Brazilian More Doctors Program: assessing the implementation of the Education Axis from 2013 to 2015

Felipe Proenço De Oliveira,Eliana Goldfarb Cyrino,Vinícius Ximenes Muricy Da Rocha,Aristides Vitorino De Oliveira Neto,Hêider Aurélio Pinto,Alexandre Medeiros De Figueiredo

doi:10.1590/interface.170949

Abstract

Abstract The More Doctors Program (PMM) was created in 2013. Guided by social needs, it set a new regulatory framework for medical education and residency in Brazil. This study is based on public policies and their actions aimed at implementing changes in medical education in PMM, as well as their results until 2015, by analyzing documents from official sources and the literature. The following results were identified: decrease in regional inequalities in the distribution of undergraduate course seats; education internalization; increase in medical residency seats specialized in Family and Community Medicine; expansion of preceptorship qualification; and creation of the National Registration of Specialists. The challenges faced by PMM to effectively achieve its goals, the need for State commitment and the current threats to this vital dimension of the program (ensure the right to health) are pointed out.

Highlights

The More Doctors Program (PMM) was created in 2013 with the objective of addressing the challenges faced by the expansion and development of primary healthcare and the Brazilian National Health System (SUS)[1]
PMM is structured in three axes: emergency provision, infrastructure and medical education[2]
Emergency provision is based on calls for doctors to join Family Health Strategy teams in territories that lack specific professionals

Summary

Introduction

The More Doctors Program (PMM) was created in 2013 with the objective of addressing the challenges faced by the expansion and development of primary healthcare and the Brazilian National Health System (SUS)[1]. PMM is structured in three axes: emergency provision, infrastructure and medical education[2]. Emergency provision is based on calls for doctors to join Family Health Strategy teams in territories that lack specific professionals. Infrastructure is characterized by the contribution of resources to reform, expand and build new Primary Care Units. The medical education axis is aimed at expanding and qualifying the education of doctors in Brazil, according to SUS needs[3]. The attempt to bring university education and health systems closer to each other is not a new goal, neither is it specific to Brazil. The World Health Organization (WHO) considers this attempt a challenge to all countries and its object of technical collaboration[4,5]

Objectives

Methods

Results

Conclusion