Diplomatura de Formación de Formadores en Docencia e Investigación de Salud 2026

Introduction to the Seminar

Overview of the Seminar Schedule

• The seminar begins today, with subsequent sessions on April 27 and May 4, concluding with a final submission due on May 10.

• Laura Cuevas and Celis introduce themselves as part of the residency team at the School of Government Floral Ferrara, responsible for Seminar One.

Seminar Focus

• The title of the seminar is "The Role of Workers in Health Service Training," addressing various health scenarios.

• Classes will be recorded, and additional audio resources will outline thematic axes, theoretical frameworks, and modules included in this first seminar.

Educational Framework

Pedagogical Approach

• Future seminars will delve deeper into pedagogical themes while starting with an exploration of unique aspects of work in health services that are often informal yet impactful on educational models.

• The team includes two other coordinators and technical support staff who will assist throughout the course duration. This collaborative effort emphasizes a strong academic coordination structure.

Support Structure

• Participants will be grouped by location or type of work (e.g., hospitals or health centers) to foster community learning experiences led by assigned tutors who will guide them through their studies.

Institutional Opening Remarks

Welcome Address by Mario

• Mario is welcomed to give an institutional opening address; he is also wished a happy birthday during this introduction.

Importance of Learning Organizations

• Mario discusses how organizations open to learning adapt better to changing environments compared to those resistant to change, which may face crises over time. He uses metaphors like navigating through good or bad weather to illustrate this point.

Centrality of Education in Health Services

Educational Function in Health Practices

• There’s a call for placing education at the center of health service practices rather than viewing it as peripheral; communication processes are fundamental in therapeutic care delivery.

Shift from Acute Care Models

• The discussion highlights a shift from acute care responses towards managing chronic issues within healthcare settings, emphasizing ongoing patient engagement rather than episodic interventions typical in emergency situations.

Understanding the Role of Education in Health Recovery

The Impact of Heroic Acts in Media

• The portrayal of heroic acts in movies, novels, and series reflects therapeutic actions that shape health professionals' identities over decades.

Shift to Patient-Centric Care

• With the rise of chronic diseases, the responsibility for health recovery has shifted to patients, families, and communities. This emphasizes their role in maintaining health.

Educational Efficacy in Chronic Illness Management

• Educating patients and their families about chronic illnesses is crucial for empowering them to take charge of their care processes. This educational transfer is essential for effective healthcare management.

Communicating Difficult News

• Delivering a diagnosis like diabetes to a young patient requires sensitivity; it involves addressing anxieties and providing empathetic support while sharing success stories from other patients.

The Importance of Educational Processes

• The act of informing families about serious health conditions can be seen as an educational process that highlights the need for innovative learning methods within healthcare education systems.

Revisiting Medical Education Approaches

Need for New Learning Methods

• There is a pressing need for new learning approaches in medical education that incorporate educational components into practice rather than relying solely on traditional teaching methods.

Centrality of Learning Over Teaching

• Current educational models suggest that learning should take precedence over teaching; this shift recognizes the importance of fostering a desire to learn among students before formal instruction occurs.

Identifying Learning Challenges

• Distinguishing between difficulties in learning and resistance to learning is critical; different strategies are required based on whether students face challenges or actively resist engagement with material.

Balancing Roles in Medical Training

Understanding Resident Identity

• Residents often grapple with their dual identity as both workers and students; finding balance between these roles is essential for effective training and personal development within medical education contexts.

Tensions in Education: Balancing Work and Study

Constructivist Perspectives on Education

• The discussion highlights a constructivist viewpoint, suggesting that cultural perceptions of student organizations reflect broader educational themes.

• Paulo Mota's concept of "creative tensions" is introduced, emphasizing the balance between study and work without rushing to resolve these tensions.

Identity as a Student and Professional

• The speaker reflects on the dual identity of being both a student and a worker, noting that this recognition evolves throughout one's educational journey.

• There is an argument for redefining education beyond traditional settings, advocating for learning through practical experiences rather than solely in academic environments.

The Role of Reflective Practice

• Emphasis is placed on the importance of reflective practice within educational settings, particularly in residency programs where classroom learning must connect with real-world applications.

• A metaphorical comparison is made to brain hemispheres to illustrate the need for integration between theoretical knowledge and practical experience.

Concept of Lifelong Learning

• The notion of "permanent education" emerges as crucial for adapting to changes in professional landscapes, especially in response to technological advancements.

• Historical context is provided regarding how permanent education originated from European models focused on adult education amidst job market crises.

Challenges in Medical Education

• A medical dean's assertion underscores the risks associated with outdated knowledge among healthcare professionals, stressing continuous learning as vital for patient safety.

• The evolution of educational approaches within health organizations reflects a shift towards incorporating critical pedagogy influenced by figures like Paulo Freire.

Navigating Educational Paradigms

• The challenge lies in theorizing permanent education without triggering resistance against critical or problematizing pedagogies that may provoke discomfort among educators.

• Ultimately, the focus shifts toward understanding that permanent education should be framed around addressing problems rather than merely covering thematic content.

Understanding Reflective Practice in Education

The Role of Continuous Education in Work Processes

• Continuous education occurs concurrently with work processes, addressing specific problems that cannot be resolved with existing knowledge.

• A necessary distance between work and educational reflection allows for better understanding; this is emphasized by Donald Trump's concept of "practic reflexivo."

Observational Learning and Supervision

• Observational learning involves watching experienced colleagues handle patient issues rather than simply throwing new graduates into challenging situations.

• Supervision is crucial in the educational process; leaving inexperienced residents unsupervised is considered malpractice.

Centrality of Learning Environments

• Learning occurs not just in clinical settings but also in various practice scenarios like health centers, outpatient clinics, and operating rooms.

• Each practice environment serves as a learning opportunity, emphasizing the need for reflective practice across all settings.

Reflection on Practice

• Reflective practice involves analyzing observed situations to understand decision-making processes and outcomes.

• Classroom activities should include time for discussing real-life observations to foster critical thinking about practices witnessed during clinical experiences.

Situational Learning and Critical Reflection

• Situational learning emphasizes the ability to respond effectively within specific contexts, such as performing CPR under varying conditions.

• Educators must seize spontaneous teaching moments to create simulations that enhance situational learning.

Encouraging Critical Thinking in Residencies

• The term "reflexive" combines critical thinking with proactive suggestions; educators should encourage residents to question practices rather than merely replicate them.

• It’s essential for residency programs to cultivate independent judgment among learners instead of fostering a culture of blind imitation.

Understanding the Dynamics of Learning in Healthcare

The Role of Doubt in Medical Practice

• Continuous doubt can undermine patient confidence; if healthcare professionals are uncertain, patients may question their competence.

• Critical thinking often develops post-rotation, as residents encounter different scenarios and solutions to similar problems.

Observational Learning and Self-Critique

• There is a risk that pride in established practices may inhibit self-criticism, which is essential for improving work processes.

• Engaging with patients about their experiences can provide valuable insights into the quality of care being delivered.

Patient-Centered Care and Continuous Education

• Services may be proud of their practices while patients feel dissatisfied; this disconnect highlights the need for ongoing education focused on user-centered care.

• Feedback from patients should inform future educational cycles to ensure alignment between perceived quality and actual practice.

Bridging Theory and Daily Reality

• Maintaining a connection between educational theories and everyday healthcare realities is crucial, even when it presents challenges.

• Senge's concept of learning organizations emphasizes adaptability; no organization is perfect or automatically responsive to external changes.

Lessons from the Pandemic

• The pandemic demonstrated the necessity for health systems to function as open learning organizations capable of adapting quickly to new challenges.

• An organization’s ability to learn collectively is vital; merely having educational activities does not equate to being an open learning environment.

Challenges in Educational Integration

• Some institutions may appear closed off from learning despite conducting educational activities, limiting their capacity for growth.

• Historical examples illustrate how certain prestigious institutions have struggled to incorporate innovative thinkers due to rigid structures.

Practical Implications for Ongoing Education

• Permanent education should focus on real-world issues rather than traditional classroom settings; addressing practical problems enhances relevance.

• The effectiveness of any learning method depends on its origin—whether it arises from specific operational challenges within healthcare services.

Barriers to Knowledge Sharing

• Returning from training or exploration without support or interest from colleagues indicates a closed organizational culture towards learning.

• Experiences gained during external training must be valued by peers; otherwise, they risk becoming irrelevant within the workplace context.

Creating a Climate for New Knowledge

Importance of Learning Organizations

• The necessity to foster an environment that welcomes new knowledge is crucial for the future of institutions.

• Closed organizations signal their impending failure, while open ones prepare for uncertainty and explore future possibilities.

• Emphasizing educational processes can significantly contribute to the survival and improvement of institutions.

Integration of Research in Education

• Research should be viewed as part of the educational process, enhancing critical reading skills and understanding existing literature.

• Engaging in research not only produces new knowledge but also serves as a learning experience itself, allowing time allocation for research within residency programs.

Translational Research and Its Relevance

• The concept of translational research highlights the importance of translating findings into practical applications, addressing relevant issues faced by residents.

• Residents who engage in both teaching and research are likely to investigate pertinent problems, contributing valuable insights into emerging challenges like antibiotic resistance.

Promoting Continuous Education in Healthcare

Hospital School Concept

• The initiative promotes continuous education through redefined residency programs, emphasizing ongoing training and resident involvement in research.

• Upcoming events such as COS Sapro's annual meeting will focus on residents' contributions, showcasing an increase in submitted works.

Rethinking Residency Systems

• Efforts are underway to rethink the residency system in Buenos Aires with a focus on improving quality and warmth in patient care.

Exploring Themes in Health Work

Introduction to Key Topics

• Today's discussion will outline thematic areas related to health work roles across various settings.

Engagement with Participants

• Encouragement for participants to connect via video calls enhances engagement during discussions.

This structured summary captures key insights from the transcript while providing timestamps for easy reference.

Understanding the Role of Health Workers in Professional Socialization

The Importance of Recognition in Health Services

• The speaker emphasizes the need for recognition of health workers' roles, particularly their teaching functions, which often go unacknowledged despite being crucial for professional socialization.

• Highlighting the significance of informal training, it is noted that this process shapes professional identity and approaches to health production.

Dimensions of Health Work

• The discussion introduces three dimensions related to health work, suggesting they are interconnected aspects of a single concept rather than isolated entities.

• Reference is made to Brazilian authors who have contributed significantly to understanding community participation in health system reforms, showcasing effective models for integrating community input into healthcare practices.

Community Participation and Research

• The importance of community involvement in researching health system navigation is discussed, focusing on identifying patient needs and responses received from healthcare services.

Subjectivities in Healthcare

• A key dimension involves understanding subjectivities within healthcare—how both providers and patients contribute to care dynamics.

• The term "user" is critiqued; instead, emphasis is placed on viewing patients as active participants rather than passive recipients of care.

Power Dynamics in Health Systems

• Pierre Bourdieu's concept of "field" is introduced to describe the complex power dynamics within healthcare systems, highlighting ongoing conflicts over interests and resources.

• It’s noted that recognizing socio-historical conditions affecting healthcare delivery can empower workers to navigate these complexities effectively.

State Influence on Healthcare Delivery

• Current political contexts are examined; for instance, Argentina's national state presence has diminished regarding health rights guarantees while local policies may differ significantly.

• Emerson Mary’s distinction between producing health versus merely providing procedures raises critical questions about whether receiving care equates to resolving underlying issues faced by patients.

Implications for Patient Care

• There’s an exploration into how subjective experiences influence patient outcomes—whether interactions with healthcare professionals lead to genuine understanding or if patients remain viewed merely as clinical cases.

• Historical paradigms are critiqued for reducing patients to biological entities without acknowledging their broader social contexts and needs.

Understanding Health Planning in Argentina

The Legacy of Ramón Carrillo

• Ramón Carrillo is recognized as a foundational figure in health planning in Argentina, emphasizing the importance of historical and social determinants of health.

• Health is not limited to the healthcare sector; it encompasses living conditions, housing, basic services, and interpersonal relationships that shape individuals' well-being.

Conceptualizing Health

• A critical discussion point is the underlying conception of health among professionals, which often remains unarticulated amidst a focus on procedural responses.

• Effective reflection on health practices requires creating spaces for meaningful dialogue beyond mere information transmission during team meetings.

Team Dynamics and Reflection

• The lack of deliberative discussions in team settings hinders understanding daily challenges faced by healthcare workers.

• Central questions arise regarding how healthcare workers perceive their roles—whether as part of a collective or as independent professionals with specialized knowledge.

The Role of Collective Work

• Drawing from Marxist theory, the concept of "living labor" highlights the transformative potential inherent in collective work among healthcare professionals.

• Many workers may not fully recognize their capacity to influence change due to feelings of alienation within their roles.

Autonomy and Decision-Making

• Healthcare workers possess unique autonomy compared to those in more structured jobs, allowing them to make decisions based on individual patient needs.

• This autonomy emphasizes the significance of personal interactions with patients who present diverse complexities related to their health experiences.

Technologies and Communication in Health Care

• The discussion transitions towards technologies in health care, particularly focusing on "light technologies" that enhance communication and relational aspects within care models.

• Emphasizing relational dynamics suggests that effective healthcare delivery relies heavily on openness and adaptability among practitioners.

Discussion on Educational Roles and Reflection

Importance of Reflective Practice

• The speakers emphasize the significance of creating spaces for reflection amidst the fast-paced nature of health work, as highlighted by Mario's mention of "prácticos reflexivos."

• They acknowledge the dual role of health workers as educators, stressing the need to balance these responsibilities effectively.

Collective Construction in Education

• The aim is to foster a collective understanding of their roles as educators, allowing for shared experiences and insights.

• The discussion introduces Ana Quiroga’s concept of "matrices de formación," which refers to impactful experiences that shape educational practices.

Personal and Professional Development

• Reflecting on personal educational biographies helps identify ingrained practices that may need reevaluation or change.

• The speakers highlight how certain harmful practices have become normalized within educational settings, particularly in residency programs.

Understanding Learning Matrices

Impactful Experiences in Education

• Quiroga's matrices encompass both procedural knowledge and emotional aspects involved in teaching and learning.

Connection Between Work and Technology

• Laura connects the concepts of living work with health technologies, referencing Emersi’s contributions from Brazil’s health reform movement.

Core Concepts from Emersi's Work

Dual Framework: Professional vs. Caregiver Roles

• Emersi distinguishes between two essential components: the professional core (specific skills related to each discipline) and the caregiver core (transversal skills applicable across disciplines).

Relational Dynamics in Health Care

• The relational dimension emphasizes how healthcare professionals interact with patients, highlighting listening skills and interpersonal relationships as crucial elements.

Technological Aspects in Health Care

Types of Technologies Utilized

• Emersi categorizes technologies into three types: hard technologies (equipment), organizational structures, and management systems that influence healthcare delivery.

Practical Implications

• He discusses arriving at consultations equipped with a "technological briefcase," symbolizing the blend of tools and relational approaches necessary for effective care.

Organizing Healthcare: A Shift in Focus

Traditional Organization of Hospitals

• Historically, hospitals have been organized by services, focusing primarily on the needs of healthcare workers rather than patients.

• This service-centric model often requires patients to navigate multiple departments to address complex health issues.

Hard and Soft Technologies in Healthcare

• The discussion introduces "hard" and "soft" technologies; hard technologies refer to structured knowledge impacting health work processes, while soft technologies involve interpersonal skills like active listening.

• Soft technologies are crucial for building relationships with patients, emphasizing their autonomy and power during interactions.

Importance of Active Listening

• Effective communication is highlighted as essential; studies show that healthcare professionals spend only about 20 seconds listening before forming a preconception about a patient's issue.

• The need for deeper engagement is emphasized, questioning how to prioritize patient encounters over mere procedural responses.

Rethinking Clinical Practice

• The concept of clinical practice is expanded beyond traditional diagnosis and treatment; all healthcare workers contribute to clinical care through their interactions with patients.

• There’s an emphasis on evaluating the role of soft technologies within health systems—whether they lead or follow hard technologies in practice.

Addressing Health System Challenges

• A critique is presented regarding the focus on hard technologies (like medical equipment), which can lead to a reductionist view of health care.

• The conversation highlights the impact of mercantilism in healthcare, where more equipment does not equate to better health outcomes but may skew public perception.

Shifting Towards Patient-Centered Care

• Emphasis is placed on prioritizing patient experiences over institutional needs; this shift aims at integrating fragmented services into cohesive care models.

• The ongoing changes in provincial health systems aim to center attention on individuals seeking care rather than solely on healthcare teams.

Interprofessional Approaches to Health Issues

Modifying Healthcare Models

• The need to soften the structure of healthcare models is emphasized, allowing for a collaborative interprofessional response to health problems. This shift can help bridge theoretical concepts with practical applications in healthcare.

Power and Knowledge Redistribution

• The discussion highlights that implementing progressive care models involves redistributing power and knowledge within the healthcare system, which often incurs significant costs.

Reform Participation

• A call for reforms that include participation from workers and communities is made, contrasting top-down approaches that have historically led to negative outcomes, particularly during the 1990s privatization trends.

Cultural Change in Health

• Emphasizes that genuine cultural change in societal health requires educational models that foster inquiry rather than merely transmitting information or procedures.

Engaging Participants

• An invitation for comments or questions from participants indicates an openness to dialogue, suggesting a desire for engagement beyond just delivering content.

Interactive Learning Techniques

Utilizing Mentimeter Tool

• Introduction of a Mentimeter exercise where participants express their feelings about being health workers using three words; this activity aims to gather insights at the beginning and end of sessions.

Technical Challenges Acknowledged

• Participants are informed about potential technical issues due to high traffic on the platform as they join the session, encouraging patience during login difficulties.

Feedback Collection Process

• Assurance is given regarding follow-up emails for those who did not receive confirmation messages, indicating an organized approach to participant communication.

Reflection on Initial Class Experience

Key Themes Identified

• Words like responsibility, commitment, exhaustion, empathy, and vocation emerge prominently from participant responses in the Mentimeter exercise. These themes reflect common sentiments among health workers.

Future Engagement Plans

• Participants are encouraged to engage in a forum over the next two weeks where they will introduce themselves and share reflections on their experiences from this initial meeting.

Resources Availability

• Information about upcoming resources such as recorded classes and required readings is shared with participants as part of ongoing learning support.

Meeting Summary and Next Steps

Closing Remarks and Future Engagement

• The speaker expresses gratitude for the attendees' presence, indicating a positive conclusion to the meeting.

• Attendees are encouraged to explore the classroom environment, suggesting an interactive approach to learning.

• Videos will be available for attendees to watch, providing additional resources for understanding course content.

• Information about tutors will be shared, allowing participants to familiarize themselves with their support system.

• Participants are invited to voice any concerns or questions they may have, emphasizing open communication.