Evidence map›Paper›PMID 41699589›Full record

ArticleBMC medical education2026

Experiences of family and community care physicians and nurse residents in Madrid regarding their training during the COVID-19 pandemic: a photovoice study.

Elena Polentinos-Castro, Raquel Sánchez-Ruano, Paloma Conde-Espejo, Miguel López-Miguel, Lucía Nuevo-Coello, María Minué-Estirado, Elena Valera-Bermejo, Isabel Del Cura-González

Abstract read
In one paragraph

Article in BMC medical education, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Elena Polentinos-CastroResearch Unit, Primary Care Management, Madrid Health Service, Madrid, Spain.ORCID http://orcid.org/0000-0001-9460-2966
Raquel Sánchez-RuanoResearch Unit, Primary Care Management, Madrid Health Service, Madrid, Spain.ORCID http://orcid.org/0000-0002-3642-162X
Paloma Conde-EspejoFoundation for Biosanitary Research and Innovation in Primary Care (FIIBAP), Madrid, Spain.
Miguel López-MiguelInstituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain.ORCID http://orcid.org/0000-0003-2374-7767
Lucía Nuevo-CoelloInstituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain.ORCID http://orcid.org/0000-0002-7146-5011
María Minué-EstiradoInstituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain.ORCID http://orcid.org/0009-0006-1391-8277
Elena Valera-BermejoResearch Unit, Primary Care Management, Madrid Health Service, Madrid, Spain.ORCID http://orcid.org/0009-0007-6057-5817
Isabel Del Cura-GonzálezResearch Unit, Primary Care Management, Madrid Health Service, Madrid, Spain. isabel.cura@salud.madrid.org.ORCID http://orcid.org/0000-0002-3931-5304

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic brought about sudden changes in healthcare demands, requiring additional healthcare professionals and altering the educational landscape for medical and nursing residents. This study aimed to explore the experiences and impact of the pandemic on the training of family and community medicine as well as family and community nursing residents.

methodA participatory qualitative study was conducted using the Photovoice methodology. Seven residents in family and community medicine and nursing in the Madrid region were purposively sampled. Participants took photographs and engaged in weekly sessions over five weeks to discuss and analyse their photos, which were grouped into themes and further categorized. Recommendations for institutions and program leaders were developed using an adapted logical framework approach.

resultsThe average age was 27 years, with 86% being female. Participants captured 96 photographs categorized into five themes (physical and emotional impact; impact on primary care system; hospital care ; social and environmental impact ; and impact on training). Through critical discussions on impact on training-related photos, seven emergent themes were identified: 1) COVID-19 monograph, buried knowledge; 2) Changing roles ; 3) Transition from face-to-face to online delivery format ; 4) Supervision; 5) Tutor as educator and caregiver ; 6) Advocacy ; 7) Family and nursing residents as agents of change. Subsequently, participants formulated seven recommendations that should be considered in similar situations.

conclusionThe COVID-19 pandemic has posed significant challenges in implementing medical education programs. It has had both formative and professional impacts on medical and nursing residents. These findings can aid in designing coping and educational strategies to navigate exceptional situations such as the one experienced during the pandemic.

Indexed as

Community MedicineCOVID-19Family PracticeInternship and ResidencyPhysicians, FamilyAdultFemaleHumansMalePandemicsPhotographyQualitative ResearchSARS-CoV-2SpainCommunity-Based Participatory ResearchCOVID-19Internship and residencyPhotovoicePrimary Health CareProfessional Education

Identifiers

PMID41699589
PMCPMC13020233

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.