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Revista Brasileira de Educação Médica
versión impresa ISSN 0100-5502versión On-line ISSN 1981-5271
Resumen
LAWALL, Paula Zeni Miessa; PEREIRA, Adelyne Maria Mendes; OLIVEIRA, Josué Miguel de y GASQUE, Kellen Cristina da Silva. Medical preceptorship in family and community medicine: a proposal for dialogue with andragogy. Rev. Bras. Educ. Med. [online]. 2023, vol.47, n.1, e015. Epub 20-Feb-2023. ISSN 1981-5271. https://doi.org/10.1590/1981-5271v47.1-20220058.
Introduction:
Brazil is in a broad process of strengthening medical residencies in basic areas, but there is a need for a structured curriculum to qualify the training of preceptors.
Objective:
To build a dialogic matrix to guide the educational training of preceptorship in Family and Community Medicine (FFM).
Methodology:
Through a qualitative-analytical study, three medical preceptorship programs in Brazil were analyzed, namely: Associação Brasileira de Educação Médica, Hospital Sírio-Libanês and Hospital Alemão Oswaldo Cruz. A training proposal was subsequently presented containing macro-guidelines that allow changes in the teaching and learning processes to qualify preceptor practice in dialogue with andragogy.
Results:
Based on andragogy, the resulting matrix emphasized the learner’s autonomy, to the detriment of the educator’s control of learning. It involves five dimensions: directionality of training; contents; pedagogical strategies; training concepts and structure; and the relationship between health, education and research. Each dimension included guidelines that value: the context and principles of in-service training in the SUS; the development of competences about the contents of health care, management and education; conceptions and structures guided by the construction of significant bonds between the subjects involved in the educational act, respecting their previous knowledge and experiences; collaborative pedagogical strategies, work with operative groups and the use of information and communication technologies; and encouraging research as an educational principle.
Conclusion:
The matrix considered the needs of FCM training, based on key aspects of andragogy. It can promote changes in the teaching-learning processes of preceptors, with the aim of qualifying their practice.
Palabras clave : Preceptorship; Training of the Preceptor; Andragogy; Family and Community Medicine; Primary Health Care.