Abstract
PROJECT FOR TRAINING TO GENERAL PRACTITIONERS ON THE ENVIRONMENTAL HEALTH Background. The position of the general practitioners and the specifics of their specialty allow them not only to diagnose and treat, but also to carry out active preventive activities. The general practitioner is expected to be aware not only of disease manifestations, but also of any living environment conditions. Another key competence of theirs is related to patient’s health problem solving organization by means of coordination with other medical and non-medical institutions. The submodule of teaching of the general practitioners (GP), related to environment and health problems is not included in the national program of the Ministry of Health in Bulgaria. The aimof this work is to present a demonstrative project for GP advanced training on the risky problems, related to air pollution and health. Methods: Development of a project related to the ‘environment and health’ problem within the context of the general medical practice by a team working at the Faculty of Public Health of the Medical University – city of Plovdiv. Results: The team included representatives of the National Environmental Protection Agency so that the so called ‘hot points’ to be identified, in this case – the points where the values of the controlled atmospheric pollutants are increased. This allowed for the inclusion of ten randomly selected general practices, located in the ‘hot points’ and of an appropriate control group.The group of indices using the generally adopted health indicators are: mortality, morbidity rate, hospitalization, emergency aid call, etc. Conclusion: The demonstrative project has the following peculiarities – a multiinstitutional system is formed, consisting of academic community, experts working at the National Environment Research Agency and general practitioners, which jointly, on the basis of the scientific and research work, provide advanced training on the risky problems related to health and air pollution.
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