Extended Clinic In The Family Health Strategy By Medical Students

Abstract

Background and Objectives: Family Health Strategy operationalizes the Primary health care in Brazil and is characterized by the multidisciplinary team, with the Extended Clinic as a form of attention. Based on this, this article aims to describe concepts learned by medical students on Extended Clinic during curricular internship. Methods: Qualitative research among 20 medical students reports, at a public university of northeast of Brazil in 2013. It was used the thematic content analysis for data analysis. Results and discussion: We identified concepts of accountability and commitment with patients, such as intersectionality, recognition of the knowledge limit, health care, biopsychosocial vision and participatory management. The subject "patient autonomy" remains missing for medical students. Advances in the students' knowledge related to Family Health Care are noticed when we identify in the records the importance of Extended Clinic and working in multidisciplinary team in the moments of practice, as a result of curricular changes in medical education. However, it is recognized that changes in behavior and the hospital-centered educational paradigm are not easy. Conclusions: The results of this study show the incorporation of some principles of Extended Clinic by the students involved in this research. However, there is still need for curricular investment in the Social and Human Sciences for medical students