Motivos relacionados à escolha da medicina intensiva como especialidade por médicos residentes

Abstract

Objectives: Critical Care Medicine is a relatively new specialty, which in recent years has made significant progress in Brazil. However, few physicians are willing to acquire this specialization. The main objective of this study was to describe the factors associated with choice of Critical Care Medicine as a specialty by medical residents of Salvador-BA. Methods: A cross-sectional and descriptive study, in which a questionnaire was submitted to all residents of the specialties that are a prerequisite for Critical Care Medicine (Clinical Medicine, General Surgery and Anesthesiology), between October and December 2007. Results: The study included 165 residents (89.7% of the total), in which 51.5% were clinical medicine residents, 25.5% were general surgery residents, and 23.0% were anesthesiology residents. Of the respondents, 14 (9.1%) intended to enter Critical Care Medicine residency, although 90 (54.5%) were willing to become intensive care unit physicians after their regular residency. The main reason stated to specialize in critical care medicine was to like work with critically ill patients (92.9%). The main reasons stated not to specialize in critical care medicine, however were related with the poorer quality of life and work. Residents who did intensive care unit initernship during medical studies were more likely to work in an intensive care units after residency. Conclusions: This population showed little interest to specialize in critical care medicine. The main reasons given for this limited interest were factors related to quality of life and intensive care unit environment. A national survey is required to identify the interventions needed to favor this specialization.

Cardiothoracic Surgery League from University of São Paulo Medical School: twelve years in medical education experience

“…Although the objective of our academic leagues is not to provide early specialization, they are a good alternative to enable contact with the routine of a specialist, providing students subsidies to help them make choices regarding their future professional career. Scientific studies try to show the reasons why students choose their specialties [11,12]. The study reveals complexity of this choice, just the fact that students have participated in an academic league does not mean that they have accomplished their professional career.…”

Avaliação dos estágios extracurriculares de medicina em unidade de terapia intensiva adulto

“…(14) The main reason disclosed by the students to seek a clerkship was the interest for ICM as future specialty. Furthermore, after the clerkship there was an increase in the academic, as well as professional interest for intensive care medicine (77.6% and 61.2%, respectively).…”

“…These data point out that experience in the specialty during medical graduation is important, because in the medium term it may bring returns in the number of critical care professionals in the country, considering that not only is there a shortage of specialized professionals, but also often the openings for ICM residence are not filled in the greatest part of Brazil . (14) It must be also highlighted that to work in a shift routine and to be at odds with the life style of intensive care physicians were the first reasons mentioned by those that reported a lesser interest in specializing in ICM after clerkship (38.8%). Recent studies with internal medicine, general surgery and anesthesiology resident physicians in Salvador (BA) revealed similar data on the subject (14) .…”

“…(14) It must be also highlighted that to work in a shift routine and to be at odds with the life style of intensive care physicians were the first reasons mentioned by those that reported a lesser interest in specializing in ICM after clerkship (38.8%). Recent studies with internal medicine, general surgery and anesthesiology resident physicians in Salvador (BA) revealed similar data on the subject (14) . Although the quality of life of critical care physicians is sometimes questioned, this aspect is quite subjective and open to criticism.…”

No Palco Da Vida, a Morte Em Cena: As Repercussões Da Terminalidade Em Uti Para a Família E Para a Equipe Médica

“…BITENCOURT, FEITOSA-FILHO, 2009), e já há um movimento para a criação de superespecializações dentro dessa área como, por exemplo, o neurointensivismo (op. cit.…”