Avaliação de programas de residência em medicina de família e comunidade: proposta de matriz avaliativa

Abstract

Introduction: This is an exploratory research on the Medical Residency Programs in Family and Community Medicine (PRM-MFC) with the application of an evaluative matrix proposal in five Brazilian Federation Units: Distrito Federal, Goiás, Mato Grosso, Mato Grosso do Sul and Tocantins. Objective: To develop a reference matrix to assess the profile of Medical Residency Programs in Family and Community Medicine (in Portuguese, Programas de Residência Médica de Medicina de Família e Comunidade – PRM-MFC). Method: Exploratory research with the Comissão de Residência Médica (COREME) of the PRMMFC. Data collection was carried out from September 2020 to August 2021, using na instrument sent via Google Forms, telephone contacts and communication applications.Sixteen programs were evaluated, which answered the instrument and agreed to participate in the research. Results: Twenty-one PRM-MFC were identified in the Região Centro-Oeste and Tocantins through open public notices and information collected on the website of the Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC). Of these 21 PRMMFC, 16 responses were obtained. All serve the urban and rural population, and most practices take place at the Primary Care level. Scholarships complementary to the regular scholarship regulated by the MEC and MS range from R$1,000 to R$10,000. The MFC preceptor receives a salary supplement from 1000 to 2000 reais. The infrastructure of UBS and PRM-MFC headquarters for the theoretical part of the programs are adequate. There was an average of 3 residents/preceptor. Most respect the number of population/resident, but some extrapolate these values. Many programs have vacant vacancies and difficulties in filling vacancies. Most are familiar with active methodologies and try to insert them into their programs and 14 programs work all the minimum content recommended by SBMFC. From this work, a scientific article and a manual will be produced containing the indicators to assess the PRM-MFC and recommendations on how to apply them periodically. Conclusions: Assessment processes are understood as an important component of the training process, although they are not well established. There were difficulties in monitoring and periodically evaluating a professional training program with so many dimensions to be worked on in very different contexts in terms of sociodemographic and organizational aspects, geographic location and availability of human resources. A reference matrix for new evaluation process of PRM-MFC was created with dimesions, questions, parameters and indicator.