DEVELOPMENT OF THE PORTFOLIO FROM THE SITUATION EXPERIENCE WITH THE LOCAL COMMUNITY AND PRIMARY HEATH CARE

Introduction: Study on the application of Portfolio during the first period of Medicine Graduation in the state of São Paulo, Brazil. Looking for an improvement in performance of the student during the learning process, the Portfolio provides means for reflection, and expands reasoning ability, by combining the theoretical knowledge acquired in the classroom and the experience with the local community and Primary Heath Care (PHC). Including different pedagogical strategies (interviews, family history, pictures, maps, bibliographical research) it allows greater autonomy, self-assessment, creativity, critical and intervention capacity to the students. Method: Report describing the intervention generated by the development of the portfolio from the situation experienced in the discipline. Results and conclusions: The Portfolio in question is characterized by a therapeutic project for the improvement of the quality of life of families residing in the region of PHC, which is the training field of the discipline. It includes: knowledge of the territory, social support network maps, genograms, interviews with members of the families, summary of patient charts, use of scales for clinical an social evaluation (such as WHOQOL-bref). On the basis of this information, with a list of the family problems, and with support of bibliographical research, the students elaborate and apply an intervention plan. The interdisciplinary health team of PHC, alows a real experience of care, which is often complex. Thus, it allows the students to be mentors of the situation, studying and seeking to resolve it, making learning gratifying, in accordance with the social role of the physician.