title: [Family doctor clinical aptitude confronting gestational diabetes patients].
abstract: BACKGROUND
  Gestational diabetes mellitus complicates 7% of all pregnancies. Recognizing and treating this entity result in a diminished number of materno-fetal complications; this study explores the family physician clinical aptitude to identify risk factors, to diagnose and treat gestational diabetes.
  
  
  OBJECTIVE
  Identify clinical aptitude level of family physician to the treatment of diabetes gestational patients.
  
  
  METHODS
  Transversal study to describe the level of clinical aptitude in 85 family physicians working in Guadalajara. Were studied: speciality, genre, work condition, working years, working hours, and place of work. The evaluation instrument was designed to this specific purpose and validated by an expert group; were evaluated four indicators: 1) identification of risk factors, 2) diagnosis, 3) use of therapeutic resources and 4) use of paraclinic resources. Confidence coefficient to the assessment instrument was (21 formula from Kuder-Richardson) 0.92 in global evaluation.
  
  
  RESULTS
  The global clinical aptitude in the four family medicine units studied was less than 21 points in 41% of physician population and very low (22 a 40 points) in 38% of the evaluated physicians.
  
  
  CONCLUSIONS
  The clinical aptitude from family physician in gestational diabetes is low, this situation represents an urgent need to design a system to provide to these groups of health providers specialized continuous education to enhance the attention quality to this group of patients in family medicine units.
authors.affiliation: Unidad Médica de Alta Especialidad, Hospital de Especialidades, Centro Médico Nacional Siglo XXI, IMSS, México, DF.
authors.forename: Carlos Enrique Cabrera
authors.initials: CE
authors.lastname: Pivaral
authors.forename: Elizabeth Rivera
authors.initials: ER
authors.lastname: Clara
authors.forename: Luz María Adriana Balderas
authors.initials: LM
authors.lastname: Peña
authors.forename: Mayari Cabrera
authors.initials: MC
authors.lastname: Centeno
authors.forename: Carlos Alonso
authors.initials: CA
authors.lastname: Reynoso
mesh_terms: D000328:Adult; D002983:Clinical Competence; D003430:Cross-Sectional Studies; D016640:Diabetes, Gestational / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy*; D005194:Family Practice; D005260:Female; D006295:Health Resources / Q000706:statistics & numerical data; D006801:Humans; D008800:Mexico / Q000453:epidemiology; D010817:Physician-Patient Relations; D010821:Physicians, Family / Q000523:psychology / Q000706:statistics & numerical data*; D011247:Pregnancy; D012307:Risk Factors; D014505:Urban Population