A statewide screening, brief intervention, and referral to treatment (SBIRT) curriculum for medical residents: Differential implementation strategies in heterogeneous medical residency programs

Abstract: Introduction: The accomplishment of medical residency (MR) is a type of qualification considered to be the “gold standard” for medical specialization. Understanding whether there is actually greater professional settlement or not stimulated by MR and which factors hinder or contribute to the physician’s permanence in that place, are important information for the structuring of medical residency and health system programs. The aim of this study was to evaluate the prevalence of settlement of medical residents who finished the residency training in the state of Tocantins, after the implementation of medical residency programs in the period from 2013 to 2017. Method: This is an observational quantitative research, with a cross-sectional, descriptive and analytical design, using the telematic technique and its own questionnaire, carried out with 44 medical residents that finished the medical residency program in the state of Tocantins. The project was reviewed and approved by the Ethics Committee of the Federal University of Tocantins (UFT) under Opinion number 2.292.540. Results: The prevalence of settlement was 65.9% of physicians in the state of Tocantins. Most residents were females (59.1%), with a mean age of 30.8 ± 3.1 years, income between 10 and 20 minimum wages (55.8%) and worked during their residency training (84.1%). The specialties that showed the highest settlement rates were general surgery and clinical medicine, and among these, the majority works for the private and state health networks. The main reason for not settling in Tocantins was to attend another residency or subspecialty program in another state (64.7%). Conclusion: The prevalence of medical residents that finished the residency and settled in Tocantins during the analyzed period can be considered high (65.9%). The fact that most of these individuals are young and female and the reason for not settling in the state are important indicators to be analyzed together with the settlement process and the offering of positions in the specialties available in Tocantins. The results of the study indicated a favorable and strategic perspective of the Medical Residency Programs (MRP) in the medical settlement in Tocantins, which cannot be generalized to the reality of such an unequal health system in the country. A larger public investment in the structuring of health network services is necessary, especially in the municipal network, in the organization of support and socioeconomic development of cities.

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Prevalência de Fixação dos Egressos das Residências Médicas no Estado do Tocantins, no Período de 2013-2017

Revista Brasileira de Educação Médica ◽

10.1590/1981-5271v44.1-20190218 ◽

2020 ◽

Vol 44 (1) ◽

Author(s):

Ana Carolina Batista de Souza Guedes ◽

Fellipe Camargo Ferreira Dias ◽

Neila Barbosa Osório ◽

Raquel Prudente de Carvalho Baldaçara ◽

Virgílio Ribeiro Guedes ◽

...

Keyword(s):

Health System ◽

Residency Training ◽

Socioeconomic Development ◽

Clinical Medicine ◽

Public Investment ◽

The State ◽

Medical Residents ◽

Medical Residency ◽

Cross Sectional ◽

Residency Programs

Abstract: Introduction: The accomplishment of medical residency (MR) is a type of qualification considered to be the “gold standard” for medical specialization. Understanding whether there is actually greater professional settlement or not stimulated by MR and which factors hinder or contribute to the physician’s permanence in that place, are important information for the structuring of medical residency and health system programs. The aim of this study was to evaluate the prevalence of settlement of medical residents who finished the residency training in the state of Tocantins, after the implementation of medical residency programs in the period from 2013 to 2017. Method: This is an observational quantitative research, with a cross-sectional, descriptive and analytical design, using the telematic technique and its own questionnaire, carried out with 44 medical residents that finished the medical residency program in the state of Tocantins. The project was reviewed and approved by the Ethics Committee of the Federal University of Tocantins (UFT) under Opinion number 2.292.540. Results: The prevalence of settlement was 65.9% of physicians in the state of Tocantins. Most residents were females (59.1%), with a mean age of 30.8 ± 3.1 years, income between 10 and 20 minimum wages (55.8%) and worked during their residency training (84.1%). The specialties that showed the highest settlement rates were general surgery and clinical medicine, and among these, the majority works for the private and state health networks. The main reason for not settling in Tocantins was to attend another residency or subspecialty program in another state (64.7%). Conclusion: The prevalence of medical residents that finished the residency and settled in Tocantins during the analyzed period can be considered high (65.9%). The fact that most of these individuals are young and female and the reason for not settling in the state are important indicators to be analyzed together with the settlement process and the offering of positions in the specialties available in Tocantins. The results of the study indicated a favorable and strategic perspective of the Medical Residency Programs (MRP) in the medical settlement in Tocantins, which cannot be generalized to the reality of such an unequal health system in the country. A larger public investment in the structuring of health network services is necessary, especially in the municipal network, in the organization of support and socioeconomic development of cities.

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Satisfação com o Internato Médico em Portugal

Acta Médica Portuguesa ◽

10.20344/amp.8406 ◽

2016 ◽

Vol 29 (12) ◽

pp. 839 ◽

Cited By ~ 1

Author(s):

Miguel Bigotte Vieira ◽

Pedro Godinho ◽

Nuno Gaibino ◽

Raquel Dias ◽

Agostinho Sousa ◽

...

Keyword(s):

Response Rate ◽

Primary Objective ◽

High Response Rate ◽

Medical Residents ◽

Medical Residency ◽

Support Tool ◽

Residency Programs ◽

Global Context ◽

The United Kingdom ◽

Degree Of Satisfaction

Introduction: In the last years, the global context of medical education and Medical Residency programs in Portugal suffered substantial changes. The primary objective of this study was to evaluate and characterize medical residents´ satisfaction with medical residencyprograms in Portugal and to identify features that could be improved.Material and Methods: We utilized as model the survey Postgraduate Hospital Educational Environment Measure that has been developed in the United Kingdom and is specifically targeted to medical residents. The survey was translated and adapted to the Portuguese reality. The survey was available online during April and May of 2016.Results: A total of 3456 responses were obtained, corresponding to a response rate of 35%. Endocrinology/Nutrition, Cardiology, Anesthesiology, Family Physician and Gastroenterology were the specialties in which the degree of satisfaction was higher, while Forensic Medicine, Medical Oncology, Internal Medicine, General Surgery and Pneumology showed the lowest level of satisfaction.Discussion: This study presented a high response rate when compared to previous studies. Portuguese medical residents presented high levels of satisfaction. Depending on year of medical residency, region, type of specialty and type of hospital marked asymmetries were noticed.Conclusion: The survey´s results should constitute in the future a support tool for the implementation of local and national measures relating to the medical residency. It is advisable to regularly conduct satisfaction surveys to medical residents.

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Impact of a multicomponent screening, brief intervention, and referral to treatment (SBIRT) training curriculum on a medical residency program

Substance Abuse ◽

10.1080/08897077.2015.1035841 ◽

2015 ◽

Vol 37 (1) ◽

pp. 242-247 ◽

Cited By ~ 7

Author(s):

Nnenna Kalu ◽

Gloria Cain ◽

TyWanda McLaurin-Jones ◽

Denise Scott ◽

John Kwagyan ◽

...

Keyword(s):

Brief Intervention ◽

Residency Program ◽

Medical Residency ◽

Training Curriculum

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Raupp: 50 years of neuroradiology

Arquivos de Neuro-Psiquiatria ◽

10.1590/s0004-282x2011000400026 ◽

2011 ◽

Vol 69 (3) ◽

pp. 552-554

Author(s):

Daison Nelson Ferreira Dias

Keyword(s):

Computed Tomography ◽

Literature Review ◽

Search Term ◽

Medical Residency ◽

Residency Programs ◽

Avant Garde ◽

The Past ◽

Therapeutic Techniques

OBJECTIVE: Evaluate the laboral and intellectual contributions of a founder of Brazilian Neuroradiology to the development of specialty. METHOD: Interviews were conducted with Dr. Raupp and contemporary doctors. Then we made a literature review with the Raupp search term aiming to identify those papers which included major changes in the diagnostic and therapeutic neurosurgical. RESULTS: The colleagues consulted were unanimous in recognizing the work of avant-garde and the importance of Dr. Raupp to the development of neuroradiological methods, especially in the pre-computed tomography fase. CONCLUSION: The work of Dr. Raupp was fundamental for the consolidation of Brazilian Neuroradiological School over the past five decades. He developed diagnostic and therapeutic techniques in congruence with the practices of the specialty on the global stage and he promoted education through medical residency programs.

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Current status of residency training in laparoscopic surgery in Brazil: a critical review

ABCD Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) ◽

10.1590/s0102-67202015000100020 ◽

2015 ◽

Vol 28 (1) ◽

pp. 81-85 ◽

Cited By ~ 12

Author(s):

Miguel Prestes NÁCUL ◽

Leandro Totti CAVAZZOLA ◽

Marco Cezário de MELO

Keyword(s):

Laparoscopic Surgery ◽

Endoscopic Surgery ◽

Surgical Simulation ◽

Internship And Residency ◽

Current Status ◽

Professional Activity ◽

Medical Residency ◽

Psychomotor Skills ◽

Residency Programs ◽

Education Medical

INTRODUCTION: The surgeon's formation process has changed in recent decades. The increase in medical schools, new specialties and modern technologies induce an overhaul of medical education. Medical residency in surgery has established itself as a key step in the formation of the surgeon, and represents the ideal and natural way for teaching laparoscopy. However, the introduction of laparoscopic surgery in the medical residency programs in surgical specialties is insufficient, creating the need for additional training after its termination. OBJECTIVE: To review the surgical teaching ways used in services that published their results. METHODS: Survey of relevant publications in books, internet and databases in PubMed, Lilacs and Scielo through july 2014 using the headings: laparoscopy; simulation; education, medical; learning; internship and residency. RESULTS: The training method for medical residency in surgery focused on surgical procedures in patients under supervision, has proven successful in the era of open surgery. However, conceptually turns as a process of experimentation in humans. Psychomotor learning must not be developed directly to the patient. Training in laparoscopic surgery requires the acquisition of psychomotor skills through training conducted initially with surgical simulation. Platforms based teaching problem solving as the Fundamentals of Laparoscopic Surgery, developed by the American Society of Gastrointestinal Endoscopic Surgery and the Laparoscopic Surgical Skills proposed by the European Society of Endoscopic Surgery has been widely used both for education and for the accreditation of surgeons worldwide. CONCLUSION: The establishment of a more appropriate pedagogical process for teaching laparoscopic surgery in the medical residency programs is mandatory in order to give a solid surgical education and to determine a structured and safe professional activity.

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Preceptors in Medical Residency Programs: Epidemiological Profile and Pedagogic Training

Revista Brasileira de Educação Médica ◽

10.1590/1981-5271v44.4-20200131.ing ◽

2020 ◽

Vol 44 (4) ◽

Author(s):

Aderval de Melo Carvalho Filho ◽

Almira Alves dos Santos ◽

Rozangela Maria de Almeida Fernandes Wyszomirska ◽

Isabella Costa Figueiredo Medeiros

Keyword(s):

Health Care Professionals ◽

The State ◽

Public Institution ◽

Medical Residency ◽

Residency Programs ◽

Service Training ◽

The Mean ◽

Definition Of ◽

Epidemiological Profile ◽

Mean Time

Abstract: Introduction: Medical Residency is a specialization course characterized as in-service training, considered in Brazil as the gold standard in the development of specialist physicians’ training. The medical residency preceptorship is an activity carried out by a specialist physician, responsible for monitoring resident physicians. However, there is neither a definition of the main requirements for such a preceptor, nor of his/her academic background to carry out the due teaching training, and it was possible to notice a relative lack of preparation regarding the pedagogical aspects. Methods: Descriptive study based on a quantitative approach, comprising 200 preceptors, of both genders, from medical residency programs in Maceió, state of Alagoas, Brazil. Results: The mean age was 43.31 ± 10.31 years, with a slight majority of female participants (52.5%). The mean time since graduation was 19.5 ± 10.58 years, and 83% of the participants had graduated in the state of Alagoas. Moreover, 78.5% said they had their Medical Residency certification, with an increased trend of public institution preceptors getting their degree at the stricto sensu level. The mean time of their completed postgraduate course was 12.63 ± 10.87 years and 7.07 ± 6.99 years being a preceptor. Only 19% mentioned they had some qualification for exercising the preceptorship, and 29.5% work as the teachers at the undergraduate level. The state of Alagoas has followed the expansion of the Residency programs, justifying the mean age found, similar to other studies. The majority of female participants can be associated with the feminization of health care professionals. The high percentage of preceptors with medical residency qualification is in accordance with Resolution n. 4/1978. We found experienced preceptors, but some authors differed. The low percentage of preceptors with qualification for exercising preceptorship indicates low interest and lack of available training. Conclusion: This study population is characterized as being young, and most are females. They have had long professional experience, and most have graduated in the state of Alagoas. There is a predominance of medical residency as their main qualification, and few of them have had training in the field. Finally, preceptors from public institutions have mostly got their degrees at the stricto sensu level.

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Competency Matrix for Medical Residency Programmes in Endocrinology and Metabolism

Revista Brasileira de Educação Médica ◽

10.1590/1981-5271v43suplemento1-20180103.ing ◽

2019 ◽

Vol 43 (1 suppl 1) ◽

pp. 195-206

Author(s):

Ana Augusta Motta Oliveira Valente ◽

Milena Coelho Fernandes Caldato

Keyword(s):

Data Analysis ◽

Core Competencies ◽

Second Phase ◽

Medical Residency ◽

Fundamental Field ◽

Delphi Methodology ◽

Residency Programs ◽

The Third ◽

Third Phase ◽

Structured Matrix

ABSTRACT Introduction Medical competencies have become the focus of Medical Education at all levels around the world. In this context the Medical Residency Programs (MRP) in Brazil have begun to seek a competency-based curriculum to improve the specialist training. Objective To develop a proposed Competency Matrix for Medical Residency Programs in Endocrinology and Metabolism (MREM). Methodology The study was divided into four phases. The first phase consisted of a bibliographical review and construction of the Pilot Matrix. In the second phase the Pilot Matrix was applied to endocrinologists from Belém, with subsequent data analysis and construction of the Structured Matrix. The third phase started with the implementation of the Structured Matrix at the Brazilian Congress of Endocrinology and Metabolism – CBEM 2016 with a total of 49 responses. Based on the Delphi methodology, the 230 competencies of each one of the matrices were analyzed and a questionnaire containing competences with a discrepancy level greater than 10% was created, including some suggestions from the experts. In the fourth and last phase, also using Delphi methodology, the questionnaire was sent by email and data analysis and construction of the MREM proposal was performed. Results In the second, third and fourth phases, the response rate of Endocrinologists was 73.3%, 51% and 76.4%, respectively. With the Southeast region of Brazil presenting the largest number of participants. There are 219 competencies in the Pilot Matrix, 230 in the Structured Matrix and 244 in the final MREM proposal. The competency areas of Diabetes and Obesity, Metabolic Syndrome and Alterations of Appetite were those which showed major change and suggestions. In all phases, only 2 competencies were excluded. The suggestions made in the third phase were unanimously accepted. Conclusion The MREM proposal was concluded with 21 areas and 244 competencies, 33 classified as prerequisites, 157 as essential competencies, 36 as desirable and 18 as advanced. The competencies were distributed as follows in the MCPRMEM: “Fundamental” field with 100 competencies, with 15 prerequisites, 65 core competencies, 14 desirable and 6 advanced ones; “Specific Knowledge” field with 132 competences, with 18 prerequisites, 87 essential competences, 19 desirable and 8 advanced; and “Complementary Training” field with 12 skills, no prerequisites, 5 core competencies, 3 desirable and 4 advanced skills.

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The Academic Performance of Scholarship Students during Medical School

Revista Brasileira de Educação Médica ◽

10.1590/1981-52712015v43n3rb20180180 ◽

2019 ◽

Vol 43 (3) ◽

pp. 163-169

Author(s):

Glaucia de-Oliveira Moreira ◽

Silvia Passeri ◽

Paulo Eduardo Neves Ferreira Velho ◽

Flavio Ferraresi ◽

Simone Appenzeller ◽

...

Keyword(s):

Academic Performance ◽

Medical Students ◽

Medical School ◽

Low Income ◽

Educational Background ◽

Public Institution ◽

Choice Test ◽

Medical Residency ◽

Full Time ◽

Residency Programs

ABSTRACT The inclusion, adherence and success of low-income undergraduates are important goals in Brazilian higher education, as well as in other parts of the world, especially in busy and full-time courses such as medicine. This paper analyzes the performance of undergraduate medical students by comparing two groups: those who applied for and received a scholarship during the academic years (scholarship holders) and the others (without scholarship). We analyzed data from 417 medical students who graduated between 2010 and 2013, corresponding to four years of a retrospective cohort at a free public university in Brazil. Statistical analysis was performed using Fisher’s exact test, Student’s t test, Mann-Whitney test, and linear regression to compare the scores of these groups in the sixth and twelfth semesters (middle and final semesters) and in the admission exam for medical residency programs, consisting of: total score, multiple choice test for knowledge assessment, simulated structured clinical assessment, interview and written questions. The independent variable was to receive a scholarship, while the control variables were age, socioeconomic strata, extra gratuities for high school in public institution and self-declaration of race, score in the vestibular entry exam (general and in each area assessed) and parents’ level of education. A total of 243 students (58.2%) received a scholarship, most of them as a scientific initiation grant (217 or 89.3%), while 10.7% received social assistance, the average income per capita was about 16% lower among students who received a scholarship (p = 0.01) compared to those who did not. Scholarship recipients achieved better academic performance in the sixth (p<0.01) and in the twelfth (p<0.01) semester, but not in admission to medical residency programs. Good performance was independent of age, race, receipt of bonuses for admission to medical school, and educational background of their parents. Therefore, we conclude that receiving a scholarship at the undergraduate level was associated tobetter student performance during the undergraduate medical course. It is important to emphasize the importance of reinforcing similar programs, especially to help support students who are most vulnerable socioeconomically.

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