Aproximações entre a formação em residências multiprofissionais em saúde da família e política nacional de atenção básica

Abstract

For the challenges of the Unified Health System, technical-scientific, political, human, and ethical training is applied, which will induce working processes in this system, requiring collaborative action. Based on this intentionality, multiprofessional residencies in health were established, with emphasis on residences related to Family Health. This study aims to analyze the correlation between Multiprofessional Residencies in Family Health in the state of Ceará and the National Primary Healthcare Policy (PNAB). This is an exploratory-documentary study with qualitative approach carried out from September 2019 to March 2020. The pedagogical projects of the Multiprofessional Residency Programs in Family Health were included, with four projects from School of Public Health Visconde de Saboia and one project from School of Public Health of Ceará, totaling five pedagogical projects. A documentary analysis script was used to explore the Pedagogical Projects of each program. The analysis of the study also included the three versions of the National Primary Healthcare Policy. The information obtained made it possible to understand that the programs present similarities in the pedagogical orientation, based on the educational referential frameworks. Among these similarities, there are the referential frameworks of Permanent Education in Health and Popular Education. Moreover, it is possible to identify singularities circumscribed to institutional identities and historical paths. With regard to PNAB and its updates, it is possible to see changes in the composition of the Family Health Strategy team and the required skills. Furthermore, the incentive to induce training and permanent education for professionals is not present in the current text of PNAB. The results elucidated a confluence between the dictates of the PNAB and the educational intentionalities of the pedagogical projects of the residency programs, with regard to the orientation of team formation and profile of egresses according to the related technical competences. However, it was also possible to identify that residency training enables a professional with more plural skills. Significant convergences between PNAB and the training of residents in Family Health are admitted. The inductive and transforming role of the training is also recognized when proposing professional profiles beyond what is required by PNAB.