Abstract
In Brazil, the mismatch between medical education and care needs in primary health care, especially for the most vulnerable populations, required changes in the National Curriculum Guidelines of the Medical School, with an increased workload of the internship in PHC. This work is exploratory, qualitative research, which investigated documents of the formative evaluation of the Integrated Internship in Family and Community Medicine and Mental Health of the Federal University of Rio de Janeiro, which serves vulnerable populations in the city of Rio de Janeiro. The documents produced by 55 students were analyzed, and dialectical hermeneutics was used as a method of analysis. The investigation showed different levels of sensitivity to social distress experienced by users of Family Clinics during the 22 weeks of internship. The narratives were grouped into five axes: highlighting the Medicine-society split; extreme vulnerability and health; daily structural violence and health; health service as a resource or intruder; territory as the power of life. The internship contributed to improve clinical views focused on users' needs, and further studies are required to evaluate the effective incorporation of these competencies into professional practice.
Highlights
Resumo No Brasil, o descompasso entre a formação médica e as necessidades assistenciais na atenção primária à saúde, em especial para as populações mais vulneráveis, demandou mudanças nas Diretrizes Curriculares Nacionais do curso de Medicina, com ampliação da carga horária do Internato na Atenção Primária à Saúde (APS)
A investigação apontou distintos graus de sensibilidade ao sofrimento social experimentado por usuários de Clínicas da Família, ao longo das 22 semanas de estágio
Pudemos observar no item anterior que a experiência vivida no estágio foi como um abrir de olhos para aspectos essenciais à clínica na APS e que são inexistentes ou marginais no currículo
Summary
Aprendendo a clínica do sofrimento social: narrativas do internato na Atenção Primária à Saúde. Felipe Monte Cardoso (https://orcid.org/0000-0001-9898-6389) 1,2 Gastão Wagner de Sousa Campos (https://orcid.org/0000-0001-5195-0215) 1
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