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

Abstract

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.