Shortcomings in the training program of medical residency during the COVID-19 pandemic in Brazil. How will they be repaired? - Revista Brasileira de Ginecologia e Obstetrícia
Revista Brasileira de Ginecologia e Obstetrícia. 2021;43(3):155-157
Medical Residency Programs (MRPs) have been presented as the dominant model for postgraduate medical training worldwide. They are considered the gold standard by the medical community and give different status to doctors who hold these titles. The success of this model resides in the link established between theoretical learning and the practice experienced in health services, which has made this pattern of specialization an almost mandatory target for the vast majority of medical students, not only for their specialization, but also as a way of correcting eventual deficiencies in undergraduate training. Thus, professional competence in the practice of medicine has become synonymous with specialization that can only be obtained in well-structured programs with a balanced planning between theoretical and practical activities taught by qualified professionals dedicated to these activities.
The COVID-19 pandemic has caused major losses for MRPs. In order to adapt to the negative impacts of the pandemic, MRPs were compulsorily led to a significant reorganization in their schedules. These changes included reductions or cancellations of activities in the operating room and outpatient clinics, visits to wards, simulation sessions, among others. In addition, hospitals have undergone adaptations in their care routines that directly impacted the training of residents in both clinical and surgical areas, since a large part of the program activities were transferred to the care of COVID-19 patients.
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Medical Residency Programs (MRPs) have been presented as the dominant model for postgraduate medical training worldwide. They are considered the gold standard by the medical community and give different status to doctors who hold these titles. The success of this model resides in the link established between theoretical learning and the practice experienced in health services, which has made this pattern of specialization an almost mandatory target for the vast majority of medical students, not only for their specialization, but also as a way of correcting eventual deficiencies in undergraduate training. Thus, professional competence in the practice of medicine has become synonymous with specialization that can only be obtained in well-structured programs with a balanced planning between theoretical and practical activities taught by qualified professionals dedicated to these activities.
The COVID-19 pandemic has caused major losses for MRPs. In order to adapt to the negative impacts of the pandemic, MRPs were compulsorily led to a significant reorganization in their schedules. These changes included reductions or cancellations of activities in the operating room and outpatient clinics, visits to wards, simulation sessions, among others. In addition, hospitals have undergone adaptations in their care routines that directly impacted the training of residents in both clinical and surgical areas, since a large part of the program activities were transferred to the care of COVID-19 patients.
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