Medical residency between practice and educational policy: the role of Abem’s working group

Introduction:   Medical residency in Brazil is recognized as the preferred pathway for specialist training. Despite its relevance, research on the topic remains limited within the broader field of medical education. In response to current challenges, ABEM established a Medical Residency Working Group in 2024, which led to the development of the Association’s First Medical Residency Forum.

Experience Report:   Held during the 63rd COBEM, the Medical Residency Forum brought together participants in thematic groups to build objective-images around key pillars of residency training, such as access, mental health, evaluation, and governance, resulting in collectively validated proposals.

Discussion:   Key challenges identified included unequal distribution of residency slots, resident burnout, program evaluation, and the strengthening of the CNRM. Policies like Pró-Residência, ENARE, and the Mais Médicos Program contributed partially to expanding access.

Conclusion:   Despite progress in public policies for medical residency, structural challenges remain. The creation of a National System of Health Residencies is proposed as a strategy to enhance specialist training for the SUS. In this context, ABEM’s working g roup stands as a vital space for reflection, scientific production, and support in shaping public policies.

Keywords:
Internship and Residency; Education, Medical; Societies; Health Advocacy