Search citation statements
Paper Sections
Citation Types
Year Published
Publication Types
Relationship
Authors
Journals
BackgroundThe internal migration of physicians from one place to another in the same country can unbalance the supply and distribution of these professionals in national health systems. In addition to economic, social and demographic issues, there are individual and professional factors associated with a physician’s decision to migrate. In Brazil, there is an ongoing debate as to whether opening medicine programmes in the interior of the country can induce physicians to stay in these locations. This article examines the migration of physicians in Brazil based on the location of the medical schools from which they graduated.MethodsA cross-sectional design based on secondary data of 275,801 physicians registered in the Regional Councils of Medicine (Conselhos Regionais de Medicina—CRMs) who graduated between 1980 and 2014. The evaluated outcome was migration, which was defined as moving away from the state where they completed the medicine programme to another state where they currently work or live.Results57.3% of the physicians in the study migrated. The probability of migration ratio was greater in small grouped municipalities and lower in state capitals. 93.4% of the physicians who trained in schools located in cities with less than 100,000 inhabitants migrated. Fewer women (54.2%) migrated than men (60.0%). More than half of the physicians who graduated between 1980 and 2014 are in federative units different from the unit in which they graduated. Individual factors, such as age, gender, time of graduation and specialty, vary between the physicians who did or did not migrate.ConclusionsThe probability of migration ratio was greater in small municipalities of the Southeast region and strong in the states of Tocantins, Acre and Santa Catarina. New studies are recommended to deepen understanding of the factors related to the internal migration and non-migration of physicians to improve human resource for health policies.Electronic supplementary materialThe online version of this article (10.1186/s12960-018-0286-8) contains supplementary material, which is available to authorized users.
BackgroundThe internal migration of physicians from one place to another in the same country can unbalance the supply and distribution of these professionals in national health systems. In addition to economic, social and demographic issues, there are individual and professional factors associated with a physician’s decision to migrate. In Brazil, there is an ongoing debate as to whether opening medicine programmes in the interior of the country can induce physicians to stay in these locations. This article examines the migration of physicians in Brazil based on the location of the medical schools from which they graduated.MethodsA cross-sectional design based on secondary data of 275,801 physicians registered in the Regional Councils of Medicine (Conselhos Regionais de Medicina—CRMs) who graduated between 1980 and 2014. The evaluated outcome was migration, which was defined as moving away from the state where they completed the medicine programme to another state where they currently work or live.Results57.3% of the physicians in the study migrated. The probability of migration ratio was greater in small grouped municipalities and lower in state capitals. 93.4% of the physicians who trained in schools located in cities with less than 100,000 inhabitants migrated. Fewer women (54.2%) migrated than men (60.0%). More than half of the physicians who graduated between 1980 and 2014 are in federative units different from the unit in which they graduated. Individual factors, such as age, gender, time of graduation and specialty, vary between the physicians who did or did not migrate.ConclusionsThe probability of migration ratio was greater in small municipalities of the Southeast region and strong in the states of Tocantins, Acre and Santa Catarina. New studies are recommended to deepen understanding of the factors related to the internal migration and non-migration of physicians to improve human resource for health policies.Electronic supplementary materialThe online version of this article (10.1186/s12960-018-0286-8) contains supplementary material, which is available to authorized users.
Com base na racionalidade prática, este estudo de caso qualitativo objetivou explorar a prática docente universitária, focalizando a reflexão e as competências do professor. Para tanto, foram descritas, analisadas e interpretadas as práticas que, na interação com os alunos em uma disciplina do curso de farmácia, criassem situações dilemáticas e oportunidades de aprendizagem das habilidades de solução de problemas e tomada de decisão. Ao longo do estudo, os alunos foram estimulados a utilizar os processos de conhecimento-na-ação, reflexão-na-ação e reflexão-sobre-a-ação, também vivenciados pelo professor. A análise dos registros de observação em sala de aula e de entrevistas com alunos e o professor evidenciou a importância desses processos reflexivos, que nortearam a consecução dos objetivos pretendidos. Nesse sentido, a reflexão docente sobre a própria prática foi fundamental para subsidiar a aplicação de cada componente curricular da disciplina.
Resumo:A avaliação da aprendizagem tem sido considerada uma das atividades mais complexas e polêmicas entre as atribuídas ao professor, principalmente quando se refere ao ambiente universitário dos cursos da área da saúde onde se observa que grande parte do corpo docente não possui formação pedagógica. O objetivo deste trabalho foi compreender as dificuldades da avaliação no processo de ensino-aprendizagem em um Curso de Farmácia. Para tanto, foram aplicados 2 questionários abertos abordando 61,3% dos docentes e 56,6% dos discentes, onde se pode observar que 85% dos professores e alunos entrevistados atribuem o significado da avaliação escolar à medida do conhecimento do aluno, indicando a forte influencia tecnicista. Entretanto, há uma tendência do corpo docente em usar diversos instrumentos para diagnosticar o aprendizado dos alunos, anunciando uma importante mudança em direção a um paradigma emergente que reclama relações mais humanizadas. Por outro lado, nota-se que os alunos apontam os instrumentos denominados como "prova" com freqüência superior se comparados aos professores. Soma-se a isto, outra dificuldade apontada pelos professores relacionada com a incompreensão de textos, além de pouca motivação para capacitação pedagógica. Sugere-se a inclusão de mais um instrumento para diagnóstico dos progressos do aluno: o Portfólio. Em conclusão, recomenda-se fortemente a profissionalização dos professores a fim de desenvolverem as habilidades e as competências pertinentes ao curso.Palavras-chave: Educação em farmácia. Portfólio reflexivo. Avaliação em saúde. DIFFICULTIES OF EVALUATION IN A PHARMACEUTICS PROGRAMAbstract: The evaluation of learning has been considered one of the most complex activities and controversial between the professors, especially when it is related to the university environment of programs in the health area in which most of the faculty do not have pedagogical preparation. The aim was to understand the difficulties of evaluation in the process of teaching and learning of a Pharmacy Program. For this, two questionnaires were applied covering 61.3% of professors and 56.6% of students, where it was possible to observe that 85% of both professors and students interviewed attribute the significance of school evaluation to the measure the knowledge of the student, indicating the strong technicist influence. However, there has been a tendency of professors to use several instruments to diagnose the learning of students, announcing an important change toward an emerging paradigm that calls for more humanized relations. Furthermore, it is possible to note that the students point out the instruments referred to as "exams" more often than the professors. Moreover, another problem identified by professors related to the misunderstanding of texts and poor motivation for pedagogical preparation. It has been suggested to include an additional diagnostic tool for monitoring of progress of the student: the portfolio. In conclusion, professionalization should be strongly recommended for professors in order...
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
customersupport@researchsolutions.com
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.