[Implementation of preventive activities by family and community medicine residents in primary care clinics].
OBJECTIVE
To determine the level of preventive activities carried out by Family and Community Medicine medical residents during their stay in the Health Centre, as well as to estimate the time involved in carrying them out.


METHODS
Cross-sectional, descriptive, observational study.


METHODS
Teaching Health Centres in the Central- Cordoba and Guadalquivir Primary Care Districts.


METHODS
Forty medical residents and 384 clinical interviews with patients who were seen at the clinic.


METHODS
The consultations were video recorded and looked at by three medical residents who recorded the preventive activities carried out according to the 2005 PAPPS (Health Promotion and Disease Prevention Activities) recommendations, as well as the time employed in performing these activities.


RESULTS
No preventive activities were performed in 72.1% (95% CI: 67.6 to 76.5%) of the consultations. The most frequent activities were secondary prevention (70.1%), mainly the taking of blood pressure (8.1%). The mean consultation time when there were no preventive activities carried out was 5.6 min (SD=3.1), whilst in those that did perform them it was 7.04 min (SD=3.05) (P<0.0001).


CONCLUSIONS
The performing of preventive activities by medical residents in Primary Care clinics is very limited. A consultation that includes preventive activities requires a significantly longer time than in those that do not include them.
Centro de Salud de Montoro, Unidad Docente de Medicina Familiar y Comunitaria, Córdoba, España. langel.perula.sspa@juntadeandalucia.es
David Paniagua
DP
Urbano
Luis Ángel
LÁ
Pérula de Torres
Roger
R
Ruiz del Moral
Enrique Gavilán
EG
Moral
D003154:Community Medicine; D003430:Cross-Sectional Studies; D005194:Family Practice; D006268:Health Facilities; D006801:Humans; D007396:Internship and Residency; D011314:Preventive Health Services / Q000592:standards*; D011320:Primary Health Care