STRATEGY FOR DEFINING ENTRUSTABLE PROFESSIONAL ACTIVITIES FOR FAMILY MEDICINE RESIDENCY IN THE BRAZILIAN CONTEXT.

AUTORES: Leonardo de Andrade Rodrigues Brito, Larissa Olm Cunha, Thalita Torres Sales, Natalia Bortoletto D'Abreu, Ugo Caramori, Andrea de Melo Alexandre Fraga, Patrícia Moretti Rehder, Joana Froés Bragança Bastos,

PALAVRA-CHAVE: Medical Residency; Family Medicine; Entrustable Professional Activities

RESUMO

INTRODUÇÃO: In Brazil, health is constitutionally understood as a fundamental right of all human beings, guaranteed through social and economic policies delivered by the national unified health system. Family Medicine (FM) is the model for primary health care (PHC), where almost 30% of all doctors work. This specialty is essential to the country's public health, as it delivers most doctors who will work in PHC whose roles are medical care and leading and planning its strategy. No description of Entrustable Professional Activities (EPAs) for FM residents in Brazil has been defined.

MÉTODOS E MATERAIS: This project aims to describe the strategy to define and present the FM EPAs created according to Brazilian healthcare system characteristics. A panel of specialists and faculty analyzed the competence matrices defined by the Brazilian Family Medicine Association and the EPAs previously described in other countries. Five rounds of discussions were held for the formulation of EPAs, which considered the healthcare needs of the population, the public health system rules, and the specificities of training in FM in the country. Residents' skills, such as leadership, advocacy, and scholarship, were considered and incorporated into the proposal. Finally, a larger group of specialists analyzed the proposal and suggested modifications for the final version.

RESULTADOS E DISCUSSÃO: Fourteen EPAs were formulated for Family Medicine in Brazil. The domains were first contact and longitudinallity, health advocacy, equity-oriented health care, interprofessional, leadership, clinical practice, minor surgery, scholarship, and a new domain to address population and individual vulnerabilities. The next stage of the work will be to carry out a Delphi study to consult FM doctors from all the country regions to incorporate population health needs in the formulated EPAs. Brazil, a developing country, has epidemiological, social, cultural, and economic specificities that differentiate it from developed countries, where EPAs for Family Medicine are mainly described, evidenced by the need to formulate an unprecedented EPA to address vulnerabilities. The elaboration of EPAs addressing specific population needs strengthens physician's training. Its presentation and discussion could improve the discussion of tailored LMIC initiatives to improve medical education.

AGRADECIMENTOS: Thanks to the Medical Education Research Group AFETO (Assesment, Interprofessional Teaching, Student Engagement, Teacher Development, Curriculum)

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EIXO TEMÁTICO: EIXO 5 - Currículo, gestão, inovação e permanência