Qualify the Curricular Internship of medical students in public health management

Abstract

The creation of the Unified Health System (SUS) brought the need to train professionals whose performance was consistent with its principles. In 2001, the National Curriculum Guidelines (DCN) for Medicine courses established the skills and competencies needed by physicians to implement these principles and, in 2014, they included Health Management, along with Health Care and Education as a medical training area. The present study aimed to qualify and systematize the Curricular Internship in Collective Health, in the scope of public management, of the students of the Medicine course at the Universidade Franciscana de Santa Maria/RS, in the 4th Regional Health Coordination. This is an interventional study in a teaching-service integration scenario, developed with 27 students, from August to October 2020. The assessment instruments used were: problem-situations related to Contracts, Regulation and Medical Audit and internship report. After the internship, we observed: increased capacity to solve problem-questions involving management, interest in lesser known topics such as Contracts and Medical Audit and ability to suggest proposals to overcome identified critical situations. It is believed that the teaching-service-management integration is useful to help the development of competences recommended by the DCN, outlined by the university and expected by the SUS, in this area.