Competencies of family practice for providing integrated care for people living with HIV
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Secretaria Municipal de Saúde do Rio de Janeiro, Coordenadoria Geral de Atenção Primária 3.3, R. Manuel Martins, 53 - Madureira, Rio de Janeiro, CEP 21310-240, Brazil
Fundação Oswaldo Cruz
Universidade Federal do Rio de Janeiro, Departamento de Medicina em Atenção Primária à Saúde, Av. Carlos Chagas Filho, 373, Edifício do Centro de Ciências da Saúde, Bloco K, 2° andar, Sala 49 - Cidade Universitária - Ilha do Fundão, Rio de Janeiro - Brasil - CEP: 21.941-902, Brazil
Publication date: 2023-04-26
Popul. Med. 2023;5(Supplement):A697
Background and Objective:
Since the decentralization of Human Immunodeficiency Virus (HIV) treatment to Primary Healthcare, Family Practice has a growing role in providing integrated care for people living with HIV. While having medical residency as its gold-standard for graduate education, the specialty has been structuring its curriculum with competency-based education, but there are still fragilities in the curriculum in being capable of providing integrated care for people living with HIV. Based on Philippe Perrenoud’s Theory of Competencies, this study proposes the analysis of competencies of Family Practice for providing integrated care for people living with HIV through the perception of graduates from Family Practice Residency Programs in Rio de Janeiro.

For this purpose, the focal group technique was used, through which was collected the data, complemented by documental analysis.

Based on Perrenoud’s concept of competence, 38 competencies were identified, from which 11 were considered transversal, 10 were knowledge, 11 were practices and 6 were attitudes. The concept and application of each of these competencies were then discussed, prioritizing most neglected topics such as recognition of social markers of difference, clinical communication, medical privacy and community interventions. As a result of this study, a table was organized to present Family Practice’s competencies in integrated care for people living with HIV, to be shared with education institutions related to the specialty.

This study is expected to support instruction of future family doctors, in order to orient the specialty to a wider view, to challenge the hegemonic paradigms and to truly oppose serophobia.