Navegando por Palavras-chave "Graduate education"
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- ItemSomente MetadadadosAprendizagens compartilhadas na residência multiprofissional em saúde(Universidade Federal de São Paulo (UNIFESP), 2015-02-25) Perego, Maira Gabriela [UNIFESP]; Batista, Nildo Alves [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)The aim of this study was to investigate the perception of the residents, preceptors and tutors of the Health Multiprofessional Residency in the campus of Baixada Santista about the training for team work from the standpoint of the integrality of the care. In order to achieve what was proposed, an exploratory research was conducted, with descriptive and analytical nature, cross-sectional type, and a quantitative approach aiming at expanding the researches and knowledge on this subject. The research was approved by the Ethics Research Committee under the number of protocol 513.735, dated January 22 2014. The context of the research was the Health Care Multiprofessional Residency of Baixada Santista campus, considering graduates of the years 2010, 2011 and 2012, as well as the preceptors and tutors of the Program. From the universe of the research population (70 professionals) 62 have participated on the research, which corresponds to 88,6% of the general population. All participants have signed the Term of Free and Informed Consent. In order to achieve one of the research?s goals, a Likert-type attitudinal scale was built, applied and then validated by statistical methodology; the scale presented four options of answers varying from ?I fully agree? to ?I fully disagree?, with the values attributed to each of the options varyi ng from 1 to 4. The full agreement was scored 4 points and the full disagreement was scored 1 point, thus reflecting the perception and comprehension of the respondents in the assertions made. The presented partial results are 1) a tool for evaluation of shared learning in the Multiprofessional Residency from three factors/dimensions: Shared Learning in the Multiprofessional Residency, Training for Team Work and Development of competences for Collaborative Practices. The scale has presented 95,24% of validated assertions (only one loss) and a reliability coefficient of 93%. 2) The three dimensions are in comfort zone, showing averages of 3,20, 3,21 and 3,25 respectively, without statistically relevant differences for their interpretation. As lines of analysis we have adopted: gender, professional training, job position (divided in tutor, graduate or preceptor) and college education (divided between private or public institution). Only the line of job position has shown a more significant difference, which indicates a more positive perception of the preceptor and the tutor when compared to the multiprofessional residents in all the dimensions studied. The respondents? behavior in each of the validated assertions shows that the Health Care Multiprofessional Residency is a space for shared learning, which develops skills for the health-care professionals to work in teams, starting with the interbranch education. For that, it is important to highlight the importance of shared objectives, of horizontal communication and of institutional support as essential factors to the development of team work. The attitudinal scale statistically validated, product of this research, must also be highlighted, given the importance of evaluating learning and of continuously improving the formation processes in the Multiprofessional Residency, also considering the possibility that this scale might be used in other Programs.
- ItemAcesso aberto (Open Access)Clinical and demographic profile of users of a mental health system for medical residents and other health professionals undergoing training at the Universidade Federal de São Paulo (UNIFESP)(Associação Paulista de Medicina - APM, 2004-01-01) Fagnani Neto, Rafael [UNIFESP]; Obara, Cristina Sueko [UNIFESP]; Macedo, Paula Costa Mosca [UNIFESP]; Citero, Vanessa de Albuquerque [UNIFESP]; Nogueira-Martins, Luiz Antonio [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)CONTEXT: A postgraduate and resident trainee mental health assistance center was created in September 1996 within our university. OBJECTIVE: To describe the clinical and demographic profile of its users. TYPE OF STUDY: Retrospective. SETTING: Universidade Federal de São Paulo (UNIFESP) - Escola Paulista de Medicina (UNIFESP-EPM). METHODS: The study was carried between September 1996 and November 2002, when 233 semi-structured registration forms were filled out either by the psychologist or the psychiatrist during their first contact with the trainees, who were medical and nursing residents, and postgraduate students at specialization, master or doctoral levels. The registration forms included demographic, occupational and clinical data. RESULTS: The trainees were predominantly young (mean of 27 years old), single (82.0% of cases), women (79.4%), seeking help especially during the first year of training (63.1%). In 70.8% of the cases, they came to the service spontaneously. Such individuals showed greater adherence to the treatment than those who were referred by supervisors (p < 0.05). In 30% of the cases, the trainee sought psychological guidance or support at the service due to specific situational conflicts. Depression and anxiety disorders were the most frequent diagnoses; 22.3% of the trainees followed up mentioned a tendency towards suicidal thoughts. In comparison with other trainees, there was a higher prevalence of males among the medical residents (p < 0.01), with more cases of sleep disorders (p < 0.05), a smaller number of individuals refraining from the use of alcohol (p < 0.05) and a higher number of trainees requiring leave of absence (p < 0.001). DISCUSSION: The first year of training in health sciences is the most stressful, especially for women. Depression and anxiety symptoms are common, reflecting transitory self-limited deadaptation. However, the severity of the cases can also be evaluated in view of the large number of trainees who mentioned suicidal tendencies. CONCLUSIONS: This study emphasizes the need and importance of providing formal, structured and confidential mental health services for medical residents and postgraduate students from other health professions, in the training programs of academic institutions.
- ItemAcesso aberto (Open Access)The mental health of graduate students at the Federal University of São Paulo: a preliminary report(Associação Brasileira de Divulgação Científica, 2004-10-01) Nogueira-Martins, Luiz Antonio [UNIFESP]; Fagnani Neto, Rafael [UNIFESP]; Macedo, Paulo Costa Mosca [UNIFESP]; Citero, Vanessa de Albuquerque [UNIFESP]; Mari, Jair de Jesus [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)We present data regarding the care provided to graduate level health professionals at the mental health center of the Federal University of São Paulo. From September 1996 to September 2003, 146 graduate students (99 in the Master's degree program and 47 in the Doctoral program) were attended. This population was predominantly female (68.5%), with a mean (± SD) age of 28.6 ± 4.42 years, not married (71.9%). Most of the subjects were professionals who had not graduated from the Federal University (78.1%). The students who sought help for psychological and/or psychiatric problems were classified into two categories: situational-adaptive crises and psychopathological crises. The main diagnoses were depression and anxiety disorders (44%) causing 4.5% of the subjects to be temporarily suspended from their graduate studies; 19.2% reported that they had used psychotropic drugs within the previous month, and 47.9% referred to sleep disturbances. Suicidal tendencies were mentioned by 18% of those interviewed. Students with emotional disturbances and academic dysfunctions should be recognized at an early stage, and it is fundamental for them to have access to mental health programs that provide formal, structured and confidential care. Thus, it is important that professors and advisors in graduate programs build a warm and affective learning environment. If we consider the expressive growth in Brazilian scientific production resulting from the implementation of an extensive national system of graduate education, it is important to focus efforts on enhancing and upgrading the mental health care system.