RESIDÊNCIA MÉDICA EM MEDICINA DE FAMÍLIA E COMUNIDADE: Um compromisso com a consolidação do SUS.

AUTOR(ES)
DATA DE PUBLICAÇÃO

2006

RESUMO

Family and community medicine and the Sistema Único de Saude (the Brazilian Public Health System) have gone hand-in-hand from their very beginning. It was within the departments of Preventive and Social medicine, and medical internships in General and Community Medicine, that ideas on the need for a change of health model in the country first emerged, as the main subject in the movement which became the health reform known as the Movimento da Reforma Sanitária .The Alma-Ata conference in 1978 and the Health Promotion conference in 1986 gave international recognition to the Brazilian reforms, which took place in 1988 with the creation of the Sistema Único de Saúde and the Family Practice strategy, known as Programa de Saúde da Família in 1994, currently recognized as a strategy for reorganizing the public health system. In order to become members of the family practice teams, physicians of various specializations adopted the new work proposal, but over the years, it became apparent that a specialist was needed for the Primary Care and Family Medicine, and it was decided that a residency program would be the best way to train this type of professional. With the justification of contributing to the advance of this process, we selected the PUCPR family and community medicine internship program for this study. The main goals were: To evaluate the internship program through the opinions of its former interns, to discover their views about the program and to gather their contributions for improving it. The method chosen was qualitative research, the sample being limited by data saturation. Twelve people were needed to achieve saturation, all former interns. The interview was chosen as the data collection technique. The analysis was made based on discourse analysis. The results show that the majority of those interviewed considered the program to be good, highlighting the roles of preceptors as the most important factor in this assessment. The main points of dissatisfaction related to the high work load in the Health Unit and the excessive hospital shifts. Among their contributions to improving the program, we highlight: More time in the Health Unit and less time in the hospitals, more discussion on the Sistema Único de Saúde and Primary Health Care and more community practices. This paper constitutes a proposal that the further training of the family and community physician occur in the same health region, using the Basic Health Unit, the Specialization Centers, the emergency departments and Community Hospital, as learning scenarios. Most of the former residents were satisfied with their choice of family and community medicine, and were aware of their role in the consolidation of the Sistema Único de Saúde.

ASSUNTO(S)

residentes (medicina) residência médica saude coletiva recursos humanos em saúde human resources in health sus medical internship sus

ACESSO AO ARTIGO

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