Navegando por Palavras-chave "Medical internship and residency"

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    A formação do neonatologista e os paradigmas implicados na relação com os pais dos bebês na unidade de terapia intensiva neonatal
    (Universidade Federal de São Paulo (UNIFESP), 2011-09-28) Battikha, Ethel Cukierkorn [UNIFESP]; Kopelman, Benjamin Israel [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    This study aims to analyze and interpret the psychic effects on neonatologists in training generated by parents of newborns entering and staying over at neonatal intensive care units. Therefore, I have conducted a study with an approach based on the psychoanalytic theory interlocking with methods employed in qualitative surveys in the health field. Twenty neonatology students or residents from the institutions listed below participated in a single semi-structured interview: Faculdade de Ciências Médicas da Santa Casa de São Paulo; Faculdade Estadual Paulista Campus de Botucatu - Faculdade de Medicina - UNESP; Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo - USP; Universidade Estadual de Campinas - Faculdade de Ciências Médicas - UNICAMP e do Hospital Municipal e Maternidade Escola Dr. Mário de Moraes Altenfelder Silva - Maternidade Escola de Vila Nova Cachoeirinha. Based on readings of the material provided by the residents, and focusing on the sum and substance, whose presence would be significant to my object of analysis (Bardin, 1977; Patton, 1990), I have selected six categories for analysis and interpretation: parents staying over at neonatal intensive care units and its effects on the professional practice of neonatologists; communication of the diagnosis/what parents should know; deadlocks between parents and doctors when diagnosis is being communicated; identification with the parents; communicating the death of a child; and participating in the interview/helplessness and ideals. The interpretation of these categories has provided a framework in understanding the psychic mechanisms surfaced in doctors when relating to the parents of children under treatment. The recurrent theme in the final considerations of this study is the feeling of anguish and pain of residents when providing care and also during training, and the fact they lack psychic anchoring to handle these feelings, which entails a need for proposals and intervention.