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Medical Education and Training in the Expanded and Multidimensional Perspective: Considerations about a Teaching-Learning Experience

ABSTRACT

Curricular fragmentation, and the separation between the various dimensions of medical education, have led to a debate on the need for strategies to promote a closer alignment between what is taught on undergraduate courses in Medicine and the actual day-to-day work of health professionals in their fields of work. Various proposals for updating the curriculum are currently being discussed in medical schools and other sectors involved with vocational training. The aim of this study is to describe the experiences and contributions of actions carried out during the development of two disciplinary areas of the Bachelor of Medicine Course at Universidade Estadual de Ciências da Saúde de Alagoas (Uncisal). These proposals are focused on promoting articulation between teaching, service, and the community, giving first year students of the course practical experience of various scenarios of the Unified Health System (Sistema Único de Saúde - SUS). In terms of methodology, this work is a “Report of Experience”. For its construction, it uses the reflections of the authors-participants of the disciplines on their experiences. Using the foundations of Collective Health and Human and Social Sciences, the pedagogical experiences and learning methods provided enabled the students to understand, in practice, how the Unified Health System works, and its political and administrative dimensions, as well as reflecting on the concepts of health-disease based on their practical experiences in the community. These activities have shaped highly enriching experiences and privileged spaces of academic and formation of citizens for the future of professional practice in medicine. They also provide effective tools for the application of the recommendations of the National Curricular Guidelines for medical education that is aligned with the needs of the community and of the SUS.

Medical Education; Teaching-Service Integration; Integral Assistance; Public Health

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