Performance of medicine academics in the basic health unit
observation of procedures and production of educational materials
Keywords:
Primary Health Care, Health Education, Medical Education, Vaccination, Health PromotionAbstract
Introduction: Primary Health Care (PHC) represents the entry point to the health system and is essential for promoting collective health and strengthening the Brazilian Unified Health System (SUS). Practical experiences at this level of care foster critical and humanized training for medical students. Objective: To promote the integration of medical academics into the daily routine of PHC through practical activities in a Basic Health Unit, developing technical, human, and educational competencies. Another objective was to produce educational materials to promote influenza vaccination, responding to a demand identified by the unit. Experience report: This report is based on weekly experiences of academics over four months in the course Collective Health Practices II, involving observation and supervised participation in various sectors of the unit, as well as the preparation of leaflets and a video about vaccination. Students worked in reception, triage, observation, wound care, vaccination, pharmacy, dentistry, and medical consultation sectors, which enabled a comprehensive understanding of the multiprofessional functioning of PHC. The educational intervention on influenza vaccination was well received by the unit manager and was widely disseminated to the local Community. Conclusions: The experience demonstrated the importance of multidisciplinary teamwork, health education, and clear communication as transformative tools in healthcare. Practical engagement expanded understanding of SUS, strengthened community bonds, and contributed to combating misinformation.
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References
1. Mendes EV. A construção social da Atenção Primária à Saúde. Brasília: Conselho Nacional de Secretários de Saúde; 2015.
2. Starfield B, Shi L, Macinko J. Contribution of primary care to health systems and health. Milbank Q. 2005;83(3):457-502.
3. Kruk ME, Gage AD, Arsenault C, Jordan K, Leslie HH, Roder-DeWan S, et al. High-quality health systems in the Sustainable Development Goals era: time for a revolution. Lancet. 2022;399(10326):131–44.
4. Macinko J, Harris MJ. Brazil’s Family Health Strategy — delivering community-based primary care in a universal health system. N Engl J Med. 2021;384(23):2177–81.
5. Rodrigues RD, Leal JAL, Santos Neto PM. Formação médica orientada para a atenção primária à saúde: análise a partir das diretrizes curriculares nacionais. Interface (Botucatu). 2020;24:e190663.
6. Silva SF. Organização de redes regionalizadas e integradas de atenção à saúde: desafios do Sistema Único de Saúde (SUS) no Brasil. Cienc Saude Coletiva. 2011;16(6):2753-62.
7. Cavalcante JR, Guimarães MCB. Experiências de integração ensino-serviço na atenção primária: um olhar para a formação médica. Rev Bras Educ Med. 2021;45(1):e028.
8. Batista NA, Rossit RAS, Batista SHSS. Educação interprofissional na formação em saúde: desafios e perspectivas. Interface (Botucatu). 2021;25:e200492.
9. Giovanella L, Bousquat A, Fausto MCR, Fusaro ER, Mendonça MHM, Gagno J, et al. Strengthening primary health care in Brazil: governance, financing, workforce and care delivery. Lancet Reg Health Am. 2020; 4:100012.
10. Harzheim E, D’Avila OP, Ribeiro DC, Ramos LG, Silva LE, Santos CMJ, et al. New funding for primary health care in Brazil: potential impacts on access and quality. Cien Saude Colet. 2021;26(3):889–98.
11. Ceccim RB, Feuerwerker LCM. O quadrilátero da formação para a área da saúde: ensino, gestão, atenção e controle social. Physis. 2004;14(1):41-65.
12. Domingues CMAS, Maranhão AGK, Teixeira AM, Fantinato FFST, Domingues RAS. Vacinação no Brasil: coberturas e desafios no contexto da COVID-19. Rev Panam Salud Publica. 2020;44:e84.
13. Moraes JC, Ribeiro MCSA. Desafios para a comunicação em saúde em tempos de infodemia. Saude Soc. 2021;30(2):e210251.
14. Ministério da Saúde (BR). Política Nacional de Atenção Básica. Brasília: Ministério da Saúde; 2023.
15. Paim JS, Travassos C, Almeida C, Bahia L, Macinko J. The Brazilian health system: history, advances, and challenges. Lancet. 2011;377(9779):1778-97.
16. Ceccim RB, Feuerwerker LCM. O quadrilátero da formação para a área da saúde: ensino, gestão, atenção e controle social. Physis. 2004;14(1):41-65.
17. Buss PM, Magalhães DP, Setti AFF, Gallo E, Franco Netto G, Machado JMH, et al. Saúde global e sustentabilidade: o papel do SUS. Cienc Saude Coletiva. 2020;25(9):3569-80.
18. Freire P. Pedagogia do oprimido. 67ª ed. Rio de Janeiro: Paz e Terra; 2019.
19. Nutbeam D, Muscat DM. Health promotion glossary 2021. Health Promot Int. 2021;36(2):157-66.
20. World Health Organization. Ten threats to global health in 2019 [Internet]. Geneva: WHO; 2019 [citado 2025 ago 15]. Disponível em: https://www.who.int/news-room/spotlight/ten-threats-to-global-health-in-2019
21. Larson HJ, Broniatowski DA. Volatility of vaccine confidence. Science. 2021;373(6559):1204-5.
22. Boelen C, Woollard R. Social accountability and accreditation: a new frontier for educational institutions. Med Educ. 2009;43(9):887-94.
23. Melo MC, Oliveira R, Alves LS, Soares AJ, Almeida MS, Santos TM, et al. Estratégias de educação em saúde para promoção da vacinação: revisão integrativa. Esc Anna Nery. 2022;26:e20210455.
24. Paiva FR, Oliveira MM, Silva RM, Souza L, Andrade MS, Almeida MAA. Educação em saúde e práticas educativas: revisão integrativa. Rev Bras Enferm. 2019;72(1):265-72.
25. Lutfiyya MN, Chang LF, McGrath C, Dana C, Lipsky MS. Communication as a key component of effective team-based care in patient-centered medical homes: a qualitative study. J Prim Care Community Health. 2019; 10:1-10.
26. Zhou XJ, Zhao XQ, Liu J, Yang WJ. Effectiveness of educational intervention on influenza vaccine uptake: a meta-analysis of randomized controlled trials. Iran J Public Health. 2020;49(12):2256-63.
27. Lee MH, Kim JH, Kim YS. Impact of educational interventions on the prevention of influenza: a systematic review. BMC Public Health. 2022;22(1):1801.
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