Management of Health Residency Programs in Rio Grande do Norte: An experience report

Abstract

Introduction: Health residency programs in Brazil play a strategic role in training professionals capable of meeting the demands of the Unified Health System (SUS), integrating teaching, service, and community. Objectives: To report the experience of the administrative processes involved in managing health residency programs in a municipality in the state of Rio Grande do Norte. Methodology: This is an experience report, based on pedagogical micro-interventions carried out in 2024. Progress, impasses, and difficulties were identified, including structural deficiencies, resistance to interprofessionality, as well as challenges in mental health and care for the LGBTQIA+ population. Results: The micro-interventions highlighted demands such as improving the flow between primary and specialized care, integrating mental health practices, and strengthening social oversight. Good practices were highlighted, such as the implementation of electronic medical records and the work of the Multiprofessional Residency Commission (COREMU) in aligning actions. The creation of a Continuing Education collective and the development of a draft Municipal Policy for Continuing Education in Health were key initiatives in addressing these challenges. Conclusion: Despite the challenges, residency programs have significant transformative potential in the context of Basic Health Units, provided they are supported by participatory management, adequate infrastructure, and the commitment of the stakeholders involved. Effective implementation of SUS guidelines and the encouragement of pedagogical and social innovations can promote significant advances in the quality of health care.