Limites e possibilidades na inserção de residentes multiprofissionais em uma secretaria municipal de saúde: a realidade do sertão potiguar

Abstract

Introduction: The Multicampi School of Medical Sciences was implanted in Caicó / RN, having as one of its fundamental axes the community-based teaching, aiming at forming critical and reflective individuals to act in the concreteness of the Unified Health System (SUS). Initially, the undergraduate medical course was created and, soon after, post-graduate modalities emerged, as is the case of the Multiprofessional Residency Program in Primary Care (PRMAB). Objectives: To analyze the process of insertion of residents Multiprofessional Residency Program in Health (PRMS) within the scope of health management, in Caicó-RN. In addition, we sought to know the strengths and weaknesses of the students' insertion in the view of the workers of the Municipal Health Department (SMS); identify the challenges faced by workers to exercise preceptorship in management, and finally, build a flowchart of insertion of residents in the various sectors of HSE as a way to optimize the preceptorship process in management. Methodology: This is a qualitative study of a descriptive and exploratory nature developed through the focus group technique, with the participation of 10 SMS instructors who work directly with residents. For the analysis of information, content analysis in the thematic modality was privileged. Results: In this way, it was possible to build two thematic categories composed by their respective subcategories, namely: Limits and possibilities for the insertion of residents in the SMS of a municipality in the interior of Rio Grande do Norte: Organization and operationalization of activities within the scope of management; Potentialities and weaknesses in the development of practices; Challenges of the exercise of preceptorship in the scope of health management x teaching-service integration: Relationship between preceptors / residents for teaching-service integration; Challenges of preceptorship in health management; Optimizing preceptorship: contributions from preceptors. Final Considerations: In general, the PRMS proved to be an important training mechanism in management scenarios. However, research has shown that there are still a number of weaknesses in the organization and operation of actions that still deserve greater attention and care from their coordinators and preceptors involved. It is hoped that the results of the research and application of the flowchart conceived here can contribute to a better ordering of preceptorship practices, as well as to strengthen the work process of preceptors and the health training of residents.