Expanding family and community medicine residency vacancies by municipalities and the More Doctors Program

The aim of this study was to identify strategies to create or expand vacancies in six family and community medicine residency programs coordinated by municipal managers in the Brazilian National Health System (SUS). The aim of these strategies is to contribute to the universalization of medical residency vacancies and the long-term supply of physicians foreseen by the More Doctors Program. The researchers analyzed reports, legislation, publications, and records of workshops promoted by the Ministry of Health. The following strategies were identified: expanding coverage and improving infrastructure at the primary care level; qualifying and recognizing the importance of preceptorship; planning legislation and budgets; integration with undergraduate programs and residencies in other areas. The protagonist role of municipal managers in transforming medical education is favored by innovative national policies coupled with initiatives adapted to the reality of each municipality.

本研究旨在明确巴西国家卫生系统（SUS）中由市政管理者统筹的6个家庭与社区医学住院医师培训项目的岗位增设或扩充策略。上述策略的核心目标，在于助力实现住院医师培训岗位的全民覆盖，并保障“更多医生计划”所规划的医师长期供给。研究团队分析了巴西卫生部发布的研讨会报告、现行立法、学术文献及研讨会记录。经系统梳理，最终明确以下四类核心策略：扩大基层医疗卫生服务覆盖范围并完善基础设施；规范住院医师带教工作并认可其重要价值；统筹推进相关立法与预算规划；推动与本科医学教育项目及其他专科住院医师培训项目的深度融合。创新性国家政策结合适配各市政实际情况的配套举措，可为市政管理者在医学教育变革中发挥核心引领作用提供有力支撑。