COVID – 19 challenged the delivery of medical education around the world. In the United States, medical schools had to create alternative methods of education to ensure that students could continue to train and receive appropriate clinical, didactic, and experiential education. This session will discuss how different medical schools used technology to educate students through a distance-learning methodology. The session will provide an overview of the literature as it pertains to recent technological development and medical education. It will also discuss the telemedicine platforms used, technological requirements for these programs, and qualitative analysis from learners and educators. A discussion will follow to allow others to ask questions and begin to plan how they could use similar technology at their home institutions.

1. Identify 3 ways to implement technology to improve medical education
2. Integrate medical learners into telemedicine encounters
3. Discuss the challenges that can occur with technology as used in medical education

Violence against women is considered by the WHO as a public health problem, femicide is the manifestation of the most extreme violence. According to the Economic Commission for Latin America, there are only approximate data on the total number of femicides, since there is no methodology to standardize the statistical data; reporting the highest rates in Honduras being 4.7 in every 100,000 women, followed by the Dominican Republic and El Salvador. In Mexico, the WONCA-Iberoamericana-CIMF Working Group, Family Medical Women, found in the media, from November 2021 to November 2022, the report of at least 14 femicides of women related to the health sector: two medical students, a female doctor in an undergraduate internship, five female doctors, a psychologist, five nurses. In addition, it was reported that a female doctor was the victim of rape in her office, that is, the attacks against women are not limited to patients, but also women in the health sector are victims of various types of violence.

• At the end of the conversation, the attendees will be able to identify the violence that female patients and family medical women face in Latin America, likewise, they will be able to learn about the contributions made to the well-being of patients and colleagues by the WONCA Working Group -Iberoamericana-CIMF Family Medical Women.

The attendees will be able to exchange points of view with the panelists and enrich their knowledge to improve the quality of life of women.

The submission of pathology specimens in general practice departments


Background and objectives
In a clinical setting, pathology findings are one of the essential factors leading to a final diagnosis. However, there are no reports on the relationship between primary care and pathology. In order to clarify the relationship between pathology and primary care, we surveyed the status of pathology specimen submissions from the General Medicine Department of this hospital.

Methods.
Study design: a descriptive study
SUBJECT AND SETTING: all cytological and histological diagnoses submitted from Toyota Regional Medical Centre (including Health Check-up Centre) from April 2018 to December 2022 were investigated retrospectively and analyzed using descriptive statistics for orders from the Department of General Medicine.

Results.
The total number of specimens submitted from the entire hospital between April 2018 and December 2022 was 48616 cytological and 2394 histological specimens. Of these, 434 (0.90%) and 592 (20.1%) cytological and 592 (20.1%) histological specimens were from the general medicine department. The number of orders over the past four years showed an increasing trend but a relative decline due to the increase in the number of outpatients with fever.

Conclusion.
While the actual status of pathology-related orders in primary care needs to be clarified, the results of the present study provide valuable data on the current situation. By clarifying the contact points with pathology in primary care practice, we would like to develop indicators to ascertain the appropriate number of pathology specimen requests in the future, strengthen cooperation with pathology, and improve the quality of primary care practice.

At the conclusion of my presentation attendees will take away　
1. Identified points of contact with pathology in the primary care area.
2. We want to understand the number of reasonable pathology specimen requests.
3. We want to improve the quality of primary care practice.