0199/2024 - Five years of reorganization in the family practice residency program in the Lisbon and Tagus Valley Region in Portugal
Cinco anos de reorganização na formação de médicos especialistas em Medicina Geral e Familiar na região de Lisboa e Vale do Tejo em Portugal
Author:
• Cecília Shinn - Shinn, C. - <cecilia.shinn@gmail.com>ORCID: https://orcid.org/0000-0001-8554-9761
Co-author(s):
• Inês Maio - Maio, I - <inesmaio@gmail.com>ORCID: https://orcid.org/0009-0004-5257-8418
• Marta Marquês - Marquês, M. - <martaserrazina@yahoo.com.br>
ORCID: https://orcid.org/0000-0001-7713-382X
• Matilde Padrão Dias - Dias, M. P. - <matildepadraodias@gmail.com>
ORCID: https://orcid.org/0009-0000-9166-8193
• Nelson Mota Gaspar - Gaspar, N. M. - <nelsongaspar@gmail.com>
ORCID: https://orcid.org/0009-0001-3111-6642
Abstract:
The family practice residency program was transformed between 1981 and 2010a hospital-based 3-year training to a primary health care four year training. In 2015 and 2019 the curriculum changed and new evaluation methods were introduced.The Lisbon and Tagus Valley Family Practice Residency Coordination manages 850 residents in training, and due to the increase in the number residents and changes in the curriculum, focused their team on 4 intervention areas: 1) Regional Teams; 2) Communication and Decision; 3) Collaboration; 4) Organizing the Central team around 5 pillars - training capacity, training residents, continuous evaluation, training the trainers, final evaluation.
Between 2019 and 2023 they managed to empower the regional teams, improve decision making, standardize residency programs, and centrally they increased the quality and quantity of the training capacity, increased training opportunities for residents and teachers, created continuous evaluation teams and contributed significantly to the national final evaluation process.