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Introduction: Planetary health (PH) has emerged as a leading field for raising awareness, debating, and finding solutions for the health impacts of human-caused disruptions to Earth's natural systems. PH education addresses essential questions of how humanity inhabits Earth, and how humans affect, and are affected by, natural systems. A pilot massive open online course (MOOC) in PH was created in Brazil in 2020. This MOOC capitalized on the global online pivot, to make the course accessible to a broader audience. This study describes the process of course creation and development and assesses the impact evaluation data and student outcomes of the PH MOOC.Methods: The PH MOOC pilot was launched in Brazilian Portuguese, using the TelessaúdeRS-UFRGS platform on 4/27/2020 and concluded on 7/19/2020 with a total load of 80 h. It was composed of 8 content modules, pre and post-test, 10 topics in a forum discussion, and an optional action plan. This study analyzes the course database, profile of participants, answers to questionnaires, forum interaction, and action plans submitted.Results: Two thousand seven hundred seventy-seven participants enrolled in the course, of which 1,237 (44.54%) gave informed consent for this study. Of the 1,237 participants who agreed to participate in the research, 614 (49.8%) completed the course, and 569 (92.67%) were accredited by TelessaúdeRS-UFRGS. The majority of the participants were concerned with climate change, trained in the health area, and worked in primary health care in places that lacked ongoing sustainability programs. Two hundred forty-one action plans were submitted, major topics identified were food and nutrition, infectious diseases, and garbage and recycling.Discussion: The use of the PH lens and open perspective of the course centered the need to communicate planetary health topics to individuals. The local plans reflected the motto of “think global and act local.” Brazil presents a context of an unprecedented social, political, and environmental crisis, with massive deforestation, extensive fires, and biomass burning altering the biomes, on top of an ongoing necropolitical infodemic and COVID-19 pandemic. In the face of these multiple challenges, this MOOC offers a timely resource for health professionals and communities, encouraging them to address planetary challenges as fundamental health determinants.

A WONCA, em conjunto com a Planetary Health Alliance, lançou uma conclamação para a ação dos MFCs do mundo pela saúde planetária. Este comentário discute os efeitos das mudanças ambientais e a conclamação em relação o papel do médico de família na perspectiva da saúde planetária.

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Conclusion: The RFMC has seen an increase in the amount of associated SOME activity despite having less viewers. This is most likely due to the few participants of the RFMC continuing the café discussions on SOME, particularly Twitter, and engaging outside of the RFMC. The RFMC has developed into a virtual community which is reducing occupational isolation for its participants.

I Lulie Rosane Odeh Susin I PALAVRAS-CHAVE:-Humanização da Assistência;-Pesquisa Qualitativa; -Educação Médica. RESUMO As transformações nas condições sociais de trabalho surgidas nas últimas décadas restringiram

Es hora de la capacitación rural en medicina familiar en Brasil!The gap between health needs and the training of human resources for health is much more evident in rural areas. In Brazil, a country of continental dimensions, these differences become more challenging. The diversity of geographical and administrative barriers to access makes the health indicators of rural and remote populations worse than those of the urban population. Family Medicine could address the social determinants of health through the provision of human services and play an important role in low-income rural residents' health status. This essay is an urgent call for the debate on models for projecting heath workforce supply and requirements for rural areas in Brazil. (40) A discrepância entre as necessidades de saúde e o treinamento de recursos humanos para a saúde é muito mais evidente nas áreas rurais. No Brasil, um país de dimensões continentais, essas diferenças se tornam mais desafiadoras. A diversidade das barreiras geográficas e administrativas de acesso torna os indicadores de saúde das populações rurais e remotas piores que os da população urbana. A medicina de família e comunidade pode abordar os determinantes sociais da saúde por meio da prestação de serviços humanos e desempenhar um papel importante no estado de saúde dos residentes rurais de baixa renda. Este ensaio é um apelo urgente para o debate sobre as necessidades das áreas rurais no Brasil e os modelos de projeção para o provimento de força de trabalho de saúde nesses cenários. ResumoPalavras-chave: Saúde da População Rural; Educação Médica; Medicina de Família e Comunidade.La brecha entre las necesidades de salud y la capacitación de los recursos humanos para la salud es mucho más evidente en las zonas rurales. En Brasil, un país de dimensiones continentales, estas diferencias se vuelven más desafiantes. La diversidad de las barreras geográficas y administrativas de acceso hace que los indicadores de salud de las poblaciones rurales y remotas sean peores que los de la población urbana. La Medicina Familiar podría abordar los determinantes sociales de la salud a través de la provisión de servicios humanos y desempeñar un papel importante en el estado de salud de los residentes rurales de bajos ingresos. Este ensayo es un llamado urgente para el debate sobre los modelos para proyectar el suministro de mano de obra de salud y los requisitos para las áreas rurales en Brasil. ResumenPalabras clave: Salud Rural; Educación Médica; Medicina Familiar y Comunitaria.

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