Reflections on changes in medical training in Brazil

Introduction:   This essay aims to review and analyse the changes that have occurred in education medical care with a view to humanisation in the care model and promote critical reflection on the training of medical professionals in the country. The discussions highlighted are derived from an analysis reflective criticism of publications available in the literature on the subject.

Development:   Recent discussions regarding a proposal to reformulate the national curricular guidelines for undergraduate medical courses raise analyses of the historical period of medical training. We point out as important milestones of change the 2001 and 2014 National Curriculum Guidelines (DCNs) for the medicine course, the multidisciplinary and interdisciplinary approach as a pedagogical model based on comprehensive care as organisational principles of the Unified Health System and the political framework with the implementation of the More Doctors Programme since 2013.

Conclusion:   Given the initiatives implemented in the curriculum, medical graduates still prioritise medical practice based on biomedical rationality, there is an evolution of the skills and abilities of the professional practice component, in the interdisciplinarity of care, but still focused on a medical science and with the impact of advancing the use of digital medicine in the 21st century. In order to have significant changes in the training process, an educational praxis is necessary that prioritises welcoming and the humanisation of health care for different patients and individualities.

Keywords:
Medical training; Higher Education Policy; Health