In the improvement of health outcomes of the general population, continuing education of general practitioners is a fundamental aspect. Aware of this premise, the Family Medicine specialization of the University Foundation Navarra-UNINAVARRA, starts the first of its continuing education days at the E.S.E Carmen Emilia Ospina, at the Canaima headquarters. On July 26, the institution allowed its general practitioners to attend an activity of reinforcement and updating in the fundamental aspects of the approach and management of type 2 diabetes mellitus and arterial hypertension.

In this first approach, Family Medicine specialists Carlos Reyes and Isidro Torres and second semester resident John Romero exchanged knowledge on these topics with the general practitioners of the health service provider institution. Aspects of primary, secondary, tertiary and quaternary prevention were addressed, focusing on the maintenance of people's health, and a workshop was held for the early detection of diabetic foot disease.

In this meeting it was possible to carry out a training process according to current guidelines and scientific evidence regarding prevention, screening, early diagnosis, timely control and management in all dimensions of being of these two health conditions. Both the entity and the physicians attending the event were satisfied and it is expected to continue with these conferences to contribute from the academy with the continuing education of general practitioners in the region.

"I have told my children that when I die, to release balloons in the sky to celebrate my graduation. For me, death is a graduation." Elisabeth Kübler-Ross.

This wonderful author, who always considered death as part of life, made a great advance in this difficult task of including death in education for living, and with the description of the five stages: denial, anger, sadness, negotiation and acceptance, she has allowed a better understanding of grief. Providing education on this topic is part of the healing process of a loss and is not a simple activity from an academic point of view.

In the same way, dealing with such a sensitive subject as infertility in a society whose construct almost forces couples to reproduce, represents a great challenge to achieve its understanding. The W.H.O. assures that one in six adults in the world is affected by fertility problems, which is why this issue requires important attention from health systems.

In a masterful way, residents María Araque and Gelithza Tole managed to transform the beliefs and previous knowledge of undergraduate students, residents and teachers on the topics of grief and infertility in their great creative session. These two graduate students succeeded through film and a television series in making an experiential process of the two topics. Using scenes from the film "The Cabin" by director Stuart Hazeldine, Dr. Araque conducted an emotional formative activity on grief and death, allowing feelings to surface and emphasizing the different stages of grief in the face of a death framed within the non-normative crises. Dr. Tole used a scene from the character Charlotte York Goldenblatt, from the series sex and the city , produced by Sarah Jessica Parker, emphasizing the whole context of her drama with infertility, showing in all dimensions of being the approach to this situation. These two great sessions showed an unforgettable way of dealing with two rather complex, but fundamental issues in the practice of family medicine. The two great sessions took place on July 19 and 26, 2024.

The term pairing refers to the union, analogy or conformity with which some things are linked or correspond to each other. In the case of wines, it is the relationship that exists between the type of wine and the food that is accompanied with it to enhance flavors and increase the pleasure of eating and drinking. It can be said that there is a perfect wine to accompany each food, traditionally it was said that red wine accompanied red meat, champagne caviar and oysters, sweet wine with dessert and white wine for meat and white fish. However, nowadays the term pairing goes far beyond these concepts and there are as many pairings as there are palates, flavors or tastes.

This analogy was used by first semester resident Gerly Vanessa Rincón Puentes, who on June 21, 2024, held the great session "Inhaler patient pairing. In this academic event the resident showed precisely the technological variety of inhalers and the presentations of each of the drugs they contain. It was clear that there are pneumatic and ultrasonic nebulizers, also that current devices can be pressurized, fine mist, dry powder that can generate one or multiple doses.

This variety of presentations of both the drugs to be inhaled and the technology that accompanies the different devices can lead to confusion, inadequate use of the drug or reduced adherence. For this reason, family physicians should know the different existing devices and when formulating them explain to the patient how to activate the device, how to use it optimally and how to store the medication. Also the importance of choosing the right inhaler according to the characteristics of each patient, therefore, there is a perfect inhaler for each patient who requires it.

Human sexuality is like a pendulum that has swung at historical, cultural, social, economic, religious, legal and scientific knowledge levels. The perception of sexuality has varied from a purely reproductive concept, a physiological process, to a need associated with desire and pleasure. In the same way, important distinctions have been noted in the concepts of sex, sexual orientation and gender. Sexuality scholars such as Freud, Kinsey, Master and Johnson, among others, have attributed an academic character to the study of sexuality and have allowed through different types of studies to learn about this subject that has represented a taboo for humanity in many historical moments.

It is almost impossible to separate sexual behaviors from moral, religious, ethical and cultural aspects and much more difficult to understand the range of possibilities and aspects that encompass human sexuality. On the other hand, there is a very thin thread between the classification of the pathological and the normal within the sexual activities of individuals, since the factors involved in this categorization are very diverse.

This topic was extensively contextualized and discussed on May 15, 2024 in the last sexuality narrative organized by the Family Medicine specialization and the Vice-Rectory of Humanities of the University Foundation Navarra-UNINAVARRA.

With the attendance of more than 600 people, including students, teachers and members of the community of Neiva, the event art and family medicine was held at the Pigoanza theater on May 8, 2024. This activity organized by the family medicine program in its undergraduate area counted with the participation of eighth, ninth and tenth semester students of the subjects of family medicine I, II and III respectively.

The students majestically represented topics associated with family medicine such as diabetes mellitus, obesity, high blood pressure, low back pain, headache, vertigo, sexuality, death, IMCI, food safety, malnutrition, family dysfunction, pre-eclampsia, eclampsia and HELLP syndrome.

The didactic strategy art and family medicine arises as a tool to strengthen the students' knowledge of medicine and soft skills. Initially, the student reviews a topic in a group, exposes it and the teacher clarifies doubts and reinforces the different aspects. Subsequently, it is articulated with the area of arts of the university foundation and the student is in the task of first explaining the knowledge and take it to the understanding of the teachers of a subject completely different from medicine. Subsequently, in a collaborative work group of students expose their creative idea and with the art instructors establish an artistic presentation. They practice with advice from the aforementioned area and with direct supervision of the family medicine teachers. Finally, they perform their staging, which is graded with a rubric known by the students that establishes aspects such as knowledge, ability to clearly expose that knowledge to a non-medical audience, creativity, collaborative work and staging.

This strategy has allowed students to consolidate their knowledge, to be able to teach and educate in health. Overcome stage fright, considering themselves capable of making any type of presentation and overcoming their mental barriers. Work as a team and bring to a purpose a project where they will be observed and evaluated. All this without mentioning the great contribution that emotions and imagination bring to medical work for the achievement of a medicine based on compassion and holism. It is worth highlighting the contribution that these future doctors make to the community by teaching medical topics in an entertaining way that remains in the memory.

The presentation of the students was brilliant, like a firmament full of stars and aroused admiration, feelings of pride and even tears from the spectators, which also included family members of the students of the University Foundation of Navarra-UNINAVARRA.

Primary care from the home and the community was the central theme of the international symposium held by the Universidad de la Sabana on May 3 and 4, 2024. UNINAVARRA was present with teachers and residents at this important event. The topics presented at the event were relevant and current, associated with primary care at patients' homes. Currently there are entities that are responsible for providing this type of service, however, there is still a lack of adequate structuring so that this direct contact between health personnel with the patient and his family in their environment is a great opportunity for health characterization and health risk management.

Since 2010, the celebration of the International Day of the Family Physician began every May 19. Family medicine arises from the need to integrate health care, as a specialty it promotes the management of individuals from all their dimensions and through its nine principles promotes a holistic, differential, longitudinal and person-based care.

The contribution of family physicians to people's health has gone beyond the walls of the office and has improved care processes at the primary, hospital and administrative levels, as well as in the field of professional training. In Colombia there are currently one thousand family physicians and their work has transformed health care activities through their compassion and commitment to patients, families and communities.

On May 21, residents and family physicians of the South Colombian region gathered to honor their specialty. In this event they shared an academic activity and took the opportunity to define the qualities of the first congress of Huila in family medicine.

The WHO defines physical activity as any bodily movement produced by skeletal muscles, with the consequent consumption of energy. Taking into account this definition and its distinctions, we can include physical exercise and sports practices within this context.

The advantages of physical activity on the health of individuals have been widely evidenced, however, if we are certain that something is so favorable, why don't all human beings perform physical activity, exercise or sports? Considering that physical activity not only influences the physical aspects of people, but is also directly associated with joy, socialization, emotions and concentration, we can conclude that there is no more effective and comprehensive remedy.

On June 7, President John Hagler Romero Abril, showed through transdisciplinarity and active participation of the community, his great session, the benefits of physical activity in all dimensions of being. He also exposed in a clear way the proper way to prescribe exercise within the ambulatory care setting of family medicine.

It should be noted that the resident works voluntarily with a group of inhabitants of the community of Fortalecillas who, with their group Mina Real, demonstrated the benefits of associating around dance for the improvement of health and quality of life.

For the period 2024-2, after knowledge tests, English, resume analysis and psycho-technical tests, six residents were selected to be part of the third cohort of UNINAVARRA residents for the Family Medicine program.

The residents were received in a welcome and induction ceremony on July 12, 2024 and that same afternoon they began their training process with the Family Medicine I foundation course. This group of aspiring medical-surgical specialists arrived full of expectations due to the different positive comments heard from the residents who are already part of the two previous cohorts. They were introduced to the different teachers, the different activities to be performed, as well as the different academic and administrative areas that work together for the good performance of the postgraduate training.

This group of future family physicians is quite varied, including undergraduate graduates from the Universidad Surcolombiana, Universidad San Martín, Universidad Rafael Núñez, among others. Also a multiregional inclusion of people from the Colombian Atlantic coast, southern Colombia, departments of Risaralda and Nariño and of course some regions of Huila.

Habits are actions that we perform unconsciously and that are part of our daily routines. Human beings have habits that allow our lives to flow without the need to think or plan activities. We must keep in mind that we also have habits that can represent a certain type of harm or obstacle to achieve goals. Smoking, excessive eating and sedentary lifestyles are among the most frequent and contribute to increased cardiovascular risk, cancer, obesity and diabetes, among others.

It is possible to change habits, but it is important to answer the question: why do I want to change it? This answer has to be something concrete in order to internalize the process. On the other hand, the change must represent something positive for the person and not a sacrifice or an unpleasant activity. It is also essential to create a routine for the initiation that includes the same time, the same place, the same environmental conditions and why not, make the transformation after a previous habit and enjoy adapting the brain to the new habit.

This was part of the dissertation of Dr. Isidro Torres, coordinator of the Family Medicine specialization of UNINAVARRA, at the III International Symposium of Family Medicine of the Universidad de la Sabana, held in Chía, Cundinamarca. His presentation was well received by the audience and was very consistent with the central theme of the symposium.

First semester resident Jairo Andrés Acosta begins with the cycle of Journal Clubs and great sessions, on March 21 and 22. These events are free admission, so all medical students and health professionals can attend to share the knowledge imparted.

Endometriosis affects approximately 10% of women of reproductive age. It is a chronic disease that is produced by the growth of endometrial tissue in structures other than the endometrium, either in close proximity or in distant sites such as the lungs. This disease produces a quite varied symptomatology, but pain is one of the causes that generates more consultation in affected patients.

On many occasions what these women feel is not validated and is normalized as a symptom associated with the menstrual cycle, or much worse conditioned to its chronicity and that women have to simply resign themselves and put up with this symptomatology. In her great session held on April 18, the second semester resident Tanya Duran, put herself in the shoes of one of her patients with endometriosis, in a very assertive way she showed all the dimensions affected in her patient. In this academic activity, Dr. Duran presented this pathology from the psychological, emotional, sociocultural, mental and spiritual perspective of the affected patient. This interpretation moved emotions and feelings in the whole audience and allowed an understanding of all the aspects involved in this condition. This innovative didactic technique allowed a comprehensive view of the subject to be discussed and allowed a parallel between the information in the medical literature and the reality of the patients.

The definition of the family has been transformed, and a diverse range of families has been created, where kinship and consanguinity are no longer the fundamental aspects of its conformation. Historically, the family did not include the nuclear family we know today and there is controversy as to whether this type of family is a social, religious or legal format.

The family is currently established as an open social group, which interacts with its environment and whose union can be by affinity, blood or legal ties. The family has great importance in the sexual education of its members and it has been shown that appropriate sexual education of children is a factor that delays the onset of sexual relations and helps in the appropriate use of contraceptive methods. It is recommended that parents educate about sexuality, participate in comprehensive sexual education processes, choose the moments to educate, teach children to call each organ by its name, validate the feelings and emotions of their children and also know their friends and what their children see on social networks.

These aspects were the subject of reflection and a comparison was made with law and medicine, establishing the role of the family physician in educational aspects. This activity, the third sexuality narrative, was held on April 15, 2024 and was satisfactorily evaluated by the attendees.

Being faithful to the fifth principle of family medicine "The family physician considers himself part of the community network of support and health care." Residents and teachers of the Family Medicine Specialization program were part of the event organized by the Judicial Branch of Neiva, called Health Week. Here, activities aimed at knowledge and establishment of healthy lifestyle habits were carried out. Methods were taught to incorporate healthy eating habits and easy exercises were taught to perform in daily life and thus contribute to the reduction of sedentary lifestyles. On April 8 and 9, 2024, the specialization was accompanied by undergraduate students and in a joint effort health education was brought to the workplace of these important members of the community of Neiva.

Balint with the first semester residents of the second cohort of the Specialization in Family Medicine program of UNINAVARRA. This space took place in a cafeteria near the institution's headquarters and was held on April 1st, 2024. The residents had the opportunity to have a dialogue about the patient-physician relationship and focused on the emotional aspects of patients. They discussed their difficulties with patients who are sad or angry and how these emotions influence the resident's nonverbal language and the countertransference that these emotions generate. She also discussed those patients with couple or family conflicts that are expressed during the consultation. Rapport, empathy, compassion and emotion validation guidelines were established. The ways of discovering the physician's limitations in the face of the patient's statements or preferences were also explained. Paths were established to self-evaluate and heal the physician's own aspects that become barriers at the moment of establishing a doctor-patient relationship.

Debriefing is an activity that allows a conscious and intentional reflection of the student's performance after a simulated practice. The student has the opportunity to observe himself in his medical performance and to analyze his communication habits, soft and specific competencies, as well as the quality of his care. The first semester Family Medicine residents performed debriefing after their practice with a simulated patient at HUSAC, which allowed them to see and hear themselves in their medical performance, listen to the patients' perception of them, perform a self-evaluation, allow a co-evaluation by their peers and be attentive to the teachers' suggestions in their heteroevaluation. All these evaluations are free of judgments or numerical weighting that qualifies them. The simulated practice performed on March 20, 2024 was a formative space of great importance for the development of some competencies necessary for family medicine residents.

The second Narrative of Sexuality, which focused on desire, love and sex from all dimensions of being, was successfully held on March 11. It also had its legal component that produced debates among the attendees and reflections on human sexuality from an integral point of view. Attendees expressed their satisfaction with the event and insisted that this type of activities should continue to be carried out and be extended to the community in general.

In an unprecedented event on March 12, 2024, the twelve Family Medicine residents of UNINAVARRA held a meeting with the Family Medicine specialists of the region. In this meeting, clinical issues were discussed and also, proposals were led to initiate the Southern Chapter of Family Medicine, making a schedule, with the active participation of residents. Proposals for the realization of the First South Colombian Congress of Family Medicine were also heard.

The second semester residents, Yelitza Tole and Maria Araque, presented the clinical case "Dyslipidemias, a look from family medicine", at the Congress of Family Medicine, from the versatility to the practice of Family Medicine. This clinical case was of a real patient treated in the city of Neiva at the Carmen Emilia Ospina E.S.E., where the intervention of the specialty allowed positive changes in the physical, psychosocial and family environment of the patient. Congratulations to the residents for their extraordinary participation!

Family Medicine Residents from UNINAVARRA, accompanied by professors Dr. Martha Niebles and Dr. Carlos Reyes, participated on March 7,8 and 9 in the Family Medicine Congress organized by the Javeriana University, held in the Alfonso Quintana Cardenas auditorium, in the city of Bogota. The experience allowed our group of residents and professors to share experiences with colleagues from different universities in the country, as well as to participate in the different academic and social events of this important congress. We appreciate the invitation of the Universidad Javeriana to this activity that promotes the growth of our specialty at national level.

On Friday, March 01, 2024, Clínica Medilaser offered a welcome event to the group of second semester residents of Family Medicine. The event was attended by the directors of Clínica Medilaser, Mrs. Myriam Parra, founding partner and the coordinator of the specialization in Family Medicine. The residents received the gown that identifies them as part of the medical team of the clinic and began their training process in the specialties of general surgery, internal medicine, pediatrics, gynecology and obstetrics.

On February 15, 2024, the Family Medicine specialization held its fourth Balint group and the first one with the participation of the 12 residents. This activity was used not only to review aspects of the patient-physician relationship, but also to address issues of well-being of each of the residents. Considering that family physicians must resolve their internal issues so that these do not become an obstacle for a holistic and integral care of their patients. There was also the opportunity to celebrate birthdays, which are substantial aspects of the person to feel loved and accompanied by their peers. As well as relaxation and meditation activities to balance the different dimensions of each of the people who are part of this specialization.

One of the attendees to the event highlighted that ".... They take the legal and medical part and unify it simply to explain how the topic of sexuality is evolving, that's what I liked the most".

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The specialization in Family Medicine in collaborative work with the Faculty of Humanities and the office of inclusion created and carried out on February 12 the first of four narratives of sexuality. This event was called: "The ABC of sex, gender and sexual orientation. The event was attended by Family Medicine residents and faculty, undergraduate medical students and students from the Law program. The session was led by Dr. Isidro Torres Castro from the Family Medicine specialization, Dr. Luis Carlos Quintero Malo from the Faculty of Health Sciences and Dr. Martha Cecilia Abella and Katherine Torres from the Faculty of Humanities. It was an academic event where both speakers and participants expressed their opinions and knowledge on the subject.

The following Narratives will be the days:

March 11, 2024 with the theme "Expressions of sexuality, desire, sex and love".

April 15, 2024 with the theme "Family and sexuality".

May 13, 2024 with the theme "The Pendulum of Sexuality".

The entire academic community and the community in general are invited to participate in this event, which is free of charge.

Dr. Shirley Gallo, Internist and Diabetologist, participated as a special guest in the great session "Diabetes Mellitus type 2", conducted by Resident Daniel Almario. Her collaboration allowed both residents and undergraduate students to strengthen the processes of insulin application and monitoring of patients with diabetes mellitus.

Dr. Gallo conducted a practical workshop and taught the participants about the latest advances in glucose self-monitoring and the technology available in our country in this regard.

At 07:00 a.m. on January 26, 2024, at the Carmen Emilia Ospina E.S.E., Canaima headquarters, the first patients who participated in the social project of the Family Medicine specialization, "Pasos Seguros, Vida Plena" (Safe Steps, Full Life), were received. An innovative and fundamental initiative, which prioritizes the comprehensive care of patients with type 2 diabetes mellitus. The main objective of this activity is to evaluate the feet of patients, to detect early symptoms and signs of neuropathy, a serious complication of uncontrolled diabetes mellitus.

At the same time, we embarked on a health education mission, sharing crucial knowledge about preventive foot care and diabetes in general. In this event we had the participation of the 12 Family Medicine residents, the interns who are doing their rotation in this area and of course 4 Family Medicine specialist teachers. We were pleased to have the cooperation of 81 patients diagnosed with diabetes mellitus to whom we performed anthropometric measurements, evaluation of lower limbs (deep and superficial sensitivity: tuning fork and monofilament), advice on the results of paraclinical tests and assertive education on type 2 diabetes mellitus. The activity concluded at 12:00 m. with full satisfaction of the participants and an invitation was extended to more patients to continue with this evaluative and educational process.

The first year residents of the Family Medicine Specialization carry out academic activities, journal clubs and large sessions with free admission for students and professionals in the health area. These events are of great interest and formative contribution, so all people are invited according to the schedules and publicity presented by the residents.

Within the framework of the great session, "Cognitive behavioral therapy: Therapeutic approach to facilitate weight loss and weight maintenance in overweight and obese patients", conducted by the resident I of Family Medicine, Maria Mercedes Araque, had the extraordinary participation of Maria Fernanda Colla. This specialist from her country of origin, Argentina, in addition to advising the resident, made it possible to listen to a wonderful dissertation on cognitive behavioral therapy that allows a transdisciplinary integration and a comprehensive and holistic approach to the subject developed by Dr. Araque.

At 07:00 am, on January 15, 2024, the welcome and induction ceremony was held for the six residents who began their first semester of the Family Medicine specialization at the University Foundation Navarra UNINAVARRA. This event was attended by the deanship of the Faculty of Health, the coordination of the program, professors, residents of the first court of the specialization, as well as the administrative staff of the institution. All of them were in charge of giving a warm welcome to the new residents and an induction with the basic aspects of both the institution and the program. The new residents expressed to be full of expectations about the program and with the expected fears when approaching this new challenge for their professional life.

On January 12, 2024, the residents of the Specialization in Family Medicine performed their first practice at HUSAC, new headquarters, having as a scenario simulated consultation and debriefing. With the collaboration of simulated patients, the residents participated in simulation practices, where all aspects of the medical act were observed, including communication, doctor-patient relationship, compilation of clinical data, competencies to perform problem-oriented physical examination and finally diagnostic impression and patient management. This activity was recorded for each resident and afterwards each one had the opportunity to observe and perform self-evaluation, followed by a co-evaluation by their peers and finally the attending teachers present and analyze the different aspects of the medical act performed. The activity concludes successfully and the residents are very satisfied after this practice that contributes to the improvement of their professional activity.

Dr. Isidro Torres Castro, coordinator of the Family Medicine program of the University Foundation Navarra-UNINAVARRA and the first year resident Daniel Almario participated with speakers at the XII National Congress of Family Medicine and IV International Congress of Family Medicine of the Universidad del Bosque, international meeting of residents. This event was held on October 26, 27, 7 and 28, 2023 at the headquarters of the Universidad del Bosque in the city of Bogota. 

The Family Medicine Specialization of the University Foundation of Navarra - UNINAVARRA counted with the presence of an international speaker, Dr. Dan Fenyvesi; professor at the University of Arizona (United States), resear