Last May I had to give my farewell speech promoting Family Medicine 2006 - 2010, and I can assure you that I stuck a beating in the milk! People yawned, kicking and screaming to see if I decided to get it over with.
Here it is the full text to judge:
Hello, good afternoon everyone. I'll try to be brief, there are many people who want to speak here today (and also plays the Atleti tonight, so surely we have better things to do than be here listening.)
Well, we're done, and it seemed everlasting when we started. When we first met four years ago, it seemed that this was going to be a world, and is gone in a moment. And the truth is that I'm satisfied. I believe that training has been good, and I'm happy with how it has developed a specialty. It is always better, of course, but in general I think the result has been adequate.
things have been good: We have many health centers and many hospital wards, emergency primary and hospital emergency room, outpatient Specialties, 061, Mental Health, pregnant women, children ... In the end we have been churning for almost all sites.
course there are areas for improvement, but already are making efforts to improve: When we rotate by Cardiology, some still did in the Xeral, and now all has been the Cardio Meix, are the annual evaluations of the training unit, where each year we presented our grievances, always constructive, rotations are not done now and we think they should be mandatory (ENT, Trauma, Eyes) has been fighting with some Unit Services (Services that serve very specific patient age and the record ... I have nothing against the Meixoeiro geriatricians). Even went on strike once, when we consider that our working conditions (especially economic) were not the most appropriate. And we won. I have to admit that after those two days of strike got a significant pay rise, and now we have conditions that can fairly be described as good.
In short, everything can be better, but we are trying. Teaching Unit knows all the good and the bad is about residents, and we must say that in all these wars we have always had to fight Fernando us. Now I know this may sound a rally, but the truth is that Fernando has always also been in the trenches, as the residents themselves, and I can say it better than anyone, because I've been in most of these wars. And I'm glad of it.
For the aspect "work" of the home (because remember that our training and employment contract), we did a bit of everything: guards have been able to lie quiet in a chair, and other than 200 or 300 children in one day. We have seen critically ill patients we have treated several victims and situations we have served in query by the time of our tutors.
Are we prepared for anything? No. Clearly not. We can not be prepared for any thing that comes through the door, or work as an attachment to take twenty years in consulting. But I have always believed that making a product is like learning a common language with which to work. It's like laying a foundation on which to build a true family doctor. Bases made of statins, SCORE, liver profiles and endotracheal tubes. It is a language that is now common to us all, and we can start to move around the world. But it is also a dynamic language, which is transformed to the progression of medicine. We are the second class of Family of four years, and maybe one of the last. There is already talk of extending a residence for five years, then there is the core curriculum, the undergraduate ... Who knows what will be the specialty in a while. That
processing capacity, this dynamism is just a sign of self-transformation of medicine, and in particular primary care. It has no Elementary nothing to do today with that of 10 or 20 years ago, at the time of the APDs and clinics. Today the family doctor is the most complete and professional resolving the entire health system, and I think everyone knows all too well. The WHO has said many times, since the time of Alma-Ata, which is profitable to invest in primary, and indeed there is a Plan Mellor Primary Care in our community is going to be really important, and demonstrates that the Administration believes in us. Are making real efforts to provide primary greater independence, greater scientific capacity, greater access to diagnostic tests and, ultimately, higher quality at work. And I really hope it stays that way.
The future is bright indeed. There are many exciting things we expect from next week, and in the immediate future, such as physiotherapy in primary, simple radiology PACs, ultrasound ... And of course to me is the first thing you am very afraid of what might happen, when I look at the first stop alone, or in the first accident. And finally, when you break the bubble of glass in which we have had four years and are loose around the world. But I think that fear is more cautious, and that's not bad. Always said César Martínez, Head of Medicine Internal Xeral that "the primary physician should be under caution, and not assume you do not know what to do."
So I'm full, full of wisdom, and do not know about you, but I have the background I am looking forward to the day May 26 and finally be one more primary.
Thank you all.
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