Gap between the desired and achieved profile in graduates of medical career

Introduccion. Las Facultades de Medicina argentinas acordaron definir un perfil egresado con competencias en atencion primaria de la salud (APS). El objetivo del presente estudio es correlacionar el perfil medico deseado y obtenido.; Materiales y metodos. Estudio descriptivo analitico, con abordaje cualicuantitativo realizado en la carrera de Medicina de la Universidad Nacional de la Plata (UNLP), Argentina. Las variables analizadas fueron: motivacion, compromiso social, practicas comunitarias, actividades de extension, asignaturas cuyo contenido contempla APS (Ciencia Social, Salud Comunitaria, Ecologia Humana, Salud Publica), horas de catedra relacionadas con ellas, cargos de residentes, desempeno en el examen de residencia, cargos de generalistas cubiertos, grado de satisfaccion de gestores sanitarios con los egresados, y grado de exito en practicas de APS realizada a su poblacion beneficiaria. Analisis estadistico: chi al cuadrado y analisis multivariado.; Resultados. El analisis curricular mostro que solo el 14,7% de las asignaturas y el 8,2% de las horas de la carrera se relacionaron con el perfil de APS. Los ingresantes mostraron ser mas altruistas que los egresados, quienes fueron mas individualistas y carentes del perfil deseado. En sus examenes de residencia medica, los egresados fallaron en responder preguntas de APS, aunque respondieron correctamente las de otras especilidades. Las vacantes de medicos generalistas quedaron sistematicamente sin cubrir en el sistema sanitario. La estrategia de APS realizada por egresados a poblacion a cargo fue suboptima (test de Papanicolau: 38,2%; vacunacion: 68,6%).; Conclusiones: Los egresados de medicina de la UNLP no cumplen con el perfil deseado por la Facultad, lo que incide en la futura eleccion de los puestos de trabajo y en el ejercicio de la profesion.Introduction. All medical school in Argentina agreed in achieve a common profile towards primary health care (PHC) for their graduates. This study was performed in order to determine the correlation between the desired medical profile and the one obtained. Materials and methods. A descriptive-qualitative and quantitative mixed approach was conducted in the Medical SchoolNational University, La Plata (UNLP), Argentina. Variables studied were: ‘motivation for career choice’, ‘social commitment’; ‘community practices’, ‘PHC practices undertaken by students and graduates’, ‘amount of courses and teaching hours related with PHC’, ‘residence posts’, ‘performance on the residence’s exam’, ‘health managers satisfaction with graduates’. Statistical analysis: data was analyzed by chi-square and multivariate analysis. Results. Data shows that 14.7% of the subjects included in the career and 8.2% of total teaching hours were focuses on PHC profile. Also results indicated that freshmen were more altruistic and had a better profile according to agreed standards than graduates. New doctors showed themselves more self-interested about their own expectations and future. They also chose a medical residency with opposite profile at the one expected, and weren’t able to answer basic question related with PHC. Moreover, general practitioners jobs were not taken neither in the residence program nor in the local health care system. Basic PHC practices like PAP-smear or vaccination were insufficiently provided (38.2% and 68.6% respectively). Conclusions. Recent graduates from medical school (UNLP) did not achieve the desired profile. This aspect had a negative impact in the selection of their future jobs and PHC labor practice performance.Facultad de Ciencias Médica