Starting from a paper about closing the gap between sociology and medicine in Brazil and the United Kingdom that was published in 1971, a historical update was made with the aim of refl ecting on the new shapes of health-related teaching and research within the social and human sciences, in these two countries. The methodology was qualitative and the study was developed using secondary data. The refl ections were developed through the authors' immersion in Brazilian and British realities. It was concluded that the interface between sociology and health has expanded, although persistent old diffi culties exist in relation to the structure and focus of the healthcare system, medical school power and medical student culture