Os projetos pedagógicos das residências e suas inflexões sobre a organização do trabalho: um estudo de caso do Hospital Universitário Lauro Wanderley

Abstract

The present study focused on the Pedagogical Projects of the Residences and their inflections on the organization of work: a case study of the Lauro Wanderley University Hospital, whose general objective was to analyze the inflections produced in the organization of health work by the Multiprofessional Residencies in Health (RMS), from the structuring and implementation of their PPRs in a context of changing the administration model of University Hospitals (HU's). In order to get closer to the object of study, bibliographical, documentary and empirical research was used. Field research took place between October and November 2017 and had two profiles of subjects: those who participated in the elaboration / implementation of the PPRs and the Residents of the second year of the Multiprofessional Residency in Hospital Health (Rimush) with a participation of 44.44% and the Multiprofessional Residency in Mental Health (Resmen) with 25% of the sample. In the collection of data, two instruments were used: the oral history resource and a semi-structured questionnaire. The content analysis methodology was used for the treatment and analysis of the questionnaire data, based on the milestones of the Marxist tradition. The choice of these programs is justified because they are the only Residences that have HULW as a mandatory field scenario, whose service since 2014 is under the administration of the Brazilian Company of Hospital Services (Ebserh). The main results indicate that MSY has only been able to implement specific interventions on work organization, and that the Ebserh proposals strengthen the methodologies of local analysis of health needs, present methodologically in the PPRs, but that differ from the original proposal of the Reform Movement Brazilian Sanitary of transformation of the professional practices and the social order.