[A critical analysis of medical specialities and strategies for their integration into the Unified National Health System in Brazil]

Cad Saude Publica. 1997 Jan;13(1):141-144. doi: 10.1590/s0102-311x1997000100025.
[Article in Portuguese]


The implementation of medical specialization in Brasil has been relatively free of constraints. There has thus been a progressive fragmentation of medical work. The so-called root specialities are losing both their strength and clinical problem-solving capacity. Two operational concepts are proposed for achieving better administration of medical responsibilities and the role of medical professionals: 1) field of competence and 2) core competence. General goals are suggested for reforming specialized training and integration of specialists into the Unified National Health System.