Professional trajectory of medical course alumni from from Campinas University, São Paulo, Brazil: graduates’ point of view in evaluating the course

Senger, Maria Helena; Campos, Maria Celeste Gonçalves; Servidoni, Maria de Fátima Corrêa Pimenta; Passeri, Silvia Maria Riceto Ronchim; Velho, Paulo Eduardo Neves Ferreira; Toro, Ivan Felizardo Contrera; Bicudo, Angélica Maria; Amaral, Eliana Martorano

doi:10.1590/1807-57622017.0190

Maria Helena Senger

Departamento de Medicina, Faculdade de Ciências Médicas e da Saúde, Pontifícia Universidade Católica de São Paulo. Campus Sorocaba, Rua Joubert Wey, 290. Sorocaba, SP, Brasil. 18030-070. mhsenger@pucsp.br; mcgcampos@pucsp.br

Maria Celeste Gonçalves Campos

Departamento de Medicina, Faculdade de Ciências Médicas e da Saúde, Pontifícia Universidade Católica de São Paulo. Campus Sorocaba, Rua Joubert Wey, 290. Sorocaba, SP, Brasil. 18030-070. mhsenger@pucsp.br; mcgcampos@pucsp.br

Maria de Fátima Corrêa Pimenta Servidoni

Departamento de Pediatria, Faculdade de Ciências Médicas (FCM), Universidade Estadual de Campinas (Unicamp). Campinas, SP, Brasil. maria.servidoni@gc.unicamp.br; angelicabicudo@gmail.com

Silvia Maria Riceto Ronchim Passeri

FCM, Unicamp. Campinas, SP, Brasil. spasseri@fcm.unicamp.br

Paulo Eduardo Neves Ferreira Velho

Departamento de Clínica Médica, FCM, Unicamp. Campinas, SP, Brasil. pvelho@fcm.unicamp.br

Ivan Felizardo Contrera Toro

Departamento de Cirurgia, FCM, Unicamp. Campinas, SP, Brasil. ivan@fcm.unicamp.br

Angélica Maria Bicudo

Departamento de Pediatria, Faculdade de Ciências Médicas (FCM), Universidade Estadual de Campinas (Unicamp). Campinas, SP, Brasil. maria.servidoni@gc.unicamp.br; angelicabicudo@gmail.com

Eliana Martorano Amaral

Departamento de Tocoginecologia, FCM, Unicamp. Campinas, SP, Brasil. elianaa@unicamp.br

Authors’ contributions

Maria Helena Senger; Maria Celeste Gonçalves Campos; Maria de Fátima Corrêa Pimenta Servidoni: active participation in research design, data collection, analysis and discussion of results, revision and approval of the final version of the text. Eliana Martorano Amaral: active participation in research design, institutional support, analysis and discussion of results, revision and approval of the final version of the text. Silvia Maria Riceto Ronchim Passeri, Ivan Felizardo Contrera Toro, Angelica Maria Bicudo; Paulo Eduardo Neves Ferreira Velho: institutional support, discussion of results, revision and approval of the final version of the text.

Translator: Felix Hector Rigoli Caceres

		1991-2005 Pre-reform (%)	2006-2012 Post-reform (%)
Origin	Campinas Metropolitan Region	39 (18,3)	23 (18,2)
Origin	Other places	174 (81,7)	103 (81,8)
Present dwelling	Campinas Metropolitan Region	98 (46,0)	45 (35,7)
Present dwelling	Other places	115 (54,0)	81 (64,3)

	Areas without pre- requisite	Areas with pre- requisite	SITES
1991 to 2005	1. Clinical Medicine	1. Cardiology	Unicamp 77,0%
	2. Pediatrics	2. Oncology	USP 7,7%
	3. Surgery	3. Plastic Surgery
	4. Obstetrics and Gynecology	4. Gastric surgery
	5. Psychiatry (62% of the total answers)	5. Nephrology (40% of the total answers)
2006 to 2012	1. Pediatrics	1. Neonatology	Unicamp 55,0%
	2. Clinical Medicine	2. Intensive Pediatric Medicine	USP 32,0%
	3. Obstetrics and Gynecology	3. Cardiology
	4. Psychiatry	4. Geriatrics
	5. Surgery (59% of the total answers)	5. Mastology (56% of the total answers)

Importance attributed to BASIC Areas	1991 – 2005 n (%)	2006 – 2012 n (%)
Very important	62 (29,0)	45 (35,4)
Important	106 (49,5)	65 (51,2)
Not very important	42 (19,6)	15 (11,8)
Unimportant	4 (1,9)	2 (1,6)
TOTAL	214	127
Importance attributed to CLINICAL Areas
Very important	166 (77,6)	107 (84,3)
Important	42 (19,6)	19 (15,0)
Not very important	6 (2,8)	1 (0,8)
Unimportant	-	-
TOTAL	214	127

Integration among basic and clinical areas	1991–2005 n (%)	2006–2012 n (%)
Integrated	17 (7,9)	39 (30,7)
Partial integration	125 (58,4)	80 (63,0)
Disconnection	72 (33,6)	8 (6,3)
TOTAL	214	127

	1991-2005	2006-2012
Gratitude	“[...] I have true devotion to the institution.” “All the achievements [...] I owe to Unicamp, [...] my second home, my passion..”	“Unicamp is responsible for this [being a good professional].” “I’ll always be grateful.” “I owe a lot to some professors and the structure of Unicamp”.
Comparison with other courses	“Differentiated [training] ... compared to the various educational centers in the country.” “It is very noticeable the gap with other courses of other faculties.”	“[...] I had the best medical training in Brazil and one of the best in the world.” “Comparing my training with that of colleagues from other institutions, I can see that our graduation was very complete in all areas.”
Preparing for the future	“Course gave the opportunity to study and know how to seek broad and specific training at the same time.” “Training [...] gave me theoretical and practical support for the exercise of medicine in a questioning way.”	“[...] provided the necessary knowledge to search for technical and scientific updates on its own, with critical evaluation conditions.” “[...] I learned how to think and seek the information I need in my profession.”
Need to complement after graduation	«[...] the residence was more important than the graduation.» “[...] Unicamp prepared well enough for the next stage of life in the medical residency. Needed add-ins later. “	“I felt the need to complement through the residence.” «Unicamp [...] was responsible for the formation of the professional activity that I exercise today through the medical residency program.”
Fundamental/essential importance	“Fundamental, I was able to achieve success and recognition of my work very easily, in addition to technical knowledge, general vision and respect for the patient.”	“Extremely important, apart from being recognized for excellent academic training, I feel that I was prepared to practice medicine beyond technical knowledge, but also in the emotional and social aspects in which patients are inserted.”
Needed improvement	“[...] perhaps the basic cycle could be more intertwined with the clinical part, but as far as I know that has already changed.” “The training was very important from a theoretical point of view, but the practice came in the medical residency.” “[...] lack of notions in administration and / or law in medicine.” “[...] I lacked guidelines on the labor market, [...] on private medicine.”	“[...] little training for the market - marketing, administration, finance, organization of the office, etc.” “[...] I was not prepared to practice medicine in the private clinic as working with medical health plans, such as setting up an office.” “[The training was] fundamental from a technical and human point of view, however with failures in the suitability for the market.”

[TFN1001] Origin: c² = 0,0002; no significance; Present dwelling: c² = 3,44; no significance