A SYLLABUS IN THE TEACHING-SERVICE INTEGRATION OF THE MORE DOCTORS PROGRAM AND POSSIBLE CULTURAL EFFECTS

Abstract The study had the goal of identifying current changes in the training of medicine professionals that have been brought about by the demands of the More Doctors Program (‘Programa Mais Médicos,’ in Portuguese) in Brazil. The discussions were guided by formulations of the cultural studies in the field of the syllabus. We analyzed articles and research reports on the effects that connect work, learning and changes in the practices of the doctors who integrate the Program. The context of strengthening and development of the Unified Health System (‘Sistema Único de Saúde,’ in Portuguese), certain reforms and political agendas that affect the formal syllabus, and, recently, the implementation of the More Doctors Program itself, are actions that are identified as possibilities created and as spaces where new practices take place within a professional culture that is still biomedical/flexnerian. The results confirmed micro changes in the More Doctors Program that are treated as cultural effects and put into practice in the teaching-service integration, in which the approach of a more humanized work is observed.