Internship in family and community medicine in units with medical residency in Rio de Janeiro: how does it impact the training of academics?

• Autor(a) principal: Tiseo, Thaís Ranzani
• Data de Publicação: 2022
• Outros Autores: Santos, Marcia Cristina Lemos dos, Smiderle, Clarice de Azevedo Sarmet Loureiro
• Tipo de documento: Artigo
• Idioma: por; eng
• Título da fonte: Revista Brasileira de Medicina de Família e Comunidade (Online)
• Texto Completo: https://www.rbmfc.org.br/rbmfc/article/view/3101
• topic: Estudantes de Medicina; Atenção Primária à saúde; Medicina de Família e Comunidade; Estágio Clínico; Educação médica.; Medical students; Primary health care; Family and community medicine; Medical residency; Medical education.; Estudiantes de Medicina; Atención primaria de salud; Medicina familiar y comunitaria; Prácticas clínicas; Educación médica.

Introduction: Currently, medical students are required to complete 30% of their mandatory internship in the Public Health System, primary care, and emergency services. In Rio de Janeiro, the main higher education institutes adjusted their curricula to this requirement, and the internship in family and community medicine began to take up a large portion of this class load. Objective: This work aimed to understand how this internship, conducted in health service units with medical residency programs in the city of Rio de Janeiro, impacts the training of future physicians, understanding the main factors involved and the potentials of this internship, and its personal and social influence on medical students. Methods: A qualitative study was conducted, and data were gathered in collective interviews with students of a federal university that had a family and community medicine internship in health service units in which residency programs are implemented. A thematic analysis was later conducted following Bardin's guidelines. Results: Data analysis identified 6 categories: expectations regarding the internship and family and community medicine; current impressions about the internship and family and community medicine; experiences that turn students away from family and community medicine; and extra-academic learning. Conclusions: This study, through students’ perceptions, was able to identify strengths and weaknesses of doing an internship in health service units with a residency in family and community medicine in Rio de Janeiro; and how this experience impacts medical students' training. Because of the demonstrated potential, the promotion and investments in this type of internship are suggested.