The culture of Primary Health Care remains in the University – Quotidiano Sanità

of AIM, SIGM, FederSpecializzandi, Giotto Movement and PHC Campaign

22 OTTDear Director,

the Italian Doctors Association (AIM), the Italian Secretariat of Young Doctors (SIGM), FederSpecializzandi, Movimento Giotto and the “2018 Primary Health Care Now or Never” campaign have decided to join the “Manifesto for the dissemination of Primary Health Care in the University ”, Proposed by doctors in specialist training of the Schools of Specialization in Community Medicine and Primary Care of Bari, Bologna, Modena and Reggio Emilia, Naples, Padua, Rome La Sapienza.

The Manifesto promotes two main objectives: the first is to safeguard the 25 years of experience gained in the university environment in the field of Primary Health Care; secondly, the request, addressed to the institutions, to remedy the regulatory vulnerability that prevents the practice of general medicine for primary care specialists, whose training curriculum is built on the basis of the indications of WHO and WONCA Europe.

According to the WONCA (World Organization of National Colleges and Academies of Family Medicine / General Practice), the international organization of family doctors, “General Medicine” is an academic discipline characterized by a peculiar core curriculum, to be matured through a “training specific in General Medicine “.

The School of Specialization in Community Medicine and Primary Care complies with the minimum criteria indicated by European legislation, necessary to be able to obtain specific training in general medicine, which do not exclude the University as a training provider for future family doctors.

The Interministerial Decree (Health-MIUR n.68 / 2015) identifies specific areas of professional competence for the specialization in Community Medicine and Primary Care, including general medicine, primary care and palliative care and the organization of basic health services.

The Community Doctor and Primary Care Doctor therefore carries out functions of health promotion and prevention, diagnosis, treatment, rehabilitation, planning, evaluation, organization and coordination of primary health interventions and, in the light of what is proposed in the PNRR, appears suitable to cover clinical and organizational assignments in the field of Primary and Intermediate Care.

By healing this regulatory vulnerability, primary care medical leaders could then practice general medicine in community homes and community hospitals. We also underline that the Regions, in the latest document of the Health Commission, have indicated the need to expand the number of specialists capable of operating in primary health care.

AIM, SIGM, FederSpecializzandi, Movimento Giotto and PHC believe the opportunity should be taken to make the best use of the resources we train. Therefore, we reiterate our support and support for the request of doctors in Specialist training in Community Medicine and Primary Care addressed to the Ministry of Health, so that the exercise of general medicine for these specialists is implemented as required by the Ministerial Decrees that they first established. and subsequently regulated the School of Specialization in Community Medicine and Primary Care.

In conclusion, we hope that the culture of Primary Health Care within the University will continue to be maintained in line with the WONCA principles, in order to ensure adequate professionalization to respond to the renewed health needs of the population, hoping that this represent the first step towards the unique specialization in “General Medicine, Community and Primary Care”.

Italian Doctors Association (AIM), Italian Young Doctors Secretariat (SIGM), FederSpecializzandi, Giotto Movement and “2018 Primary Health Care Now or Never” Campaign

October 22, 2021
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