Son múltiples los estudios que informan de una alta prevalencia de problemas de salud mental en médicos y médicas. Aunque los médicos presentan resistencias a la hora de solicitar ayuda profesional cuando están aquejados de trastornos mentales, los servicios especializados desarrollados específicamente para tratar sus problemas de salud mental han reportado resultados prometedores. El propósito de este artículo es describir el diseño y la implementación del Programa de Bienestar Profesional del Colegio Médico del Uruguay. El contexto, los insumos, las actividades y algunos de los productos se describen de acuerdo con el diseño de un estudio de caso. También se señalan los principales hitos en la puesta en marcha del programa, así como los elementos facilitadores, los obstáculos y los principales logros. Se enfatizará la importancia de la colaboración internacional para compartir experiencias y modelos, cómo articular el proceso asistencial para fomentar el acceso de los médicos a la atención psiquiátrica y psicológica, la necesidad de que sean flexibles y dinámicos para adaptarse a circunstancias novedosas y cambiantes como la pandemia por COVID-19 y la necesidad de que vayan en paralelo con las exigencias de los organismos reguladores de la práctica médica. Se espera que la experiencia descrita en este trabajo pueda ser de utilidad a otros colectivos latinoamericanos interesados en desarrollar programas de salud mental para los médicos.
Background The Open University of the Unified Health System (UNA-SUS) was created in 2010 to promote continuing professional education using online distance education (ODE) to Brazilian health workforce - mainly primary care – spread over 8.5 million kilometers. It comprehends a 34-universities network developing free open technology-enhanced courses and has more than 3 million enrollments and 1 million single learners, covering 98% of the country's cities. Objectives Elderly's Health Care Educational Program aims to improve professional education for public health workers, focused on aged people's care, based in 5 independent microlearning courses developed in the past 2 years. It follows “action mapping” design, in which the action objectives and practice demands are defined before content, meeting real-world demands, intending to improve completion rates (CR) as well as modeling continuing education in world's health systems. Results These ODE courses were available for 18 months (2018-2019), with 66,655 enrollments and 36,714(55%) certificated; CR ranged from 46.4% to 70.5% among 15 health professions and “students”, being higher for Community Health Agents (70.5%) and Nursing Technicians (65,4%). Enrollments were from all 5 Brazilian regions, mean age was 32.6 years, 81.6% were female. Conclusions Instructional design allowed professionals to learn according to specific gaps; microlearning strategy promoted higher CR compared to traditional ODE courses. High school and technical educational levels also had higher CR suggesting that ODE can be adequate to this target audience, who possibly have less educational opportunities than graduated ones. Considering the success obtained in a continental-size country, this model could be reproduced worldwide. Key messages Continuing ODE is a worldwide demand. Initiatives that use information technology to improve learning process of health professionals, including healthcare technicians, should be considered.
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