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Caro(a) Leitor(a), O II Congresso Médico de Fernandópolis (II COMFER) da Universidade Brasil - Campus Fernandópolis, realizado nos dias 28 a 30 de outubro de 2021, mostrou-se um sucesso. Contamos com a participação de 9 profissionais médicos, que transmitiram através de palestras, um conhecimento de alta qualidade para os participantes. Neste ano, com o intuito de continuar levando conhecimento técnico e científico para acadêmicos e profissionais de diversas áreas da saúde, o evento propôs uma experiência diferente, de forma online, prezando a segurança de todos devido a pandemia da COVID19. Contamos com palestrantes egressos do Curso de Medicina de Fernandópolis, convidados de várias especialidades médicas, oriundos de outras instituições tais como: Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP); Universidade Camilo Castelo Branco (UNICASTELO); Faculdade de Medicina de São José do Rio Preto (FAMERP); Faculdade de Medicina da Universidade de São Paulo (FMUSP); Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (FMRP-USP); Pontifícia Universidade Católica de Goiás (PUC-GO); Universidade Federal de São Paulo – Escola Paulista de Medicina (UNIFESP-EPM) e Faculdade de Medicina de Catanduva (FAMECA). O evento contou com a presença de 240 congressistas, entre eles, alunos do Curso de Medicina da Universidade Brasil em Fernandópolis e outras instituições de ensino do Brasil; médicos residentes na cidade de Fernandópolis e médicos residentes na região. Com inovação e tecnologia, neste ano abrimos a oportunidade à vários profissionais da saúde do Brasil e de outras áreas como o Direito Médico, a fim de acompanhar o congresso e submeter trabalhos científicos que tivessem uma temática em consonância à medicina. Contamos com 65 painéis submetidos nas modalidades: Pesquisa Científica, Caso Clínico, Revisão de Literatura e Projeto de Extensão Universitária. Dentre as submissões, foram escolhidos os 10 melhores para apresentação oral, realizada no dia 30 de outubro. Diante do sucesso alcançado, gostaríamos de agradecer a todos os envolvidos na realização deste evento. Nossos sinceros agradecimentos aos 18 membros da Comissão Organizadora, dentre discentes e docentes que com muito empenho puderam realizar este evento que só tende a abrilhantar o Curso de Medicina da Universidade Brasil (UB), sempre com o intuito de levar conhecimento e vivência na área da saúde. Muito obrigado a UB e a IFMSA BRAZIL – UB pelo apoio para realização do II COMFER. Em 2022 estaremos de volta! Vinicius Paiva Gontijo / Presidente Discente do II COMFER - II Congresso Médico de Fernandópolis - 2021 Curso de Medicina da Universidade Brasil – Campus Fernandópolis

Objetivo: Verificar correlação entre educação sexual efetiva e diminuição da gravidez indesejada e contágio de doenças sexualmente transmissí­veis (DST). Método: Estudo descritivo, quantitativo, levantamento, exploratório. Amostra de 356 mulheres, alfabetizadas, com idade igual ou superior a 18 anos. Dados coletados por questionário fí­sico ou virtual em 2019. Análise exploratória dos dados e comparativa entre grupos. Resultados: Sem relação significante entre exposição dos assuntos sobre educação sexual e diminuição de gravidez indesejada e prevenção de DST. Conclusão: O estudo possibilitou entender como a discussão sobre educação sexual é apresentada í s mulheres e impacta em suas escolhas pessoais. Uma abordagem rasa ou não questionadora não impede a gravidez indesejada ou redução de DST, dado que isso relaciona-se com questões comportamentais. É de suma importância que o conhecimento esteja como uma ferramenta de emancipação, sendo as escolhas conscientes e de poder da própria mulher a fim de permitir o questionamento de padrões impostos.

SUMMARY OBJECTIVES: The transition from face-to-face to remote teaching is yet to be fully understood. In clinical training, traditional teaching must prevail because it is essential for the acquisition of skills and professionalism. However, the responses of each school to the pandemic and the decision on when to resume clerkship rotations were mixed. In this study, we aimed to analyze whether the time to resume clerkship rotations was associated with the performance of the students by using a multi-institutional Progress Test. METHODS: This is a cross-sectional study conducted at nine different Brazilian medical schools that administer the same annual Progress Test for all students. We included information from 1,470 clerkship medical students and analyzed the time of clinical training interruption as the independent variable and the student’s scores as the dependent variable. RESULTS: The comparisons of the students’ scores between the schools showed that there are differences; however, they cannot be attributed to the time the clerkship rotations were paused. The correlation between the schools’ average scores and the time to resume clerkship rotations was not significant for the fifth year (r= -0.298, p=0.436) and for the sixth year (r= -0.440, p=0.240). By using a cubic regression model, the time to resume clerkship rotations could explain 3.4% of the 5-year students’ scores (p

The current technological configuration added to the present social demands in health make it necessary to review the teaching-learning methodologies applied during the graduation of the medical professional. Those necessities are addressed by the National Curricular Guidelines, which preconize the adoption of methodologies that stimulate the student's autonomy and put the faculty in compliance with the current situation. To obtain a panorama about the medical students’ perception in a college of a inland city of the São Paulo state in relation to the Active Teaching-LearningMethodologies (ATLM) this cross-sectional, descriptive-exploratory, quantitative analysis was carried out where the participants were students of the Medical School of São José do Rio Preto - FAMERP in 2017. Through a mixed questionnaire, that is, with open and closed questions, data were collected necessary to reach the objective. A total of 364 students participated, of whom 70.9% agreed they would like to use ATLM more often. Regarding the role of the student: 80.7% agreed that ATLM stimulate the study; 73.3% agreed that group activities support learning; 44.2% disagreed that students are not prepared for ATLM due to lack of maturity and 51.1% agreed that they are unprepared to use ATLM for being accustomed to traditional teaching methods. Data show that, even though they do not attend classes with ATLM frequently, the students can be very interested in execute them. Emphasis is given to his intense perception of learning in these moments. The student profile that compares with the ATLM is the one that knows them, that is, those who have had contact with such methodologies want to use them more frequently. In addition, students consider that the teachers’ role should be that of a learning facilitator, who guides the studies so that the academic goals are achieved.

Introduction: Almost 20 years since the beginning of affirmative action implementation, there is still much discussion about the real effectiveness of these measures, especially regarding academic performance, comparing “quota holders” to “non-quota holders”, with doubts arising about whether the former can keep up with the latter. Objective: To establish a profile and compare the academic performance and other aspects related to the academic life of “quota holder” students (Inclusion Program with Merit in Public Higher Education in São Paulo - PIMESP) with the other students in their respective classes selected via broad competition (BC). Method: Retrospective cohort of 1st to 3rd-year medical students, divided in BC or PIMESP. The following were assessed: arithmetic mean of the final grades of the curricular subjects; final approval status (FAS) in the subjects; frequency; books borrowed from the library (BBLi) and participation in monitoring/academic center. Continuous variables were compared by Student’s t-test or Mann-Whitney test and categorical by chi-square or Fisher’s exact test. Values p < 0.05 were considered significant. Results: Of the 237 students included in the sample, all had completed the 1st year (2015, 2016 and 2017 entrants), 158 students (2015 and 2016 entrants) the 1st and 2nd years, and 78 (32.9%) had completed the 3rd year (2015 entrants) at the time of the survey. In the analysis of all those who had completed the 1st year, where 16% were PIMESP, there was a difference in mean final grades and FAS, higher for BC students and no difference for attendance, BBLi, participation in monitoring and academic center. In the analysis of those who had completed the 2nd year, where 15.8% were PIMESP, there was no difference between any of the studied variables. The analysis of those who had completed the 3rd year, where 15.4% were PIMESP, once again showed difference between the averages of final grades and FAS, higher for BC students, but with a less marked difference, and there were no significant differences for the other variables. Conclusion: We observed a fluctuation of academic performance among PIMESP students, towards inferior outcomes, when compared to BC students, throughout the first three years of medical school, but not for other variables. No increase in the dropout rate was observed, contrary to what is found in the literature.

The subjects areas of Cellular Biology and Histology, which underpin the microscopic field of Morphology and are included in the first years of the curriculum in a Medical course, are the pillars of medical education and for the clinical reasoning of future professionals. This study aimed to trace a teaching profile of Cellular Biology and Histology in the Medical courses which had participants in the selection process to fill vacancies by transfer, for the undergraduate course in the Medical School of São José do Rio Preto (FAMERP) in 2017. This was a quantitative and qualitative cross-sectional study and 132 academics participated. The results showed that, in most Higher Education Institutions, these disciplines are taught theoretically and practically. In the comparison between the theoretical performance of the students of traditional and active teaching-learning methodology, a higher number of hits in Histology and a better final grade were observed in the traditional. The deficiency pointed out by the students was a lack of laboratory sessions with viewing histological glass slides with light microscopes. Also, the aspect of teachers’ pedagogical practice and dynamic classes was shown to be fundamental to the students' interest, as well as to better satisfaction’s index in learning these areas. Furthermore, integrating these disciplines with the clinical practice of Medicine has proved to be relevant for academics, who feel more instigated to knowledge. In the present study, it was detected a better use in relation to the Histology by the students of the courses of traditional methodology, compared to those of active methodology and in this way the analysis done can to collaborate for the enrichment and reaffirmation of the fruits of the comparison of teaching-learning methodologies.

Resumo A maioria dos atuais graduandos nasceu entre 1982 e 2000. Trata-se dos chamados “millennials”, e essa geração espera que a educação integre a tecnologia. Com isso, este estudo, transversal e descritivo-exploratório, propõe-se a conhecer a relação de estudantes de medicina do ciclo básico com as tecnologias interativas da web – as quais podem melhorar o ensino –, visando fornecer informações para implementá-las com mais eficiência no meio acadêmico. Os resultados evidenciam que os alunos utilizam ferramentas da internet, mas com pouca diversidade, sendo as plataformas mais usadas o Google Docs, Facebook, YouTube e Dropbox. O artigo conclui que é necessário promover o contato com a tecnologia na educação médica a fim de preparar os alunos para enfrentar futuros desafios profissionais. Abstract Currently, most undergraduate students are individuals born between 1982 and 2000, the so-called millennials, a generation that expects the integration of technology in education. Thus, this cross-sectional and descriptive-exploratory study proposes to understand the relationship of medical students with web-based technologies, which can improve learning, to implement them more efficiently in the academic environment. The results show that undergraduate medical students use these technologies, but with little diversity in services, being the most common Google Docs, Facebook, YouTube and Dropbox. We emphasize the need to expose students to technologies in medical education to overcome technological challenges faced by future physicians. Resumen La mayoría de los estudiantes de grado actuales nacieron entre 1982 y 2000. Son los llamados “millenials”, generación que espera que la educación integre la tecnología. Este estudio descriptivo transversal y exploratorio se propone comprender la relación de los estudiantes de medicina del ciclo básico con las tecnologías interactivas de la web –que pueden mejorar la docencia–, con el objetivo de brindar información para implementarlas de manera más eficiente en el entorno académico. Los resultados muestran que los estudiantes utilizan herramientas de Internet, pero con poca diversidad, siendo las plataformas más utilizadas Google Docs, Facebook, YouTube y Dropbox. El artículo concluye que es necesario promover el contacto con la tecnología en la educación médica con el fin de preparar a los estudiantes para enfrentar los desafíos profesionales futuros.

In medical education, the team-based learning method (TBL) is a teaching strategy used to intensify interactive learning in small groups, in which the student is given the role of evaluating his/her peers - peer assessment (PA). To investigate the interference of the students' interpersonal relationships in awarding their peers grades (''halo effect''). A qualitative and quantitative retrospective study. The study participants were 78 first-year medical students, divided into 17 teams for the TBL. The final grade of the PA for each member was calculated by the average of the grades received from their peers. Results: The comparison between the average of the evaluations in the TBL method (MTBLs) and the PA showed that 17.64% of the teams showed a significant difference between the grades, thus having the “halo effect”. In the qualitative analysis, the “halo effect” was evidenced in only one of these teams. Although many studies corroborate the idea that using PA in the formative assessment is appropriate, advancing in the use of PA in the summative assessment is necessary, integrating it into the institution's evaluation system. Data presented here can help in continuing its use and in increasing its reliability.

Peer-assisted learning (PAL), good old monitoring, has been used in medical schools and shown good results in professional development and in developing communication skills among students. This method provides mutual benefits for both monitors/near-peer teachers - NPT and monitored students; however, little is still known about the NPT’ perception about peer-assisted learning. To evaluate the real motivation of students to become NPT, and to investigate how NPT qualify their own teaching activities – such as productivity, performance and difficulties faced – seems to be a crucial step for implementing PAL in medical schools. The research instrument, a semi-structured questionnaire with 11 closed questions and 3 questions that allowed the answer “other” and further explanation, was answered by 26 medical students, NPT of basic disciplines. The results showed a positive effect of PAL on the teaching-learning process, and the real reasons of students to become NPT and the positive impacts of PAL on their academic life. The identification of these potential benefits should encourage medical schools to promote training so students can perform their role as NPT since PAL aids in the development of their clinical and pedagogical skills.

Information and communication technologies (ICT) have been proven beneficial in teaching of health sciences courses. Combined e-learning strategies with face-to-face activities, among others, are defining characteristics of a new learning perspective called blended learning methods. The paucity of data to confirm the benefits of online forms of learning, in isolation or as a part of a blended learning method, indicates that more studies are still required to assess their influence on the teaching-learning process. This study measured knowledge gained using face-to-face (FtFA) and distance educational on virtual learning environments (DA-VLE) strategies in health sciences. For two consecutive years, FtFA and DA-VLE education strategies were used in a discipline of specialization graduate course, each discussing two topics. The knowledge gained using each strategy was assessed for each topic using a pre (PT) and post-test (PoT). The performance frequency (PF) of participants was categorized based on the number of correct answers in each assessed. The PF frequency increased between the PA and PoT in both strategies (FtFA and - DA-VLE), although higher scores were observed in DA-VLE strategies when compared to FtFA strategies. These data indicate that such strategies, within this context, are vital, and can bring benefits to the teaching-learning process in combination.

INTRODUÇÃO: A concentração de cães e gatos em áreas urbanas, associada a um número cada vez mais crescente da população errante desses animais, tem um papel epidemiológico importante na contaminação de solos de praças e parques públicos e na disseminação de infecções por variados gêneros de parasitas. O objetivo do presente estudo foi determinar a frequência de geo-helmintos com potencial zoonótico em solo de praças públicas e escolas municipais infantis da Cidade de Fernandópolis, Estado de São Paulo, Brasil, no período compreendido entre março de 2007 e fevereiro de 2008. MÉTODOS: Foram avaliadas todas as praças (32) e escolas (13) da cidade. As amostras foram testadas pelos métodos de Rugai adaptado, Willis e Caldwell e Caldwell. RESULTADOS: Foram avaliadas 225 amostras de solo com 30,2% (68) de positividade. Nas amostras provenientes de praças públicas, a positividade foi de 40% (64), ao passo que, nas escolas, foi de apenas 6,1% (6). Os ovos de parasitas encontrados foram Toxocara spp. 79,3% (47), Trichuris spp. 13,8% (8) e ancilostomídeos 6,9% (4). Variáveis relacionadas ao local, como o número de cães (OR 21,18 - IC95%: 10,81-41,51), de espécimes de fezes (OR 6,87 - IC95%: 3,51-13,47) e a utilização de cerca (OR 0,1 - IC95%: 0,05-0,20) tiveram impacto na contaminação do solo. CONCLUSÕES: Foram observados, nas amostras contaminadas, parasitas com potencial zoonótico, entre os quais estão os agentes etiológicos de doenças como a larva migrans visceral e cutânea, fato que representa risco a saúde da população que frequenta tais ambientes. INTRODUCTION: The concentration of dogs and cats in urban areas, associated with an ever-increasing wandering population of these animals, has an important epidemiological role in the soil contamination of public spaces and the spread of infections of several types of parasites. This study aimed to determine the frequency of soil-transmitted helminths with zoonotic potential in public squares and municipal primary schools in Fernandópolis, State of São Paulo, Brazil, conducted between 2007 and 2008. METHODS: All the squares (32) and schools (13) in the town were evaluated. Soil samples were tested using the Rugai method modified by Willis, Caldwell and Caldwell. RESULTS: A total of 225 soil samples were evaluated and 30.2% (68) were positive for helminths. In samples from public squares, 40% (64) contamination was observed; however, contamination in schools was only 6.1% (6). The parasites eggs identified were Toxocara spp. 79.3% (47), Trichuris spp. 13.8% (8) and Ancylostomatidae 6.9% (4). Variables related to the site, such as the number of dogs (OR 21.18, 10.81 - 41.51), fecal samples (OR 6.87, 3.51 - 13.47) and the use of fences (OR 0.1, 0.05 - 0.20), had an impact on soil contamination. CONCLUSIONS: In the contaminated samples, parasites with zoonotic potential were identified, including the etiologic agents of diseases like cutaneous and visceral larva migrans, a fact that poses a risk to health of the population that frequent such environments.

The concentration of dogs and cats in urban areas, associated with an ever-increasing wandering population of these animals, has an important epidemiological role in the soil contamination of public spaces and the spread of infections of several types of parasites. This study aimed to determine the frequency of soil-transmitted helminths with zoonotic potential in public squares and municipal primary schools in Fernandópolis, State of São Paulo, Brazil, conducted between 2007 and 2008.All the squares (32) and schools (13) in the town were evaluated. Soil samples were tested using the Rugai method modified by Willis, Caldwell and Caldwell.A total of 225 soil samples were evaluated and 30.2% (68) were positive for helminths. In samples from public squares, 40% (64) contamination was observed; however, contamination in schools was only 6.1% (6). The parasites eggs identified were Toxocara spp. 79.3% (47), Trichuris spp. 13.8% (8) and Ancylostomatidae 6.9% (4). Variables related to the site, such as the number of dogs (OR 21.18, 10.81 - 41.51), fecal samples (OR 6.87, 3.51 - 13.47) and the use of fences (OR 0.1, 0.05 - 0.20), had an impact on soil contamination.In the contaminated samples, parasites with zoonotic potential were identified, including the etiologic agents of diseases like cutaneous and visceral larva migrans, a fact that poses a risk to health of the population that frequent such environments.

Polyacrylamide gel electrophoresis was used to analyze esterase patterns during development of Aedes aegypti from the cities of Marilia and Sao Jose do Rio Preto (SJRP), Brazil. The zymograms showed a total of 23 esterase bands, 22 of which were in the specimens from Marilia and 19 in those from SJRP. These esterase bands were considered to be the product of 23 alleles distributed tentatively in eight genetic loci. Most of the alleles were developmentally regulated. The larval stage expressed the greatest number of them (19 alleles, from the eight loci, in Marilia; and 17 alleles, from seven loci, in SJRP). The pupal stage expressed 10 alleles from seven loci, in both populations, and the adult stage expressed 8 alleles from five and six loci in SJRP and Marilia, respectively. Some alleles that were active in every stage were developmentally controlled at the level of expression (amount of product). A single allele was constitutively and highly expressed, in larvae, pupae, and adults, in both populations. Differences in esterase synthesis among stages are probably due to regulatory mechanisms acting in agreement with the requirements of a variable number of processes in which esterases are involved. The larval stage is the most active in developmental processes and shows very intense intake of food and very high mobility. These features may demand increased esterase production at that stage. Comparison of the two populations examined showed (besides the existence of alleles that they do not share) that they exhibit differences in the control of expression of other alleles. Such findings may reflect genetic differences between founders in each population, but the possibility of involvement of the intensive use of insecticides in SJRP is also discussed.

Background Toxocariasis is a worldwide helminthic zoonosis caused by infection with the larvae of the ascarid worms that comprise the Toxocara spp. Children are particularly prone to infection because they are exposed to the eggs in sandboxes and playgrounds contaminated with dog and cat feces. Certain behaviors, such as a geophagy habit, poor personal hygiene, a lack of parental supervision, close contact with young dogs, and ingestion of raw meat, as well as gender, age, and socioeconomic status, affect the prevalence of the disease. However, previous studies of the risk factors for toxocariasis have generally produced inconsistent results. An epidemiological cross-sectional study was conducted to evaluate the seroprevalence of IgG anti-Toxocara spp. antibodies and associated factors in schoolchildren from a region in the southeast of Brazil. Methodology/Principal Findings A total of 252 schoolchildren aged 1 to 12 years (120 males and 132 females) were assessed. An enzyme-linked immunosorbent assay based on Toxocara canis larval excretory-secretory antigens was used to determine outcomes. A questionnaire was used to collect information on children, family, and home characteristics. Clinical and laboratory data completed the dataset investigated in this study. Seroprevalence was 15.5% (95%CI 11.5–19.8). Geophagy (aPR 2.38 [95%CI 1.36–4.18], p-value 0.029) and the habit of hand washing before meals (aPR 0.04 [95%CI 0.01–0.11], p-value ≤0.001) were factors associated with increased and decreased seroprevalence, respectively. The income factor and its related variables lost statistical significance after adjustment with a multiple Poisson regression model. Conclusions/Significance The current study confirms that toxocariasis is a public health problem in the evaluated area; modifiable factors such as soil contact and personal hygiene appear to have a greater influence on the acquisition of infection than sociodemographic attributes, thus representing direct targets for disease prevention and control., Author Summary Human toxocariasis is a neglected parasitic infection occurring in Brazil and worldwide. The combination of the close proximity of canines and felines to humans, environmental contamination by infectious forms of the parasite and neglect by public health officials provides a favorable situation for the spread of this zoonosis, which primarily affects pediatric populations. An epidemiological study in an area of known parasitic soil contamination was conducted to evaluate the impact of this disease and the factors that influence its occurrence. A sample of 1- to 12-year-old children was obtained with random selection of schools, classrooms and schoolchildren. A questionnaire was used to collect socioeconomic and behavioral information, laboratory tests determined the presence of antibodies against Toxocara spp. parasites and a medical evaluation noted clinical features of the disease. The study found that antibodies is present in more than 15% of subjects and can be in as many as 30% depending on individual characteristics. The analysis also indicated that behaviors that increase soil ingestion, such as nail biting, eating dirt or poor personal hygiene, contribute to increased frequency of the disease and may be even more important than the socioeconomic status of individuals. These behaviors therefore represent real and simple targets for the control of this neglected tropical disease.

RESUMO Embora não seja obrigatória, a residência médica faz parte do processo de ensino e da formação dos médicos e é considerada padrão ouro na modalidade de ensino de pós-graduação lato sensu. Entretanto, o número de vagas para residência médica não acompanhou a expansão dos cursos de graduação em Medicina, gerando uma intensa disputa por uma vaga nos cursos de residência, o que fez proliferar os cursos preparatórios para os exames de residência (CP). A evasão do interno de Medicina de suas atividades acadêmicas para se dedicar às atividades dos cursinhos preparatórios para os exames de residência médica preocupa os docentes. Este estudo tem por objetivo traçar um perfil no internato da Faculdade de Medicina de São José do Rio Preto (Famerp) sobre a adesão dos internos aos CP. Os resultados apontam que a imensa maioria dos 297 alunos pesquisados pretende fazer residência médica e que apenas 27 alunos (84,4%) dos 32 que consideravam o curso de preparação necessário, mas não dispunham de recursos financeiros para frequentá-los. Os entrevistados afirmaram que a maior qualidade dos cursos preparatórios reside na didática das aulas e que a maior desvantagem destes é a dissociação entre conteúdo teórico e prático, também vivida no internato. Concluímos que a percepção dos internos e acadêmicos de Medicina é bem definida quanto aos cursinhos preparatórios para residência médica. Apesar de aderirem à prática destes cursinhos, sabem que há uma dicotomia entre a teoria e a prática oferecida no internato, o que prejudica a formação profissional. A grande maioria dos acadêmicos pesquisados pretende fazer a residência médica após o internato, dando continuidade aos estudos e ao aprendizado. Por outro lado, a atual conjuntura do mercado de trabalho na área da medicina, marcada por uma concorrência acirrada, e as exigências constantes de atualização e aperfeiçoamento levam os acadêmicos a verem na residência o único caminho natural após o internato e ainda uma alternativa para sanar as possíveis deficiências do internato. Mudanças na graduação sugeridas pelos pesquisados, como melhor didática em aulas da graduação e a abordagem de conteúdo teórico durante o internato, refletem a deficiência da graduação e do internato, a qual pode ser sanada com uma postura mais assertiva de professores e preceptores. ABSTRACT Although not compulsory, medical residency is part through the physicians’ teaching and training process. It is considered the gold standard in the teaching modality of Lato Sensu Graduate Programs. However, the number of residency positions available has not kept pace with the expansion of medical undergraduate courses, resulting in high levels of competition for medical residency vacancies, and a proliferation of preparatory courses (PC) offering supervised postgraduate training. The evasion of clerkship students from their academic activities to take prep courses in order to apply for a residency position is a cause for concern among teachers. This study outlines a profile in the São José do Rio Preto (Famerp) School of Medicine internship programme regarding medical interns’ adherence to prep courses. The results indicate that the vast majority of the study sample (297 students) intended to apply for a medical residency program. Only 27 (84.4%) out of the 32 students, despite considering the prep course necessary, did not have the financial resources to attend these courses. The interviewees pointed out that the higher quality of prep courses is due to the didactics of the classes, but that the main disadvantage of these classes is the dissociation between the theoretical and practical content, also experienced during the internship. We conclude that the perceptions of the interns and medical students is well defined in relation to prep courses to get into a medical residency. Although they adhere to the practice of these courses, they know that there is a dichotomy between the theory and the practice that is offered in the internship, and that this hinders their professional training. The vast majority of the study sample intended to apply for the medical residency program after the internship, continuing their studies and learning. On the other hand, the current environment of the job market in the field of medicine, marked by fierce competition and constant requirements to update and improve, is leading students to view the medical residency as the only natural way to continue after the internship. They also see it as a way of making up for any shortfalls of the internship program. Changes in undergraduate courses, such as a better class didactics and the approach to theoretical content during the internship, reflect the deficiency of undergraduate courses and the internship program, but which can be remedied with a more assertive attitude on the part of teachers and preceptors.