Modelo lógico para a implementação das Atividades Profissionais Confiáveis em programa de residência

The COVID-19 pandemic brought disastrous consequences for the most diverse areas of society. Education, in particular, has increased the problem of access and started to face difficulties in developing strategies that mitigate damage to the training of students. Professional training in health maint...

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Autor principal: Araújo, Pedro Henrique de
Outros Autores: Telles, Maurício Wiering Pinto
Formato: bachelorThesis
Idioma:pt_BR
Publicado em: Universidade Federal do Rio Grande do Norte
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Endereço do item:https://repositorio.ufrn.br/handle/123456789/52239
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Resumo:The COVID-19 pandemic brought disastrous consequences for the most diverse areas of society. Education, in particular, has increased the problem of access and started to face difficulties in developing strategies that mitigate damage to the training of students. Professional training in health maintained its importance during a health crisis and new challenges imposed. In addition to the difficulty in dealing with the knowledge inherent in practice during the pandemic period, the Brazilian National Health Council's guidance on the actions of residents suspended the face-to-face theoretical axis, converted to the remote modality. Therefore, it has become essential to implement strategies that ensure that the precepts based on course planning are passed on without prejudice to any order. Entrustable Professional Activities, units of professional practice assigned to students and demonstrated by the skills needed to perform them without supervision, a bridge between the framework of Competency-Based Medical Education and daily clinical practice, emerge as a tool to give professionals the mastery about tasks and the qualities necessary for competent practice. Thus, the objective of this work was to analyze the contribution of this strategy in guiding training in Multiprofessional Residency Program in Health in Primary Care and in the elaboration of a non-conclusive proposal on the adoption of Entrustable Professional Activities in the Political-Pedagogical Project. To base the construction of the seminal proposal, the theoretical model developed by Ten Cate (2020), institutional documents and the experience of residents in the context of the program were considered. As a product, eight Entrustable Professional Activities were elaborated: Health education in the health center room; Team meeting coordination; Prenatal consultation; Childcare consultation; Electronic medical record registration; Testing for COVID-19; Experience of territorialization; Matrix support. The production is suggested to improve the curriculum of the Multiprofessional Residency Program in Health in Primary Care, with a view to adapting it to the health needs observed at the local level, with emphasis on lively experiences in the municipality of Currais Novos, Brazil. The latent transversality to the multidisciplinary logic was privileged in this construction in an attempt to make possible fundamental conditions for the development of confidence in professional performance and in the understanding of the health dynamics of the territory. Finally, the importance of listening to the actors who are part of the training process in the service is highlighted in order to discuss to understand the desires of each one and guarantee that the construction of the curriculum is the result of a broad process of discussion and political negotiation achieved in dialogue between peers and with society, fundamentally democratic and collaborative. Employing Entrustable Professional Activities as standardized work units for health education represents a challenge that may reflect a series of opportunities for advancements in the field of health and education.