationalists are the party they are. I do not, do not get into what I do not care. But what is not permissible is that for these games, the uncoordinated health affects the health of citizens and that this depends on where you reside within the English territory.
The Murcia region has suffered a lack ancestral investment in health and the transfer process has not been able to improve a situation of very poor health. We are short of hospitals and health centers, doctors and we lack sufficient financial resources to approach the English average.
And that's enough!, I can understand that much richer communities (GDP at current prices in 2006 of 183,821,106 thousand euros) are facing serious economic problems to sustain their health services but it is time to say it!, those services that have to maintain not have in Murcia (GDP at current prices in 2006 of 25,488,883 thousand euros) because when the state invested in them, left to do so in other regions and it seems that nobody is now necessary for redistribution, or who do not reach the English average, we get closer.
What happened to fairness?

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A DAY IN "FAMILY"

That was so spent the day of days residents or at least that is the vision of my resident:

On Friday February 18, 2011 was celebrated the "Tenth Day of Family Medicine Residents and Community "and" Medical Students' First Day "of the Region of Murcia, Campus Teaching Pavilion Health Sciences, near the Hospital Universitario Virgen de la Arrixaca.

the morning, after the relevant reception (presentation of the act), is presented in two different classrooms at the same time, clinical cases accepted as a poster, where first-year residents of the health center Vistalegre-Fleet contribute our bit with the case entitled "More than osteoarthritis" at the end, after "a coffee", were given several workshops for residents, when in which all participants we split again, each going to where we were registered. In my case, I was in the one entitled "Update on COPD, where there were some general ideas about this condition, which never come bad considering the frequency with which we are dealing with it. At the end, and after half an hour of "rest", we ate.

Immediately after, he began the exposure of clinical cases as "oral presentation" (according to criteria of the scientific committee), also presented in two different classrooms, in this case, we participate in a clinical case entitled "The dizziness that improves with sugar." At the end, there was another training session in this case, I I went to "The Departed," which was very practical and interesting, approaching a little more to the handling of infiltration techniques, useful in expanding our capabilities, enabling us to solve more problems in our daily activities. In parallel, several workshops were held for students, having to choose between: "CPR", "Introduction to electrocardiography," and "minor surgery."

Finally, came the closing of the conference, with gratitude to all those attending the awards to clinical cases found most interesting, and a projection of Doctors Without Borders, showing at a glance what your task, encouraging us to participate with them in any of several possible ways .

Later, we met a very limited number of participants to go to the "Gala Dinner" which was the true end of these days, but many people forget ... (Although I have to say that did not stop that became a meeting place where we share many experiences, exchange views and laughter and established new ties.).

experience in general was pretty good, tiring but good. I missed a bit more organization, for up to 3-4 days before the appointed day, residents were going to present a clinical case, we had no information on how we had to submit (if such poster or PowerPoint presentation) ; missed many residents do not know if the lack of information or lack of motivation ... and I did not feel they were a conference with students, which was the "novelty" of this event, because if not misunderstood, one of ends this event was to share the family medicine with them, let them know a little more of our specialty, that it is always the talk of the world, but in reality, is the great unknown. Maybe because it was Friday, perhaps because students were not well informed about what it was that day (so I could see as many of them told me), attendance was sparse, and the student-resident interaction quite zero.

Regardless, we must thank the organizers of this "project" which will embark on this adventure, because for the first time that we went to an event of this kind, served us as a touchdown for the multitude of experiences of a similar nature that we hope to enjoy in the near future. Moreover, from here (How easy it is to say it!) I encourage the emergence of the "Eleventh Day of Family Medicine Residents and Community" and "Second Day of Medical Students" in the Region of Murcia, in which I will be happy to participate again.

Greetings to everyone!

Lorena Sánchez Andújar.

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How to create your own journal Scientific Update via Web 2.0

We are increasingly the people of the blogosphere. Each time, this form of communication is penetrating into our lives, our work, our leisure ...
long since we believe in an open exchange of information and views, with few restrictions as possible, without being subjected to the rules publishers of scientific journals, the selection of information by its editorial board or the dominant ideology of pressure groups who hide behind them.
Internet is changing the rules of the game and not only in the copyright the arts, and also of science and dissemination of scientific information. I understand that his greatest contribution is free access to it, either directly (because they are primary sources) or indirectly (because readers of payment sources tell us it generously)
still remember when, for any small research we had to develop a profile of keywords (Ay! the thesaurus) that sent them to ICYT , we returned a first search on the abstracts that we had to confine more of our needs before requesting a copy of the original .
And when the CD-ROOM! What a luxury for College! Ahorrábamos long!
Do you remember when we had the privilege of access to Medline and IME ? How we changed
research and clinical problems when, in just seconds, we get metasearch as Clinical Excellence or Trypdatabase , or summaries of evidence as Preevid , Clinical Evidence , Uptoday , GUIASALUD or how it was integrated the Cochrane to give a few examples. How do we solve the problems of clinical practice, teaching or research!
But in perspective valuing all of the above, how good can interact while you access to information, ideas or comments from those who feed on these or other resources and share with many free and your information.
The blogosphere is not just a meeting place and participation, is also a site for the update, to share information that, without the reader is looking for, you know it will come in handy. It selectively kept informed being yourself that define and customize your fonts according to tastes and needs.
Funny how blogs are being defined that interest you. At first you select at random and, little by little, delete some and add others to the end, consider that your selection is made by authors with whom you share a cosmological vision of healing and health. Vision that does not necessarily correspond to a single ideology but a way of seeing things.
This is the only way to interpret the common bond that includes my picture posts to which I subscribe and I link to you with some of them: Primary ATensión , balm of Gilead , The Hawk's Nest , The suppository , CESCA Team , MBE Group of SMUMFYC , We read , Talking Mummy , The Pella Gofio of Dr.Bonis , Critical Medical , Evidence Based Pediatrics , For the tangent (breast) , Primum non nocere , Community Health , Health with things, Saludyotrascosasquecomer or Safe and . Sorry for the other bloggers that you are not appointed, but that the blogosphere is getting bigger. However we pick you up in the list of recommended blog on this page.
Well, this list, which includes 42 posts, it may be impossible to handle without tools designed to facilitate this work. I use Google Reader for this is an application that, to understand, it helps me to introduce myself as a journal, all entries of the authors that interest me.

Imagine that you could develop your own magazine, genuine and personal, with articles by the authors that interest you, incorporating scientific information that is most appropriate, all those items you might like to have as humor, the social picture , other ways of approaching the news or, I do not know, self-defined . The end result is your magazine , you can change as you like and add or delete whatever you like and above, through which you can interact with those who believe that your ideas can be interesting. This is Google Reader and I'll explain how to use it:
The only prerequisite is that you have an email from gmail, something easy to achieve through Google (Google Account). Just follow the steps and you create one. Once you have it:
1. Select "Access" to your account from Google.es

.

2. Copy the URL of blogs that interest you

3. Select "Reader" from "More"

4. Select "Add a subscription"

5. paste the URL of the blog that interests you and "Add"

6. Is already the blog on "subscriptions"

7. Repeat using "Add a subscription" with each blog that interests you

8. At the end you encounter your "magazine." Informing you of the entries that you have not read (in bold) and yes (normal)

9. Each entry may be classified (tags) to allow a quick search by topic, highlight it, send it by e-mail etc.

If you want more detailed information on managing Google Reader, you can check this Tutorial

I hope you find it useful, I served

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Doctor, look at me! I have melancholy

I have a friend who called the doctor at the UN and not because he works for the institution, but because it has counted more than 40 different nationalities in its quota. In this reality of our consultations, a few days ago appeared a patient, a Colombian, who after the initial greeting tells me

.- Doctor, look at me! I have sadness.

Given this expression, unusual, I establish the relationship melancholy depression (melancholy . (Del lat. Melancholia ) f. vague sadness, deep, quiet, permanent, born of natural causes or moral, which causes the sufferer can not find pleasure or fun at all.) and the beginning of an interview aimed to assess the extent of it. During the interrogation was a dissonance between my language and expression. After a few minutes of conversation, told him that I find nothing in the interview that made me suspect a depressive background to what he told me that of course which is phenomenal, he's happy and that is certainly not depressed. Before this, I insist:

. - So ... How do you say that it is melancholy?

.- But why, look at me! I have "a melancholy white patch on the back."

Paso to effectively explore and discover a little below the neck an irregular spot, white, slightly larger than a coin of 2 euros, making a rapid diagnosis of these we do based solely on observation.

told him what I know of this dermatological condition and say that this disease la conoce normalmente como vitíligo , a lo que él me contesta que en su país es padecer de la melancolía. La sonrisa brotó en nuestras caras. Al parecer en otros países al vitíligo se le llama también bienteveo . Un caso más de los que vivimos día a día en nuestras consultas y aprendemos de nuestros pacientes.

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Es conveniente que los médicos, con cierta regularidad, recordemos alguna de esas definiciones que forman parte de nuestro cuerpo de conocimientos y nos identifica como médicos de familia.
¿ Recordáis a qué concepto pertenece esta definición?: patient's personal capacity to act on improving their life situations. In many cases, it will be necessary to strengthen the doctor directly intervening on factors that hinder the positive response that the patient has to apply in the process of solving the problem of health, increasing self-esteem or self-efficacy by developing their awareness or encouraging critical reflection on the origin of the health problem that affects you.
For if any of us have been forgotten, are medical students (IFMSA) who have the courage to remind us through their Days of Debate on Health System Actors

In program recognize many of the great medical bloggers.
Congratulations for the initiative and much encouragement