DIRECTIONS TO BE PRECEPTOR EXPERIENCES IN TEACHING - SERVICE - COMMUNITY INTEGRATION OF A CITY OF NORTHEASTERN BRAZIL : CHALLENGES EDUCATION HEALTH
Preceptor; Formation; Health Education
The process of thinking and doing health has undergone major changes since the creation of the Unified Health System, which consequently boosted changes in vocational training processes in health, driven by the need to have professionals with a vision for comprehensive health care. From this need, the student's inclusion in health services becomes more valued. thus having the teacher a key role in student's approach to population and territory in the consolidation of the teaching-service-community integration. Given this importance, this study was driven to question which way leading service professionals to exercise preceptorship? They have dimension of their role as articulator of this integration process? What motivates this work and what your weaknesses? With these issues in mind, this study aimed to investigate the senses to be preceptor in the teaching-service-community integration experiences, from the speeches of preceptors professionals in the FHS, the study used a qualitative approach with building block in the production of present way in speeches preceptors of professionals, and its theoretical basis the approach of discursive practices in constructionist framework and had the actors 20 preceptors professionals in the FHS receiving trainees gradations of health public and private educational institutions. Semi-structured interviews were conducted, transcribed and analyzed, allowing the construction of sense of being preceptor from 4 analytical axes, namely: 1. Motivations and capabilities; 2. Limitations and criticism; 3. Relationship teaching-service-community; and 4. Be preceptor. As a result it was realized that the teacher plays the role of educator in their practice performance. However difficult to assign the educator role and, despite technical and educational limitations, he plays with commitment preceptorship, wishing qualification and organization of this practice in order not to overload their work in the FHS. It is also realized that the preceptor be involves the work of joint education service, but not in their collective dimension and also without the interaction with the community and the territory as a fundamental context in the health- disease. It is concluded that in the struggle for normalization of preceptorship function there is still much to advance , it is necessary , however , to reflect on the paths to be followed in addressing the obstacles to studies that may elicit solutions to this problem , so as progress towards the qualification of teacher professional so that it can come to fulfill this function with greater property, contributing to the strengthening of the SUS and reaffirmation of the ESF as a setting for health education.