title: Evaluation of the impact of collaborative work by teams from the National Medical Residency Committee and the Brazilian Society of Neurosurgery. Retrospective and prospective study.
abstract: OBJECTIVE
  Training for specialist physicians in Brazil can take place in different ways. Closer liaison between institutions providing this training and assessment and health care services may improve qualifications. This article analyzes the impact of closer links and joint work by teams from the National Medical Residency Committee (Comissão Nacional de Residência Médica, CNRM) and the Brazilian Society of Neurosurgery (Sociedade Brasileira de Neurocirurgia, SBN) towards evaluating these programs.
  
  
  METHODS
  Retrospective and prospective study, conducted in a public university on a pilot project developed between CNRM and SBN for joint assessment of training programs across Brazil.
  
  
  METHODS
  The literature in the most relevant databases was reviewed. Documents and legislation produced by official government bodies were evaluated. Training locations were visited. Reports produced about residency programs were analyzed.
  
  
  RESULTS
  Only 26% of the programs were immediately approved. The joint assessments found problems relating to teaching and to functioning of clinical service in 35% of the programs. The distribution of programs in this country has a strong relationship with the Human Development Index (HDI) of the regions and is very similar to the distribution of specialists.
  
  
  CONCLUSIONS
  Closer collaboration between the SBN and CNRM had a positive impact on assessment of neurosurgery medical residency across the country. The low rates of direct approval have produced modifications and improvements to the quality of teaching and care (services). Closer links between the CNRM and other medical specialties have the capability to positively change the structure and function of specialty training in Brazil.
authors.affiliation: Universidade de São Paulo, São Paulo, Brazil.
authors.forename: Renato Antunes Dos
authors.initials: RA
authors.lastname: Santos
authors.affiliation: Royal College of Physicians and Surgeons of Canada, Canada.
authors.forename: Linda
authors.initials: L
authors.lastname: Snell
authors.affiliation: Department of Internal Medicine, Universidade de São Paulo, São Paulo, Brazil.
authors.forename: Maria do Patrocínio Tenório
authors.initials: Mdo P
authors.lastname: Nunes
mesh_terms: D001938:Brazil; D003695:Delivery of Health Care / Q000458:organization & administration; D004503:Education, Medical, Graduate; D004521:Educational Measurement; D006801:Humans; D007396:Internship and Residency / Q000592:standards*; D009493:Neurosurgery / Q000193:education* / Q000592:standards; D010865:Pilot Projects; D015397:Program Evaluation; D011446:Prospective Studies; D012189:Retrospective Studies