Training in Medical Residency: the preceptors’ view

Abstract

Introduction: Medical residency is a specialization established as the gold standard for the training of specialists. It is a transformative professional phase for the young physician, aimed at improving the quality of medical training. By fostering the resident’s training while providing assistance to the users, the preceptor becomes a type of interlocutor between teaching and assistance. This professional needs to encourage their residents to develop their clinical and ethical sense, and it is generally reported that the preceptors are not trained for their teaching duties. Objective: to analyze the preceptors’ experiences and understandings related to the teaching activity in medical residencies. Method: Descriptive and quantitative study, consisting of 300 preceptors, of all age groups and genders, from Maceió, Alagoas. A questionnaire created and validated by Girotto was applied, containing 35 statements, divided into five factors, with emphasis on the preceptors’ opinions on several topics involving their activities. The percentages of positive and negative perceptions about each statement were analyzed. Results: There was a predominance of positive perceptions about the aptitude for educational activities (88.67%), development of theoretical-practical correlations in preceptorship (96%), perception of the need for learning (98.33%) and updating (87%). There was also a positive perception related to the presence of essential resources for teaching activities (71%); additionally, 91% of the preceptors reported that preceptorship integrates the resident into their team. However, it is noteworthy the fact that preceptorship constitutes non-remunerated work (75.34%), as well as the non-performance of pedagogical training (72%). Conclusion: The preceptors are part of an adequate environment for their teaching activities, with appropriate physical structure, in addition to support from the management and the institution. They feel able to teach, but in general they have not received teaching training. The residents are adequately incorporated into the residency environment, improving the service. However, overall, the preceptors are not paid for this work.

Perfil do uso do medicamento domperidona em pacientes idosos internados em um hospital universitário

“…corpo médico para as práticas de prescrição mais segura. Um estudo realizado porCarvalho et al, (2022) descreve a visão dos preceptores de residência médica, e afirma sobre a importância da atualização cientifica de forma contínua para atuarem com qualidade em suas preceptorias e assistência.O sexo feminino se destacou com 78% se corroborando com os resultados do estudo realizado porRhew, Han & Oh (2019) que demonstrou maior utilização do domperidona por mulheres idosas do serviço de seguro de saúde nacional nos anos de 2011 e 2016 na Coreia do Sul, representando respectivamente 66% e 63%. É importante citar que as mulheres apresentam maior risco no prolongamento do intervalo QT e desenvolver TdP como demonstram alguns estudos que o sexo feminino devido as mudanças hormonais que ocorrem com o envelhecimento podem contribuir com a indução/inibição da CYP3A influenciando assim no metabolismo dos fármacos(Cotreau et al, 2005), além de que pode apresentar fisiologicamente intervalo de QT em torno de 20 milisegundos (ms) a mais do que o sexo masculino(Prado et al, 2017).…”