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Impact on core values of family medicine from a 2-year Master's programme in Gezira, Sudan: observational study.


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.

SUBMITTER: Mohamed KG 

PROVIDER: S-EPMC6816210 | biostudies-literature | 2019 Oct

REPOSITORIES: biostudies-literature

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Impact on core values of family medicine from a 2-year Master's programme in Gezira, Sudan: observational study.

Mohamed Khalid Gaffer KG   Hunskaar Steinar S   Abdelrahman Samira Hamid SH   Malik Elfatih Mohamed EM  

BMC family practice 20191028 1


<h4>Background</h4>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.<h4>Methods</h4>This is a prospective study with before-after design based on repeated surve  ...[more]

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