Strength, Weakness, Opportunities and Treaths at Family and Community Medicine Residency Program in São Paulo state: a view of preceptors.

Abstract

Introduction: In the last decade, there has been an increase in vacancies in Residency Programs in Family and Community Medicine (RPFCM) in Brazil, without evaluation of their quality. Objective: To analyze aspects of the development of RPFCM in the state of São Paulo and its insertion in Primary Health Care from the perception of preceptors. Methodology: Descriptive study with the application of a quali-quantitative questionnaire with preceptors with the elaboration of the Strengths, Weaknesses, Opportunities and Threats (SWOT) matrix superimposing the Donabedian Triad (DT) from the Content Analysis. Descriptive statistics for preceptors' profile. Results: 67 people in 27 programs responded with a median age of 37 years and 52% were women. On average, there are 2 residents per preceptor and 67% work with graduation. 56.7% of the preceptors performed medical residency and 13.4% have degrees, 82% have preceptorship courses. The result of the qualitative analysis generated three major areas of interest: preceptor-resident relationship, preceptor-unit and preceptor-management, linked to DT. Discussion: The population studied is qualified for the position, with more than 70% specialists in the area and more than 80% trained to work in adult education. The perceptions of the preceptors built in the SWOT define the points of structure, process, and results of the programs, being essential in this moment of increase of vacancies in Brazil.