Learning the clinic of social suffering: narratives of Internship in Primary Health Care.

Clicks: 350
ID: 105136
2020
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Abstract
In Brazil, the mismatch between medical education and care needs in primary health care, especially for the most vulnerable populations, required changes in the National Curriculum Guidelines of the Medical School, with an increased workload of the internship in PHC. This work is exploratory, qualitative research, which investigated documents of the formative evaluation of the Integrated Internship in Family and Community Medicine and Mental Health of the Federal University of Rio de Janeiro, which serves vulnerable populations in the city of Rio de Janeiro. The documents produced by 55 students were analyzed, and dialectical hermeneutics was used as a method of analysis. The investigation showed different levels of sensitivity to social distress experienced by users of Family Clinics during the 22 weeks of internship. The narratives were grouped into five axes: highlighting the Medicine-society split; extreme vulnerability and health; daily structural violence and health; health service as a resource or intruder; territory as the power of life. The internship contributed to improve clinical views focused on users' needs, and further studies are required to evaluate the effective incorporation of these competencies into professional practice.
Reference Key
cardoso2020learningciencia Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Cardoso, Felipe Monte;Campos, Gastão Wagner de Sousa;
Journal Ciencia & saude coletiva
Year 2020
DOI
S1413-81232020000401251
URL
Keywords
Screening maternal mental health trust qualitative continuity midwives’ perceptions

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