More doctors program and national syllabus guidelines: improvements and stengthening of the health system
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Trabalho, Educação e Saúde (Online) |
Texto Completo: | https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/853 |
Resumo: | In many countries there are initiatives of adapting the medical training to the needs of the health systems. In Brazil, the More Doctors Program (Programa Mais Médicos, in Portuguese) introduced the most recent changes, establishing a new regulatory framework in the medical training, which is expressed in the National Syllabus Guidelines, emphasizing the development of professional abilities in primary health care. In the present study, we tried to analyze the social representations of medicine students about the work in primary health care within the context of the implementation of the aforementioned guidelines. In order to do so, 149 medicine students from ‘traditional’ and ‘new’ public courses in the Northeastern region of Brazil answered a sociodemographic questionnaire and a free evocation script in the second semester of 2017. The results show a student profile that corresponds to the ‘first university student generation’ of the ‘new schools’. In these schools, the social representations of the medicine students are more in line with the new guidelines, with an emphasis on the evocation of terms such as ‘bond,’ ‘responsibility’ and ‘community.’ In the ‘traditional’ schools, the terms that stood out the most were ‘underappreciation,’ and ‘precariousness,’ which suggests that these students do not have enough experience in primary health care. We hope that the innovative experiences that were analyzed can be multiplied and deepened in the radicality needed for the strengthening of the Unified Health System (Sistema Único de Saúde, in Portuguese), with training that is in line with the social needs. |
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More doctors program and national syllabus guidelines: improvements and stengthening of the health systemPrograma máis médicos y directrices curriculares nacionales: avances y fortalecimiento del sistema de saludPrograma mais médicos e diretrizes curriculares nacionais: avanços e fortalecimento do sistema de saúdePrograma Mais Médicoseducação médicaatenção básicaatenção primáriadiretrizes curricularesMore Doctors Programmedical trainingprimary health caresyllabus guidelinesSistema Único de Saludevaluación educativaenfermaríaIn many countries there are initiatives of adapting the medical training to the needs of the health systems. In Brazil, the More Doctors Program (Programa Mais Médicos, in Portuguese) introduced the most recent changes, establishing a new regulatory framework in the medical training, which is expressed in the National Syllabus Guidelines, emphasizing the development of professional abilities in primary health care. In the present study, we tried to analyze the social representations of medicine students about the work in primary health care within the context of the implementation of the aforementioned guidelines. In order to do so, 149 medicine students from ‘traditional’ and ‘new’ public courses in the Northeastern region of Brazil answered a sociodemographic questionnaire and a free evocation script in the second semester of 2017. The results show a student profile that corresponds to the ‘first university student generation’ of the ‘new schools’. In these schools, the social representations of the medicine students are more in line with the new guidelines, with an emphasis on the evocation of terms such as ‘bond,’ ‘responsibility’ and ‘community.’ In the ‘traditional’ schools, the terms that stood out the most were ‘underappreciation,’ and ‘precariousness,’ which suggests that these students do not have enough experience in primary health care. We hope that the innovative experiences that were analyzed can be multiplied and deepened in the radicality needed for the strengthening of the Unified Health System (Sistema Único de Saúde, in Portuguese), with training that is in line with the social needs.En diversos países existen iniciativas de adecuar la formación médica a las necesidades de los sistemas de salud. En Brasil, el Programa Máis Médicos introdujo las modificaciones más recientes estableciendo un nuevo marco regulatorio en la formación médica evidenciado en las nuevas Directrices Curriculares Nacionales, enfatizando el desarrollo de capacidades profesionales en la atención básica. En este estudio se buscó analizar las representaciones sociales de los estudiantes de medicina sobre el trabajo en la atención básica en el contexto de la implantación de las mencionadas directrices. Para ello, 149 estudiantes de medicina de carreras públicas ‘tradicionales’ y ‘nuevas’ de la Región Nordeste respondieron un cuestionario sociodemográfico y un itinerario de evocación libre, durante el segundo semestre del 2017. Los resultados demuestran un perfil de estudiante correspondiente a la ‘primera generación universitaria’ en las escuelas ‘nuevas’. En estas escuelas, las representaciones sociales de los estudiantes de medicina son más consistentes con las nuevas directrices, destacándose la evocación de términos como ‘vínculo’, ‘responsabilidad’ y ‘comunidad’. En las escuelas ‘tradicionales’, los términos más destacados fueron ‘desvalorizado’ y ‘precariedad’, sugiriendo una vivencia insuficiente de estos estudiantes en la atención básica. Se espera que las experiencias innovadoras analizadas puedan multiplicarse y profundizarse con la radicalidad necesaria para el fortalecimiento del Sistema Único de Salud en una formación acorde con las necesidades sociales.Há iniciativas, em diversos países, de adequar a formação médica às necessidades dos sistemas de saúde. No Brasil, o Programa Mais Médicos introduziu as modificações mais recentes estabelecendo um novo marco regulatório na formação médica exposto nas novas Diretrizes Curriculares Nacionais, enfatizando o desenvolvimento de capacidades profissionais na atenção básica. Neste estudo, buscou-se analisar as representações sociais de estudantes de medicina sobre o trabalho na atenção básica no contexto de implantação das referidas diretrizes. Para tanto, 149 estudantes de medicina de cursos públicos ‘tradicionais’ e ‘novos’ da Região Nordeste responderam a um questionário sociodemográfico e a um roteiro de evocação livre no segundo semestre de 2017. Os resultados demonstram um perfil de estudantes correspondente à ‘primeira geração universitária’ nas escolas ‘novas’. Nestas escolas, as representações sociais dos estudantes de medicina são mais condizentes com as novas diretrizes, com destaque para a evocação de termos como ‘vínculo’, ‘responsabilidade’ e ‘comunidade’. Nas escolas ‘tradicionais’, os termos mais destacados foram ‘desvalorizado’ e ‘precariedade’, sugerindo uma vivência insuficiente destes estudantes na atenção básica. Espera-se que as experiências inovadoras analisadas possam ser multiplicadas e aprofundadas na radicalidade necessária para o fortalecimento do Sistema Único de Saúde em uma formação de acordo com as necessidades sociais.Escola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz2022-06-21info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigo Avaliado pelos paresapplication/pdfhttps://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/85310.1590/1981-7746-sol00184Trabalho, Educação e Saúde; v. 17 n. 1 (2019)1981-7746reponame:Trabalho, Educação e Saúde (Online)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZporhttps://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/853/173Copyright (c) 2022 Fundação Oswaldo Cruz, Escola Politécnica de Saúde Joaquim Venânciohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessOliveira, Felipe Proenço de Santos, Leonor Maria PachecoShimizu, Helena Eri2022-06-21T15:42:49Zoai:ojs.pkp.sfu.ca:article/853Revistahttps://www.tes.epsjv.fiocruz.br/index.php/tesPUBhttps://www.tes.epsjv.fiocruz.br/index.php/tes/oairevtes@fiocruz.br1981-77461678-1007opendoar:2024-03-06T13:00:56.569741Trabalho, Educação e Saúde (Online) - Fundação Oswaldo Cruz (FIOCRUZ)true |
dc.title.none.fl_str_mv |
More doctors program and national syllabus guidelines: improvements and stengthening of the health system Programa máis médicos y directrices curriculares nacionales: avances y fortalecimiento del sistema de salud Programa mais médicos e diretrizes curriculares nacionais: avanços e fortalecimento do sistema de saúde |
title |
More doctors program and national syllabus guidelines: improvements and stengthening of the health system |
spellingShingle |
More doctors program and national syllabus guidelines: improvements and stengthening of the health system Oliveira, Felipe Proenço de Programa Mais Médicos educação médica atenção básica atenção primária diretrizes curriculares More Doctors Program medical training primary health care syllabus guidelines Sistema Único de Salud evaluación educativa enfermaría |
title_short |
More doctors program and national syllabus guidelines: improvements and stengthening of the health system |
title_full |
More doctors program and national syllabus guidelines: improvements and stengthening of the health system |
title_fullStr |
More doctors program and national syllabus guidelines: improvements and stengthening of the health system |
title_full_unstemmed |
More doctors program and national syllabus guidelines: improvements and stengthening of the health system |
title_sort |
More doctors program and national syllabus guidelines: improvements and stengthening of the health system |
author |
Oliveira, Felipe Proenço de |
author_facet |
Oliveira, Felipe Proenço de Santos, Leonor Maria Pacheco Shimizu, Helena Eri |
author_role |
author |
author2 |
Santos, Leonor Maria Pacheco Shimizu, Helena Eri |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Oliveira, Felipe Proenço de Santos, Leonor Maria Pacheco Shimizu, Helena Eri |
dc.subject.por.fl_str_mv |
Programa Mais Médicos educação médica atenção básica atenção primária diretrizes curriculares More Doctors Program medical training primary health care syllabus guidelines Sistema Único de Salud evaluación educativa enfermaría |
topic |
Programa Mais Médicos educação médica atenção básica atenção primária diretrizes curriculares More Doctors Program medical training primary health care syllabus guidelines Sistema Único de Salud evaluación educativa enfermaría |
description |
In many countries there are initiatives of adapting the medical training to the needs of the health systems. In Brazil, the More Doctors Program (Programa Mais Médicos, in Portuguese) introduced the most recent changes, establishing a new regulatory framework in the medical training, which is expressed in the National Syllabus Guidelines, emphasizing the development of professional abilities in primary health care. In the present study, we tried to analyze the social representations of medicine students about the work in primary health care within the context of the implementation of the aforementioned guidelines. In order to do so, 149 medicine students from ‘traditional’ and ‘new’ public courses in the Northeastern region of Brazil answered a sociodemographic questionnaire and a free evocation script in the second semester of 2017. The results show a student profile that corresponds to the ‘first university student generation’ of the ‘new schools’. In these schools, the social representations of the medicine students are more in line with the new guidelines, with an emphasis on the evocation of terms such as ‘bond,’ ‘responsibility’ and ‘community.’ In the ‘traditional’ schools, the terms that stood out the most were ‘underappreciation,’ and ‘precariousness,’ which suggests that these students do not have enough experience in primary health care. We hope that the innovative experiences that were analyzed can be multiplied and deepened in the radicality needed for the strengthening of the Unified Health System (Sistema Único de Saúde, in Portuguese), with training that is in line with the social needs. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-06-21 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Artigo Avaliado pelos pares |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/853 10.1590/1981-7746-sol00184 |
url |
https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/853 |
identifier_str_mv |
10.1590/1981-7746-sol00184 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/853/173 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2022 Fundação Oswaldo Cruz, Escola Politécnica de Saúde Joaquim Venâncio https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2022 Fundação Oswaldo Cruz, Escola Politécnica de Saúde Joaquim Venâncio https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Escola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz |
publisher.none.fl_str_mv |
Escola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz |
dc.source.none.fl_str_mv |
Trabalho, Educação e Saúde; v. 17 n. 1 (2019) 1981-7746 reponame:Trabalho, Educação e Saúde (Online) instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
instname_str |
Fundação Oswaldo Cruz (FIOCRUZ) |
instacron_str |
FIOCRUZ |
institution |
FIOCRUZ |
reponame_str |
Trabalho, Educação e Saúde (Online) |
collection |
Trabalho, Educação e Saúde (Online) |
repository.name.fl_str_mv |
Trabalho, Educação e Saúde (Online) - Fundação Oswaldo Cruz (FIOCRUZ) |
repository.mail.fl_str_mv |
revtes@fiocruz.br |
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1798943469221183488 |