Submitted by Rosina Valeria Lanzellotti Mattiussi Teixeira (rosina.teixeira@unisantos.br) on 2018-03-09T19:18:45Z No. of bitstreams: 1 Vinicius Ximenes Muricy da Rocha.pdf: 1516067 bytes, checksum: bd88ab6000c614e02967ede90513e849 (MD5) / Made available in DSpace on 2018-03-09T19:18:45Z (GMT). No. of bitstreams: 1 Vinicius Ximenes Muricy da Rocha.pdf: 1516067 bytes, checksum: bd88ab6000c614e02967ede90513e849 (MD5) Previous issue date: 2018-06-12 / This paper deals with a qualitative research, of a documentary nature, addressing a comparative analysis between Resolution CNE / CES nº 4 of November 7, 2001 and Resolution No. 3 of June 20, 2014, which deal with the National Curricular Guidelines (DCN) of the Undergraduate Medical Courses. These documents are responsible for the official character that reforms in medical education in the country have been occurring since the beginning of the 2000s, in order to deepen the relationship between medical education and the Unified Health System (SUS). The DCN 2014 arose under the advent of the More Doctors Program, based on the provisions of Law 12,871, of October 22, 2013. This law, which is the target of controversy and attacks by various sectors of political society, media and medical corporation, seeks Update the country's medical education to the changes that have occurred in Brazil's health and education public policies in the last 15 years, in the sense of guidelines that include access to social rights, equity, qualification of public services, changes in health care policies, social inclusion and Democratization of higher education. Thus, the objective of the study is to analyze the relationships between the DCN 2001 and the 2014, taking into account their continuities, differences, innovations and established changes; 2- Reflect on the meanings that similar or related concepts of medical education used in different epochs take on historical contexts marked by different temporalities; 3- To elaborate notes on the potential of innovation / change / transformation of the proposals presented by the DCN 2014. For this purpose the Content Analysis was used as analysis methods, with reference in Bardin and Franco; And the History of Concepts, with a reference in Koselleck and Marçal Brandão. As conclusion, the work shows an important conceptual and normative effort of the new DCN 2014, which seeks to induce Brazilian medical schools to move from a level of innovations to changes, in the reformist sense that this new device presents itself. However, the success of such a policy will depend on a number of objective conditions, which involve the risk of retrogression in social policies after the approval of Constitutional Amendment 55/2016, and the eventual stagnation of the country's social policies, including in the health and education sectors, As well as the interference that the external relations of the sectors of opposition to the Mais Médicos Program will be able to have in the scope of the medical schools in the country. Consequently, the work points to the importance of the continuity of research that evaluates the concrete implementation of the new DCNs, in the sense of materializing what it advocates in its scope, as well as problematizes the need for a critical understanding in the incorporation of the pedagogy of competences as element Structuring of medical training in each course, since it can reproduce an individualistic logic of learning construction, potentially "capable" by the liberal logic that permeates hegemonic ideology in the corporate organization processes of medical practice in Brazil. That is, there will be no change or transformation. / O presente trabalho trata de pesquisa qualitativa, de cunho documental, abordando análise comparativa entre a Resolução CNE/CES nº 4, de 7 de Novembro de 2001 e a Resolução Nº 3, de 20 de Junho de 2014, que versam sobre as Diretrizes Curriculares Nacionais (DCN) dos Cursos de Graduação em Medicina. Tais documentos são responsáveis pelo caráter oficial que as reformas na educação médica do país vêm ocorrendo desde o início dos anos 2000, no sentido de aprofundar a relação da formação médica com o Sistema Único de Saúde (SUS). A DCN 2014 surgiu sob o advento do Programa Mais Médicos, a partir das determinações da Lei 12.871, de 22 de outubro de 2013. Esta lei, alvo de polêmicas e ataques por diversos setores da sociedade política, meios de comunicação e corporação médica, busca atualizar a formação médica do país às mudanças que ocorreram nas políticas públicas de saúde e educação do Brasil nos últimos 15 anos, no sentido das pautas que envolvem acesso a direitos sociais, equidade, qualificação dos serviços públicos, mudanças nas políticas de assistência à saúde, inclusão social e democratização do ensino superior. Assim o trabalho tem por objetivo 1 ¿ Analisar, sob as bases do referencial teórico estabelecido, as relações entre as DCN 2001 e as de 2014, levando em consideração suas continuidades, diferenças, inovações e mudanças estabelecidas; 2- Refletir sobre as significações que conceitos similares ou conexos, da educação médica, utilizados em épocas distintas, tomam frente a contextos históricos marcados por temporalidades diferentes; 3- Elaborar apontamentos sobre o potencial de inovação/mudança/transformação das propostas apresentadas pelas DCN 2014. Para tal intuito se utilizou como métodos de análise a Análise de Conteúdo, com referencial em Bardin e Franco; e a História dos Conceitos, com referencial em Koselleck e Marçal Brandão. Como conclusão o trabalho mostra um esforço conceitual e normativo importante da nova DCN 2014, que busca induzir que as escolas médicas brasileiras avancem de um patamar de inovações para mudanças, no sentido reformista que este novo dispositivo se apresenta. Contudo o sucesso de tal política dependerá de diversas condições objetivas, que envolvem os riscos de retrocessos nas políticas sociais a partir da aprovação da Emenda Constitucional 55/2016, e a eventual estagnação das políticas sociais do país, inclusive nos setores saúde e educação, bem como a interferência que as relações externas dos setores de oposição ao Programa Mais Médicos conseguirão ter no âmbito das escolas médicas no país. Conseqüentemente, o trabalho aponta para a importância da continuidade de pesquisas que avaliem a implementação concreta das novas DCNs, no sentido da materialização daquilo que ela preconiza em seu escopo, bem como problematiza a necessidade de uma compreensão crítica na incorporação da pedagogia das competências como elemento estruturante da formação médica em cada curso, visto que a mesma, sem mediações, pode reproduzir uma lógica individualista de construção do aprendizado, potencialmente ¿capturável¿ pela lógica liberal que permeia a ideologia hegemônica nos processos organização corporativa da prática médica no Brasil. Ou seja, assim não se produzirão mudanças e nem transformação.

Made available in DSpace on 2016-04-25T18:40:08Z (GMT). No. of bitstreams: 1 Elisabete Cardoso Coelho.pdf: 1488350 bytes, checksum: 6e833c513cbc0ddcaf8ba83e1517d22c (MD5) Previous issue date: 2015-07-16 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / This research entitled "Gender and Academic Integration: A study focusing on Doctors in Accounting" aimed the mapping of the woman doctor acting in Accounting and assess their academic contribution, through raising their scientific production. As a specific objective intended to verify the productions of doctors in Brazil in scientific journals, congress proceedings, books and other vehicles. Search this study as a research question answer the following question: What is the female scientific production, doctors Accounting object of the search, as academic contribution in terms of guidance, published in Annals, congresses and books? This work is justified by the research and the publicizing of the role and contribution that these women gave to research and teaching of Accounting. As for the research method, was made the choice of quantitative approach with the analysis of data obtained through the Curriculum Lattes of surveyed individuals. It was observed with this thesis that women have gained their place in the scientific community in Accounting and contributing significantly to the development of Accounting Science / Esta pesquisa com o título Gênero e Inserção Acadêmica: Um estudo com ênfase em Doutoras em Contabilidade teve como objetivo principal efetuar o mapeamento da atuação da mulher doutora em Contabilidade e aferir sua contribuição acadêmica, por meio de levantamento de sua produção científica. Como objetivo específico verificou as produções das doutoras no Brasil, em revistas científicas, anais de Congressos, livros e outros veículos. Buscou, este estudo, como questionamento de pesquisa responder a seguinte questão: Qual a produção científica feminina, das doutoras em Contabilidade objeto da pesquisa, como contribuição acadêmica em termos de orientação, publicação em anais, em congressos e livros? Este trabalho se justifica por pesquisar e tornar público a atuação e contribuição que essas mulheres doutoras deram e ainda prestam à pesquisa e ao ensino de Contabilidade. Quanto ao método de pesquisa foi feita a opção pela abordagem quantitativa e pela análise de dados obtidos por meio dos Currículos Lattes dos indivíduos pesquisados. Foi possível verificar com esta dissertação que as mulheres vêm conquistando seu espaço no meio científico em Contabilidade e contribuindo significativamente para o desenvolvimento da Ciência Contábil

This education resource guide supplements the presentation made by Tanya Lee Stone at In Search of Wonder: Common Core and More, a professional development day presented by The National Children’s Book and Literacy Alliance, in conjunction with the Perry Ohio School District. Included on these pages are engaging activities and discussion questions based on Common Core English Language Standards for two of Stone’s books: Courage Has No Color and Who Says Women Can’t Be Doctors?

Orientador: Eliana Goldfarb Cyrino / Resumo: Introdução: A Organização Mundial de Saúde recomenda uma razão de um médico para cada mil habitantes para que a população tenha um adequado acesso à saúde. Apesar de o Brasil possuir um número absoluto satisfatório de médicos, há no país uma distribuição desigual destes profissionais, com carência de médicos em comunidades remotas e vulneráveis, causando um grande impacto no bem-estar da população que ali se encontra e dificultando a universalização da saúde, como prevê os princípios do Sistema Único de Saúde. Diante disso, o Governo Federal criou, em 2013, o Programa Mais Médicos (PMM), com o intuito de suprir de forma emergencial a carência de médicos em regiões de difícil fixação dos mesmos. A literatura considera que o principal fator que leva um trabalhador a deixar uma organização é seu nível de insatisfação com a função que desempenha, o que também se faz verdadeiro na área da saúde. Sendo assim, podemos inferir que a insatisfação laboral do médico da Atenção Básica é um dos motivos da dificuldade de recrutá-los e fixá-los por um período mais longo. Objetivo: Este estudo se propõe a avaliar as satisfações e insatisfações no trabalho de médicos integrantes do PMM no município de Botucatu – SP, cidade universitária com elevado IDH e com razão médico-paciente de 6,25. Metodologia: Trata-se de pesquisa qualitativa, na qual foram feitas oito entrevistas semiestruturadas com médicos do PMM e uma entrevista com gestores da AB no município, as quais foram analisadas e categori... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: Introduction: The World Health Organization recommends a ratio of one doctor per thousand inhabitants so that the population has adequate access to health. Although Brazil has a satisfactory absolute number of doctors, there is an unequal distribution of these professionals in the country, with a shortage of physicians in remote and vulnerable communities, causing a great impact on the well-being of the population that lives there and making it difficult to make health accessible for everyone, as foreseen by the principles of the Sistema Único de Saúde. Due to that, the Federal Government created in 2013 the More Doctors Program (PMM), with the aim of urgently supplying the shortage of doctors in regions that are difficult to set them down. The literature considers that the main factor that leads a worker to leave an organization is their level of dissatisfaction with the role they play, which is also true in the health field. Thus, we can infer that the dissatisfaction at work of the primary care physician is one of the reasons for the difficulty of recruiting them and fixing them for a longer period. Objective: This study aims to evaluate the satisfactions and dissatisfactions in the work of physicians of the PMM in the city of Botucatu - SP, a city with a renowned University, a high HDI and a physician-patient ratio of 6.25. Methodology: This is a qualitative research, in which eight semi-structured interviews were conducted with PMM physicians and one interview with healt... (Complete abstract click electronic access below) / Mestre

The New South Wales Medical Board established a Health Programme for the assessment and rehabilitation of doctors whose clinical performance was impaired by alcohol or psychoactive substance use, mental or physical illness. This programme was developed to be individualized to the needs of each registrant. The present study has three aims: 1. To describe those doctors who participated in the Board???s Health Programme. 2. To chart the duration of involvement of these doctors through the programme. 3. To examine the outcomes associated with this programme. The study is based on the prospective cohort of all 181 impaired doctors who participated in the Health Programme between July 1st 1993 and April 30th 2001. Information on each registrant was collected at the time of the initial assessment and at each review conducted as part of the programme. Additional qualitative data was also collected and supplemented by a file audit conducted in August and September 2001. One hundred and eighty-one doctors were prospectively monitored as part of this study. The largest source of impairment was psychiatric illness (45.3%), 77% of the doctors were male. The average age of the cohort was 41.6 (sd 11.1) years. Impaired doctors were more likely to be working in emergency medicine or psychiatry and be based in a rural area. Of those who had finished their involvement in the programme, successful graduates participated for a mean of 38.2 (sd 22.3) months. In general outcomes of involvement were positive, 64 of 113 (56.6%) of doctors successfully graduated from the programme. One hundred and ten of 168 (65.5%) improved during the period of their involvement and 111 of 126 (88.1%) were working in medicine. Five, 2.8% of the participants died during the period of this study. Measures of registrant insight and support tended to increase during the period of involvement with the Health Programme. Future studies will need to establish evidence for the most appropriate interventions with impaired doctors. This process would be strengthened by the collection of standardized data across intervention programmes, supplemented with functional assessments and the collection of qualitative data.

<p><p><strong> </strong></p><strong></strong></p><p><strong>Sammanfattning</strong></p><p>Syftet med studien var att undersöka hur relationen mellan läkare och patient tas i uttryck i hälso- och sjukvårdsorganisation med hälsofrämjande inriktning. Undersökningens fokus har varit på samtalet mellan läkare och patient. Huvudsyftet har varit att försöka få syn på det hälsopromotiva inslaget i samtalet mellan läkare och patient.Studiens metod bygger på fyra kvalitativa intervjuer som inspirerats av fenomenologisk ansats som sedan bearbetats och analyserats samt en deltagande observation. Studiens resultat bygger på kategorier som funnits utifrån forskningsfrågorna; Vad innebär det att arbeta hälsofrämjande i samtalet? I vilken mån tar läkare upp frågan om livsstil och levnadsvanor i samtalet med patient? Och Vilken kompetens har läkare inom samtalsmetodik? Resultatet tyder på att det finns en brist på kunskap om vad hälsopromotion är. Respondenterna blandar ihop begreppen kring de salutogena och patogena perspektivet.<em> </em>Det finns en viss kunskap och intresse för samtalets betydelse för patientens hälsa och välmående. Men att de anser att sin utbildning inte varit tillräcklig och att det finns behov och önskemål om mer kunskap inom samtals metodik samt att man i liten utsträckning utnyttjar den kunskap som finns. Slutligen visar även resultatet på att läkarna har behov av handledning och kollegialt stöd och de har en liten kunskap om vad motiverande samtal är.<em></em></p><p> </p><p> </p>

Sammanfattning Syftet med studien var att undersöka hur relationen mellan läkare och patient tas i uttryck i hälso- och sjukvårdsorganisation med hälsofrämjande inriktning. Undersökningens fokus har varit på samtalet mellan läkare och patient. Huvudsyftet har varit att försöka få syn på det hälsopromotiva inslaget i samtalet mellan läkare och patient.Studiens metod bygger på fyra kvalitativa intervjuer som inspirerats av fenomenologisk ansats som sedan bearbetats och analyserats samt en deltagande observation. Studiens resultat bygger på kategorier som funnits utifrån forskningsfrågorna; Vad innebär det att arbeta hälsofrämjande i samtalet? I vilken mån tar läkare upp frågan om livsstil och levnadsvanor i samtalet med patient? Och Vilken kompetens har läkare inom samtalsmetodik? Resultatet tyder på att det finns en brist på kunskap om vad hälsopromotion är. Respondenterna blandar ihop begreppen kring de salutogena och patogena perspektivet. Det finns en viss kunskap och intresse för samtalets betydelse för patientens hälsa och välmående. Men att de anser att sin utbildning inte varit tillräcklig och att det finns behov och önskemål om mer kunskap inom samtals metodik samt att man i liten utsträckning utnyttjar den kunskap som finns. Slutligen visar även resultatet på att läkarna har behov av handledning och kollegialt stöd och de har en liten kunskap om vad motiverande samtal är.

This investigation is a pilot survey whose main purpose is to investigate with work evaluation and attitude analysis whether the orthopedists and surgeons work can be equaled, why the wages differences exists between women and men, and also which preventive measures the organization can use to even out the wages differences between the genders. In relation with the investigation I have applied the reflexive way of thinking to establish which difficulties come up in the work of gender-equality. The result’s from work evaluation displays that the works are equivalent but the salaries are not, which can depend on value discrimination,gender discrimination and the organization theory. Wages differences between women and men depend on, according to the informers, partly by historical explanation and partly by the old directors who was allowed to retain regular salary when they post transformed. The common point of view is that men have a larger work experience and therefore a higher salary. The managements attitude towards gender-equality issues is of absolute importance in order to achieve and bring a change within the organization. The measure positive special treatment is proposed to be used as an improving method to achieve (gender)equality between the posts and to even out the wages difference between the sexes. To establish whether or not gender discrimination exist in the investigated organization there needs to be done a whole lot supplementary studies like a complete wage (salary) mapping which includes all supplements and more interviews among the organizations all occupation groups. / Utredningen är en pilotstudie vars huvudsyfte är att via arbetsvärderingsanalysen och attitydundersökningen undersöka om ortopeders och kirurgers arbete kan jämställas, varför löneskillnader mellan kvinnor och män finns, samt vilka åtgärder organisationen kan använda för att jämna ut lönerna mellan könen. I samband med undersökningen har jag också valt att tillämpa det reflexiva tankesättet för att undersöka vilka som svårigheter uppstår i samband med jämställdhetsarbetet. Resultatet från arbetsvärderingen visar att det handlar om likvärdiga arbeten men inte lika löner, vilket kan ha sin förklaring i värdediskriminerings-, genus- och organisationsteorin. Löneskillnaderna mellan kvinnor och män beror, enligt informanterna, dels på historiska förklaringar och dels på de gamla cheferna som har fått behålla sin ordinarie lön i samband med omplacering. Den allmänna synen är att män har längre arbetslivserfarenhet och därför högre lön. Ledningens inställning till jämställdhetsfrågor har vidare vistas vara helt avgörande för att förändringsarbetet inom organisationen skall kunna genomföras. Åtgärden positiv särbehandling har föreslagits som en metod för att uppnå jämställdhet mellan befattningarna och för att jämna ut löneskillnaderna mellan könen. För att undersöka om könsdiskriminering föreligger inom den undersökta organisationen behövs en del kompletterande studier såsom en komplett lönekartläggning som inkluderar alla tillägg och fler intervjuer bland organisationens samtliga yrkesgrupper.

This thesis is about primary care medicine in the United States today. Specifically, I look into primary care providers’ experiences working with patients in the context of the public’s current access to extensive health and medical information online. In this thesis, I discuss and analyze my conversations with physicians, nurse practitioners, and a physicians’ assistant about their objectives in primary care, the challenges they face, and their perceptions of patients’ ability to seek out information on their own. I explore providers’ educational emphasis in primary care consultations, and argue that this focus on education informs their views of patients’ independent research and involvement in care. I further argue that regardless of my informants’ enthusiasm about patient involvement and the merits of patient-education, these providers still hold and express a strong authority over medical knowledge and decisions. Thus in looking at the influence of what could be seen as a democratization of medical knowledge through public access and the Internet, it seems that the limitations of such access are still great in U.S. medical practice.

The study describes 52 patients' experiences and feelings towards theirillness and the care received in connection with it. The main purpose ofthe study is to gather knowledge on cancer patients' need of psychosocialcare and from this insight draw up a proposition for a clinically usefulmethod for psychosocial care. I have met and spoken with the patients,each suffering from a different form of cancer, on one occasion. They areall patients o'f the Department of General Surgery, Östersund Hospital.The taped conversations constitute the most important source for thisthesis, which has its crucial point in the empirical part. My theoreticalframe of reference has a psychodynamic and existential perspective.To distinguish and give as clear a picture as possible on "what it'slike to get a cancer and live with it", different phases have been drawnup showing the process of a cancer. Living with a cancer means adjustingto constant uncertainty and a fear of recurrence. That which is typicalfor the process of a cancer is that a crisis here is so different fromthe "classical" pattern of reaction and comes and goes in waves.The different phases show unsatisfactory psychosocial care and the mostobvious déficiences are to be found in connection with the first consultationwith a doctor, when receiving the diagnosis and also at the routinecheck-ups.That which, like the symbolic main thread, runs through the whole dissertationis the lack of dialogue and criticism of the inferior continuityamong the doctors.In the last chapter I have made a suggestion for the future psychosocialcare of cancer patients. / digitalisering@umu