<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1981-5271</journal-id>
<journal-title><![CDATA[Revista Brasileira de Educação Médica]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Bras. Educ. Med.]]></abbrev-journal-title>
<issn>1981-5271</issn>
<publisher>
<publisher-name><![CDATA[Associação Brasileira de Educação Médica]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1981-52712019000200048</article-id>
<article-id pub-id-type="doi">10.1590/1981-52712015v43n2RB20180161</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[A Percepção do Supervisor do Provab sobre a Fixação do Médico na Atenção Primária à Saúde]]></article-title>
<article-title xml:lang="en"><![CDATA[The Perception of the Provab Supervisor on the Retention of Doctors in Primary Health Care]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cortez]]></surname>
<given-names><![CDATA[Lyane Ramalho]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guerra]]></surname>
<given-names><![CDATA[Eliana Costa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Silveira]]></surname>
<given-names><![CDATA[Natércia Janine Dantas da]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Noro]]></surname>
<given-names><![CDATA[Luiz Roberto Augusto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidade Federal do Rio Grande do Norte  ]]></institution>
<addr-line><![CDATA[Natal Rio Grande do Norte]]></addr-line>
<country>Brasil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2019</year>
</pub-date>
<volume>43</volume>
<numero>2</numero>
<fpage>48</fpage>
<lpage>57</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://educa.fcc.org.br/scielo.php?script=sci_arttext&amp;pid=S1981-52712019000200048&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://educa.fcc.org.br/scielo.php?script=sci_abstract&amp;pid=S1981-52712019000200048&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://educa.fcc.org.br/scielo.php?script=sci_pdf&amp;pid=S1981-52712019000200048&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO Atrair profissionais m&#233;dicos para o trabalho na Aten&#231;&#227;o Prim&#225;ria em Sa&#250;de (APS) tem sido um desafio permanente para o Sistema &#218;nico de Sa&#250;de. A impossibilidade de educa&#231;&#227;o continuada e permanente configura-se como um dos principais fatores impeditivos do provimento e da fixa&#231;&#227;o de m&#233;dicos na APS. O Programa de Valoriza&#231;&#227;o do profissional da Aten&#231;&#227;o B&#225;sica (PROVAB) trouxe como pressuposto o incentivo &#224; Educa&#231;&#227;o Permanente em Sa&#250;de (EPS) com &#234;nfase na intera&#231;&#227;o ensino-servi&#231;o-comunidade (IESC), contando com a presen&#231;a de uma supervis&#227;o pedag&#243;gica composta por m&#233;dicos capacitados para tal fim. O objetivo do presente estudo foi analisar os motivos que levaram um grupo de m&#233;dicos de Natal, Rio Grande do Norte, participantes do Programa de Valoriza&#231;&#227;o do Profissional da Aten&#231;&#227;o B&#225;sica (PROVAB), a permanecerem na Aten&#231;&#227;o Prim&#225;ria em Sa&#250;de por meio da preced&#234;ncia ao Programa Mais M&#233;dicos (PMM), a partir da percep&#231;&#227;o de seus supervisores. Para tanto, foi realizado estudo qualitativo por meio da t&#233;cnica de grupo focal com sete supervisores m&#233;dicos do PROVAB e do PMM. A an&#225;lise de conte&#250;do identificou cinco categorias de an&#225;lises tem&#225;ticas: Contexto pol&#237;tico do in&#237;cio dos programas; Perfil do supervisor pedag&#243;gico; Perfil do m&#233;dico que fez preced&#234;ncia do PROVAB para o Programa Mais M&#233;dicos; Motivos de fixa&#231;&#227;o do provabiano &#224; APS; e Porque n&#227;o escolher a APS para a vida? Evidenciou-se que o PROVAB funcionou como uma estrat&#233;gia inicial de enfrentamento aos desafios de se fixar m&#233;dicos &#224; APS em conson&#226;ncia &#224; remodela&#231;&#227;o da forma&#231;&#227;o m&#233;dica. Apesar do contexto pol&#237;tico desfavor&#225;vel nos anos que se seguiram &#224; implementa&#231;&#227;o do PROVAB, houve uma sinergia entre a supervis&#227;o e os m&#233;dicos que se empoderaram para desenvolverem suas atividades proporcionando condi&#231;&#245;es para enfrentamento das condi&#231;&#245;es desfavor&#225;veis. A aproxima&#231;&#227;o com o contexto do territ&#243;rio e as compet&#234;ncias adquiridas no programa acerca da Aten&#231;&#227;o Prim&#225;ria em Sa&#250;de com desenvolvimento de v&#237;nculo com a comunidade funcionaram como fatores de est&#237;mulo para a perman&#234;ncia do m&#233;dico na Aten&#231;&#227;o Prim&#225;ria em Sa&#250;de traduzindo-se na mudan&#231;a do perfil do profissional que assimilou e adquiriu o componente social de trabalhar em &#225;reas de grande vulnerabilidade. Esse movimento deve favorecer as mudan&#231;as previstas nos cursos de gradua&#231;&#227;o em Medicina, evitando um retrocesso que tange aos vazios assistenciais, animando a luta que se constitui na busca por um Brasil em que o acesso universal &#224; sa&#250;de e a um profissional m&#233;dico n&#227;o seja um privil&#233;gio de poucos, mas o direito garantido de todos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Attracting medical professionals to work in Primary Health Care (PHC) has been an ongoing challenge for Brazil&#8217;s Unified Health System (SUS). The impossibility of a continuous and ongoing education is one of the main factors hindering the provision and retention of doctors in PHC. One of the basic premises of the Program to Value Primary Healthcare Professionals (PROVAB) was to encourage Continuous Education in Health (EPS), emphasizing the interactions between teaching, service and the local community (IESC), with the presence of pedagogical supervision by doctors trained for this purpose. The goal of this study was to analyze, based on the perceptions of their supervisors, the factors that led a group of doctors from Natal, in the State of Rio Grande do Norte, participants in the PROVAB, to stay in Primary Health care (PHC), giving it precedence over the More Doctors Program (PMM). A qualitative study was carried out, using the focal group technique with seven medical supervisors of the PROVAB and PMM. The content analysis identified five thematic categories: The political context at the start of the programs; the profile of the pedagogical supervisors; the profile of the doctors who prioritized PROVAB over the More Doctors Program (PMM); the reasons that led to the retention of PROVAB doctors in the PHC; and why not choose PHC for life? It was demonstrated that the PROVAB worked as an initial strategy to face the challenges of retraining doctors in PHC, in line with the reforms in Medical Education. Despite the difficult political environment in the years that followed the implementation of the PROVAB, there was a synergy between supervision and doctors, who were empowered to carry out their activities, providing conditions to combat unfavorable situations. Strengthening ties with the territorial context, and the skills acquired during the program, related to Primary Health Care (PHC), through the development of links with the local community, acted as factors of stimulus for the retention of doctors in PHC. This led to a change in doctors&#8217; profiles, as they assimilated and acquired the social aspect to work of working in vulnerable areas. This movement should favor the changes predicted in Medical Schools, preventing a regression when it comes to gaps in the health care system. It also encourages the fight for a better country, in which universal access to health and to a medical professional may be not only a privilege of a few, but a guaranteed right for all.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Atenção Primária à Saúde]]></kwd>
<kwd lng="pt"><![CDATA[Estratégia Saúde da Família]]></kwd>
<kwd lng="pt"><![CDATA[Educação Médica]]></kwd>
<kwd lng="en"><![CDATA[Primary Health Care]]></kwd>
<kwd lng="en"><![CDATA[Family Health Strategy]]></kwd>
<kwd lng="en"><![CDATA[Medical Education]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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