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Formação dos internos de medicina geral e familiar em saúde mental
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Introdução: Os problemas de Saúde Mental (SM) tornaram-se a principal causa de incapacidade e uma das mais frequentes causas de morbi-mortalidade nas sociedades atuais. O médico de Medicina Geral e Familiar (MGF) é um elemento chave na identificação e abordagem destes problemas. Torna-se pois necessário uma boa base de formação, em saúde mental, destes médicos, iniciando-se no curso de Medicina (CM), prolongando-se pelo internato médico e prática clínica.
Métodos: Estudo analítico e transversal, baseado nos resultados de um questionário sobre SM, feito a uma amostra intencional, de conveniência, não probabilística, a médicos do Internato Complementar de MGF (ICMGF), integrados nas várias Regiões de Saúde (RS) do país, respondido em novembro de 2015. Procedeu-se à recolha de dados por questionário físico, de autopreenchimento, com questões de escolha múltipla e questões abertas, tendo sido os dados tratados de forma anónima.
Resultados: A amostra é constituída por 135 respondentes (cerca de 8% do total da população de internos dos concursos de 2012 a 2015). 94% lida com problemas de SM na sua prática clínica. 47% considera a formação adquirida no CM insuficiente e 51% considera não receber formação específica ao longo do ICMGF, para lidar com os problemas de SM com os quais se deparam nos CSP. 76% tem necessidade de formação mais alargada no ICMGF.
Conclusão: É importante apostar mais na formação dos internos, no âmbito de SM, ao longo do CM e do ICMGF, para que possam adquirir os conhecimentos e as competências necessárias à identificação e acompanhamento dos problemas mais frequentes em SM.
Introduction: Mental health problems are common and have become the leading cause of disability and one of the most important causes of morbidity and mortality in contemporary societies. This makes the family phisicians, a key element in identifying and addressing these problems. Thus, a good basic training of these doctors is necessary, beginning in the faculty of Medicine, continuing in the specific training of family medicine specialty students and in the clinical practice. Methods: Analytical and cross-sectional study, based on the results of a survey, about Mental Health, with data collection by physical questionnaire, self-filling, with multiple-choice questions and open questions (of opinion), answered in november 2015. It was used a purposive sample of convenience, non-probabilistic, consisting of a population of family medicine internal residents, from any health region from Portugal. The data was processed anonymously. Results: The sample consists of 135 respondents (about 8% of the total population of family medicine specialty students). 94% deals with SM problems in their clinical practice. 47% consider the training in the faculty of Medicine insufficient and 51% consider that they don't receive specific training in the training of family phisicians to deal with mental health problems.76% need more training during training over specific training of internal residents. Conclusions: It is necessary to invest more on the training provided to family medicine specialty students, about mental health, throughout their medical internship and in the faculty of Medicine, in order to acquire the skills needed to identify and monitor the most frequent problems in Mental Health.
Introduction: Mental health problems are common and have become the leading cause of disability and one of the most important causes of morbidity and mortality in contemporary societies. This makes the family phisicians, a key element in identifying and addressing these problems. Thus, a good basic training of these doctors is necessary, beginning in the faculty of Medicine, continuing in the specific training of family medicine specialty students and in the clinical practice. Methods: Analytical and cross-sectional study, based on the results of a survey, about Mental Health, with data collection by physical questionnaire, self-filling, with multiple-choice questions and open questions (of opinion), answered in november 2015. It was used a purposive sample of convenience, non-probabilistic, consisting of a population of family medicine internal residents, from any health region from Portugal. The data was processed anonymously. Results: The sample consists of 135 respondents (about 8% of the total population of family medicine specialty students). 94% deals with SM problems in their clinical practice. 47% consider the training in the faculty of Medicine insufficient and 51% consider that they don't receive specific training in the training of family phisicians to deal with mental health problems.76% need more training during training over specific training of internal residents. Conclusions: It is necessary to invest more on the training provided to family medicine specialty students, about mental health, throughout their medical internship and in the faculty of Medicine, in order to acquire the skills needed to identify and monitor the most frequent problems in Mental Health.
Descrição
Trabalho Final do Curso de Mestrado Integrado em Medicina, Faculdade de Medicina, Universidade de Lisboa, 2016
Palavras-chave
Saúde mental Medicina geral e familiar Formação Faculdade de Medicina Internato complementar de medicina geral e familiar