FAMILY AND COMMMUNITY MEDICINE RESIDENCY: THE LONGITUDINAL BOND - DILEMMAS FOR HEALTHCARE MANAGEMENT IN MANGUINHOS

Introduction/Objectives: The residency program in Family and Community Medicine has been consolidating in the city of Rio de Janeiro. In one of the city‘s health territories, the medical residents of this program are held responsible for the care management of the registered population, and must ensure the principles established for Primary Care (AP) in Brazil, establishing relationship with the user. This initiative promoted increased coverage in the locality. However, at the end of the course, this bond is discontinued and a new resident takes over the function. This work aims to discuss the characteristics and requirements for the establishment of the therapeutic relationship in the AP, as well as the possible consequences of the discontinuity of this bond. Methodology: This is experience report discussed the light of review of national and international literature on bond doctor-patient in AP. Results/conclusions: The therapeutic relationship built between the resident and the patient, as provided in the literature, is a relationship based on trust and responsibility. It is person-centered approach, but with attention to family characteristics and territory. The construction of this relationship requires time and dedication. The magnitude of the end of the therapeutic relationship can be observed by the speeches of the patients in their contact with the staff of AP, which with some discontent, questioning why the output of resident doctor. Despite advances in AP coverage in the Territory , one has to pay attention to the care of discontinuity consequences.