Reflexões e propostas para a estruturação de programas de Mestrado em Medicina de Família e Comunidade no Brasil

Abstract

Resumo Embora a atenção primária à saúde (APS) e a medicina de família e comunidade (MFC) tenham aumentado seu espaço e relevância no cenário assistencial e nos cursos de graduação médica, não há cursos de pós-graduação “stricto sensu” em MFC no Brasil. Neste artigo, analisamos alguns aspectos do campo da saúde pública brasileira e da própria estruturação da pós-graduação “stricto sensu” nacional que podem ajudar a explicar este panorama. Como uma contribuição para o debate neste tema, também reunimos informações de experiências internacionais em pós-graduação e pesquisa em MFC e elaboramos uma proposta de currículo para futuros cursos nacionais de mestrado em MFC. Ao final discutimos algumas estratégias fundamentais para o surgimento de cursos de pós-graduação “stricto sensu” nesta área no Brasil, destacando o potencial desses cursos para a avaliação e a qualificação dos serviços de atenção primária, em especial a Estratégia Saúde da Família, e para a formação de profissionais especializados em APS necessários para a consolidação do Sistema Único de Saúde como sistema acessível, abrangente e equitativo para a população brasileira.

In which journals do family and community physicians in Brazil publish?

“…Primary care research has a wide spectrum, and research projects should be adequately distributed along this spectrum for primary care research to fulfill its role in the improvement of primary health care. If the sparsity of clinical research in primary care can be attributed to the stricto sensu postgraduate education received by family and community physicians in Brazil, the recently proposed master's degree in family and community medicine 15 might be pivotal in improving clinical practice in primary health care.…”

“…14 Furthermore, research funding and stricto sensu postgraduate education (master's and doctorates) don't recognize family and community medicine or primary care as a scholarly discipline, and few universities have a department dedicated to either. 15 The lack of recognition of their scholarly discipline might compel family and community physicians in Brazil to engage in "intellectual discussions" (to borrow from Wakeling et al 3 ) with neighboring scholarly communities, such as other medical specialties or public health, rather than among themselves. In this study, our objective was to describe the scholarly journals where they publish their scholarly output, as an approach to better understanding the state of primary care research in Brazil.…”

In which journals do family and community physicians in Brazil publish? The Trajetórias MFC project

“…Primary care research has a wide spectrum, and research projects should be adequately distributed along this spectrum for primary care research to fulfill its role in the improvement of primary health care. If the sparsity of clinical research in primary care can be attributed to the stricto sensu postgraduate education received by family and community physicians in Brazil, the recently proposed master’s degree in family and community medicine 33 might be pivotal in improving clinical practice in primary health care.…”