SINGULAR THERAPEUTIC PROJECT: CHALLENGES AND POTENCIAL OF TEAM WORK IMPLANTED IN THE RESIDENCY PROGRAM IN MFC - ENSP/UFRJ.

• Introduction and Objective The STP (Singular Therapeutic Project) is a group of articulated therapeutic measures for an individual or a group, fruit of discussion of a multidisciplinary team, with matrix support if necessary. The purpose of this work is to ponder over the application of the STP in the approach of a case in the Complex of Manguinhos in Rio de Janeiro, lead by a health team part of the shared residency program in Family Medicine and Community ENSP / UFRJ. • Methods Qualitative approach and case study methodology were chosen. Patients' medical charts, documents available on the Service and registries of team's discussions at meetings were used as sources. The selection of the case was motivated by the complexity of comorbidities and the extreme social vulnerability in which the family at issue lives. • Results and conclusions: The research enabled a discussion of intervention research, as the researchers themselves were also subjects of the research. The analysis of their perceptions and difficulties produced as result, changes in their own work processes. The STP pointed to a need for team work organization and care co-responsibility. Among the challenges analyzed we point out: The continuity of STP can be compromised because of changes in the technical staff due to turnover inherent to a residency program; the complexity of the health team's performance in primary care in vulnerable areas where elements such as poverty and violence are mediators crossing the care production.