Fatores associados à escolha da segunda especialidade entre concluintes da residência em clínica médica

Abstract

Introduction: After the residency in Internal Medicine, most graduates choose to undergo a new selection process to obtain a second specialty. The phenomenon of early specialization is encouraged as early as in the undergraduate course. Despite this, the demand for general practitioners is growing. Objective: To investigate the factors that lead the newly graduated clinician to undertake a new residency. Method: This is a cross-sectional study that analyzes the responses of Internal Medicine residency graduates from the state of Pernambuco in 2020, through a questionnaire available online by Google Forms, containing questions about social aspects, undergraduate medical course, Medical Residency and intentions for the future career. Results: There were 81 responses of the 104 possible participants (77.88%). Most of these were female (66.67%), graduated from public universities (69.14%) and had already started the Internal Medicine residency shortly after graduation (50.62%). Regarding the specialty choice, 51.85% answered they had decided in the second year of residency, and 80.25% stated that they had undergone the selection process for the second specialty shortly after completing the Internal Medicine residency. The most often chosen career was Cardiology (20%). The factors most often associated with the choice of specialty were, according to the means on the Likert scale, “work in an outpatient setting”, “long-term patient follow-up”, and “more contact with patients”. Conclusion: As far as it could be investigated in the literature, this was the first Brazilian study on specialty choices after the Internal Medicine residency. It was possible to identify the most important reasons for choosing a second specialty among the graduates of this Medical Residency program in Pernambuco in 2020. More studies are needed to establish correlations between the factors of choice with the chosen specialty.

Residência em Clínica Médica no Brasil: um estudo demográfico contemporâneo

“…A média global de médicos residentes em CM no Brasil, como pode ser visto no Gráfico 1, foi maior na região sudeste (16,8), enquanto a média foi menor na região Norte (11,2).…”

“…Embora relevante para a formação de todos os médicos, o papel da CM tem sido discutido, pois é uma especialidade que permite o acesso a outras especialidades e áreas de atuação, o que é um caminho para futuras escolhas profissionais 11 .…”