MEDICAL EDUCATION AND SOCIAL RESPONSIBILITY: CHA9LENGES FOR COMMUNITY-BASED EDUCATION IN THE PANDEMIC BY COVID-1
Curriculum, Medical Education, Integration of teaching assistance, Educational Models, Community-Institution Relations.
This study aimed to identify and analyze the challenges of offering EBC curricular components in remote format in the early years of the medicine course at EMCM, with a view to fulfilling the social responsibility of the medical school in Seridó Potiguar. It is qualitative research of explanatory character and complemented by documental analysis of data, documents and information related to the curricular components of EBC offered. In August and September 2021, a focus group was held with 8 students and one with 6 professors, belonging to one of the first 4 periods of the medicine course at EMCM/UFRN, with the discussions being recorded, transcribed, gathered and then analyzed with the help of Atlas.ti.9® software and following the proposal of thematic content analysis by Minayo, Deslandes and Gomes (2007). From the analysis of the collected data, the following categories emerged: EBC and Medical Education; EBC challenges in remote format; Strategies, proposals and initiatives to overcome challenges; Institutional involvement in the EBC in remote format; Involvement of faculty and students; and EBC in remote format and compliance with the medical school's social responsibility. It was possible to understand that students and professors recognize the potential of the EBC to ensure the social responsibility of the medical school, but the results show that several challenges arose in its provision in a remote format, demanding different strategies without adequate planning and without sufficient institutional support. Based on the analysis of the information obtained, the proposals were considered punctual and ineffective, causing weariness and illness in the faculty and did not prevent, in general, feelings of discouragement, uncertainty, overload and anxiety to be (re)inserted in the community were perceived in the students. From the findings provided by the perceptions of the investigated students and teachers, it is inferred that the offer of EBC curricular components in remote format did not sufficiently contribute to the fulfillment of the social responsibility of the medical school in Seridó Potiguar, assuming, instead, a configuration of meaningless harm reduction, disconnected from the local reality and distant from the EBC principles. The research points out that without the support, training, structure and disposition of the school, teachers cannot alone, and even get sick, trying to structure the curricular components of EBC within the reality of remote education.