Or402 Residency In The Urgent Care Unit: Are There Any Differences Across Different Hospital Types?

Conference: 
Author(s): 
Ana María Ayllón Toro1, Juan María Rodríguez Martínez2, Omaira Soto-Marín3 e María del Carmen García-Tirado4
1Gran Capitán Health Centre Granada; 2Centro de Salud Cartuja Granada Andalucía; 3Salvador Caballero Health Centre Granada; 4Unidad docente de Medicina Familiar y Comunitaria Granada
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AIMS/OBJECTIVES: To obtain information about the differences in the perceived quality of the formation of General Practice’s residents about the organisation, teaching and tutorial system in the urgent care services in 4 different models of hospital.
MATERIAL AND METHODS: Design: Descriptive. Geographical focus: Family Medicine Teaching Unit, Granada (Spain). Population and sample: 136 residents, from year 1 to year 4. Sample size calculated to achieve a 95% confidence interval, 10% precision. Measurements: Questionnaire with 31 items, including: 1) resident’s profile, number of years as resident, hospital type, 2) perception of learning, 3) tutorial system, 4) organisational quality of the Department. Statistical analyses: uni, bi and multivariate.
RESULTS: About 70% of residents think that the skills that they obtain in their hospital are the same that residents in other hospital types obtain. In county hospitals, the relationship with tutor is evaluated as good or very good by 60% of residents, and this is in contrast with second- and third-level hospitals where the corresponding figure is 11% and 35% respectively. On the contrary, the global quality was considered as good by only 3.4% of residents in third-level hospitals while the corresponding figure is 20% for both first- and second-level hospitals. In only one of the county hospitals the food served was considered as good or very good. Health quality and stress outcomes display more positive opinions across residents of county and second-level hospitals.
CONCLUSION: Most of residents express the view that their residence period is the same across the different types of hospital. In this study, we show that the main strength of the county hospital is the quality of the ties established with tutors, and its main disadvantage is the comparatively poor organisational quality.
Literature: 
OR402 RESIDENCY IN THE URGENT CARE UNIT: ARE THERE ANY DIFFERENCES ACROSS DIFFERENT HOSPITAL TYPES?
Keywords: 
residents; emergency; hospital; opinion; hospital; differences