More Doctors for Brazil Project: a critical analysis of the planning and management of the Welcoming and Assessment Module

Macedo, Harineide Madeira; Almeida, Érika Rodrigues de; Silva, José Carlos

doi:10.1590/0103-11042019S517

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• Saúde debate 43 (spe5) • Dec 2019 • https://doi.org/10.1590/0103-11042019S517 copy

More Doctors for Brazil Project: a critical analysis of the planning and management of the Welcoming and Assessment Module

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

The Welcoming and Assessment Module (Módulo de Acolhimento e Avaliação) is the first contact of the candidate for the More Doctors Program with the Brazilian health system and composes one of the formative cycles of the More Doctors for Brazil Project, the provision of physicians in priority areas of the Unified Health System (SUS). It is a selective training for Brazilian physicians graduated abroad and for foreigners who wish to participate in the More Doctors Program. The organization and success of the Welcoming and Assessment Module are essential for the continuity of the subsequent formative cycles, foreseen in the Project. This article describes and analyzes the planning and operationalization of the Welcoming and Assessment Modules taken place in Brazil and in Cuba, from 2014 to 2017, recommending adjustments in the management of education so that health work can be qualified and resolutive and, thus, contribute to the strengthening of primary care in Brazil.

KEYWORDS
More Doctors Program; Primary Health Care; Education; Health education; International cooperation

Date of the MAAv (month/year)	Brazil	Cuba	Observation
august/2014	420
october/2014	400
november/2014	250
january/2015		1,000
june/2015	388
december/2015	57
april/2016		1,000
july-august/2016	320
september-october/2016	60		Occurred in São Paulo (SP).
october-november/2016	317	1,490
november-december/2016		1,368
january/2017		1,000
february/2017	270	1,342
march/2017		890
Total	2,482	8,090

Item	MAAv BRAZIL	MAAv CUBA
Participants profile	Brazilian doctors graduated abroad.	Cuban doctors recruited by the Brazil/Cuba cooperation agreement.
Workload	120 hours.	120 horas.
Recruitment and selection of teachers from both areas	Assumed by the MEC. The participation of the MH is logistical-administrative.	Assumed by the MH, without participation of the MEC.
Definition of coordinators of the areas in MAAv	Assumed by the MEC, without participation of the MH.	Assumed by the MH, without participation of the MEC.
Portuguese and PLE Management	It changes every single Module. No discussion on content update. Evaluation of learning is elaborated by the coordinator of that module.	Alternates between two specialist teachers, who refer to the faculty. Evaluation prepared by the coordinator, but continues in the same guidelines of the area.
Management of the health area	It changes every single Module. No discussion on content update. Evaluation of learning is elaborated by the coordinator of that module.	It changes every single Module. There is non-institutionalized discussion about the need to update content. Learning assessment is prepared by the coordinator of that Module.
Site of the MAAv	Hotel in Brasília/FD. Hotel in São Paulo/SP. Accommodation of the course members is in the same place.	Facilities of medical training schools in Cuba - Havana and provinces. Accommodation of the course members are in the same locations.
Teaching material used	Videos and slides in Power Point^®.	Printed PLE material; PLE texts; videos and slides in Power Point^®.
Coordination of the Modules by the Ministries	MEC assumes pedagogical coordination, including assessment of learning. MS coordinates the logistics-administrative part	MH assumes pedagogical coordination and logistical-administrative part. The MEC is responsible for evaluating learning (elaboration, implementation and the final process).

Centro Brasileiro de Estudos de Saúde Av. Brasil, 4036, sala 802, 21040-361 Rio de Janeiro - RJ Brasil, Tel. 55 21-3882-9140, Fax.55 21-2260-3782 - Rio de Janeiro - RJ - Brazil
E-mail: revista@saudeemdebate.org.br

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[1] Collaborators

Macedo HM (0000-0002-9017-4922)^* * Orcid (Open Researcher and Contributor ID). and Almeida ER (0000-0002-2034-5079)^* * Orcid (Open Researcher and Contributor ID). contributed substantially to the conception and planning and analysis and interpretation of data; contributed significantly to the drafting and critical review of the content; and participated in the approval of the final version of the manuscript. Silva JC (0000-0002-4400-8608)^* * Orcid (Open Researcher and Contributor ID). contributed substantially to the conception and planning and to the analysis and interpretation of data; and contributed significantly to the drafting and critical review of the content.