Family practice in Turkey: views of family practice residents. 2011

Melahat Akdeniz, and Hakan Yaman, and Yeşim Senol, and Zelal Akbayin, and Fatma Gökşin Cihan, and Sercan Bulut Celik, and
Akdeniz University, Faculty of Medicine, Department of Family Medicine, Antalya, Turkey.

Turkey's family practice training program is aimed at providing further training to clinically proficient family physicians who serve the community. A survey conducted in 2001 revealed that there was a need for providing additional training and more time in a specially dedicated family practice placement for family practitioners. Recent changes in the Turkish health care system have also impacted the training environment of family practice residents. Clearly, training needs to change with time. The aims of this study are to investigate the attitudes of resident family practice physicians regarding their training in the health care system in order to gather their views on the hospital learning environment, and to estimate their burnout levels. For this research, the design included a 1-phase cross-sectional study. This study was undertaken in 2008 in departments of family medicine at universities (n = 21) and training and research hospitals of the Ministry of Health (n = 11). Approximately 250 family practice residents in Turkey were approached. In total, 174 residents participated (70% response rate). The survey instruments included a questionnaire with 25 queries and 2 scales: The Postgraduate Hospital Educational Environment Measure and the Maslach Burnout Questionnaire-Human Services Survey. The average age of the participants was 32.2 years (standard deviation, 4.5 years; range, 24-57 years). The gender distribution was 57.6% women and 42.4% men. Marital status was 34.7% single, 62.9% married, and 2.4% divorced/widowed. In our results, residents affirmed that university hospitals were the best facilities for residency training. Their future plans confirmed that most would like to work in family health centers. This sample showed average levels of emotional exhaustion, depersonalization, and lack of personal accomplishment. Perceptions of professional autonomy, quality of training, and social support were below average. It may be concluded that certain milestones in the development of family practice in Turkey have been fulfilled. The new regulation for postgraduate training has increased the share of family practice training to 50% (18 months). Establishment of educational family health centers has been planned. Introduction of the formative and summative assessment processes in family practice training is anticipated. It is expected that an assessment such as the Membership of the Royal College of General Practitioners (International) (mRCGP[INT]) examination would be helpful for Turkish residents in reaching these goals.

UI MeSH Term Description Entries
D007396 Internship and Residency Programs of EDUCATION, MEDICAL, GRADUATE training to meet the requirements established by accrediting authorities. House Staff,Internship, Dental,Residency, Dental,Residency, Medical,Dental Internship,Dental Internships,Dental Residencies,Dental Residency,Internship,Internship, Medical,Internships, Dental,Medical Residencies,Medical Residency,Residencies, Dental,Residencies, Medical,Residency,Residency and Internship,Internships, Medical,Medical Internship,Medical Internships,Residencies,Staff, House
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D002055 Burnout, Professional An excessive stress reaction to one's occupational or professional environment. It may be characterized by feelings of emotional and physical exhaustion, coupled with a sense of frustration and failure. Career Burnout,Occupational Burnout,Burnout, Career,Burnout, Occupational,Professional Burnout
D003430 Cross-Sectional Studies Studies in which the presence or absence of disease or other health-related variables are determined in each member of the study population or in a representative sample at one particular time. This contrasts with LONGITUDINAL STUDIES which are followed over a period of time. Disease Frequency Surveys,Prevalence Studies,Analysis, Cross-Sectional,Cross Sectional Analysis,Cross-Sectional Survey,Surveys, Disease Frequency,Analyses, Cross Sectional,Analyses, Cross-Sectional,Analysis, Cross Sectional,Cross Sectional Analyses,Cross Sectional Studies,Cross Sectional Survey,Cross-Sectional Analyses,Cross-Sectional Analysis,Cross-Sectional Study,Cross-Sectional Surveys,Disease Frequency Survey,Prevalence Study,Studies, Cross-Sectional,Studies, Prevalence,Study, Cross-Sectional,Study, Prevalence,Survey, Cross-Sectional,Survey, Disease Frequency,Surveys, Cross-Sectional
D005194 Family Practice A medical specialty concerned with the provision of continuing, comprehensive primary health care for the entire family. Family Practices,Practice, Family,Practices, Family
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D001291 Attitude of Health Personnel Attitudes of personnel toward their patients, other professionals, toward the medical care system, etc. Staff Attitude,Attitude, Staff,Attitudes, Staff,Health Personnel Attitude,Health Personnel Attitudes,Staff Attitudes

Related Publications

Melahat Akdeniz, and Hakan Yaman, and Yeşim Senol, and Zelal Akbayin, and Fatma Gökşin Cihan, and Sercan Bulut Celik, and
April 2010, BMC medical education,
Melahat Akdeniz, and Hakan Yaman, and Yeşim Senol, and Zelal Akbayin, and Fatma Gökşin Cihan, and Sercan Bulut Celik, and
December 2019, Turkish journal of anaesthesiology and reanimation,
Melahat Akdeniz, and Hakan Yaman, and Yeşim Senol, and Zelal Akbayin, and Fatma Gökşin Cihan, and Sercan Bulut Celik, and
September 1995, Family practice,
Melahat Akdeniz, and Hakan Yaman, and Yeşim Senol, and Zelal Akbayin, and Fatma Gökşin Cihan, and Sercan Bulut Celik, and
March 2014, Global health promotion,
Melahat Akdeniz, and Hakan Yaman, and Yeşim Senol, and Zelal Akbayin, and Fatma Gökşin Cihan, and Sercan Bulut Celik, and
March 1979, Journal of the Medical Association of the State of Alabama,
Melahat Akdeniz, and Hakan Yaman, and Yeşim Senol, and Zelal Akbayin, and Fatma Gökşin Cihan, and Sercan Bulut Celik, and
February 1986, Canadian family physician Medecin de famille canadien,
Melahat Akdeniz, and Hakan Yaman, and Yeşim Senol, and Zelal Akbayin, and Fatma Gökşin Cihan, and Sercan Bulut Celik, and
September 1993, Canadian family physician Medecin de famille canadien,
Melahat Akdeniz, and Hakan Yaman, and Yeşim Senol, and Zelal Akbayin, and Fatma Gökşin Cihan, and Sercan Bulut Celik, and
February 1978, The Journal of family practice,
Melahat Akdeniz, and Hakan Yaman, and Yeşim Senol, and Zelal Akbayin, and Fatma Gökşin Cihan, and Sercan Bulut Celik, and
January 2008, The Journal of continuing education in the health professions,
Melahat Akdeniz, and Hakan Yaman, and Yeşim Senol, and Zelal Akbayin, and Fatma Gökşin Cihan, and Sercan Bulut Celik, and
February 2002, Croatian medical journal,
Copied contents to your clipboard!