Navegando por Palavras-chave "Medicina De Família E Comunidade"

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    Implantação de um programa de Residência Médica em Medicina de Família e Comunidade no Sistema Único de Saúde (SUS) de município de grande porte da região metropolitana de São Paulo
    (Universidade Federal de São Paulo (UNIFESP), 2019-07-26) Oliveira, Denize Ornelas Pereira Salvador de [UNIFESP]; Pinto, Nicanor Rodrigues da Silva [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Faced with the challenge of expanding access to and improving Primary Health Care quality in Brazil, the development of medical specialists in Family and Community Medicine (MFC) stands out as a central issue. In Brazil, the Ministries of Health and Education have been promoting public policies to address this gap and some Brazilian municipalities have strategically taken over the responsibility to organize and offer of places of medical residency in MFC. This study aims to describe and analyze the experience of implantation of the Medical Residency Program in Family and Community Medicine (PRMMFC) linked to the municipal administration of the Unified Health System (SUS) in the municipality of São Bernardo do Campo (SBC), highlighting the strategies adopted to attract and retain medical residents between 2013 to 2017. For that matter a qualitative applied research in the form of a case study was carried out. Public documents from local SUS management were used as source of information and evidence, as well as semi-structured interviews that were perfomed with key informants, including municipal SUS managers, residents, preceptors and coordinator. The data analysis was performed using the technique of Content Analysis and the theoretical framework of the Policy Cycle Approach. It was observed that the process of implantation of the PRMMFC within the SUS of SBC adopted strategies to attract residents that considered the dynamics of the labor market and used local processes of structuring and qualification of SUS. Investment in the training of preceptors; support for the role of residents and preceptors in the work process; offer of practice scenarios in a diversified service network and the actors commitment with the construction of the local SUS were identified as strategic elements for attraction and retention of medical residents. The adoption of a supplemental amount to the regular medical residency wages, which was enacted through a municipal law, appears to have been a fundamental element to attract and retain medical residents. The role of the program coordination in the implementation of program was highlighted, which points to the need for national studies on the role of supervision /director. As limitations of the implantation of the PRMMFC were mentioned: the low adherence of preceptors of other levels of the health care network under municipal SUS administration, the internal disagreements among managers about the concept of health care network and the failure to monitor and assess pedagogical processes pela Comissão de Residência Médica.
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    A Implantação Do Currículo Baseado Em Competências Para Medicina De Família E Comunidade: Diagnóstico De Pré-Requisitos, Comissão Curricular E Portfolio De Aquisição De Competências.
    (Universidade Federal de São Paulo (UNIFESP), 2018-12-27) Hidalgo, Gabriela Alves De Oliveira [UNIFESP]; Goncalves, Daniel Almeida [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Objective: Implementation Of The Competency-Based Curriculum For Family Practice (Cbc-Mfc) In The Medical Residency Of The Federal University Of São Paulo Using Three Steps: Diagnosis Of Prerequisites In Beginner Residents; Complementation Of The Contents Of Cbc-Mfc Through A Curriculum Committee Employing Consensus Methodology; Theoretical Mapping Of The Portfolio Of Competency Acquisition For Family And Community Medicine (Paco-Mfc). Method: Quantitative Analysis Of Cbc-Mfc Prerequisites In Beginner Residents; Delphi Method As Instrument To Complement The Cbc-Mfc Essential Competencies With Clinical Themes Through A Curriculum Committee; Description Of Paco-Mfc With The Number Of Modules, Grouping Of Competency Areas And Study Topics (Essential Competences Added To The Themes Included By The Curriculum Committee) And Structural Steps That Comprise Each Module. Results: The Prerequisites Diagnosis Show Us That The Group "Theoretical Foundations" Of The Cbc-Mfc Was The Most Fragile, Which Is Composed By The C