IMPACTO DA FORMAÇÃO EM MEDICINA DE FAMÍLIA DE COMUNIDADE NA CARTEIRA DE SERVIÇOS DE UNIDADE BÁSICA DE SAÚDE EM ÁREA VULNERÁVEL NO DISTRITO FEDERAL: RELATO DE EXPERIÊNCIA

Introduction: The creation of the Unified Health System in 1988 restructured the Brazilian health system, emphasizing the role of Primary Care in Health Care Networks, aiming at the comprehensiveness of care for the population. Family and Community Medicine, a basic specialty for this level of care, has developed with policies and financial incentives that strengthen it, and its resolution has been increasingly demanded. The increase in the number of vacancies in the residence, as well as the incentives offered have shown positive results in the quality of assistance, the training of quality human resources for SUS and the satisfaction of users. This study emerges as a response to current demands and highlights the impact of medical residency on the execution and expansion of the portfolio of services of basic health units, especially in the performance of outpatient procedures. Objective: To report on the experience of resident doctors in Family and Community Medicine in performing small surgical procedures and discuss the positive impact of residency for the community. Methodology: report of experience of the residents of Family Medicine and community since the diagnosis of demand, the review of dispatches and processes for implementation of ambulatory procedures and flow to perform biopsies, to the analysis of personal notes for the quantification of procedures performed after the introduction of medical residency in the Ceilândia number 6 basic health unit, in the Federal District. Results and discussion: in the analyzed period, there was a significant increase in the offer of ambulatory procedures to the adstrite population, and despite the challenges imposed by the the medical residency has been shown to be a strengthening factor of Primary Health Care with impact for other levels of assistance through its increasing resolvability. Such procedures have corroborated with the effectiveness of health care provision to the population, especially through diagnosis and treatment of suspected and/or malignant lesions in a timely and decisive manner. Final considerations: The implementation of medical residency in the Health Unit and the consequent increase in outpatient procedures had a positive impact on the reality of the local health service.