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Evaluation of the impact of collaborative work by teams from the National Medical Residency Committee and the Brazilian Society of Neurosurgery. Retrospective and prospective study

机译:国家医疗住院委员会和巴西神经外科学会的团队对协作工作的影响进行了评估。回顾性和前瞻性研究

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ABSTRACTCONTEXT AND OBJECTIVE: Training for specialist physicians in Brazil can take place in different ways. Closer liaison between institutions providing this training and assessment and health care services may improve qualifications. This article analyzes the impact of closer links and joint work by teams from the National Medical Residency Committee (Comiss?o Nacional de Residência Médica, CNRM) and the Brazilian Society of Neurosurgery (Sociedade Brasileira de Neurocirurgia, SBN) towards evaluating these programs.DESIGN AND SETTING: Retrospective and prospective study, conducted in a public university on a pilot project developed between CNRM and SBN for joint assessment of training programs across Brazil.METHODS: The literature in the most relevant databases was reviewed. Documents and legislation produced by official government bodies were evaluated. Training locations were visited. Reports produced about residency programs were analyzed.RESULTS: Only 26% of the programs were immediately approved. The joint assessments found problems relating to teaching and to functioning of clinical service in 35% of the programs. The distribution of programs in this country has a strong relationship with the Human Development Index (HDI) of the regions and is very similar to the distribution of specialists.CONCLUSION: Closer collaboration between the SBN and CNRM had a positive impact on assessment of neurosurgery medical residency across the country. The low rates of direct approval have produced modifications and improvements to the quality of teaching and care (services). Closer links between the CNRM and other medical specialties have the capability to positively change the structure and function of specialty training in Brazil.
机译:摘要背景和目的:在巴西,对专科医生的培训可以通过不同的方式进行。提供这种培训和评估的机构与医疗服务之间的更紧密联系可以提高资格。本文分析了国家医疗住院委员会(CNRM)和巴西神经外科学会(SBN)的密切联系和联合工作对评估这些计划的影响。地点:一所公立大学对CNRM和SBN之间开发的一个试点项目进行回顾性和前瞻性研究,目的是联合评估整个巴西的培训计划。方法:审查了最相关数据库中的文献。对官方政府机构制定的文件和立法进行了评估。参观了培训地点。结果:仅26%的计划被立即批准。联合评估在35%的计划中发现了与教学和临床服务运作有关的问题。该国的计划分布与该地区的人类发展指数(HDI)密切相关,并且与专家的分布非常相似。结论:SBN和CNRM之间的紧密合作对神经外科医学评估产生了积极影响遍布全国的居住权。直接批准率低,对教学和护理(服务)的质量产生了改进和改进。 CNRM与其他医学专业之间的紧密联系能够积极改变巴西专业培训的结构和功能。

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