Clinical-basic integration of residents in the specialty of Family Medicine

Abstract

Introduction: Family Medicine constitutes a clinical specialty that must integrate its clinical contents with the basic contents acquired during the undergraduate program, in order to develop the reasoning to identify, pose, and understand clinical problems; develop clinical reasoning, clinical skills, and apply the principles and general rules for the comprehensive management of the patient. Objective: to determine the level of knowledge of the preceding contents of the biological foundations of Medicine and the capacity for their integration. Method: a descriptive pedagogical research was carried out in the Cacocum municipality, Holguín province, Cuba, from June 1, 2023 to November 30, 2023. The universe consisted of 36 residents in the Family Medicine specialty from the three academic years, and 28 professors of the same specialty, belonging to three health institutions. Intentional non-probability sampling was carried out, consisting of 33 residents and 10 professors. An examination form, pilot test, point biserial discrimination coefficient, Likert scale and Cronbach's alpha were applied. Results: 90.90% of the sample reported a low level of clinical-basic integration, due to the superficial approach to these contents during the clinical cycle in undergraduate training (39.39%) and during residency (36.63%). 78.78% considered the systematization of the integration of clinical and basic contents in residency to be essential and extremely necessary. Conclusions: Family Medicine residents have a low level of clinical-basic integration.