Abordagem da Atenção Básica nos cursos de graduação em medicina: o panorama do estado do Rio de Janeiro.

Abstract

This research aims to analyze the current context of medicine in undergraduate courses in the state of Rio de Janeiro for the performance in Primary Health Care. This is an exploratory study of narrative research and qualitative approach, having as a research field , the state of Rio de Janeiro. The study target population consisted of graduates of educational institutions of medical schools in the state of Rio de Janeiro who opted for education and performance in primary care. It was deliberate, intentional or deliberate sampling. This study consisted of two phases, the first stage of document analysis of curricula and pedagogical projects and a second phase, which was characterized by interviews. Interviews were treated by descriptive statistics to compose the discussion. The results pointed to the fragile graduation in medicine contribution to the awareness of future physicians regarding the choice and future performance in primary care. Regarding the appropriateness of the strategies adopted for the reorientation of training of doctors in the country with a view to primary care, 60% of participants considered that these are not appropriate or do not impact the formation. It was also observed that among the issues raised as facilitating factors, was quite marked the relevance of Family and Community Medicine (MFC) and its approach to graduation, the integration of service, educational institution and community, strengthening of disciplines that address primary care and stimulation of residence in MFC. Despite this complex scenario, some experiments have been narrated, where some medical schools has focused on strategies and to educational and methodological changes to change this situation. It is also worth mentioning the need for more research, more comprehensive in the field of training, in order to expand this analysis and contribute to the debate.