A Comissão de Práticas Integrativas e Complementares (CPIC) da Secretaria Municipal de Saúde de Florianópolis (SMS), criada pela Portaria GAB/SMS nº 047 de 2010 e regulamentada pela Instrução Normativa 004/2010, promove e apoia as Práticas Integrativas e Complementares em Saúde (PICS) no sistema público de saúde por meio de cursos introdutórios voltados a trabalhadores da saúde e residentes.
Anualmente, é oferecido um estágio curricular em PICS para quatro programas de residência: Residência Multiprofissional em Saúde da Família, Residência Médica em Medicina de Família e Comunidade, Residência de Enfermagem em Atenção Primária (SMS) e Residência Multiprofissional em Saúde da Família da UFSC. Cerca de 120 residentes de diferentes áreas (medicina, enfermagem, educação física, nutrição, odontologia, farmácia, fisioterapia, psicologia e serviço social) participam do estágio obrigatório.
Com carga horária de 50 horas, o estágio é realizado em parceria com a UFSC, EPAGRI e Secretaria do Meio Ambiente, contando com cerca de 30 instrutores especializados. O programa busca ampliar a educação interdisciplinar, estimular reflexão crítica sobre racionalidades médicas em PICS e promover compreensão integral do processo saúde-doença.
O estágio capacita os residentes no uso seguro de plantas medicinais, incluindo aspectos farmacológicos, botânicos, ecológicos e agronômicos, e incentiva o cultivo de Plantas Alimentícias Não Convencionais (PANCs) como estratégia de segurança alimentar. Também aborda gestão de resíduos sólidos, mitigação de impactos climáticos e pesquisa científica aplicada à saúde pública, promovendo projetos intersetoriais e redes colaborativas alinhadas aos princípios da saúde planetária.
Em 2025, o estágio foi estruturado em dois blocos:
Bloco 1 – Práticas Integrativas e Complementares (PICS): Meditação, práticas corporais, dança circular, Lian Gong, Qi Gong, Terapia Comunitária Integrativa, Aromaterapia, métodos de extração, Auriculoterapia, introdução à Cannabis medicinal e fitoterapia, com foco em plantas medicinais utilizadas pela população de Florianópolis.
Bloco 2 – Agricultura Urbana e Saúde Planetária: Caminhadas terapêuticas, jardinagem, cultivo em estufas, técnicas de propagação de plantas, manejo de canteiros, agricultura sintrópica, oficinas de culinária com PANCs e compostagem de resíduos orgânicos.
O estágio enfatiza a colaboração entre redes institucionais e a construção de sinergia em políticas públicas de educação em saúde.
O estágio atende à lacuna de conteúdo sobre PICS, Saúde Planetária e Agricultura Urbana na formação de profissionais de Saúde da Família, além da oferta limitada desses serviços na rede SUS, restringindo o acesso público a essas abordagens terapêuticas.
Bloco PICS: 48 respostas;
85,5% classificaram a experiência geral como “Excelente” ou “Satisfatória”;
84,95% avaliaram a relevância dos temas como “Excelente” ou “Satisfatória”;
84,26% avaliaram a atuação dos instrutores como “Excelente” ou “Satisfatória”.
Bloco Agricultura Urbana e Saúde Planetária: 31 respostas;
100% classificaram a experiência geral como “Excelente” ou “Satisfatória”;
96,37% avaliaram a relevância dos temas como “Excelente” ou “Satisfatória”;
99,19% avaliaram a atuação dos instrutores como “Excelente” ou “Satisfatória”.
Disponibilidade de espaços adequados para práticas corporais e dinâmicas de grupo;
Liberação de instrutores de suas atividades diárias, especialmente devido à escassez de profissionais qualificados;
Limitações financeiras para contratação de especialistas externos e aquisição de materiais;
Adaptação de residentes a conteúdos de racionalidades não hegemônicas e superação de estigmas em relação a práticas integrativas.
The Commission for Integrative and Complementary Practices (CPIC) of the Municipal Health Department of Florianópolis (SMS), established by Ordinance GAB/SMS No. 047 of 2010 and made permanent by Normative Instruction 004/2010, promotes and supports Integrative and Complementary Health Practices (PICS) within the public health system through introductory courses offered to health workers and residents.
Each year, a curricular internship in PICS is offered to four health residency programs: the Multidisciplinary Residency in Family Health, the Family and Community Medicine Residency, the Uniprofessional Nursing Residency in Primary Health Care (both from the SMS Public Health School), and the Multidisciplinary Residency in Family Health from the Federal University of Santa Catarina (UFSC). Approximately 120 residents—including physicians, nurses, physical education professionals, nutritionists, dentists, pharmacists, physical therapists, psychologists, and social workers—complete this mandatory internship as part of their training curriculum.
With a 50-hour workload, the internship is conducted in partnership with UFSC, the Agricultural Research and Rural Extension Company of Santa Catarina (EPAGRI), and the Environmental Secretariat. A diverse group of professionals with specific expertise, including coordinators from the four residency programs and CPIC members, participate in delivering the internship, mobilizing around 30 instructors with a shared commitment to making the internship a unique and transformative health education experience.
The internship aims to provide a broadened and interdisciplinary education for health professionals, encourage critical reflection on medical rationalities in PICS, and promote a comprehensive understanding of the health-disease process. Residents have the opportunity to experience a variety of practices while also gaining essential theoretical knowledge to support such care.
The program seeks to equip participants with the tools for the safe and effective use of medicinal and herbal plants, including pharmacological, botanical, ecological, and agronomic aspects, with an emphasis on species most commonly used by the local population. It also aims to promote the cultivation and use of Unconventional Food Plants (PANCs) as a strategy for food and nutritional security, encouraging sustainable practices in home, community, and institutional gardens. The training fosters the development of intersectoral projects, the strengthening of collaborative networks, and an understanding of the socio-environmental determinants of health, aligning with the principles of planetary health. Additional topics include solid waste management, mitigation of climate change impacts, and encouragement of scientific research to develop innovative and sustainable alternatives within Brazil’s Unified Health System (SUS).
In 2025, the internship was restructured into two blocks:
Block 1 – Integrative and Complementary Practices (PICS)
Block 2 – Urban Agriculture and Planetary Health
The first block included both theoretical and practical sessions, with hands-on experiences in practices such as Meditation, Body Practices, Circle Dance, Lian Gong, Qi Gong, Integrative Community Therapy, Aromatherapy, Extraction Methods, Auriculotherapy, Introduction to Medicinal Cannabis, and Introduction to Herbal Medicine—featuring medicinal plants and herbal remedies with a focus on those most commonly used by the Florianópolis population.
In the second block, residents explored the therapeutic potential of activities like park walks, gardening, and working in greenhouses and cultivation spaces. They learned plant propagation techniques, bed management, and methods of syntropic agriculture, and participated in workshops on PANC-based cooking and composting of organic waste.
This internship approach emphasizes collaboration across institutional networks, aiming for synergy through coordinated actions within public health education policies.
The internship serves as a training strategy to address the lack of content on PICS, Planetary Health, and Urban Agriculture in the education of Family Health professionals, as well as the limited availability of these practices within SUS services, which restricts public access to such therapeutic approaches.
At the end of the 2025 internship, residents received evaluation forms for both blocks. The forms included questions on self-assessment, structure and organization, relevance of topics, and performance of the instructors, with response options being “Excellent,” “Satisfactory,” “Fair,” “Poor,” or “Not Applicable,” as well as space for comments, criticism, and suggestions.
For the PICS block, 48 responses were received. Of those:
85.5% rated the overall internship experience as “Excellent” or “Satisfactory”;
84.95% rated the topic relevance as “Excellent” or “Satisfactory”;
84.26% rated instructor performance as “Excellent” or “Satisfactory.”
For the Urban Agriculture and Planetary Health block, 31 responses were received, with:
100% rating the overall experience as “Excellent” or “Satisfactory”;
96.37% rating the topic relevance as “Excellent” or “Satisfactory”;
99.19% rating instructor performance as “Excellent” or “Satisfactory.”
Implementing the internship presented several challenges that required ongoing adaptation by the organizing team and the residents. One key issue was the availability of suitable rooms, as institutional scheduling and infrastructure did not always meet the specific requirements of proposed activities—particularly for movement-based practices like bodywork and circle dancing.
Another challenge was securing the release of instructors from their daily duties, especially given workforce shortages and the limited number of professionals within the municipal network trained in PICS, Urban Agriculture, and Planetary Health. This was further complicated by financial constraints, which limited the ability to compensate external specialists and to purchase materials or expand practical experiences—necessitating creativity and resourcefulness.
Additionally, incorporating content from non-hegemonic health rationalities proved difficult for residents with little practical exposure or whose professional education was predominantly grounded in biomedical paradigms. This led to questions about scientific legitimacy, often influenced by stigma and bias against alternative medical frameworks.
