The Implementation of a Multidisciplinary Health Residency Program in a University Hospital: Main Advances and Challenges

Abstract

Objective: To investigate the implementation process of a multidisciplinary residency program in a university hospital (UH). Material and Methods: This was an exploratory study with qualitative and quantitative approaches. The data were collected using documentary and bibliographical surveys and a questionnaire submitted to program preceptors and tutors. The data were analyzed based on the literature surveyed to develop this study. Results: 89%(18) of the sample consisted of preceptors and 11%(3) tutors. The participants mentioned that the implementation process was permeated by difficulties, among them: an organizational structure of the Program; the number of professionals for viability or monitoring of residents; an absence of clear and efficient standards and routines; the crisis faced by UHs, which was evidenced by the high number of outsourced professionals; scarcity of human and material resources, and infrastructural problems; the aging of the institution's professionals; and the lack of integration between the Multidisciplinary Residency Program and the Medical Residency Program. However, according to them, it was possible to advance by encouraging the construction of a new conception of health work, mainly due to the contribution of the Unique Therapeutic Project, the accomplishment of educational activities and the development of practices with an appreciation of intersectoriality and integrality. Conclusion: It is considered that the experience analyzed projected important advances, encompasses actions of health education, intersectoriality and reorganization of actions of professional practices. However, it has not yet been able to modify the work processes, which would require the execution of a project articulated between different professionals and the cooperation of the hospital management staff. DESCRIPTORS Human Resources.Professional Training.Continuing Education.