Qualification and provision of physicians in the context of the National Policy on Comprehensive Care of People with Rare Diseases in the Brazilian National Health System (SUS)

This theoretical essay reflects on the qualification and provision of physicians in the context of the National Policy on Comprehensive Care of People with Rare Diseases in the SUS. To carry out this analysis, we introduce the Policy and its guidelines, with a focus on discussion of two integrated strategies: the provision and settlement of geneticist physicians; and training of primary care professionals with regard to genetic diseases and congenital defects. Finally, in view of the Brazilian National Curriculum Guidelines for undergraduate medical courses, we suggest a profile of minimum competencies required in Genetics, developed in order to provide resources to undergraduate courses in Health, in particular, medical courses. We provide a theoretical reference to support the outline of programs of education and training in Health, contributing to including Genetics in the SUS.

本理论性论文围绕巴西统一卫生系统（SUS）《罕见病患者全面照护国家政策》框架下的医师资质认定与执业配置问题展开反思。为开展本次分析，本文首先介绍该政策及其指导方针，重点探讨两项整合性策略：一是遗传专科医师的配备与执业安置；二是面向遗传疾病与先天性缺陷的基层医疗从业人员培训。最后，结合巴西本科医学课程国家课程指导纲要，本文提出遗传学领域所需的最低必备胜任力框架，旨在为卫生类本科课程（尤其是医学课程）提供资源支撑。本文旨在提供理论参考，以助力卫生教育与培训项目的规划制定，推动遗传学服务纳入SUS卫生体系。