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Medical preceptorship in family and community medicine: a proposal for dialogue with andragogy

Abstract:

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.

Keywords:
Preceptorship; Training of the Preceptor; Andragogy; Family and Community Medicine; Primary Health Care

Associação Brasileira de Educação Médica SCN - QD 02 - BL D - Torre A - Salas 1021 e 1023 | Asa Norte, Brasília | DF | CEP: 70712-903, Tel: (61) 3024-9978 / 3024-8013, Fax: +55 21 2260-6662 - Brasília - DF - Brazil
E-mail: rbem.abem@gmail.com