Revista Brasileira de Educação Médica
Print version ISSN 0100-5502
GONCALVES, Rebeca Jesumary; SOARES, Roberta de Almeida; TROLL, Thaís and CYRINO, Eliana Goldfarb. Physicians in the Family Health Program: academic training, perspectives, and routine clinical work. Rev. bras. educ. med. [online]. 2009, vol.33, n.3, pp. 382-392. ISSN 0100-5502. http://dx.doi.org/10.1590/S0100-55022009000300009.
This study focuses on the academic training, motivations, and experiences of physicians participating in Brazil's Family Health Program (FHP). This was a descriptive and exploratory study, and the categories under analysis were: lack of training in primary care during medical school and in the early medical career; the physician's routine work; home visits; multidisciplinary teamwork; medical work - professional fulfillment, staff turnover, and lack of perspectives; the population's knowledge of the FHP. Professionals chose to work in the FHP as a result of their personal motivation, and there was little specific emphasis or preparation during their undergraduate medical training. They highlighted the importance of community health agents, group activities, and home visits in the FHP, although some reported difficulty in performing the latter two. Professional dissatisfaction exists as a result of work overload, difficulties in multidisciplinary relations, and insufficient financial compensation and acknowledgment by other professionals and the population. Interviewees emphasized the lack of support and political will that are necessary for the program's success. The study allowed identifying a lack of collaboration between medical schools and municipal health system management in training professionals to work in the FHP.
Keywords : Medical education; Family health; Primary health care; Medical work; Multidisciplinary team; Family medicine.