Multiprofessional Residency Program Research Articles

(RE)THINKING CARE IN PROFESSIONAL HEALTH TRAINING: EXPERIENCE REPORT

This study focuses on the mental health of residents who worked during the Covid-19 crisis, with the primary objective of contributing to the enhancement of healthcare provided during their professional training in hospital settings. The aim of this study was to promote the care of residents in their professional training within the hospital context. In pursuit of this intention, the study drew upon the experiences of residents and analyzed the pedagogical project of a multiprofessional residency program as well as its Internal Regulations regarding caregiver care. The goal was to contribute to healthcare training programs in the state of Pernambuco, Brazil, based on the practices of residents, serving as guiding principles for clinical activities. Data collection instruments included Narrative Interviews, Document Analysis, and the Researcher's Field Diary. In the interpretation of the residents' narrative data, Gadamer's hermeneutical concept of horizon fusion in human dialogue was employed. The study participants consisted of four professionals from a Multiprofessional Residency Program in Health at a hospital in the Agreste region of Pernambuco. The sample was non-probabilistic and intentional, selecting residents of both genders who were part of the program. As a result, the study highlights the importance of exploring new possibilities and strategies to support residents in their training, transcending established norms, with the aim of promoting openness to listening to their voices, which were previously neglected. It is crucial to facilitate interactions in which their voices are heard, allowing their experiences to gain visibility and influence healthcare interventions, policies, and professional training.

Profile of speech therapy in oncology and palliative care residency program at an oncology referral hospital

Introduction: Hospital environments are among the different professional contexts in which speech therapists can work. Patients with cancer or at their final stage of life are eligible for speech therapy intervention. Based on this premise, a program called Residência Multiprofissional em Saúde was created focusing on Oncology-Palliative Care.Objective: This study aimed to analyze the assistance provided by speech therapists in the scope of a multiprofessional residency program at an oncology referral hospital.Methods: The documentary research was based on a retrospective qualitative-quantitative approach. A sample of 344 m dical records were analyzed using a form containing open and closed questions as part of the study.Results: All data were organized in spreadsheets and submitted to statistical treatment using the chisquared test and the G-test. Only 67 patients were evaluated by speech therapists, and among these only 16 underwent rehabilitation. Functional evaluation of swallowing was the most frequent evaluation method found in the analyzed medical records (9.30%), tactile-thermal-stimulation was the most used therapeutic method in speech therapy (2.03%), and most patients had no clinical evolution with speech therapy (1.74%).Discussion: It is possible to observe a variation in the types of evaluation performed, which makes the evaluation an even more subjective process, increasing the risks of diagnostic confusion. Health services managed based on quality management advocate standardized care, with the implementation of protocols, forms, indicators and care flows; features that have not yet been implemented or developed in current palliative practice.Conclusion: Results suggest that there is a fragmentation in the structure of the Speech Therapy Service, which is directed especially towards swallowing disorders, thus evidencing the need for a systematization of speech therapy assistance provided to PC patients.

Residências em saúde em hospital universitário: cenário potente de formação para a prática colaborativa interprofissional

Abstract The aim of this study was to explore residents’ experiences of interprofessional collaborative practice (ICP) in a university hospital (UH) in São Paulo. We conducted a qualitative study with 14 residents undertaking uniprofessional and multiprofessional residency programs. The data were collected using critical incident technique-based semi-structured interviews and analyzed using thematic analysis as proposed by Bardin. The UH was shown to be a potent training setting for ICP, promoting interactions between professionals from a range of areas and with varying levels of qualification. The quality of interactions between workers, residents and patients and their families was a determining factor for the development of ICP. Barriers to ICP included lack of organizational structure, excessive workload, weaknesses in the provision of permanent training in ICP and the predominance of the biomedical model of health care. Collaborative actions mediated by informal communication were the most common mechanism used for providing shared consultations.

ELEMENTOS DA EDUCAÇÃO INTERPROFISSIONAL NO CURRÍCULO DAS RESIDÊNCIAS MULTIPROFISSIONAIS EM SAÚDE: ESTUDO DOCUMENTAL

ABSTRACT Objective: to examine the interprofessional education elements present in the integrated curricula of the Multiprofessional Residency Programs in Health in the cities from inland Rio Grande do Norte. Method: a documentary research study based on the analysis of three Pedagogical Course Projects with a quantitative approach. The data were extracted with the aid of an adapted instrument, processed in the Iramuteq software, presented in charts and in a dendrogram and analyzed by thematic categories and interpretively. Results: the text corpus was built from the organization of all the information through the adapted instrument and subsequently analyzed in Iramuteq through Descending Hierarchical Classification. The emergence of two main classes was identified: Class 3, which was subdivided into classes 1 and 2; and Class 4. From the keywords found in the dendrogram corresponding to each Class and their statistical similarity, it was possible to organize the classes into analysis categories, as follows: Class 3 - Interprofessional Education: Actors, contexts and strategies; and Class 4 - Methodological and evaluative strategies for building interprofessional competencies and skills. Through the Pedagogical Course Projects, a training process that values the development of competencies for teamwork, interprofessional and comprehensive care is indicated, based on the guiding principles of interprofessional education. Conclusion: there is an effort by the pedagogical projects to point to an integrated curriculum based on Interprofessional Education since, in their theoretical framework, they contribute fundamental principles for developing the teaching-learning process.

Training in Multi-Professional Primary Health Care Residency Programs: a systematic review of the literature

The scope of this study is to investigate how the training of health professionals has been provided in Multi-professional Primary Health Care Residency Programs in Brazil. A systematic review was conducted on Scielo, BVS and PubMed databases in 2019, under registration number CRD42019134350. The search was carried out using key words related to Multi-Professional Residency Programs and Primary Health Care, including empirical research on the theme with a low-level risk of bias. Of the 700 studies identified, 13 articles were included in this review. All the studies adopted a qualitative approach predominantly performed in São Paulo with a low risk of bias (69%). The main results were categorized as: Contribution of measures for occupational training; Definition of professional training strategies; Potential of Multi-Professional Primary Health Care Residency Programs for health professional training and difficulties experienced during the training process. Professional training on programs studied has provided a new profile of health providers, despite limitations in the training process. Investments in the qualification of the personnel involved in training were perceived as being necessary, since it was one of the main weaknesses reported.

Competencies for health promotion in multiprofessional residency programs: Diagnosis, Planning, Implementation, Evaluation and Research Domains

Para que as ações de promoção da saúde possam impulsionar mudanças na saúde dos usuários, faz-se necessário o desenvolvimento de competências que auxiliem na sua efetivação. O estudo avaliou os limites e as potencialidades para a incorporação dos domínios Diagnóstico; Planejamento; Implementação; e Avaliação e Pesquisa do Developing Competenciesand Professional Standards for Health Promotion Capacity Building in Europe (CompHP) na realidade de uma residência multiprofissional em Saúde da Família e Comunidade. Pesquisa qualitativa realizada com residentes, tutores e preceptores. Foi utilizada a Hermenêutica de Profundidade, à luz da Análise de Discurso. O desenvolvimento de competências nos domínios do Diagnóstico; Planejamento; Implementação; e Avaliação e Pesquisa foram estratégicos para a formação dos residentes. Elas apresentaram potencial para a implementação e qualificação das ações de promoção da saúde no âmbito da Atenção Primária em Saúde. Por outro lado, lacunas durante o processo formativo dos residentes não possibilitaram uma maior clareza para a aquisição dessas competências.

Admission of alumni from Multiprofessional Residency Programs into the SUS.

ABSTRACTINTRODUCTION:The Multiprofessional Health Residency Programs (PRMS) were set up as a strategy for training workforce for the Brazilian Unified Health System (SUS).OBJECTIVE:To investigate the proportion of alumni from Primary Health Care Multiprofessional Residency Programs admitted into the SUS and associated factors.METHODS:This is a sectional study developed with alumni from Primary Health Care Multiprofessional Residency Programs from all over Brazil, encompassing the period from 2015 to 2019. Participants answered an online questionnaire with general personal information, admission into stricto sensu graduate school, the labor market and, specifically, the SUS. We applied Pearson's chi-square test for bivariate analyses and Poisson's regression for multiple analysis.RESULTS:A total of 365 alumni from Programs from all Brazilian regions participated in the study. Of those, 80.2% reported entry into the labor market and 47.9% reported being employed in the SUS. Admission into the SUS has been associated with the professions that make up the Reference Team for Primary Health Care (PHC) (PR = 1.87; 95% CI 1.54–2.28) and non-admission into stricto sensu graduate programs (PR = 0.77; 95% CI 0.61–0.97). Regarding admission characteristics, the PHC scenario (47.4%) and work focused on health care (84.9%) were prevalent. Almost 40% of alumni who entered the SUS are working with unstable contracts. Besides, being a residency alumnus is often undervalued in recruitment (56.9%). Among those admitted into the SUS, 8.7% reported being selected to work in the Covid-19 pandemic effort.CONCLUSIONS:The results of this study reinforce the need for a policy to encourage the maintenance, creation and valorization of the PRMS. They also warn about the possibility that admission into the SUS for workers is increasingly difficult due to the current underfunding of the health system.

Qualidade de vida dos residentes de um Programa Multiprofissional Integrado em Saúde na pandemia da COVID-19

Objetivo: avaliar a Qualidade de Vida (QV) dos residentes de um Programa Multiprofissional Integrado em Saúde, em um hospital universitário do Recife/PE, durante a pandemia da COVID-19. Metodologia: Trata-se de um estudo descritivo, transversal e quantitativo, realizado com 36 residentes das áreas de Nefrologia e Saúde da Mulher, do primeiro e segundo ano da especialização. A coleta de dados foi realizada entre agosto e setembro de 2020, utilizando como instrumentos um questionário estruturado de caracterização dos participantes com dados sociodemográficos, econômicos, clínicos e laborais no programa de residência multiprofissional, e o SF-36, disponibilizados online. Para análise dos dados, foram calculadas as estatísticas descritivas pela distribuição de frequência e aplicação de testes no software SPSS, versão 21, considerando a significância de 5%. Resultados: Os residentes apresentaram melhor QV nos domínios: Capacidade Funcional, Dor e Estado Geral de Saúde; e pior QV em: Emocional, Vitalidade e Saúde Mental. Dentre as categorias participantes, fisioterapeutas obtiveram melhores pontuações da QV em todos os domínios avaliados, exceto para o Emocional, no qual os psicólogos se destacaram. Ao comparar ano de especialização, nenhum resultado foi expressivo entre os domínios, já entre a área de concentração, os residentes de Nefrologia obtiveram melhores resultados na Capacidade Funcional e Vitalidade. Conclusão: Conclui-se que a COVID-19 foi um dos marcadores para que houvesse alteração do estado de saúde, bem-estar e satisfação relacionadas ao trabalho dos residentes multiprofissionais em saúde, com diminuição do índice de qualidade de vida, segundo os domínios do SF-36.

Levels of stress and anxiety in an pediatric interprofessional residency

This study aims to identify the levels of stress and anxiety in residents participating in the multiprofessional residency program in child and adolescent health of the first and second years of a private college in the city of Curitiba, state ofParaná. It is a cross-sectional study of quantitative approach, conducted with residents of the child and adolescent health care area. Three self-administered instruments were used: sociodemographic questionnaire, Hospital Anxiety and Depression Scale and Perceived Stress Scale. Fifty-four professionals enrolled in the residency program participated in the study, and 98.1% were female, aged between 21 and 35 years, 87% were single and 98.1% had no children; 55% had an important level of stress, 68.5% had a positive result for anxiety, and 33.3% had a positive score for depression. The guidelines and norms that involve residency programs shall be discussed and revised to improve the residents’ working conditions.

Implementação dos Programas Integrados de Residências (FESF/Fiocruz) na Região Metropolitana de Salvador

Objetivo: Descrever a experiência de implementação dos Programas Integrados de Residências em Medicina de Família e Comunidade e Multiprofissional em Saúde da Família da Fundação Estatal Saúde da Família (FESF) e Fundação Oswaldo Cruz (Fiocruz) na região metropolitana de Salvador (RMS), correlacionando-a com a conjuntura política do período e a organização das redes de saúde locais. Método: Trata-se de um relato de experiência baseado nas vivências e narrativas de dois preceptores implicados com a Atenção Primária à Saúde (APS) da RMS e que participaram do programa desde sua idealização. Foram levados em conta ainda documentos relevantes da época e das residências da região para a reconstrução histórica do programa. Resultados: O estudo trouxe à tona fortalezas, fragilidades, ameaças e oportunidades da residência, tensões e progressos dos atores envolvidos e questões relevantes para o futuro do programa. Por fim, traz o reconhecimento da residência como uma grande conquista para a RMS e aponta, entre os principais desafios do programa, a importância de se aprimorar a articulação política e a divulgação de suas atividades. Conclusões: Como um estudo exploratório inicial, o artigo busca estimular a realização de mais pesquisas sobre o programa que possam abordar, de forma mais aprofundada, suas práticas pedagógicas, as relações envolvidas entre os atores-chave e seus desdobramentos sobre a APS da RMS e de todo o estado.

Integração ensino e serviço no contexto da pandemia de COVID-19: relato de experiência da práxis dos residentes sanitaristas na vigilância epidemiológica

Introdução: Inicialmente identificada na cidade de Wuhan, na China em 2019, a Coronavirus Disease 2019 (COVID-19) demonstrou-se com um alto poder de disseminação. Devido à potencialidade de contágio, a Organização Mundial da Saúde recomendou aos países medidas de isolamento para evitar aglomerações e diminuir a incidência de casos. Vitória de Santo Antão, município localizado próximo à Região Metropolitana de Recife, neste contexto requereu imprescindivelmente uma atuação da vigilância epidemiológica para elaborar ações e estratégias de contingência nesse cenário sanitário pandêmico. Objetivo: Relatar a experiência dos residentes sanitaristas na atuação no setor da vigilância epidemiológica durante o enfrentamento da pandemia de COVID-19. Método: Relato de experiência realizado pelos residentes sanitaristas do Programa de Residência Multiprofissional de Interiorização de Atenção à Saúde para fortalecimento da vigilância epidemiológica no enfrentamento da pandemia no município de Vitória de Santo Antão. Resultados: Foram criados dois formulários via Google Forms com o objetivo de registrar e acompanhar os casos de síndrome gripal, síndrome respiratória aguda grave (SRAG) e COVID-19 no município. Foi adotada pelo setor de vigilância em saúde a criação de boletins epidemiológicos diários para divulgação dos dados, apresentando as informações mais pertinentes obtidas a partir do monitoramento dos casos de síndrome gripal, SRAG e COVID-19 da população local, sempre comparando com o cenário estadual e federal. Conclusões: O cenário de pandemia suscitou uma readequação das atividades dos residentes, ao imprimir sobre esses o desafio de se adequar a um novo contexto epidemiológico, gerando um olhar sobre as necessidades dos territórios e do seu processo de aprendizagem e fortalecendo as ações de vigilância durante o cenário de pandemia.

Atuação do psicólogo no Núcleo de Apoio a Saúde da Família: uma experiência em um programa de residência multiprofissional

INTRODUÇÃO: A residência é uma modalidade de pós-graduação que se caracteriza pelo treinamento em serviço, tendo como base a aprendizagem pela prática cotidiana. Programas de residência multiprofissional objetivam capacitar profissionais para o exercício qualificado na Atenção Básica de Saúde, a porta de entrada principal do Sistema Único de Saúde (SUS), por meio de metodologias ativas, trabalho em equipe e cuidado humanizado. OBJETIVO: Relatar a experiência e a inserção do psicólogo, enquanto residente, em um programa de residência multiprofissional em Saúde da Família. MÉTODO: Foi realizado o relato de experiência de uma profissional da psicologia enquanto residente do Programa de Residência em Saúde da Família. A presente experiência ocorreu entre março de 2018 e março de 2020 e as seguintes atividades foram descritas: (a) matriciamento, (b) acolhimentos e atendimento individuais, (c) realização de grupos, (d) educação em saúde, (e) consultas compartilhadas e (f) visitas domiciliares. RESULTADOS: Pode-se afirmar que o processo de formação de profissionais em saúde pública constitui um desafio a gestores, educadores e trabalhadores envolvidos neste processo. Dificuldades em relação ao estímulo simultâneo de habilidades profissionais, interpessoais e humanísticas, bem como senso crítico sobre responsabilidade social são comuns. Ainda assim, a proposta de programas residência é uma oportunidade significativa de aprendizado e contato com outras áreas de saúde. CONCLUSÃO: Diversas limitações puderam ser identificadas ao longo das atividades cotidianas da residência, tal como falta de conhecimento dos profissionais sobre a estratégia de saúde da família e o papel da residência multiprofissional no serviço de saúde.

Multiprofessional family health residency as a setting for education and interprofessional practices.

Objective:to know the experiences lived during the residency by graduates of a Multiprofessional Residency Program in Family Health that could contribute to the development of Interprofessional Education and/or Collaborative Practice.Method:a qualitative study with residents who entered a Multiprofessional Residency Program of a Brazilian public university in 2017, a period in which the theme of interprofessionality was implemented in the activities of the residency. Data was collected using an electronic form built from the theoretical framework of interprofessional education. Content analysis was used to process the data.Results:nine residents participated, distributed among the professions of Physical Education, Nursing, Nutrition, Dentistry, Psychology and Social Work, five of whom were female and with a mean age of 28.4. Two categories emerged: the Residency as a setting for learning from the other, and the Residency as a setting for understanding the role of the other. Interprofessional education and practice provided opportunities for the development of collaborative skills, enhancing teamwork and interprofessional work.Conclusion:the multiprofessional logic was evidenced in the resident’s practice; and the gradual insertion of activities such as case discussions, shared services and inter-sectoral actions aligned with the theoretical-methodological framework of interprofessionality favored an approach to interprofessional work.

HEALTH PROMOTION CONCEPTIONS AND EXPRESSIONS IN THE TRAINING PROCESS OF THE MULTI-PROFESSIONAL RESIDENCY

ABSTRACT Objective: to analyze the conception and manifestation of health promotion in the training process of the multi-professional residency in health. Method: a qualitative study anchored in the Theory of Social Representations, carried out from the collection of documentary data and from interviews with 13 professionals from the faculty of five multi-professional residency programs in health in Ceará, from March to July 2017. For data analysis, lexical analysis was performed using the ALCESTE software, with emphasis on the significance and correlation of the terms, through the chi-square test. Results: the training process of the multi-professional residency points to the overcoming of the biomedical model, with health promotion being understood as a training strategy and objective, since it is expressed in a transversal manner in the entire training process, by means of activities with emphasis, among others, in territorialization, health planning, teamwork, popular education, participation and social control. Conclusion: there is an alignment between the adopted and expressed conception of health promotion in the training process of the professional residency, representing advances in health practices and training.

ASSOCIATION BETWEEN VIOLENCE IN CHILDHOOD AND INCREASE IN THE BODY MASS INDEX AMONG ADOLESCENTS

ABSTRACT Objective: to analyze the association between violence in childhood and increase in the Body Mass Index among adolescents. Method: a cross-sectional study, conducted with 136 adolescents aged from 10 to 19 years old, monitored by a Multiprofessional Residency Program in Adolescents' Health, in health units from the municipality of Divinópolis-MG. The anthropometric assessment was conducted from March to June 2018; and information was collected referring to the socioeconomic level, demographic factors, food consumption, and physical activity of the participants. The variable related to violence in childhood was composed of five groups, obtained from a factorial analysis. Multiple regression models were used to identify the variables associated with the increase in Body Mass Index, with a significance level of 5%. Results: the prevalence of excess weight was 31.8%. The adolescents participating in the study consumed soft drinks (66.2%) and industrialized food products (66.9%) every week and ate in front of the TV every day (54.4%). The most prevalent type of abuse was emotional neglect, which affected 100% of the sample under study. An association was evidenced of physical neglect in childhood and intake of industrialized food products with the increase in the Body Mass Index z-score. Conclusion: violence in childhood and the consumption of industrialized food products were associated to the increase in Body Mass Index among adolescents. Investments in public policies for comprehensive promotion of health and protection of children and adolescents are imperious.

Perfil e atuação dos farmacêuticos na rede pública de saúde do Município de Jaboatão dos Guararapes-PE

Under the SUS, pharmacists should work together with health teams in technical activities pedagogical, with educational action sof a clinical nature, seeking to develop knowledge and skills to promote the rational use of medicines. Therefore, this work intended to describe the profile and performance of pharmacists in the public health network in the city of Jaboatão dos Guararapes. A semi-structured and self-administered questionnaire was applied, from October to December 2019, in the pharmacists' work places. The data were tabulated and the results provided  informationonthesociodemographicand professional profile of pharmacists, as well as suggestions for improving thecity's Pharmaceutical Assistance. Nineteen professionals were interviewed, of these, tem were male and nine female. Regarding marital status, 42% reported being single; 42% married; 11% judicially separated and 5% another. The main reason that led the pharmacist to choose to take the Pharmacy course was the family influence (32%). As for post graduate studies, 84% did some type of post graduate study. 63% of pharmacists had no command of another language. Greater professional valorization, promotion of pharmaceutical care and the hiring of more pharmacists were some of the professionals' suggestions for improving municipal pharmaceutical assistance. Studies like this contribute to the increase in discussions about the pharmacist's performance in SUS, especially in the Northeast region, which are still few in the literature, and rein forces the importance of the Multiprofessional Residency Program in Primary Care and Family Health, in the production of knowledge to improve health actions carried out in the municipality.

Formação em cuidados paliativos oncológicos: desafios para o ensino em saúde na perspectiva de residentes

Objective: To identify the challenges faced in training in palliative oncology care by members of the Multiprofessional Residency Program in Health. Methods: This is a quantitative, cross-sectional study, developed with residents of the Multiprofessional Residency Program in Health at the Hospital Oncológico Ophir Loyola, in Belém do Pará. The data collection included a semi-structured, self-administered questionnaire, containing questions related to palliative care and the perception about the structure and functioning of the program. Data were analyzed using descriptive statistics, G test (adherence) and Chi-square, using Excel® 2013 and Bioestat 5.0 software. Results: The findings reveal a shortage of content about PC during graduation. Although positive aspects of the program were pointed out, the articulation between theory and practice and the encouragement of scientific studies and research, were identified as challenges to be faced in the face of the intense demand for activities. Conclusion: There is a need to revise the pedagogical project of the program, so that the theoretical and practical contents on oncological PCs are more adequately distributed throughout the program load. In addition, encouraging scientific production and opening spaces for dialogue with the program management proved necessary to improve teaching activities.

Letramento em saúde dos profissionais de um Programa de Residência Multiprofissional em Saúde

Objetivo: avaliar as condições do letramento em saúde de profissionais inseridos em Programa de Residência Multiprofissional em Saúde. Método: Estudo transversal analítico, realizado com 88 profissionais residentes, utilizando a versão brasileira do Health Literacy Questionnaire. Foi avaliada a confiabilidade e a correlação das médias dos escores das escalas com as variáveis sociodemográficas. Resultados: os resultados indicam que as mulheres cuidam mais da saúde e têm melhor suporte social. Os mais jovens têm facilidade de interagir com os profissionais de saúde e de navegar no sistema de saúde. As potencialidades identificadas foram a capacidade de identificar confiáveis fontes de informação e serem “exploradores de informação”. As limitações estão relacionadas ao não envolvimento com os próprios cuidados de saúde e a não usarem o sistema de saúde. Conclusão: O estudo colabora para divulgar a temática entre os profissionais residentes, possibilitando a reflexão sobre as competências e habilidades necessárias no cuidado em saúde.

“Residente dá trabalho” x “Residente é tudo de bom”: (re)pensando o papel da Residência Multiprofissional em saúde

Este artigo traz os resultados obtidos em uma pesquisa qualitativa como produto final do processo de formação da residência multiprofissional no campo saúde da criança. Teve como objetivo problematizar o trabalho dos residentes multiprofissionais da pediatria de um hospital escola em relação às políticas de saúde. A pesquisa utilizou como instrumento de coleta de dados a entrevista semi-estruturada com os profissionais do campo e a técnica da análise de conteúdo para análise das respostas. Concluiu-se que o Programa de Residência Multiprofissional em Saúde (RMS) tem propiciado uma atuação integral e interdisciplinar quando possível, com desafios relacionados às configurações da política pública de saúde e seus rebatimentos nos processos de precarização do mundo do trabalho, demandando dos profissionais residentes uma intensidade na execução das intervenções em detrimento ao processo de formação.

Vivências do cotidiano hospitalar no processo formativo da residência em saúde: estratégias pedagógicas e desafios para a prática

Objetivo: analisar o processo de formação interdisciplinar em um programa de residência multiprofissional com ênfase hospitalar. Método: estudo com abordagem qualitativa, e enfoque crítico- reflexivo. O cenário da pesquisa foi um hospital de referência terciária, em Fortaleza-Ceará, que contém a residência multiprofissional voltada ao cuidado cardiopulmonar, campo que comporta a população em estudo do presente trabalho, sendo 10 entrevistados, entre residentes e preceptores que orientam o processo de trabalho das categorias profissionais. A coleta de dados foi dividida em duas fases: a priori aplicou-se a entrevista semiestruturada aos residentes e preceptores, posteriormente, realizou-se a análise documental do Projeto Político Pedagógico da Residência Integrada em Saúde. Resultados: os residentes reconhecem a importância do programa para o aperfeiçoamento profissional, para o fortalecimento da gestão em saúde e para a construção de uma formação pautada no trabalho multiprofissional, e com um método problematizador, coerente com as necessidades da comunidade. Evidenciam-se vulnerabilidades, enfatizadas pela pouca valorização dos profissionais e por métodos formativos ainda distantes da prática cotidiana. Conclusão: A residência como processo formativo na relação entre ensino-serviço, no qual ocupa espaço nos cenários de saúde, buscando alinhamento nas propostas do Sistema Único de Saúde e no fazer saúde.