Resumo

SILVA, Luiz Otávio da; MELO, Isabela Borges de  e  TEIXEIRA, Luciana de Almeida Silva. Interface between the Medical Residency, Demand for Medical Specialists and the Labor Market. Rev. Bras. Educ. Med. [online]. 2019, vol.43, n.1, suppl.1, pp.119-126. ISSN 1981-5271.  https://doi.org/10.1590/1981-5271v43suplemento1-20190001.

The training of medical specialists in Brazil has suffered a series of interferences over time, including the recommendation that the offer/expansion of medical residency be based on regional needs. With a view to directing the expansion of residency vacancies in a given region, a diagnosis of the local reality of specialized care was proposed. To that end, this study was evaluated over five years: the demand for consultations by specialists in the municipal health network, the number of vacancies offered in the universities of the municipality and their occupation according to specialty, and the number of practicing medical specialists in the public and private sector. It was verified that there is a great demand for specialist consultations not met by the public health network. Ophthalmology, Neurology and Endocrinology were the specialties with the highest number of unattended referrals. In parallel, the offer of residency places was relevant to the number of local graduates; however, it was observed that vacancies remained idle in all evaluated years, especially for Family and Community Medicine residency. Finally, the number of specialist physicians working in the private sector was much higher than the number of those working in the public sector, including those with the greatest deficiency in public health care. Even with the mobility that characterizes the complementary medical training through residency, local necessities could influence the placement of the specialist physician. The discussion about the parameters of the offer/expansion of medical residency vacancies is considered, bearing in mind that the reduced number of specialists in Family and Community Medicine working in the network can interfere in the increased referrals to other specialties. Thus, the identification of health demands is insufficient to guide the expansion of residency vacancies, especially considering the training of the specialist physician in relation to the labor market.

Palavras-chave : Residency; Medicine; Labor Market; Medical Care.

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