Op-172 A Brazilian Model For Family Medicine Residency Inspired By The Science Of Complexity

Pinheiro T. (São Paulo), Levites M. (São Paulo), Benedetto M. (São Paulo), Monaco C. (São Paulo), Prats J. (São Paulo), Rego H. (Natal)
Purpose: To present a Family Medicine Residency Program based on the Science of Complexity.
Methods: The practice of patient-centred care is the core of Family Medicine. Knowing the patient as a whole is essential. Who is going to be our next patient? It is usually someone who has four different medical conditions and takes about eight drugs on a daily basis. Certainly, this patient is excluded from Cartesian clinical trials. Furthermore, patients are seen in a fragmented way in our dominant model of medical teaching. Taking these matters into account, we propose a model of family medicine residency program that includes the following tools, which will be incorporated in practical settings: 1. Outstanding humanities background: family medicine residents are encouraged to read classical books, watch movies and listen to music and operas. 2. Reflexive practitioner scenarios: discussion in groups about how we can understand ourselves, our practice and our dynamics as a team. The aim is to incorporate efficient teamwork and solid leadership skills to the complex system of patient care. Elements of narrative medicine and education of the affective domain are also frequently adopted in these encounters. 3. Scientific meetings in which medical papers are discussed according to the needs of real patients. Also, case reports are presented while particular issues are considered as determinant factors on the development of each patient.
Results: This model allowed the development of many family doctors with better understanding of the complex nature of patient-centred care.
Conclusion: Medical educational systems based on the Science of Complexity use multiple tools to provide technical and humanistic improvement of residents. This allows them to always remain open-minded so they can treat their patient as a whole.
A Brazilian model for family medicine residency inspired by the science of complexity