Training the Rural Doctor: the Model of Competencies and the Critical Theory
Abstract
This study reveals the theoretical contradictions in the professional competences that ideally need a doctor who works in rural areas with impoverished populations, forming part of a health system with limited technical and human resources, taking into account critical theory as conceptual basis.
Qualitative research based on grounded theory was carried out. The first phase of the research involved conducting interviews with a focus group, which consisted of leaders from a rural community and professionals from different disciplines working in rural areas. The professionals were involved in the training of doctors and know the community’s perspective on health professionals.
After the analysis of the interventions, the authors grouped the main themes of the discourse into four general competencies: 1) expertise of the doctor in the care of sick people; 2) development of autonomy; 3) development of emotional and communication skills; and 4) development of cultural and political competencies. The most important competency for the participants was professional autonomy.
This investigative work highlights the challenges faced by Ecuadorian medical schools, both public and private, to contribute to the historical processes of rural populations.
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References
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