Document Type : Original Article
Authors
1 Department of Medical Education, Medical Education Research Center, Birjand University of Medical Sciences, Birjand, Iran
2 Department of Physiology, Applied Physiology Research Center, School of Medicine, Isfahan University of Medical Sciences, Isfahan,
Abstract
Context: General practitioners should be competent to be accountable for patients’ needs,
but they do not acquire core competencies during education in medical schools. Aims: This
study was aimed at determine the most usual obstetric and gynecological as well as pediatric
diseases in rural and urban care centers in Isfahan province. Settings and Design: This is a
cross‑sectional descriptive study which was done in Isfahan province in 2011. Sixty‑four physicians
(general practitioners) in rural and urban health care centers in Isfahan province participated in
this study. Subjects and Methods: Participants completed valid and reliable questionnaires for
gynecological/obstetric and pediatric diseases. These questionnaires included some demographic
data and diseases of each category (according to general medicine curriculum). Scales 1‑5 for
each disease referral times was determined respectively as: Rare, sometimes, weekly to monthly,
daily to weekly and daily. Statistical Analysis Used: The data were descriptively analyzed by
SPSS 11.5(SPSS Inc. in Chicago). Results: Nearly 43.7% of participants were male. The mean
age of participants was 39.0 ± 7.0 and their mean working experience was 11.3 ± 5.9 years. The
highest referral times’ score in rural and urban care centers in gynecological and obstetric group
was vaginal discharge; in pediatrics, it was the common cold. Conclusions: In this study, the
extent to which general practitioners encountered different gynecological/obstetric and pediatric
diseases in rural and urban care centers in Isfahan province was determined. Although, these
data are useful for decision makers to establish medical core curriculum, other factors such as
seasonal load of diseases should also be observed to determine the differences between rural
and urban care centers in most usual diseases of women and children.
Keywords
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