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Title
Impact on core values of family medicine from a 2-year Master's programme in Gezira, Sudan: observational study |
Full text
http://hdl.handle.net/1956/21931 |
Date
2019 |
Author(s)
Mohamed, Khalid Gaffer; Hunskår, Steinar; Abdelrahman, Samira Hamid; Malik, Elfatih M. |
Abstract
Background:
Training of family physicians should include not only clinical and procedural skills, but also core values as comprehensive care, continuity of care, leadership and patient-centeredness. The Gezira Family Medicine Project (GFMP) is a 2 years Master's programme in family medicine in Sudan. We assessed the impact of GFMP on the candidates' adherence to some core values of family medicine.
Methods:
This is a prospective study with before-after design based on repeated surveys. We used Patient-Practitioner Orientation Scale (PPOS) to assess physicians' attitude towards patient-centeredness. Practice based data from individual patients' consultations and self-assessment methods were used to assess physicians' adherence to core values.
Results:
At the end of the programme the candidates (N = 110) were significantly more active in community health promotion (p <  0.001), more confident as a team leader (p = 0.008), and showed increased adherence to national guidelines for managing diabetes (p = 0.017) and hypertension (p = 0.003). The responding candidates had more knowledge about patients' medical history (p <  0.001), family history (p < 0.001) and family situation (p < 0.001). There were more planned follow up consultations (p < 0.001) and more referrals (p = 0.040). In contrast, results from PPOS showed slightly less orientation towards patient-centeredness (p = 0.007).
Conclusions:
The GFMP Master's programme induced a positive change in adherence to several core values of family medicine. The candidates became less patient-centered. |
Language
eng |
Publisher
BioMed Central |
Relation
BMC Family Practice |
Type of publication
Journal article; publishedVersion; Journal article |
Source
1471-2296 |
Rights
Attribution CC BY; http://creativecommons.org/licenses/by/4.0/; Copyright 2019 The Authors |
Identifier
Mohamed, Abdelrahman, Malik, Hunskår. Impact on core values of family medicine from a 2-year Master's programme in Gezira, Sudan: observational study. BMC Family Practice. 2019; 20: 145; 1783186; 10.1186/s12875-019-1037-1 |
Repository
Bergen - University of Bergen
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Added to C-A: 2020-04-21;11:43:34 |
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