A supervisão acadêmica do Programa Mais Médicos: o caso da Bahia.

Abstract

The Mais Médicos Program (PMMB in Portuguese) was created in 2013 through the law 12.871, with the aim of eliminating the shortage of doctors in family health teams and making universal access to health care in primary care in the SUS effective. Among the actions planned to achieve the aims of the PMMB, the promotion of improvement of doctors working in Primary Health Care, in priority regions of the Unified Health System (SUS in Portuguese), through teaching-service-community integration. The physicians of the PMM are involved in professional improvement processes, from a perspective of permanent health education (EPS in Portuguese), through Academic Supervision offered by the Ministry of Education and training cycles offered by the Ministry of Health. This study analyzes the Academic Supervision practice of the Mais Médicos Program strengthens the teaching-service integration in the state of Bahia. These informations was collected through document analysis of reports posted by supervisors included in the survey in the UNASUS Webportfolio system, during the year 2019 and finding out of 12 supervisors linked to the supervisory institutions SESAB, UFOB and UNIVASF/BA and through the records the researcher's observation in the tutoring and supervision meetings. The results demonstrated that, while the possibility of building academic supervision based on territorial realities and the actors involved in its practice brings some power to the PMMB, the definition of guidelines and permanent education spaces for the actors who carry out the academic supervision, implications for weaknesses and commitment to the consolidation of teaching-service integration. The political instability around the federal government, and the coordination and staff at the central level constant changes, resulted in weaknesses in academic supervision. In this perspective, academic supervision is not capable of transforming medical practice, as it is constituted, above all, in a bureaucratic and managerial way, used far below what is expected from qualified supervision.