Quantos médicos de família e comunidade temos no Brasil?

Abstract

a How many family and community doctors do we have in Brazil?A formação de médicos especialistas no Brasil se dá por meio da conclusão de um programa de residência médica ou pela realização de uma prova e obtenção de um título de especialista. São caminhos paralelos e que por vezes se sobrepõem. Além disso, as instituições responsáveis por esses respectivos modelos de formação de especialistas, que são a Comissão Nacional de Residência Médica e a Associação Médica Brasileira, não dispõem de uma base de dados unificada. Em função desses fatores, sempre foi difícil definir com alguma precisão o número de médicos de família e comunidade no país. Com mudança recente no sistema da informação da Comissão Nacional de Residência Médica (SIS-CNRM), foi possível obter informações sobre certificados de conclusão de residência médica anteriores à criação do sistema. A partir desses dados do SIS-CNRM foi possível se obter o número atual de médicos de família e comunidade no país. O levantamento desse número, inédito para a Sociedade Brasileira de Medicina de Família e Comunidade, é elemento essencial para planejar o crescimento e o futuro da especialidade no país. não se aplica. Resumo Conflito de interesses:declaram não haver. The training of medical specialists in Brazil is through the completion of a medical residency program or by conducting a test and obtaining a specialist degree. They are parallel paths and sometimes overlap. In addition, the institutions responsible for these respective specialists training models, which are the National Medical Residency Commission and the Brazilian Medical Association, do not have a unified database. Due to these factors, it has always been difficult to define with any precision the number of family and community doctors in the country. With a recent change in the information system of the National Medical Residency Commission (SIS-CNRM), it was possible to obtain information about certificates of completion of medical residency prior to the creation of the system. Based on these SIS-CNRM data, it was possible to obtain the current number of family and community doctors in the country. The survey of this number, unprecedented for the Brazilian Society of Family and Community Medicine, is an essential element to plan the growth and future of the specialty in the country. Abstract

Postgraduate education among family and community physicians in Brazil: the Trajetórias MFC project

“…44 In 2018, Augusto et al 23 (using the same methods as us) estimated there would be 5.438 family and community physicians in Brazil, 276 (5%) more than the 5.162 found by Scheffer et al, 44 who had access to CFM data. Another limitation of our study was that, as in Augusto et al, 23 we could not include the family and community physicians who completed their medical residencies in the 1970s. SisCNRM records for family and community medicine (then community general medicine) begin at 1981, when the specialty was recognized; we can only hope family and community physicians from the 1970s eventually took the exams and were certified after 2003.…”

“…We compiled the list of family and community physicians in Brazil from two sources, corresponding to the two modes of recognition as an specialist for physicians in Brazil. 23 One mode is certification by the corresponding specialty association. Such specialty certificates are conferred to physicians with either experience or a medical residency who pass an exam occurring once or twice every year, since 2003.…”

Postgraduate education among family and community physicians in Brazil: the Trajetórias MFC project

“…We compiled the list of family and community physicians in Brazil from two sources, corresponding to the two modes of recognition as a specialist for physicians in Brazil. 23 One mode is certification by the corresponding specialty association. Such specialty certificates are conferred to physicians with either experience or a medical residency who pass an exam occurring once or twice every year, since 2003.…”

Reflexões e propostas para a estruturação de programas de Mestrado em Medicina de Família e Comunidade no Brasil

“…The constant improvement of these competencies, their learning, and evaluation in clinical outcomes and patient-centeredness are fundamental research questions for the development of FCM as an academic discipline and as a health care resource. In the same direction, the expanded space for PHC training in the undergraduate medical curriculum, the significant growth in the offering of residency vacancies in FCM, and the emergence of other specialization strategies in FCM and PHC proposed to fill the shortage of these professionals in Brazil, also make the description and evaluation of these teaching-learning experiences underway at the national level relevant and necessary 1,7,13 . Such research should be driven by the regular presence of this theme in disciplines of FCM master's programs in Brazil.…”

“…However, a severe problem with the qualification of professionals working in PHC, regardless of their professional category, but with emphasis on medical professionals 1 is highlighted. Data from 2017 show that there are approximately 5,500 FCM graduates in the country 7 . If everyone worked in the ESF, which is a far cry from reality, we would have only 12.8% of the teams with qualified FCM doctors, probably unfairly distributed across the national territory.…”