Percepção dos profissionais de saúde em relação às práticas e integração dos estudantes de medicina na atenção primária à saúde

• Autor(a) principal: Parma, Fabiana Arenas Stringari de
• Data de Publicação: 2018
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da PUC_SP
• Texto Completo: https://tede2.pucsp.br/handle/handle/21632
• topic: Educação médica; Estudantes de medicina; Equipe de enfermagem; Integração docente assistencial; Medical education; Medical students; Nursing team; Health care teaching integration; CNPQ::CIENCIAS DA SAUDE

Introduction: The medicine course of Centro Universitário de Votuporanga (UNIFEV) was implemented in 2012 according to the National Curricular Guidelines for the Medicine Graduate Courses (DCN in portuguese) of 2001. The Practical module of Community Service Education Integration (PIESC in potuguese) is the curricular unit that inserts students in Primary Health Care scenarios (APS in portuguese) since the first period of the course until the Internship, breaking with the traditional model of hospital-centered training, which is segmented in specialties. The module of medical skills and attitudes training (THAM in portuguese) also leads the student, in some cases, to the PHC services, but with focus on the basic clinical procedures in controlled scenarios, which may be those from typical clinical practice, as well as those simulated or even made in skill laboratories. At Internship, the student continues in PHC as an intern in general, family and community medicine (MGFC in portuguese) with the highest number of working hours. In this context, the integration of community-education-service plays a major role among the movements of transformation in health graduation, which also aim at modifying the current health care model. Objectives: Understand the perception of professionals in the Family Health Units as to the inclusion of medical students in these services and interpret the results of this integration as far as the service, the community and the medical training are concerned. Methodology: Qualitative research carried out with health professionals who work in three Family Health Units of Votuporanga, São Paulo. They were invited to participate of focus groups to express their opinions about thought-provoking questions. The recorded material was transcribed, organized and analyzed according to a method called “Bardin content analysis”, which allowed categories of analysis to emerge based on parts of the participants’ speeches. Results and Discussion: The study has concluded that the integration of community-serviceeducation contributes to the three areas involved. Among the contributions we can point out the academic and health care reflexive practices, educational activities in health, the students’ support to the team in solving problems of local reality and the teamwork that stimulated the emergence of a new profile of medical professionals. We identified some difficult situations, such as patients’ embarrassement in medical appointments with the presence of the students and the short period of permanence of these students to the necessary construction of a bond. There were no disadvantages to medical training