<?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>S1981-52712021000500220</article-id>
<article-id pub-id-type="doi">10.1590/1981-5271v45.4-20210205</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Negociações (im)possíveis: a preceptoria e os desafios na relação entre ensino e serviço]]></article-title>
<article-title xml:lang="en"><![CDATA[(Im)possible negotiations: preceptorship and challenges in the teaching-service relationship]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Borges]]></surname>
<given-names><![CDATA[Flávia Queiroz]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hasse]]></surname>
<given-names><![CDATA[Mariana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[Janaína Paula Costa da]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Machado]]></surname>
<given-names><![CDATA[Maria de Fátima Antero Sousa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Teixeira]]></surname>
<given-names><![CDATA[Flávia do Bonsucesso]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidade Federal do Triângulo Mineiro  ]]></institution>
<addr-line><![CDATA[Uberaba Minas Gerais]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidade Federal de Uberlândia  ]]></institution>
<addr-line><![CDATA[Uberlândia Minas Gerais]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Fundação Oswaldo Cruz  ]]></institution>
<addr-line><![CDATA[Rio de Janeiro Rio de Janeiro]]></addr-line>
<country>Brazil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<volume>45</volume>
<numero>4</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://educa.fcc.org.br/scielo.php?script=sci_arttext&amp;pid=S1981-52712021000500220&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://educa.fcc.org.br/scielo.php?script=sci_abstract&amp;pid=S1981-52712021000500220&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://educa.fcc.org.br/scielo.php?script=sci_pdf&amp;pid=S1981-52712021000500220&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Introdução: O curso de Medicina da Universidade Federal do Triângulo Mineiro (UFTM) foi criado em 1954. Em 2011, ocorreu a inclusão dos estágios supervisionados em medicina geral e comunitária I e II no internato, que inseriu os estudantes na rede de serviços da atenção básica do município, processo marcado por conflitos e limitações. Visando solucionar os impasses criados, a UFTM contratou, por meio de concurso público, preceptores de medicina de família e comunidade para atuar na rede municipal.  Objetivo: Este estudo teve como objetivo analisar o arranjo institucional proposto para otimizar a relação ensino-serviço nos estágios supervisionados da área de medicina de família e comunidade, a partir da percepção de docentes e preceptores do Departamento de Saúde Coletiva que atuam na atenção primária.  Método: Trata-se de estudo de caso apoiado em pesquisa documental e entrevistas realizadas com três docentes e três preceptores do curso de Medicina de uma instituição pública.  Resultado: A análise temática revelou três núcleos que foram agrupados nas categorias &#8220;contexto difícil&#8221;, &#8220;desencontro de expectativas&#8221; e &#8220;fios soltos&#8221;. O &#8220;contexto difícil&#8221; exigia a negociação e o deslocamento de poder entre as instituições e seus agentes. A (con)fusão entre os papéis de docente e preceptor produziu &#8220;desencontro de expectativas&#8221;. Em &#8220;fios soltos&#8221;, a lacuna entre a universidade e a rede municipal parece intransponível e reiterada a partir do concurso.  Conclusão: A realização do concurso e a contratação de preceptores não foram suficientes para superar os desafios da articulação entre a universidade e a rede municipal de saúde. A pesquisa demonstra que não existe caminho simples para a integração ensino-serviço e que a interdependência dos atores aponta para o desafio e a necessidade da construção de agendas e espaços de decisão coletivos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  The Medical course at the Federal University of the Triângulo Mineiro (UFTM) was created in 1954. In 2011, the Supervised Internships in General and Community Medicine I and II were included in the clerkship program, which immersed students in the local Primary Care network - a process marked by conflicts and limitations. Aiming to solve the impasses created, UFTM hired, through a public tender, Family and Community Medicine preceptors to work in the municipal network.  Objective: To analyze the institutional arrangement proposed to optimize the teaching-service relationship in supervised clerkships in the area of Family and Community Medicine, from the perception of teachers and preceptors of the Department of Public Health who work in Primary Care.  Method:  Case study supported by documentary research and interviews with three professors and three preceptors from the medical school of a public institution.  Result:  Thematic content analysis revealed three core aspects that were grouped into the categories: &#8220;Difficult setting&#8221;; &#8220;Mismatch of expectations&#8221;; and &#8220;Loose threads&#8221;. The &#8220;Difficult setting&#8221; demanded negotiation and a power shift between institutions and their agents. The (con)fusion between the roles of teacher and preceptor produced &#8220;Mismatches of expectations&#8221;. In &#8220;Loose Threads,&#8221; the gap between the university and the municipal network seems insurmountable and reiterated was after the public tender.  Conclusion: The public tender process and hiring of preceptors proved insufficient to overcome the challenges of connectivity between the university and the municipal health network. The research shows that there is no simple way to integrate teaching-service and that the interdependence of the actors points to the challenge and the need to build agendas and collective decision spaces.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Preceptoria]]></kwd>
<kwd lng="pt"><![CDATA[Educação Médica]]></kwd>
<kwd lng="pt"><![CDATA[Serviços de Saúde]]></kwd>
<kwd lng="pt"><![CDATA[Atenção Primária à Saúde]]></kwd>
<kwd lng="en"><![CDATA[Preceptorship]]></kwd>
<kwd lng="en"><![CDATA[Medical Education]]></kwd>
<kwd lng="en"><![CDATA[Health Services]]></kwd>
<kwd lng="en"><![CDATA[Primary Health Care]]></kwd>
</kwd-group>
</article-meta>
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