MEDICAL RESIDENCE IN ORTHOPEDICS AND TRAUMATOLOGY – NATIONAL OVERVIEW AND ANALYSIS OF EVALUATION CONCORDANCE BETWEEN CNRM/SBOT DURING THE COVID-19 PANDEMIC

ABSTRACT Objective Describe the national scenario of the orthopedics and traumatology Medical Residency Program (MRP) in 2020/2021, showing the distribution of vacancies by states and regions of Brazil, the number of residents and the percentage of agreement between the accredited services that offer the program by the Brazilian Society of Orthopedics and Traumatology (SBOT) and by the National Commission for Medical Residency linked to the Ministry of Education (CNRM/MEC). Methods This is a descriptive, cross-sectional study. Data from the CNRM and SBOT system referring to residents attending orthopedics and traumatology Programs in 2020/2021 were analyzed. Results In the analyzed period, there were 2.325 medical residents in orthopedics and traumatology in vacancies authorized by the CNRM/MEC in Brazil. The southeast region was predominant, with 57.2% of vacancies, totaling 1.331 residents. Compared to other regions, the south region with 16.9% (392), the northeast with 15.1% (351), the midwest with 7.7% (180), and the north with 3.1% (71). In addition, there was an accreditation agreement of 53.8% in evaluating services between the SBOT and CNRM, with distinctions among the states. Conclusion The analysis showed differences between regions and states, considering the vacancies of PRM in orthopedics and traumatology and the concordance of evaluations by institutions accredited by MEC and SBOT. It is aim to work together with a view to qualifying and expanding residency programs for the training of specialist physicians, in accordance with the needs of the public health system and adequate medical practice, is necessary. The analysis during the pandemic period, associated with the restructuring of several health services, demonstrates the stability of the specialty in adverse scenarios. Level of evidence II; Economic And Decision Analyzes – Developing an Economic or Decision Model.

摘要
目的 描述2020/2021学年巴西骨科创伤科住院医师规范化培训项目（Medical Residency Program, MRP）的全国概况，展示该国各州市及大区的岗位空缺分布、住院医师人数，以及由巴西骨科创伤学会（Brazilian Society of Orthopedics and Traumatology, SBOT）认证的项目提供机构与巴西教育部下属国家住院医师培训委员会（National Commission for Medical Residency linked to the Ministry of Education, CNRM/MEC）之间的评估契合度百分比。
方法 本研究为描述性横断面研究。分析了2020/2021学年巴西骨科创伤科住院医师项目相关的CNRM与SBOT系统数据。
结果 分析周期内，巴西经CNRM/MEC核准的骨科创伤科住院医师岗位共计2325个，在岗住院医师2325名。东南部地区占比最高，达57.2%，共计1331名住院医师；其余大区占比分别为：南部16.9%（392名）、东北部15.1%（351名）、中西部7.7%（180名）、北部3.1%（71名）。此外，SBOT与CNRM在机构评估上的契合度为53.8%，且各州市间存在评估差异。
结论 本次分析显示，巴西骨科创伤科住院医师规范化培训项目岗位空缺在各区域及州市间存在不均衡性，且MEC与SBOT认证机构的评估契合度有待提升。有必要携手合作，以符合公共卫生系统需求与规范医疗实践的标准，优化并扩大住院医师培训项目，培养专科医师。本次分析恰逢新冠疫情期间，叠加多项医疗服务体系重构工作，结果表明该专科在逆境中仍保持了稳定性。
证据等级：II级；经济与决策分析——构建经济或决策模型。