The paediatric Observatory reveals the poor training of Paediatrics resident in primary care.

-the most significant data of the survey is that the compulsory rotation of 3 months for primary care which provides the training programme of the specialty is not fulfilled by up 57.7% of cases, in force since the year 2006; watching a great disparity between different hospitals in the community. Three of every five pediatricians that form in the public hospitals of Madrid receives a poor training in AP, place where more pediatricians are lacking.

– despite the fact that the pediatricians of AP performed important educational work, both for pediatricians and family physicians, no pediatrician AP has accreditation as guardian or Assistant teacher, so this activity has no official valuation curricular or professional, not receiving any form of compensation for its formative task teaching.

-only a member of the different commissions of teaching in the community of Madrid is pediatrician of PA

-17% of the residents of Pediatrics asked make a second voluntary rotation by primary health care in the last year of residence.

In view of this survey, we conclude that it is essential to regulate and adapt regulations the residents of Madrid hospital Pediatrics rotations and that it would be good to adequately assess the teaching work of paediatricians of AP and accommodate them in the committees or subcommittees on teaching. He is hopeful for the Pediatrics of AP, and therefore also for Madrid children, one in five residents of Pediatrics considers important rotation by this level when they are finishing their residence.

A new obstacle crossing in the path of training in Pediatrics of AP. The new resolution governing the requirements for accreditation of teacher Multiprofesionales units (UDM) of Pediatrics establishes that their devices of AP (health centers), there at least one medical specialist in Pediatrics and a specialist in pediatric nursing. Given that almost half of the Madrid health centers not been allowed nurses conducting preferably Pediatric activities, we are faced with considerable difficulties for such accreditation. It is hardly understandable to allowing not an activity of tested and well appreciated by the families as it is the work of pediatric nursing in primary health care of health of the child population and at the same time such activity is required to complete the training of future specialistsboth Pediatrics and pediatric nursing. The rest of autonomous communities was complied with in the work of nurses full-time child. It would be a loss of irreplaceable for the families of our community if not many health centres in our community might accredit training in children’s specialties.

We have discussed these serious problems for the training of paediatricians and nurses in Pediatrics in AP with the health administration in our community and it seems that it is open to search for solutions.

On the paediatric Observatory of primary care (AP)

The paediatric Observatory of AP was established on June 7, 2011 by the Madrid scientific societies of paediatrics: the Paediatrics Society of Madrid and Castilla La Mancha (SPMyCM), the society of paediatric Extrahospitalaria and primary care (SEPEAP) and the Madrid Association of Pediatrics of primary care (AMPap), the Association of doctors and graduates of Madrid (AMYTS) and pediatricians members of the Bureau of the AP of the College of physicians. The purpose of the Observatory is monitoring and alerting of the welfare and labour issues of Pediatricians of Madrid health centers, trying thus optimising the quality of assistance to children and adolescents in our community.