Abstract

MARIN, Gustavo H.. Gap between the desired and achieved profile in graduates of medical career. FEM (Ed. impresa) [online]. 2014, vol.17, n.2, pp.83-91. ISSN 2014-9840.  https://dx.doi.org/10.4321/S2014-98322014000200005.

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 School-National 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.

Keywords : Graduate; Medical doctor; Profile; Residence; Student.

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