Postgraduate training in Pediatrics in Rosario health centers. A qualitative study.

Medical education has been influenced by the Flexner report of 1910, which installed the formal reasoning of the natural sciences as the central axis of medical training and contributed to the consolidation of biomedicine as the dominant model of practice. An alternative proposal has emerged: the La...

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Autores principales: de Candia, Lucas Fernando, Geuna, Jesica Daiana
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional de Rosario 2023
Materias:
residencias médicas
pediatría
centros de salud
atención primaria de la salud
educación médica
medical residencies
pediatrics
health centers
primary health care
medical education
Acceso en línea:https://fcmcientifica.unr.edu.ar/index.php/revista/article/view/107
Aporte de:
FCM Científica de Universidad Nacional de Rosario
id I15-R235-article-107
record_format ojs
institution Universidad Nacional de Rosario
institution_str I-15
repository_str R-235
container_title_str FCM Científica
language Español
format Artículo revista
topic residencias médicas
pediatría
centros de salud
atención primaria de la salud
educación médica
medical residencies
pediatrics
health centers
primary health care
medical education
spellingShingle residencias médicas
pediatría
centros de salud
atención primaria de la salud
educación médica
medical residencies
pediatrics
health centers
primary health care
medical education
de Candia, Lucas Fernando
Geuna, Jesica Daiana
Postgraduate training in Pediatrics in Rosario health centers. A qualitative study.
topic_facet residencias médicas
pediatría
centros de salud
atención primaria de la salud
educación médica
medical residencies
pediatrics
health centers
primary health care
medical education
author de Candia, Lucas Fernando
Geuna, Jesica Daiana
author_facet de Candia, Lucas Fernando
Geuna, Jesica Daiana
author_sort de Candia, Lucas Fernando
title Postgraduate training in Pediatrics in Rosario health centers. A qualitative study.
title_short Postgraduate training in Pediatrics in Rosario health centers. A qualitative study.
title_full Postgraduate training in Pediatrics in Rosario health centers. A qualitative study.
title_fullStr Postgraduate training in Pediatrics in Rosario health centers. A qualitative study.
title_full_unstemmed Postgraduate training in Pediatrics in Rosario health centers. A qualitative study.
title_sort postgraduate training in pediatrics in rosario health centers. a qualitative study.
description Medical education has been influenced by the Flexner report of 1910, which installed the formal reasoning of the natural sciences as the central axis of medical training and contributed to the consolidation of biomedicine as the dominant model of practice. An alternative proposal has emerged: the Latin American Collective Health (CS), which aspires to adopt complexity to broaden the analysis of health problems. The context was the difficulty in addressing population problems, the cost and the launch of Primary Health Care as a strategy. Today, health systems demand professionals with the aptitude for an interdisciplinary/intersectoral approach. Fundamentally organized in hospitals, postgraduate training tends to reproduce teaching models focused on the transmission of knowledge, taking approaches out of context and focusing on procedures. Health Centers (SC) as spaces for practices can constitute a strategic place to approach population needs and professional profiles. METHODOLOGY: The educational process of pediatricians in postgraduate training in CS in the City of Rosario can be explored and described, through a qualitative study with semi-structured interviews with key actors: people in postgraduate training and tutors of the Career of Pediatrics. RESULTS/DISCUSSION: The work in CS with tutors accompanying the learning process is a rotation in Pediatrics. It appears as an activity with the potential to offer experiences that surpass biomedicine. Critical remarks arise when acting systematically, the clinic focused on the disease and the decontextualized practices that characterize hospital work. CONCLUSION: the need to promote the CS as spaces for practical postgraduate training in Pediatrics is identified if the aim is to produce graduates better prepared to work in the real contexts of Rosario.
publisher Universidad Nacional de Rosario
publishDate 2023
url https://fcmcientifica.unr.edu.ar/index.php/revista/article/view/107
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spelling I15-R235-article-1072023-11-21T20:35:32Z Postgraduate training in Pediatrics in Rosario health centers. A qualitative study. La formación de posgrado en Pediatría en centros de salud de Rosario. Un estudio cualitativo de Candia, Lucas Fernando Geuna, Jesica Daiana residencias médicas pediatría centros de salud atención primaria de la salud educación médica medical residencies pediatrics health centers primary health care medical education Medical education has been influenced by the Flexner report of 1910, which installed the formal reasoning of the natural sciences as the central axis of medical training and contributed to the consolidation of biomedicine as the dominant model of practice. An alternative proposal has emerged: the Latin American Collective Health (CS), which aspires to adopt complexity to broaden the analysis of health problems. The context was the difficulty in addressing population problems, the cost and the launch of Primary Health Care as a strategy. Today, health systems demand professionals with the aptitude for an interdisciplinary/intersectoral approach. Fundamentally organized in hospitals, postgraduate training tends to reproduce teaching models focused on the transmission of knowledge, taking approaches out of context and focusing on procedures. Health Centers (SC) as spaces for practices can constitute a strategic place to approach population needs and professional profiles. METHODOLOGY: The educational process of pediatricians in postgraduate training in CS in the City of Rosario can be explored and described, through a qualitative study with semi-structured interviews with key actors: people in postgraduate training and tutors of the Career of Pediatrics. RESULTS/DISCUSSION: The work in CS with tutors accompanying the learning process is a rotation in Pediatrics. It appears as an activity with the potential to offer experiences that surpass biomedicine. Critical remarks arise when acting systematically, the clinic focused on the disease and the decontextualized practices that characterize hospital work. CONCLUSION: the need to promote the CS as spaces for practical postgraduate training in Pediatrics is identified if the aim is to produce graduates better prepared to work in the real contexts of Rosario. La educación médica ha sido influencia por el informe Flexner de 1910, que instaló el razonamiento formal de las ciencias naturales como eje central de la formación médica y aportó a la consolidación de la biomedicina como modelo dominante de la práctica. Ha surgido una propuesta alternativa: la Salud Colectiva (SC) latinoamericana que aspira a adoptar la complejidad para ampliar el análisis de los problemas de salud. El contexto fue la dificultad para abordar problemas poblacionales, el crecimiento de los costos y el lanzamiento de la Atención Primaria de la Salud como estrategia. Hoy, los sistemas de salud demandan profesionales con aptitud para el abordaje interdisciplinario/intersectorial. Fundamentalmente organizada en hospitales, la formación de posgrado tiende a reproducir modelos de enseñanza centrados en la transmisión de conocimiento, descontextualizando los abordajes y poniendo el foco en los procedimientos. Los Centros de Salud (CS) como espacios de prácticas pueden constituir un lugar estratégico para acercar necesidades poblacionales y perfiles profesionales. METODOLOGÍA: Se propuso explorar y describir el proceso educativo de las y los pediatras en formación de posgrado en CS de la Ciudad de Rosario, mediante un estudio cualitativo con entrevistas semi estructuradas a actores clave: personas en formación de posgrado y tutores de la Carrera de Pediatría. RESULTADOS/ DISCUSIÓN: El trabajo en CS con tutoras acompañando el proceso de aprendizaje es una rotación en Pediatría. La misma aparece como una actividad con la potencialidad de ofrecer experiencias superadoras de la biomedicina. Surgen señalamientos críticos al actuar sistemático, la clínica focalizada en la enfermedad y las prácticas descontextualizadas que caracterizan al trabajo hospitalario. CONCLUSIÓN: se identifica la necesidad de potenciar los CS como espacios de formación práctica de posgrado en Pediatría si se aspira a producir graduados mejor preparados para trabajar en los contextos reales de Rosario. Universidad Nacional de Rosario 2023-11-08 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://fcmcientifica.unr.edu.ar/index.php/revista/article/view/107 10.35305/fcm.v3i.107 Revista de la Facultad de Ciencias Médicas. Universidad Nacional de Rosario.; Vol. 3 (2023); 37-46 2796-7719 spa https://fcmcientifica.unr.edu.ar/index.php/revista/article/view/107/82 https://creativecommons.org/licenses/by-nc/4.0

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