scholarly journals Profile of the General Surgery resident: what are the changes in the 21 st Century?

2018 ◽  
Vol 45 (2) ◽  
Author(s):  
SAMIR RASSLAN ◽  
MARIANA SOUSA ARAKAKI ◽  
ROBERTO RASSLAN ◽  
EDIVALDO MASSAZO UTIYAMA
Keyword(s):  
General Surgery ◽  
Residency Program ◽  
Sao Paulo ◽  
Specialty Choice ◽  
Direct Access ◽  
Strict Sense ◽  
Medical Residency ◽  
São Paulo ◽  
Current Profile ◽  
Digestive System Surgery

ABSTRACT Objective: to verify the profile of the General Surgery residents of the Clinics Hospital (HC) of the Faculty of Medicine of the University of São Paulo (FMUSP). Methods: we evaluated the residents approved in the public contest for the Medical Residency Program in General Surgery of HC-FMUSP in the years 2014, 2015 and 2016. We carried out the study by applying a questionnaire and gathering information from the Medical Residency Commission of the Institution. We analyzed data on identification, origin of the candidate, undergraduate school, surgical teaching received, reason for choosing Surgery, residency expectations, choice of future specialty and pretensions as to the end of medical residency. We also analyzed the result of the examination of access to specialties. Results: the mean age was 25.8 years; 74.3% of residents were male. The majority (84.4%) had attended public medical schools, 68% of which were not in the Southeast region; 85,2% of the residents were approved in the first contest. The specialty choice was present for 75.9% of individuals at the beginning of the residency program, but 49.5% changed their minds during training. Plastic Surgery, Urology and Digestive System Surgery were chosen by 61.5%. Sixty hours per week work were considered adequate by 83.3%; 27.3% favored direct access to the specialty. At the end of the specialty, 53.3% intended to continue in São Paulo, and 26.2%, to return to their State of origin. A strict-sense post-graduate course was intended by 68.3%. Conclusion: the current profile of the resident reveals a reduction in the demand for General Surgery, an earlier definition of the specialty, options for increasingly specific areas and an activity that offers a better quality of life.

scholarly journals Evaluation of a Medical Residency Program in Gynecology and Obstetrics

2020 ◽  
Vol 44 (2) ◽  
Author(s):  
Natalia Romano Sanchez ◽  
Cibele Isaac Saad Rodrigues
Keyword(s):  
Residency Program ◽  
Positive Impact ◽  
Health Sciences ◽  
Sao Paulo ◽  
National Committee ◽  
Medical Residency ◽  
São Paulo ◽  
Curriculum Analysis ◽  
Unequal Distribution ◽  
Gynecology And Obstetrics

Abstract: Introduction: Medical residency in gynecology and obstetrics is unquestionably important in the training of physicians who choose this specialty of the Brazilian Ministries of Health and Education. However, studies evaluating these residency programs are scarce, especially regarding the reflexive qualitative aspects of the research. Therefore, this exploratory and descriptive study aimed to evaluate the current medical residency program in gynecology and obstetrics of the School of Medical and Health Sciences at Pontifícia Universidade Católica de São Paulo (PUC-SP) using a quantitative and qualitative approach. Method: The methodology included a comparative curriculum analysis between the program recommended by the National Committee of Medical Residency until 2018 and the program offered by PUC-SP School of Medical and Health Sciences, as well as a self-administered questionnaire completed by individuals who graduated between 2007 and 2018. Results: The most significant findings of the comparative curriculum analysis include discrepancies in the percentage arrangement of annual workload, indicating an overload of on-call duty hours, and unequal distribution of internships. The questionnaire response rate was 66% (41 of 62 participants). Most respondents were women (n=32, 78%), who worked mainly in the cities of Sorocaba (n=21, 43.7%) and São Paulo (n=10, 21%). Most medical graduates were partially satisfied with the program (n=34, 82.9%). Some responses also matched the findings of the comparative curriculum analysis, such as dissatisfaction with the number of gynecological surgical procedures performed (n=39, 95.1%). Regarding the content analysis of open-ended answers, categorized according to Bardin, the graduates appreciated activities in obstetrics, and the most relevant criticisms were related to fewer hours assigned to certain activities, especially those devoted to gynecological surgical practices and theoretical activities. Conclusions: Based on the findings, suggestions were proposed and accepted by the managers for changes that should have a positive impact on the medical residency program. This research contributes to the diagnostic evaluation of a traditional medical residency program in Brazil, proposes improvements, and uses reproducible methods, thus serving as a comparison basis for other studies so that advances can be made in the training of these specialists.

scholarly journals Avaliação de um Programa de Residência Médica em Ginecologia e Obstetrícia

2020 ◽  
Vol 44 (2) ◽  
Author(s):  
Natalia Romano Sanchez ◽  
Cibele Isaac Saad Rodrigues
Keyword(s):  
Residency Program ◽  
Positive Impact ◽  
Health Sciences ◽  
Sao Paulo ◽  
National Committee ◽  
Medical Residency ◽  
São Paulo ◽  
Curriculum Analysis ◽  
Unequal Distribution ◽  
Gynecology And Obstetrics

Abstract: Introduction: Medical residency in gynecology and obstetrics is unquestionably important in the training of physicians who choose this specialty of the Brazilian Ministries of Health and Education. However, studies evaluating these residency programs are scarce, especially regarding the reflexive qualitative aspects of the research. Therefore, this exploratory and descriptive study aimed to evaluate the current medical residency program in gynecology and obstetrics of the School of Medical and Health Sciences at Pontifícia Universidade Católica de São Paulo (PUC-SP) using a quantitative and qualitative approach. Method: The methodology included a comparative curriculum analysis between the program recommended by the National Committee of Medical Residency until 2018 and the program offered by PUC-SP School of Medical and Health Sciences, as well as a self-administered questionnaire completed by individuals who graduated between 2007 and 2018. Results: The most significant findings of the comparative curriculum analysis include discrepancies in the percentage arrangement of annual workload, indicating an overload of on-call duty hours, and unequal distribution of internships. The questionnaire response rate was 66% (41 of 62 participants). Most respondents were women (n=32, 78%), who worked mainly in the cities of Sorocaba (n=21, 43.7%) and São Paulo (n=10, 21%). Most medical graduates were partially satisfied with the program (n=34, 82.9%). Some responses also matched the findings of the comparative curriculum analysis, such as dissatisfaction with the number of gynecological surgical procedures performed (n=39, 95.1%). Regarding the content analysis of open-ended answers, categorized according to Bardin, the graduates appreciated activities in obstetrics, and the most relevant criticisms were related to fewer hours assigned to certain activities, especially those devoted to gynecological surgical practices and theoretical activities. Conclusions: Based on the findings, suggestions were proposed and accepted by the managers for changes that should have a positive impact on the medical residency program. This research contributes to the diagnostic evaluation of a traditional medical residency program in Brazil, proposes improvements, and uses reproducible methods, thus serving as a comparison basis for other studies so that advances can be made in the training of these specialists.

The Control of Infection in General Surgery: A Four-Year Prospective Study in Brazil

1985 ◽  
Vol 6 (9) ◽  
pp. 356-360 ◽  
Author(s):  
Edmundo M. Ferraz ◽  
José F. Correa Lima ◽  
Lourdes Porfirio ◽  
Salomão Kelner
Keyword(s):  
Wound Infection ◽  
General Surgery ◽  
Rio De Janeiro ◽  
Sao Paulo ◽  
Surgical Wound Infection ◽  
University Hospital ◽  
São Paulo ◽  
Surgical Wound ◽  
Brazilian Literature

Infection is an inherent complication in surgery. The high cost, the morbidity and the mortality to which it gives rise require that an effort be made to reduce its incidence. The control of the rates of infection constitutes today a parameter of the quality of the service provided by a hospital. In Brazil the unstructured nature of the vast majority of hospitals makes the recording of hospital infection and any attempt to control it a difficult task.Isolated studies have appeared in the Brazilian literature such as those of Hultzler et al on data from the São Paulo University Hospital, Zanon et al2 from Ipanema Hospital, Rio de Janeiro, and Ferraz et al from the Federal University of Pernambuco Teaching Hospital. Hultzler et al reported in 1973 that the incidence of acquired infection in the patients admitted to the São Paulo University Hospital was 5.95%. The overall rate of post-operative infection in 4,746 operations performed was 6.59%, while that of wound infection was 3.08%.In 1979 Zanon et al reported a 7.5% incidence of wound infection in the Division of General Surgery at Ipanema Hospital (Rio de Janeiro).In 1980 the National Enquiry on Post-Operative Infection was organized under the auspices of the Brazilian College of Surgeons. A questionnaire was sent to 3,225 members of the College throughout the country. Of the 107 questionnaires duly completed and returned (3.31%) only 86 (2.66%) reported controlling infection, and of these, 61 (1.89%) included the outpatient department within the scope of their control of infection. Only 20 of the 107 questionnaires returned gave what were considered answers with regard to surgical wound infection.

scholarly journals Time management of Internal Medicine medicalresidents, São Paulo, Brasil

2019 ◽  
Vol 65 (8) ◽  
pp. 1048-1054
Author(s):  
Rafael Augusto Tamasauskas Torres ◽  
Frida Marina Fischer
Keyword(s):  
Internal Medicine ◽  
Time Management ◽  
Management Strategies ◽  
Work Organization ◽  
Sao Paulo ◽  
University Hospital ◽  
Medical Residents ◽  
Daily Routine ◽  
Medical Residency ◽  
São Paulo

SUMMARY INTRODUCTION Medical Residency is a recognized form of professional qualification, but there are criticisms regarding the overload of work activities. Given the length of the daily and weekly workdays, residents develop practices that enable them to reconcile the Residency with their personal life. AIM To describe time management strategies in the daily routine of Internal Medicine Medical Residents of a university hospital in São Paulo, Brasil. METHODS Eight interviews were conducted with resident physicians of the second year, addressing aspects of personal and family life, theoretical study, practical activities, and work bonds. Content analysis was carried out using the MaxQDA software. RESULTS Six thematic categories emerged from the reports: work organization at the Medical Residency; learning and/or professional activities; housing, financial planning, and household activities; time for leisure and interpersonal relationship; family planning/children; rest/sleep. DISCUSSION Several strategies are adopted for time management: residing near the hospital, domestic activities helped by housekeepers, postponement of maternity leave, and social support centered on interacting with other residents. There are paid activities not associated with the Residency, which lead to reduced time for rest, study, and leisure, with a greater loss during work at night shifts. CONCLUSIONS Residents experience a period of intense learning, which requires a high workload and complex work. The evaluation of the work organization of medical residents should include not only time for rest but also time management strategies for daily activities, which can reduce the negative outcomes associated with long working hours.

scholarly journals In which journals do family and community physicians in Brazil publish? The Trajetórias MFC project

2020 ◽  
Author(s):  
Leonardo Ferreira Fontenelle ◽  
Miguel Henrique Moraes de Oliveira ◽  
Stephani Vogt Rossi ◽  
Diego José Brandão ◽  
Thiago Dias Sarti
Keyword(s):  
Medical School ◽  
Sao Paulo ◽  
Community Medicine ◽  
Data Curation ◽  
Medical Residency ◽  
São Paulo ◽  
Espírito Santo ◽  
Competing Interests ◽  
Link Type ◽  
Espirito Santo

AbstractIntroductionAuthors choose scholarly journals not only to advance their careers but also to interact with their respective scholarly communities.ObjectiveTo describe the journals where family and community physicians in Brazil publish their work.MethodsIn late 2018, we compiled a nationwide list of family and community physicians, and downloaded their curricula vitae (CV) from the Lattes Platform. We extracted data on their complete journal articles from their CV, completed these data with queries to CrossRef, VHL/LILACS, and PubMed/MEDLINE, and obtained data on the journals with queries to the United States NLM Catalog.ResultsWe found 3622 unique articles, published by 1014 journals. The most productive journal was RBMFC (Revista Brasileira de Medicina de Família e Comunidade), which published 353 (9.7%) of these articles. About one in six articles were published in journals on family practice or primary health care. The proportion of articles published in journals in Brazil decreased during the study period from 83.3% to 59.0%.ConclusionAs in other countries, family and community physicians in Brazil usually publish in the national journal dedicated to their scholarly community, while also publishing extensively in journals from other disciplines. The increasing proportion of articles published in journals outside Brazil suggests primary care research in Brazil is increasingly of international relevance.BiographyLeonardo Ferreira Fontenelle: Professor at Universidade Vila Velha. Graduated in medicine from Universidade Federal do Espírito Santo; medical residency in family and community medicine from Universidade de São Paulo Medical School of Ribeirão Preto; master’s degree in community health at Universidade de São Paulo Medical School of Ribeirão Preto; Ph.D. in epidemiology at Universidade Federal de Pelotas, Medical School.URL (Lattes): http://lattes.cnpq.br/9234772336296638Competing interests: see below.Contribution: Conceptualization; Data curation; Investigation; Methodology; Project administration; Software; Supervision; Visualization; Writing – original draft.Miguel Henrique Moraes de Oliveira: Medical doctor graduated from Universidade Vila Velha.URL (Lattes): http://lattes.cnpq.br/0608163043063251Competing interests: None.Contribution: Data curation; Investigation; Writing – original draft.Stephani Vogt Rossi: Medical student at Universidade Vila Velha.URL (Lattes): http://lattes.cnpq.br/7614124748693457Competing interests: None.Contribution: Data curation; Writing – review & editing.Diego José Brandão: Professor at Universidade Vila Velha. Graduated in medicine from Escola Superior de Ciências da Santa Casa de Misericória de Vitória (EMESCAM); medical residency in family and community medicine at Universidade de São Paulo Medical School; Ph.D. in preventive medicine at Universidade de São Paulo Medical School.URL (Lattes): http://lattes.cnpq.br/5130371131757497Competing interests: see below.Contribution: Conceptualization; Methodology; Writing – review & editing.Thiago Dias Sarti: Professor at Universidade Federal do Espírito Santo. Graduated in medicine from Escola Superior de Ciências da Santa Casa de Misericória de Vitória (EMESCAM); medical residency in family and community medicine at Universidade Estadual do Rio de Janeiro; master’s in collective health at Universidade Federal do Espírito Santo, Center of Health Sciences; Ph.D. in public health at Universidade de São Paulo, School of Publich Health.URL (Lattes): http://lattes.cnpq.br/7489127535403969Competing interests: see below.Contribution: Conceptualization; Methodology; Writing – review & editing.

Seasonal Variation of Suicide in the City of São Paulo, Brazil, 1996–2010

Crisis ◽  
2014 ◽  
Vol 35 (1) ◽  
pp. 5-9 ◽  
Author(s):  
Daniel Hideki Bando ◽  
Fernando Madalena Volpe
Keyword(s):  
Seasonal Pattern ◽  
Total Sample ◽  
Sao Paulo ◽  
Seasonal Patterns ◽  
São Paulo ◽  
Health Statistics ◽  
Males And Females ◽  
June July ◽  
The City ◽  
Over Time

Background: In light of the few reports from intertropical latitudes and their conflicting results, we aimed to replicate and update the investigation of seasonal patterns of suicide occurrences in the city of São Paulo, Brazil. Methods: Data relating to male and female suicides were extracted from the Mortality Information Enhancement Program (PRO-AIM), the official health statistics of the municipality of São Paulo. Seasonality was assessed by studying distribution of suicides over time using cosinor analyses. Results: There were 6,916 registered suicides (76.7% men), with an average of 39.0 ± 7.0 observed suicides per month. For the total sample and for both sexes, cosinor analysis estimated a significant seasonal pattern. For the total sample and for males suicide peaked in November (late spring) with a trough in May–June (late autumn). For females, the estimated peak occurred in January, and the trough in June–July. Conclusions: A seasonal pattern of suicides was found for both males and females, peaking in spring/summer and dipping in fall/winter. The scarcity of reports from intertropical latitudes warrants promoting more studies in this area.

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