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.

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 Cancer care network: Structure analysis of enabled services

2017 ◽  
Vol 63 (10) ◽  
pp. 890-898
Author(s):  
Marisa Riscalla Madi ◽  
Giovanni Guido Cerri
Keyword(s):  
Cancer Care ◽  
Secondary Data ◽  
Sao Paulo ◽  
Cancer Surgery ◽  
The State ◽  
Primary Data ◽  
São Paulo ◽  
Unequal Distribution ◽  
Care Network ◽  
Comparison Results

Summary Introduction: Cancer has now become part of the agenda of health managers, prompting them to consider new models of system organization. Objective: To study the cancer care network of the Brazilian public health system (SUS, in the Portuguese acronym) in the state of São Paulo by analyzing the structure of the installed and enabled network for treatment and its characteristics. Method: A single, integrated case study. We used secondary data from the following sources: Datasus, Inca, RHC and CNES, and primary data from official documents from the Reference Committee on Oncology of the State of Sao Paulo. We used the official guidelines to able services from the National Health Department to make comparison. Results: According to the CNES, in April, 2013 there were 72 cancer care services authorized by SUS in the state of Sao Paulo. Using the population criterion, the state had one service enabled for every 581,961 inhabitants, in an unequal distribution throughout the 17 health care regions. In terms of available structure and services, 80% of the hospitals were compliant for cancer surgery, 31% for chemotherapy and 74% for radiotherapy. In terms of minimum production, only 13% of hospitals were compliant with cancer surgery, 42% with chemotherapy and 14% with radiotherapy. Conclusion: The installed network proved to have sufficient size and structure to meet the demand from new cancer cases. However, there were both regional differences, as well as a wide variation in productivity between services, which probably had an impact on patient access.

scholarly journals Reorganization of secondary and tertiary health care levels: impact on the outcomes of oral cancer screening in the São Paulo State, Brazil

2012 ◽  
Vol 23 (3) ◽  
pp. 241-245 ◽  
Author(s):  
Fernanda Campos Sousa de Almeida ◽  
Claudia Cazal ◽  
Gilberto Alfredo Pucca Júnior ◽  
Dorival Pedroso da Silva ◽  
Antonio Carlos Frias ◽  
...  
Keyword(s):  
Health Care ◽  
Cancer Screening ◽  
Oral Cancer ◽  
Positive Impact ◽  
Sao Paulo ◽  
São Paulo ◽  
Paulo State ◽  
Oral Cancer Screening ◽  
São Paulo State ◽  
Suspicious Lesions

This study presents the strategies for prevention and early detection of oral cancer by means of screening in the elderly population of São Paulo, the richest and the most populous state of Brazil. This research was a retrospective longitudinal study based on the analysis of secondary data. The variables - number of participating cities, coverage of screening, and number of suspicious and confirmed cases of oral cancer - were divided into two periods: 2001-2004 and 2005-2008. Data were analyzed statistically by the chi-square test at 5% significance level. The implementation of a nationwide public oral health policy in 2004 and the reorganization of the secondary and tertiary health care were evaluated as mediator factors able to interfere in the achieved outcomes. From 2001 to 2008, 2,229,273 oral examinations were performed. There was an addition of 205 participating cities by the end of the studied period (p<0.0001). The coverage of oral cancer screening increased from 4.1% to 16% (p<0.0001). There was a decrease in the number of suspicious lesions (from 9% in 2005 to 5% in 2008) (p<0.0001) and in the rate of confirmed oral cancer cases per 100,000 examinations (from 20.89 in 2001 to 10.40 in 2008) (p<0.0001). After 8 years of screening, there was a decrease in the number of suspicious lesions and confirmed cases of oral cancer in the population. The reorganization of secondary and tertiary health care levels of oral care seems to have contributed to modify these numbers, having a positive impact on the outcomes of oral cancer screening in the São Paulo State.

scholarly journals Impact of the Training of Professionals from São Paulo Public Health System in Phytotherapy Practice

2020 ◽  
Vol 44 (1) ◽  
Author(s):  
Linete Maria Menzenga Haraguchi ◽  
Adriana Sañudo ◽  
Eliana Rodrigues ◽  
Herbert Cervigni ◽  
Elisaldo Luiz de Araujo Carlini
Keyword(s):  
Public Health ◽  
Medicinal Plants ◽  
Health System ◽  
Health Professionals ◽  
Public Health System ◽  
Positive Impact ◽  
National Policy ◽  
Herbal Medicines ◽  
Sao Paulo ◽  
São Paulo

Abstract: Introduction: Following the introduction in 2006 of the National Policy on Integrative and Complementary Practices, and The National Policy on Medicinal Plants and Herbal Medicines, the Municipal Secretariat for the Environment of the City Hall of Sao Paulo initiated the Medicinal Plants Course, later expanded to The Medicinal Plants and Herbal Medicines Course for the training of health professionals. This study aimed to evaluate the impact of the 2014 and 2015 edition of the course “Medicinal Plants and Herbal Medicines” on health professional practices. Methods: An exploratory and descriptive study was conducted with a qualitative-quantitative approach. The quantitative process (Phase I) consisted of a questionnaire being emailed to health professionals who were involved in the course, divided into seven categories: biomedical professional, dental surgeon, nurse, pharmacist, physiotherapist, physician and nutritionist; and, out of 165 questionnaires, 114 responses were received (69.1%). The Qualitative and Quantitative process (Phase II), comprised semi-structured, in-person individual interviews to obtain detailed information on Phytotherapy practices, with 73 health professionals being interviewed, before and after the training, comparing their practices afterwards. Results: The course had a positive impact on the acceptance and application of Phytotherapy by health professionals with a significant increase (p<0.001) in the expansion of activities related to Phytotherapy (herbal tea “meetings”, medicinal herb gardens and capacity training), regarding the use of herbal products, such as Matricaria chamomilla (chamomile), Maytenus ilicifolia (espinheira-santa), Valeriana officinalis (valeriana). An increase in the knowledge of Phytotherapy risks was also observed, although there was no increase in the reporting of adverse reactions. The study confirmed the importance of the inclusion of Medicinal Plants and Herbal Medicines Courses as part of undergraduate and postgraduate school, as well as the technical training and continuing education for SUS health professionals. Conclusion: The positive impact found out in almost all evaluated aspects, such as the increase in the knowledge and in the prescription of herbal medicines, confirms the importance of such courses. The results suggest the training promoted a positive impact on the Phytotherapy practice of the Public Health System professionals in São Paulo.

scholarly journals Structure and floristic survey of a forest fragment in the Billings Reservoir, São Paulo

2019 ◽  
Vol 9 (7) ◽  
pp. 1-11
Author(s):  
Cleber Vinicius Vitorio Silva ◽  
Josimar Ribeiro de Almeida ◽  
Carlos Eduardo Silva ◽  
Lyanna Oliveira de Carvalho ◽  
Carlos Domingos da Silva ◽  
...  
Keyword(s):  
Life Forms ◽  
Health Sciences ◽  
Sao Paulo ◽  
São Paulo ◽  
Vulnerable Species ◽  
Forest Fragment ◽  
Floristic Survey ◽  
Palm Trees ◽  
Euterpe Edulis

The Atlantic Forest is the largest biome in the State of São Paulo, one of the most biodiverse ecosystems complexes on the planet, considered a conservation hotspot. This work aimed to list the plant species through the classification of the life forms of RAUNKIAER (1905), improved by CABRERA & WILLINK (1973). The survey of the species was carried out by prospecting’s in 54 quadratic plots of 36 m2, evenly distributed in a forest fragment of 48,010.91 m2. There recorded 97 species distributed in 47 families, with predominance Myrtaceae. The survey was carried out in December 2017, of the total number of species collected in the area of the fragment: 63 are trees, 17 are herbaceous, 6 are epiphytic, 4 are lianas, 3 are shrubs, 2 are palm trees, one is arborescent and one scandent. It is worth noting the registration of the vulnerable species Euterpe edulis, all botanical material is in the Herbarium RBR - UFRRJ - Institute of Biological and Health Sciences.

scholarly journals Faraco, C. A. (2016). História sociopolítica da língua portuguesa. São Paulo: Parábola Editora.

2018 ◽  
Vol 34 ◽  
pp. 477-484
Author(s):  
Micaela Ramon
Keyword(s):  
Sao Paulo ◽  
National Committee ◽  
International Institute ◽  
São Paulo ◽  
Important Work ◽  
History Of ◽  
Sociopolitical History ◽  
Culture Education ◽  
The Coordinator

História sociopolítica da língua portuguesa [Sociopolitical history of the Portuguese language] was published in 2016 by Carlos Alberto Faraco and constitutes a very important work by the renowned Brazilian linguist. At the time Faraco was the coordinator of the National Committee of Brazil with the Instituto Internacional da Língua Portuguesa (IILP) [International Institute of the Portuguese Language], an institution pertaining to the Comunidade de Países de Língua Portuguesa (CPLP) [Community of Portuguese-Speaking Countries] whose goals, according to its statutes, consist in: “the promotion, safekeeping, enrichment and dissemination of the Portuguese language as a means of promoting culture, education, information and access to scientific, technologic knowledge, and officially used in international forums”...

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.

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