Repercussões da rotatividade médica sobre a longitudinalidade e a continuidade do cuidado na atenção primária à saúde: relato de experiência.

Physician turnover represents a relevant challenge for Primary Health Care, particularly because of its potential repercussions on patient-professional relationships, longitudinal care, and continuity of care. This study aims to report and critically analyze the perceived repercussions of physician turnover on these attributes, based on a two-year experience during Family and Community Medicine residency training at the Benjamim Martins Xavier – Leblon Primary Health Care Unit, in Anápolis, Goiás, Brazil. This is a descriptive and reflective experience report, retrospectively constructed from the resident physician's clinical practice, without interviews, questionnaires, or systematic collection of medical record data. The analysis was organized according to themes related to the recovery of information and preservation of follow-up, rebuilding of patient-professional relationships and relational continuity, differences between users' expectations and the clinical approaches of successive physicians, adaptation of the new physician to the assigned population, and the role of the multiprofessional team in preserving continuity of care. The experience revealed situations involving discomfort when users had to repeat information previously shared, differences between expectations developed during previous follow-up and new care proposals, and greater complexity of some consultations during the initial adaptation period. Multiprofessional teamwork, clinical records, and longitudinal follow-up were relevant in supporting continuity during the transition. It is concluded that physician turnover may have perceived repercussions that go beyond the simple replacement of professionals, requiring the rebuilding of relationships, recovery of information, and reorganization of care. The experience also reinforced the importance of longitudinality and shared responsibility for the assigned population in Primary Health Care.