The implementation of Medical Residency Programs in Family and Community Medicine in a capital of the Southeast Region, Brazil: experience report

• Autor(a) principal: Sarti, Thiago Dias
• Data de Publicação: 2018
• Outros Autores: Dalla, Marcello Dala Bernardina, Machado, Tânia Mara, Fonseca, Mary Cristina França de Oliveira, Bof, Sandra Mara Soeiro, Castro Filho, José de Almeida, Correa, Mônica Cola Carriello, Torres, Sérgio Renato Miranda, Cruz, Sheila Cristina de Souza
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista Brasileira de Medicina de Família e Comunidade (Online)
• Texto Completo: https://www.rbmfc.org.br/rbmfc/article/view/1684
• topic: Internship and Residency; Family Practice; Health Policy; Internado y Residencia; Medicina Familiar y Comunitaria; Política de Salud.; Internato e Residência; Medicina de Família e Comunidade; Política de Saúde; Residência Médica

Objective: Discuss the implementation process of three Medical Residency Programs in Family and Community Medicine (PRM-MFC) in a capital city of the Southeast Region of Brazil, in the perspective of the interface of the programs with the organization of the local health system. Method: This is an experience report from the experiences of the program supervisors and the technical team of the municipality responsible for integration of teaching-service. A significant narrative to the actors of the process was produced in a collective presencial moment. A SWOT matrix was developed to list the factors that influence the implementation of PRM-MFC in the health service network. Results: There are three PRM-MFC in activity in the municipality, all in the initial stage of implementation, totaling nine vacancies of R1. Residents are benefited by a well-structured, diversified and computerized service network, including sensitized preceptors and strong multi-professional support. However, there are issues that complicate this process, such as the incipient preceptory valorization policy, the insufficiencies of the existing primary care model for medical training, the difficulties in the shared management of the process, and the lack of legitimacy of RM before the community and service workers. Conclusion: There is an intimate relationship between the development of the local health care network, in particular APS, with the quality of the PRM. Thus, it is essential to look not only at pedagogical issues, but also at the whole set of shared management devices and qualification of the service network.