<?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>S1981-52712018000400046</article-id>
<article-id pub-id-type="doi">10.1590/1981-52712015v42n4RB20170133</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[A Percepção do Sistema de Saúde por Estudantes de Medicina através do Uso de Portfólio Reflexivo]]></article-title>
<article-title xml:lang="en"><![CDATA[Medical Students&#8217; Perceptions of the Brazilian Public Health System, expressed in a Reflective Portfolio]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chatkin]]></surname>
<given-names><![CDATA[Moema]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Boas]]></surname>
<given-names><![CDATA[Daniela Vila]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidade Católica de Pelotas  ]]></institution>
<addr-line><![CDATA[Pelotas Rio Grande do Sul]]></addr-line>
<country>Brasil</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Profícere  ]]></institution>
<addr-line><![CDATA[Pelotas Rio Grande do Sul]]></addr-line>
<country>Brasil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2018</year>
</pub-date>
<volume>42</volume>
<numero>4</numero>
<fpage>46</fpage>
<lpage>54</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://educa.fcc.org.br/scielo.php?script=sci_arttext&amp;pid=S1981-52712018000400046&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://educa.fcc.org.br/scielo.php?script=sci_abstract&amp;pid=S1981-52712018000400046&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://educa.fcc.org.br/scielo.php?script=sci_pdf&amp;pid=S1981-52712018000400046&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO A mudan&#231;a no modo de pensar os cursos de Medicina e o perfil de m&#233;dico que se espera formar no Brasil desde 2001 acabou por afetar as pessoas e institui&#231;&#245;es envolvidas nesse processo. Neste estudo buscou-se compreender como os estudantes de Medicina de uma universidade privada percebem o modelo de m&#233;dico segundo o qual est&#227;o sendo formados e se entendem o sistema em que estar&#227;o inseridos ap&#243;s sua formatura. Para isto, foi realizado um estudo qualitativo com base nos portf&#243;lios dos acad&#234;micos do &#250;ltimo per&#237;odo do curso de Medicina dessa universidade nos anos de 2013 e de 2014. A an&#225;lise dos portf&#243;lios considerou o que se espera da forma&#231;&#227;o m&#233;dica no Brasil desde 2001: m&#233;dicos generalistas com forma&#231;&#227;o humanista, cr&#237;tica, reflexiva e &#233;tica. Os resultados mostraram que a maioria dos alunos consegue identificar as diretrizes do sistema de sa&#250;de e como este se organiza, mas n&#227;o se identifica com o cen&#225;rio e os profissionais que nele atuam. Quanto ao seu papel nesse contexto, alguns adotaram a posi&#231;&#227;o de espectadores, enquanto poucos se reconheceram como parte no processo de mudan&#231;a necess&#225;rio ao alcance das diretrizes do Sistema &#218;nico de Sa&#250;de (SUS). Os estudantes acreditavam que a Estrat&#233;gia Sa&#250;de da Fam&#237;lia (ESF) poderia dar certo, mas n&#227;o se sentiam parte desse sistema, olhando de fora, descrevendo, mas n&#227;o percebendo esse lugar como seu e nem como o lugar do seu paciente imaginado.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT The way of thinking about medicine courses, and the profile of future physicians in Brazil have changed since 2001, and this has affected the institutions and people involved in this process. This article analyzes medical students&#8217; views on what is expected of them after graduation, and the new concept of physician expected by the public health care system in Brazil. It is a qualitative study, based on portfolios developed by students in their final period in the years 2013 and 2014. Analysis of the portfolios considered the expectations generated by the students&#8217; expectations of medical schools in Brazil since 2001, i.e., to produce general physicians with a humanistic, critical, reflective and ethical training. The results revealed that most students think about the public health system, and know and understand how it is organized, but they do not identify themselves either with the scenario, or with the professionals who work within it. Regarding their role as students in this context, some students adopted the position of spectators, while others recognized how important they are in helping to change the system in line with SUS guidelines. Finally, the students believe that the ESF may work, but they do not feel part of this system and do not recognize the patients they meet there as their idealized patient.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[&#8211;Aprendizagem]]></kwd>
<kwd lng="pt"><![CDATA[&#8211;Sistema Único de Saúde (SUS]]></kwd>
<kwd lng="pt"><![CDATA[&#8211;Estudantes de Medicina]]></kwd>
<kwd lng="pt"><![CDATA[&#8211;Portfólio Reflexivo]]></kwd>
<kwd lng="en"><![CDATA[&#8211;Learning]]></kwd>
<kwd lng="en"><![CDATA[&#8211;Unified Health System]]></kwd>
<kwd lng="en"><![CDATA[&#8211;Medical Students]]></kwd>
<kwd lng="en"><![CDATA[&#8211;Reflective Portfolio]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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