BACKGROUND Training of family physicians should include not only clinical and procedural skills, but also core values as comprehensive care, continuity of care, leadership and patient-centeredness. The Gezira Family Medicine Project (GFMP) is a 2 years Master's programme in family medicine in Sudan. We assessed the impact of GFMP on the candidates' adherence to some core values of family medicine. METHODS This is a prospective study with before-after design based on repeated surveys. We used Patient-Practitioner Orientation Scale (PPOS) to assess physicians' attitude towards patient-centeredness. Practice based data from individual patients' consultations and self-assessment methods were used to assess physicians' adherence to core values. RESULTS At the end of the programme the candidates (N = 110) were significantly more active in community health promotion (p <  0.001), more confident as a team leader (p = 0.008), and showed increased adherence to national guidelines for managing diabetes (p = 0.017) and hypertension (p = 0.003). The responding candidates had more knowledge about patients' medical history (p <  0.001), family history (p < 0.001) and family situation (p < 0.001). There were more planned follow up consultations (p < 0.001) and more referrals (p = 0.040). In contrast, results from PPOS showed slightly less orientation towards patient-centeredness (p = 0.007). CONCLUSIONS The GFMP Master's programme induced a positive change in adherence to several core values of family medicine. The candidates became less patient-centered.

中文翻译：

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苏丹杰济拉为期两年的硕士课程对家庭医学核心价值观的影响：观察性研究。

背景家庭医生的培训不仅应包括临床和手术技能，还应包括全面护理、护理连续性、领导力和以患者为中心等核心价值观。Gezira 家庭医学项目 (GFMP) 是苏丹的一个为期 2 年的家庭医学硕士课程。我们评估了 GFPP 对候选人遵守家庭医学某些核心价值观的影响。方法 这是一项基于重复调查的前后设计的前瞻性研究。我们使用患者-从业者取向量表（PPOS）来评估医生对以患者为中心的态度。来自个体患者咨询和自我评估方法的基于实践的数据被用来评估医生对核心价值观的遵守情况。结果 项目结束时，候选人 (N = 110) 在社区健康促进方面显着更加积极 (p < 0.001)，作为团队领导更有信心 (p = 0.008)，并且更加遵守国家糖尿病管理指南（p = 0.017）和高血压（p = 0.003）。受访者对患者病史（p < 0.001）、家族史（p < 0.001）和家庭情况（p < 0.001）有更多了解。有更多计划的后续咨询 (p < 0.001) 和更多转诊 (p = 0.040)。相比之下，PPOS 的结果显示，以患者为中心的倾向稍弱 (p = 0.007)。结论 GFMP 硕士课程在坚持家庭医学的几个核心价值观方面引起了积极的变化。候选人变得不再以病人为中心。