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Open Access Research article

Medical student attitudes towards family medicine in Spain: a statewide analysis

Amando Martín Zurro12*, Josep Jiménez Villa123, Antonio Monreal Hijar4, Xavier Mundet Tuduri3, Ángel Otero Puime5, Pablo Alonso-Coello6 and and for the Universidad y Medicina de Familia (UNIMEDFAM) research group

Author Affiliations

1 Servicio Catalán de la Salud, División de Planificación y Evaluación Operativa, Barcelona, Spain

2 Institut Universitari d’Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Gran Via 587 àtic, Barcelona, Spain

3 Cátedra UAB-Novartis de Docencia e Investigación en Medicina de Familia, Universitat Autònoma de Barcelona, Barcelona, Spain

4 Cátedra UNIZAR-Novartis de Docencia e Investigación en Medicina de Familia y Atención Primaria, Universidad de Zaragoza, Zaragoza, Spain

5 Cátedra UAM-Novartis de Docencia e Investigación en Medicina de Familia y Atención Primaria, Universidad Autónoma de Madrid, Madrid, Spain

6 Iberoamerican Cochrane Centre, CIBERESP-IIB Sant Pau, Barcelona, Spain

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BMC Family Practice 2012, 13:47  doi:10.1186/1471-2296-13-47

Published: 29 May 2012

Abstract

Background

Family and community medicine (FM) became a recognized specialty in Spain in 1978; however, most medical schools in Spain still lack mandatory core courses in FM. In order to explore the perceptions, expectations and level of information amongst medical students in Spain in relation to FM and PC, and the training in these areas in the curriculum of the Medical Schools, a survey was developed to be administered in medical schools every two years. This article presents data from the first questionnaire administration.

Methods

The study population was all first-, third-, and fifth-year students (2009–2010) in 22 participating medical schools in Spain (of 27 total). The 83-item survey had three sections: personal data, FM training, professional practice expectations, and preferences). Chi-squared test or analyses of variance were used, as appropriate.

Results

We had a 41.8% response rate (n = 5299/12924); 89.8% considered the social role of FM to be essential, while only 20% believed the specialty was well respected within the medical profession. The appeal of FM increased with years of study, independent of student characteristics or medical school attended. Among third and fifth-year students, 54.6% said their specialty preferences had changed during medical school; 73.6% felt that FM specialists should teach FM courses, and 83.3% thought that FM rotations in primary care centres were useful.

Conclusions

Students valued the social role of FM more highly than its scientific standing. The vast majority believe that FM training should be mandatory. Only 25% of first-year students have clear preferences for a specialization. Interest in FM increases moderately over their years of study. Working conditions in FM have decisive influence in choosing a specialty.