骨科与创伤医学住院医师培训——新冠疫情期间CNRM/SBOT评估一致性的全国概况与分析
MEDICAL RESIDENCE IN ORTHOPEDICS AND TRAUMATOLOGY - NATIONAL OVERVIEW AND ANALYSIS OF EVALUATION CONCORDANCE BETWEEN CNRM/SBOT DURING THE COVID-19 PANDEMIC.
作者信息
Peterle Viviane Cristina Uliana, Kimura Luiz Koiti, Bezerra Paulo Emiliano, Pereira Anne Caroline Castro, França Bruna Paiva DE, Ramos Nathalia Moura
机构信息
. Universidade do Distrito Federal - UNIDF/Escola Superior de Ciências da Saúde (ESCS), Brasília, DF, Brazil. Secretária Executiva da Comissão Nacional de Residência Médica/CNRM/MEC.
. Centro Universitário de Brasília, Brasília, DF, Brazil.
出版信息
Acta Ortop Bras. 2023 Jun 9;31(spe2):e260339. doi: 10.1590/1413-785220233102e260339. eCollection 2023.
OBJECTIVE
Describe the national scenario of the orthopedics and traumatology Medical Residency Program (MRP) in 2020/2021, showing the distribution of vacancies by states and regions of Brazil, the number of residents and the percentage of agreement between the accredited services that offer the program by the Brazilian Society of Orthopedics and Traumatology (SBOT) and by the National Commission for Medical Residency linked to the Ministry of Education (CNRM/MEC).
METHODS
This is a descriptive, cross-sectional study. Data from the CNRM and SBOT system referring to residents attending orthopedics and traumatology Programs in 2020/2021 were analyzed.
RESULTS
In the analyzed period, there were 2.325 medical residents in orthopedics and traumatology in vacancies authorized by the CNRM/MEC in Brazil. The southeast region was predominant, with 57.2% of vacancies, totaling 1.331 residents. Compared to other regions, the south region with 16.9% (392), the northeast with 15.1% (351), the midwest with 7.7% (180), and the north with 3.1% (71). In addition, there was an accreditation agreement of 53.8% in evaluating services between the SBOT and CNRM, with distinctions among the states.
CONCLUSION
The analysis showed differences between regions and states, considering the vacancies of PRM in orthopedics and traumatology and the concordance of evaluations by institutions accredited by MEC and SBOT. It is aim to work together with a view to qualifying and expanding residency programs for the training of specialist physicians, in accordance with the needs of the public health system and adequate medical practice, is necessary. The analysis during the pandemic period, associated with the restructuring of several health services, demonstrates the stability of the specialty in adverse scenarios. Level of evidence II; Economic And Decision Analyzes - Developing an Economic or Decision Model.
目的
描述2020/2021年骨科与创伤医学住院医师培训项目（MRP）的全国情况，展示巴西各州和地区的空缺职位分布、住院医师人数以及巴西骨科与创伤学会（SBOT）与隶属于教育部的国家医学住院医师委员会（CNRM/MEC）认可的提供该项目服务之间的一致率。
方法
这是一项描述性横断面研究。分析了CNRM和SBOT系统中2020/2021年参加骨科与创伤学项目的住院医师数据。
结果
在分析期间，巴西经CNRM/MEC批准的骨科与创伤学住院医师职位有2325个。东南部地区占主导，有57.2%的空缺职位，共有1331名住院医师。与其他地区相比，南部地区占16.9%（392个），东北部占15.1%（351个），中西部占7.7%（180个），北部占3.1%（71个）。此外，SBOT和CNRM在评估服务方面的认可协议率为53.8%，各州之间存在差异。
结论
考虑到骨科与创伤学住院医师培训项目的空缺职位以及MEC和SBOT认可机构评估的一致性，分析显示了地区和州之间的差异。有必要共同努力，根据公共卫生系统的需求和适当的医疗实践，提高并扩大专科医师培训的住院医师项目。疫情期间的分析，加上若干卫生服务的重组，证明了该专业在不利情况下的稳定性。证据等级II；经济与决策分析——开发经济或决策模型。
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