- Psychiatrist and epidemiologistedit
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Introdução: Em 2015, no município de Mariana, em Minas Gerais, ocorre o Rompimento da Barragem de Fundão (RBF) de responsabilidade da Samarco Mineração. O mar de lama que acometeu a microrregião da Bacia do Rio Doce culminou não somente... more
Introdução: Em 2015, no município de Mariana, em Minas Gerais, ocorre o Rompimento da Barragem de Fundão (RBF) de responsabilidade da Samarco Mineração. O mar de lama que acometeu a microrregião da Bacia do Rio Doce culminou não somente na morte de 19 pessoas, mas na destruição e na desestruturação patrimonial, cultural e biopsicossocial dos sobreviventes. Cinco anos após o desastre, os moradores, ainda sem a mínima recuperação desse espaço, são surpreendidos pelo advento da pandemia de COVID-19, que torna a assolar a população e a prejudicar a saúde pública local. Objetivo: Avaliar os efeitos do Rompimento da Barragem de Fundão (RBF) na qualidade da saúde pública dos moradores da microrregião da Bacia do Rio Doce com a ascensão da pandemia de COVID-19 em 2020. Material e métodos: Revisão bibliográfica cuja busca dos estudos primários foi realizada nas bases de dados PubMed, SciELO, CINAHL e LILACS, além dos registros coletados pelo subprojeto TelePAN vinculado ao programa Participa UFMG. Resultados: Os dados analisados demonstram que durante a pandemia de COVID-19 a microrregião da Bacia do Rio Doce apresentou maiores índices de desemprego, de criminalidade e de transtornos mentais, em comparação a outras cidades do interior de Minas Gerais. Pode-se identificar, ainda, maior dependência do sistema público de saúde local, o qual tem precisado se adaptar novamente para suprir essa demanda. Conclusão: A revisão da literatura atual revela um estresse maior que o esperado sobre a população e os serviços públicos locais, o qual pode refletir o advento da pandemia sobre uma comunidade que ainda enfrenta os impactos do crime ambiental em 2015. Além disso, é notável a escassez de literatura com esse recorte, o que contribui para invisibilizar a situação da região.
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Research Interests: Psychology and Humanities
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This is a multicenter, cross-sectional study carried out with students regularly enrolled in undergraduate courses at eight Brazilian IFES. Data collection was conducted between October 2021 and February 2022 using an online... more
This is a multicenter, cross-sectional study carried out with students regularly enrolled in undergraduate courses at eight Brazilian IFES. Data collection was conducted between October 2021 and February 2022 using an online self-completed questionnaire, which addressed sociodemographic and academic characteristics, lifestyle habits, and health conditions. Symptoms of anxiety and depression were assessed using the Depression, Anxiety, and Stress Scale-21 (DASS-21). Variables were analyzed descriptively using frequency distribution and Pearson’s chi-square test. To estimate the prevalence of symptoms of anxiety and depression, the proportion and 95% confidence interval (95%CI) were used. The level of adopted statistical significance was 5%.
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Introdução: Em 2015, no município de Mariana, em Minas Gerais, ocorre o Rompimento da Barragem de Fundão (RBF) de responsabilidade da Samarco Mineração. O mar de lama que acometeu a microrregião da Bacia do Rio Doce culminou não somente... more
Introdução: Em 2015, no município de Mariana, em Minas Gerais, ocorre o Rompimento da Barragem de Fundão (RBF) de responsabilidade da Samarco Mineração. O mar de lama que acometeu a microrregião da Bacia do Rio Doce culminou não somente na morte de 19 pessoas, mas na destruição e na desestruturação patrimonial, cultural e biopsicossocial dos sobreviventes. Cinco anos após o desastre, os moradores, ainda sem a mínima recuperação desse espaço, são surpreendidos pelo advento da pandemia de COVID-19, que torna a assolar a população e a prejudicar a saúde pública local. Objetivo: Avaliar os efeitos do Rompimento da Barragem de Fundão (RBF) na qualidade da saúde pública dos moradores da microrregião da Bacia do Rio Doce com a ascensão da pandemia de COVID-19 em 2020. Material e métodos: Revisão bibliográfica cuja busca dos estudos primários foi realizada nas bases de dados PubMed, SciELO, CINAHL e LILACS, além dos registros coletados pelo subprojeto TelePAN vinculado ao programa Participa...
Introducao: Os pacientes com transtorno mental sao mais expostos a violencia do que a populacao em geral. A violencia aumenta a vulnerabilidade para infeccao pelo HIV e por outras DST, esta associada com quadros psiquiatricos mais graves... more
Introducao: Os pacientes com transtorno mental sao mais expostos a violencia do que a populacao em geral. A violencia aumenta a vulnerabilidade para infeccao pelo HIV e por outras DST, esta associada com quadros psiquiatricos mais graves e pode se expressar diferentemente entre homens e mulheres com transtornos mentais.Objetivos: Avaliar a prevalencia e os fatores associados com a violencia fisica, sexual ou verbal na vida contra pacientes com transtorno mental, estratificando por sexo, no Brasil. Metodos: Esta tese utilizou dados de um estudo multicentrico de corte transversal (Projeto PESSOAS), realizado em uma amostra representativa de 2.475 pacientes selecionados aleatoriamente em 26 servicos publicos de atencaoem saude mental. Apos descrever os fatores associados a cada forma de violencia por meio de medidas resumo, os fatores associados com violencia fisica, sexual ou verbal com um intervalo de confianca estimado de 95% foram aferidos por meio de regressao logistica binaria un...
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Objective: to describe the reliability of semi-structured questionnaire for the assessment of risk behaviors of sexually transmitted infections among adults with mental disorders in national multicenter study (Project PESSOAS) and to... more
Objective: to describe the reliability of semi-structured questionnaire for the assessment of risk behaviors of sexually transmitted infections among adults with mental disorders in national multicenter study (Project PESSOAS) and to compare with the pilot study results. Method: transversal cutting study in national representative sample of mental health services users. 11 psychiatric hospitals and 15 CAPS (Centro de Atencao Psicossocial / Psychosocial Care Center) have been randomly selected in every region in Brazil. Behavior and sociodemographic data have been collected from semi-structured interviews and medical reports clinical data. From the 2.475 patients’ interviews, 5,6% (n=139) have been randomly selected for new interviews, with up to one week interval. The reliability was evaluated through the accordance percentile and the Kappa coefficient (95% interval trust). Results: the accordance percentile observed varied from 64% to 99%, with the Kappa rates varying from 0,12 to ...
Objective: To assess health-related quality of life and associated factors in patients treated with atypical antipsychotics, as well as to determine utility values using the EuroQol-5D-3L instrument. Methods: A cross-sectional study was... more
Objective: To assess health-related quality of life and associated factors in patients treated with atypical antipsychotics, as well as to determine utility values using the EuroQol-5D-3L instrument. Methods: A cross-sectional study was conducted at a state-run pharmacy in the Brazilian National Health System. Individuals were included if they were using a single atypical antipsychotic and completed the EuroQol-5D-3L. Sociodemographic, behavioral, and clinical data were collected. The dependent variable was the EuroQol-5D-3L utility score. Associations between the independent variables and the dependent variable were analyzed in a multiple linear regression model. Results: A total of 394 patients were included, and their mean utility score was 0.664±0.232. Patients treated with clozapine had the highest mean score (0.762 [0.202]), followed by olanzapine (0.687 [0.230]), risperidone (0.630 [0.252]), ziprasidone (0.622 [0.234]), and quetiapine (0.620 [0.243]). The following variables ...
Os usuarios de servicos de saude mental (USM) tem sido descritos na literatura cientifica como populacao vulneravel ao HIV e outras DST doencas sexualmente transmissiveis, entre elas a sifilis, hepatites B e C. No entanto, sao necessarios... more
Os usuarios de servicos de saude mental (USM) tem sido descritos na literatura cientifica como populacao vulneravel ao HIV e outras DST doencas sexualmente transmissiveis, entre elas a sifilis, hepatites B e C. No entanto, sao necessarios estudos e instrumentos confiaveisque descrevam comportamentos e situacoes de risco e fatores associados ao HIV e DST nesta populacao. Foi proposto pelo Ministerio da Saude, atraves do Programa Nacional de DST/aids, Coordenacao Tecnica de Saude Mental e Grupo de Pesquisas em Epidemiologia eAvaliacao em Saude (GPEAS-DMPS-UFMG), um estudo multicentrico abrangendo todas regioes do pais (PROJETO PESSOAS). Foi desenvolvido um estudo piloto para avaliar a viabilidade, a confiabilidade e validade dos instrumentos, objeto desta dissertacao. Participaram 90 usuarios, selecionados aleatoriamente de um hospital psiquiatrico e de um centro de atencao psicossocial (CAPS) publicos. Os pacientes foram convidados para uma entrevista e realizacao de sorologias (HIV,...
Resumo Introdução: diante da pandemia da COVID-19, torna-se importante rever questões de proteção da saúde dos trabalhadores. Objetivo: discutir as condições de saúde e segurança dos trabalhadores que cuidam de pacientes com COVID-19, sob... more
Resumo Introdução: diante da pandemia da COVID-19, torna-se importante rever questões de proteção da saúde dos trabalhadores. Objetivo: discutir as condições de saúde e segurança dos trabalhadores que cuidam de pacientes com COVID-19, sob a perspectiva das informações levantadas por seus representantes de classe profissional e de recomendações institucionais. Métodos: levantamento de informações na literatura científica, em documentos e orientações de entidades oficiais de saúde, em fontes de entidades sindicais e de representação de classes de profissionais de saúde. Discussão: começamos pela descrição das características da infecção pelo SARS-CoV-2 no processo de trabalho em saúde; exemplificamos as iniciativas de organizações representativas dos trabalhadores para o enfrentamento da COVID-19; descrevemos o cenário do trabalho em saúde na pandemia no Brasil; apresentamos o relato das medidas de proteção e de enfrentamento da doença orientadas por entidades e organismos nacionais e...
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Resumo O estudo teve como objetivo pesquisar a violência no trabalho vivenciada no Sistema Único de Assistência Social (SUAS) e suas repercussões na saúde psíquica do trabalhador. Trata-se de estudo descritivo, qualitativo e com... more
Resumo O estudo teve como objetivo pesquisar a violência no trabalho vivenciada no Sistema Único de Assistência Social (SUAS) e suas repercussões na saúde psíquica do trabalhador. Trata-se de estudo descritivo, qualitativo e com referencial metodológico na fenomenologia. Após a coleta dos dados, através de entrevistas semiestruturada com os trabalhadores do SUAS, a análise seguiu as seguintes etapas: leitura global dos dados; divisão dos dados em unidade de significação; organização e enunciação dos dados brutos na linguagem do referencial teórico - saúde mental e trabalho - e a síntese dos resultados. Relatos sobre a violência que emerge do local, da organização e das relações de trabalho, assim como a violência indireta, a institucional e a patrimonial, demonstraram repercussões na saúde dos trabalhadores entrevistados. Possibilidades que foram confirmadas pela perda de sentido do trabalho que realizam, sofrimentos psíquicos, comprometimento da qualidade do trabalho ofertado, além...
RESUMO O objetivo deste artigo foi analisar as percepções de adolescentes de uma escola localizada em um assentamento rural, no município de Alto Paraíso de Goiás, em relação à violência. Realizou-se estudo qualitativo, utilizando-se... more
RESUMO O objetivo deste artigo foi analisar as percepções de adolescentes de uma escola localizada em um assentamento rural, no município de Alto Paraíso de Goiás, em relação à violência. Realizou-se estudo qualitativo, utilizando-se entrevistas semiestruturadas. A sistematização e a interpretação dos dados foram realizadas pela análise de conteúdo definida por Bardin. Os adolescentes pesquisados relataram variadas formas de violência, por diversas causas, exercidas por diferentes atores, em diversos locais e acometendo todas as faixas etárias. Conclui-se que a escola e a família são fontes privilegiadas de mediações de conflitos, possibilitando uma atuação ampla no campo da prevenção da violência.
Schizophrenia is associated with significant economic burden. In Brazil, antipsychotic drugs and outpatient and hospital services are provided by the Brazilian National Health System (SUS) for patients with schizophrenia. However, few... more
Schizophrenia is associated with significant economic burden. In Brazil, antipsychotic drugs and outpatient and hospital services are provided by the Brazilian National Health System (SUS) for patients with schizophrenia. However, few studies capture the cost of managing these patients within the Brazilian NHS. This is important to appraise different management approaches within universal healthcare systems. Our objective was to use real-world data to describe the costs associated with the treatment of schizophrenia in adults receiving atypical antipsychotics in Brazil from 2000 to 2010. We integrated three national databases for adult patients with schizophrenia receiving one or more atypical antipsychotics. We assessed only direct medical costs and the study was conducted from a public-payer perspective. A multivariate log-linear regression model was performed to evaluate associations between costs and clinical and demographic variables. We identified 174,310 patients with schizop...
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Objective: To evaluate the lawful request of ziprasidone for treating trichotillomania and obesity. The drug is indicated, but it consists of a contingency measure, since social inclusion may have potencial to improve the overall state.... more
Objective: To evaluate the lawful request of ziprasidone for treating trichotillomania and obesity. The drug is indicated, but it consists of a contingency measure, since social inclusion may have potencial to improve the overall state. FULL CONTENT IN PORTUGUESE
Introdução: Considera-se violência não somente o abuso físico ou sexual, mas também a violência psicológica, que envolve a agressão emocional e a verbal. A violência verbal é o tipo mais frequente de violência psicológica e já foi... more
Introdução: Considera-se violência não somente o abuso físico ou sexual, mas também a violência psicológica, que envolve a agressão emocional e a verbal. A violência verbal é o tipo mais frequente de violência psicológica e já foi avaliada em diversas populações, tais como as populações de crianças , gestantes , usuárias em serviços de saúde , trabalhadores e estudantes. Não há estudos nacionais que avaliem a relação da violência verbal com transtornos mentais nos diversos tipos de serviços públicos de saúde mental. Este trabalho avalia a prevalência e os fatores associados aos autorrelatos de violência verbal contra os indivíduos com transtorno mental, estratificando por sexo, em serviços de saúde mental no Brasil.
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Objectives: Patients with mental illness are more exposed to violence than the general population. This study assessed factors associated with lifetime physical violence against these patients stratified by sex in Brazil. Methods: This is... more
Objectives: Patients with mental illness are more exposed to violence than the general population. This study assessed factors associated with lifetime physical
violence against these patients stratified by sex in Brazil. Methods: This is a National cross-sectional multicenter study with a representative sample of 2,475
patients randomly selected from 26 public mental health services. Logistic regression was used to evaluate factors associated with physical violence and crude
(OR) and adjusted odds ratios (aOR) with 95% confidence interval were estimated. Statistical level considered was 0.05. Results: The prevalence of lifetime
physical violence against mental patients was similar for women (57.6%) and men (57.8%). Physical violence against women was independently associated
with: previous psychiatric hospitalizations (aOR = 2.09), lifetime STD (aOR = 1.75), lifetime alcohol consumption (aOR = 1.59), age of sexual debut (< 16
y.o.) (aOR = 1.40), lifetime sex under alcohol/drugs use (aOR = 2.08), having received/offered money for sex (aOR = 1.73) and lifetime incarceration (aOR
= 1.69). Among men, associated factors were: age (18-40 y.o.) (aOR = 1.90), history of homelessness (aOR = 1.71), previous psychiatric hospitalization (aOR
= 1.39), lifetime STD (aOR = 1.52), lifetime alcohol consumption (aOR = 1.41), lifetime use of marijuana or cocaine (aOR = 1.54), having received/offered
money for sex (aOR = 1.47), lifetime history of incarceration (aOR = 2.07). Discussion: The prevalence of physical violence in this population was high for
both sexes. Although there were similar factors independently associated with physical violence among men and women, there are important differences, such
as age of sexual debut and lifetime sex under alcohol/drugs use for women, but not for men, while younger age, history of homelessness, and lifetime use of
marijuana or cocaine were associated factors for men only. Screening for history of violence upon admission and early interventions to decrease vulnerability
are needed in mental health public services in Brazil.
violence against these patients stratified by sex in Brazil. Methods: This is a National cross-sectional multicenter study with a representative sample of 2,475
patients randomly selected from 26 public mental health services. Logistic regression was used to evaluate factors associated with physical violence and crude
(OR) and adjusted odds ratios (aOR) with 95% confidence interval were estimated. Statistical level considered was 0.05. Results: The prevalence of lifetime
physical violence against mental patients was similar for women (57.6%) and men (57.8%). Physical violence against women was independently associated
with: previous psychiatric hospitalizations (aOR = 2.09), lifetime STD (aOR = 1.75), lifetime alcohol consumption (aOR = 1.59), age of sexual debut (< 16
y.o.) (aOR = 1.40), lifetime sex under alcohol/drugs use (aOR = 2.08), having received/offered money for sex (aOR = 1.73) and lifetime incarceration (aOR
= 1.69). Among men, associated factors were: age (18-40 y.o.) (aOR = 1.90), history of homelessness (aOR = 1.71), previous psychiatric hospitalization (aOR
= 1.39), lifetime STD (aOR = 1.52), lifetime alcohol consumption (aOR = 1.41), lifetime use of marijuana or cocaine (aOR = 1.54), having received/offered
money for sex (aOR = 1.47), lifetime history of incarceration (aOR = 2.07). Discussion: The prevalence of physical violence in this population was high for
both sexes. Although there were similar factors independently associated with physical violence among men and women, there are important differences, such
as age of sexual debut and lifetime sex under alcohol/drugs use for women, but not for men, while younger age, history of homelessness, and lifetime use of
marijuana or cocaine were associated factors for men only. Screening for history of violence upon admission and early interventions to decrease vulnerability
are needed in mental health public services in Brazil.
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Patients with mental illness (PMI) are more vulnerable to sexual violence (SV). This study aimed at assessing factors associated with SV against PMI, stratified by gender in Brazil. Cross-sectional multicenter study with a national sample... more
Patients with mental illness (PMI) are more vulnerable to sexual violence (SV). This study aimed at assessing factors associated with SV against PMI, stratified by gender in Brazil. Cross-sectional multicenter study with a national sample of 2,475 PMI randomly selected from 26 psychiatric services. Odds ratios were estimated with 95% confidence interval using logistic regression. A high prevalence of lifetime SV against PMI was observed (19.8%) and it was higher among women (26.6%) than men (12.5%). Among women, episodes of SV were more often caused by intimate partners and in the domestic environment, and among men, by strangers and in the streets. Among women, the following variables were independently associated (p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.01) with SV: younger age, living alone, history of homelessness, previous psychiatric hospitalization, lifetime STD diagnosis, early debut of sexual intercourse, irregular condom use, receiving/offering money for sex, and psychiatric diagnosis. Among men, younger age, previous and earlier psychiatric hospitalization, lifetime illegal drug use, receiving/offering money for sex, and psychiatric diagnosis were independently associated with SV. The prevalence of SV in the studied population was high, especially among women. Women have more behavior factors associated with SV and they need protection, especially those in isolation and socially deprived. However, men also suffer SV, usually more often during childhood than adulthood and special attention should be given to lifetime illegal drug use and earlier psychiatric hospitalization. Preventive actions beyond mental health are important, such as social and economic actions to improve the living conditions of PMI.
Research Interests: Psychology, Cognitive Science, Brazil, Adolescent, Humans, and 20 moreFemale, Male, Sexual Behavior, Confidence intervals, Young Adult, Social Psychiatry, Mental Disorders, Risk factors, Vulnerable Populations, Clinical Sciences, Prevalence, Adult, Odds ratio, Age Factors, Urban Population, Risk Factors, Sexual Partners, Self report, Cross Sectional Studies, and Logistic Models
Research Interests: Brazil, Risk Taking, Adolescent, Mental Illness, Multivariate Analysis, and 16 moreHumans, Chronic Disease, Female, Male, Sexual Behavior, Young Adult, Mental Disorders, Clinical Sciences, Validity and Reliability, Questionnaires, Adult, Reproducibility of Results, Pilot Projects, Condoms, Cross Sectional Studies, and Sexually Transmitted Diseases
Este estudo tem como objetivo fornecer dados estimados de mortes por suicídio após o início da Pandemia de Covid-19, com base em um modelo de previsão com dados do SIM, entre os anos de 2008 a 2019. No presente estudo foi utilizada uma... more
Este estudo tem como objetivo fornecer dados estimados de mortes por suicídio após o início da Pandemia de Covid-19, com base em um modelo de previsão com dados do SIM, entre os anos de 2008 a 2019. No presente estudo foi utilizada uma avaliação da série temporal "mortes por suicídio" usando o modelo SARIMA (Seasonal Autoregressive Integrated Moving Average) para avaliar e prever suicídios após a pandemia de Covid-19, por meio da metodologia "Box-Jenkins". Os dados de óbito por suicídio entre 2008 e 2019 foram extraídos pelo DATASUS e utilizados com o objetivo de prever, com base nos dados anteriores, comportamentos futuros. O número esperado de suicídios nos anos de 2020 e 2021, considerando um intervalo de confiança de 95% na análise univariada, poderia variar de 12.844 a 14.983 e 13.025 a 15.640 respectivamente, o que reflete uma taxa de mortalidade por suicídio de 6,06 a 7,07 em 2020 e 6,09 a 7,31 em 2021. Este estudo forneceu dados estimados sobre mortes por...
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Esta webaula contempla a abordagem dos transtornos depressivos na Atenção Básica, além de recomendações para atuação na área de saúde mental
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This text discusses people with mental disorders in conflict with the law in Brazil and the Custody and Psychiatric Treatment Hospitals, institutions included in the prison system and considered a hybrid between health and justice. When... more
This text discusses people with mental disorders in conflict with the law in Brazil and the Custody and Psychiatric Treatment Hospitals, institutions included in the prison system and considered a hybrid between health and justice. When we present the reality in the national context, we show that the Psychiatric Reform did not reach these institutions, and these individuals continue to be stigmatized, and their human rights are violated. We substantiate the need to advance the debate and raise some questions to establish new solutions to tackle the issue and ensure well-structured, scientific evidence-based health care.
BACKGROUND: The coronavirus outbreak 2019 (COVID-19) has overloaded healthcare professionals with a significant amount of stress. OBJECTIVES: The aim of this study is to analyze demographic and sentiments in healthcare providers... more
BACKGROUND: The coronavirus outbreak 2019 (COVID-19) has overloaded healthcare professionals with a significant amount of stress. OBJECTIVES: The aim of this study is to analyze demographic and sentiments in healthcare providers associated with the exposure to patients with COVID-19. METHODS: A cross-sectional study was conducted with data remotely obtained in the period between March 20, to September 20 through a project created in March 2020 named TELEPAN Saúde UFMG, which redirects healthcare workers to volunteer psychologists, psychiatrists and other professionals. Summary of the main complaint, profession, workplace, preferred time for contact and preference media for contact were obtained from each patient. Sentiments were grouped into categories. Then, an exploratory and descriptive analysis were conducted. RESULTS: The median age of patients was 36 years of age (21 to 64). Most professionals were women (85.45%) and came from primary care, emergency services, or secondary lev...
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A project which integrates medical RESIDENCY with medical masters degree has been discussed and is expected to be set up at UFMG Medical School in the near future. Such project is optional for the entering residents and aims those who are... more
A project which integrates medical RESIDENCY with medical masters degree has been discussed and is expected to be set up at UFMG Medical School in the near future. Such project is optional for the entering residents and aims those who are interested in becoming researchers. This paper's objective is to raise the residents' opinion on the project as well as their interests in post graduation level. A 240 university hospital residents (HC-UFMG) and a 114 non-university hospital (IPSEMG) were studied through questionnaire application. From the total population of 354 residents we had a 50% questionnaire devolution, 120 (68%) from HC-UFMG and 57 (32%) from IPSEMG. Residents of different clinical and surgical areas were included, 55% male and 45% female. Most of them work exclusively in residency activities, 69% have interest in specialize after residency, 55% in taking medical masters degree, 52% in taking up academic life and 67% in applying for the integrated residency-master ...