<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1981-5271</journal-id>
<journal-title><![CDATA[Revista Brasileira de Educação Médica]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Bras. Educ. Med.]]></abbrev-journal-title>
<issn>1981-5271</issn>
<publisher>
<publisher-name><![CDATA[Associação Brasileira de Educação Médica]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1981-52712018000400066</article-id>
<article-id pub-id-type="doi">10.1590/1981-52712015v42n4RB20180065</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Educação Médica no Brasil: uma Análise Histórica sobre a Formação Acadêmica e Pedagógica]]></article-title>
<article-title xml:lang="en"><![CDATA[Brazilian Medical Education: a Historical Analysis of Academic and Pedagogical Education]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Machado]]></surname>
<given-names><![CDATA[Clarisse Daminelli Borges]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Wuo]]></surname>
<given-names><![CDATA[Andrea]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Heinzle]]></surname>
<given-names><![CDATA[Marcia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidade Regional de Blumenau  ]]></institution>
<addr-line><![CDATA[Blumenau Santa Catarina]]></addr-line>
<country>Brasil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2018</year>
</pub-date>
<volume>42</volume>
<numero>4</numero>
<fpage>66</fpage>
<lpage>73</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://educa.fcc.org.br/scielo.php?script=sci_arttext&amp;pid=S1981-52712018000400066&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://educa.fcc.org.br/scielo.php?script=sci_abstract&amp;pid=S1981-52712018000400066&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://educa.fcc.org.br/scielo.php?script=sci_pdf&amp;pid=S1981-52712018000400066&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO O presente ensaio apresenta uma breve an&#225;lise hist&#243;rica da educa&#231;&#227;o m&#233;dica no Brasil por meio de sua evolu&#231;&#227;o acad&#234;mica e pedag&#243;gica. Evidenciam-se, nas &#250;ltimas d&#233;cadas, novos modelos de ensino como op&#231;&#227;o para a forma&#231;&#227;o de profissionais m&#233;dicos, estando estes envolvidos com os conceitos contempor&#226;neos de sa&#250;de e doen&#231;a, voltados ao atendimento das demandas sociais, suscitadas nacional e internacionalmente. Neste ensaio abordaremos os seguintes focos de estudo: (a) ensino superior e escolas m&#233;dicas no Brasil, (b) arquitetura curricular na educa&#231;&#227;o m&#233;dica: desafios e possibilidades e (c) reflexos das mudan&#231;as curriculares e das metodologias ativas no perfil do m&#233;dico formado. Acerca de mudan&#231;as na forma&#231;&#227;o profissional m&#233;dica, chegamos &#224; conclus&#227;o de que mudan&#231;as nas arquiteturas curriculares parecem n&#227;o bastar, como agentes isolados, na altera&#231;&#227;o do perfil dos profissionais. No Brasil, ainda s&#227;o escassos os estudos acerca do m&#233;dico formado pelos diferentes m&#233;todos e curr&#237;culos, ficando em aberto a discuss&#227;o acerca da efici&#234;ncia transformadora das arquiteturas curriculares distintas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT This essay presents a brief historical analysis of medical education in Brazil throughout its academic and pedagogical evolution. In order to meet social demands and the contemporary concepts of health and sickness, new models of education have emerged in recent decades, as options for the training of medical professionals, both nationally and internationally. In this essay, we focus on the following topics: a) higher education and medical schools in Brazil, b) curricular architecture in medical education: challenges and possibilities; and c) reflections on curricular changes and active methodologies in the profile of the graduate physician. Regarding the changes in medical professional training, we come to the conclusion that changes in curricular architectures do not appear to be sufficient, in themselves, to change the profile of professionals. In Brazil, there are very few studies about physicians trained by the different methods and curricula, and the discussion about the transformative efficiency of the different curricular architectures remains unresolved.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[&#8211;Educação Médica]]></kwd>
<kwd lng="pt"><![CDATA[&#8211;Currículo]]></kwd>
<kwd lng="pt"><![CDATA[&#8211;Metodologias Ativas]]></kwd>
<kwd lng="en"><![CDATA[&#8211;Medical Education]]></kwd>
<kwd lng="en"><![CDATA[&#8211;Curriculum]]></kwd>
<kwd lng="en"><![CDATA[&#8211;Active Methodologies]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Oliveira]]></surname>
<given-names><![CDATA[NA]]></given-names>
</name>
<name>
<surname><![CDATA[Meirelles]]></surname>
<given-names><![CDATA[RMS]]></given-names>
</name>
<name>
<surname><![CDATA[Cury]]></surname>
<given-names><![CDATA[GC]]></given-names>
</name>
<name>
<surname><![CDATA[Alves]]></surname>
<given-names><![CDATA[LA]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[Mudanças Curriculares no Ensino Médico Brasileiro: um Debate Crucial no Contexto do Promed]]></article-title>
<source><![CDATA[Rev Bras Educ Med]]></source>
<year></year>
<volume>32</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>333-46</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="">
<collab>Brasil</collab>
<collab>Brasil</collab>
<collab>Ministério da Educação</collab>
<collab>Conselho Nacional de Educação</collab>
<collab>Câmara de Educação Superior</collab>
<article-title xml:lang="en"><![CDATA[Resolução CNE/CES Nº 3, de 20 de junho de 2014.Institui diretrizes curriculares nacionais do curso de graduação em Medicina]]></article-title>
<collab>Ministério da Educação</collab>
<source><![CDATA[Diário Oficial da União]]></source>
<year></year>
<page-range>8-11</page-range><publisher-loc><![CDATA[Brasília ]]></publisher-loc>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Almeida]]></surname>
<given-names><![CDATA[Naomar de]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[Universidade nova no Brasil]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[SANTOS]]></surname>
<given-names><![CDATA[Boaventura de Souza]]></given-names>
</name>
<name>
<surname><![CDATA[Almeida]]></surname>
<given-names><![CDATA[Naomar de]]></given-names>
</name>
</person-group>
<source><![CDATA[A universidade no Século XXI: Para uma Universidade Nova]]></source>
<year></year>
<publisher-loc><![CDATA[Coimbra ]]></publisher-loc>
<publisher-name><![CDATA[Almedina]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Schwarcz]]></surname>
<given-names><![CDATA[Lilia Moritz]]></given-names>
</name>
</person-group>
<source><![CDATA[O Espetáculo das Raças: cientistas, instituições e questão racial no Brasil_ 1870-1930]]></source>
<year></year>
<publisher-loc><![CDATA[São Paulo ]]></publisher-loc>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Luckmann]]></surname>
<given-names><![CDATA[LC]]></given-names>
</name>
<name>
<surname><![CDATA[Bernart]]></surname>
<given-names><![CDATA[EE]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[Da Universidade Clássica à Universidade Brasileira: Aproximações e Desdobramentos]]></article-title>
<source><![CDATA[UNOESC&Ciência]]></source>
<year></year>
<volume>5</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>211-20</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lampert]]></surname>
<given-names><![CDATA[Jadete Barbosa]]></given-names>
</name>
</person-group>
<source><![CDATA[Tendências de Mudanças na Formação Médica no Brasil. Tipologia das Escolas]]></source>
<year></year>
<edition>2</edition>
<publisher-loc><![CDATA[São Paulo ]]></publisher-loc>
<publisher-name><![CDATA[HUCITEC]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ceballos]]></surname>
<given-names><![CDATA[AGC]]></given-names>
</name>
</person-group>
<source><![CDATA[Modelos conceituais de saúde, determinação social do processo saúde e doença, promoção da saúde]]></source>
<year></year>
<publisher-loc><![CDATA[Recife ]]></publisher-loc>
<publisher-name><![CDATA[UFPE]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="">
<collab>Organização Mundial da Saúde</collab>
<collab>Organização Mundial da Saúde</collab>
<source><![CDATA[Documento Técnico da Conferência Mundial sobre Determinantes Sociais da Saúde]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sacristán]]></surname>
<given-names><![CDATA[J. Gimeno]]></given-names>
</name>
<name>
<surname><![CDATA[Gómez]]></surname>
<given-names><![CDATA[A.I. Pérez]]></given-names>
</name>
</person-group>
<source><![CDATA[Compreender e transformar o ensino]]></source>
<year></year>
<publisher-loc><![CDATA[Porto Alegre ]]></publisher-loc>
</nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Madruga]]></surname>
<given-names><![CDATA[LMS]]></given-names>
</name>
<name>
<surname><![CDATA[Ribeiro]]></surname>
<given-names><![CDATA[KSQS]]></given-names>
</name>
<name>
<surname><![CDATA[Freitas]]></surname>
<given-names><![CDATA[CHSM]]></given-names>
</name>
<name>
<surname><![CDATA[Perez]]></surname>
<given-names><![CDATA[IAB]]></given-names>
</name>
<name>
<surname><![CDATA[Pessoa]]></surname>
<given-names><![CDATA[TRRF]]></given-names>
</name>
<name>
<surname><![CDATA[Brito]]></surname>
<given-names><![CDATA[EEG]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[O PET-Saúde da Família e a formação de profissionais da saúde: a percepção dos estudantes]]></article-title>
<source><![CDATA[Interface]]></source>
<year></year>
<volume>19</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>805-16</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="">
<collab>Brasil</collab>
<collab>Brasil</collab>
<collab>Ministério da Educação</collab>
<collab>Conselho Nacional de Educação</collab>
<collab>Câmara de Educação Superior</collab>
<article-title xml:lang="en"><![CDATA[Resolução CNE/CES Nº 4, de 7 de novembro de 2001.Institui diretrizes curriculares nacionais do curso de graduação em Medicina]]></article-title>
<collab>Ministério da Educação</collab>
<source><![CDATA[Diário Oficial da União]]></source>
<year></year>
<publisher-loc><![CDATA[Brasília ]]></publisher-loc>
</nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Berbel]]></surname>
<given-names><![CDATA[NAN]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[As metodologias ativas e a promoção da autonomia do estudante]]></article-title>
<source><![CDATA[Semina: Ciências Sociais e Humanas]]></source>
<year></year>
<volume>32</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>25-40</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Santomé]]></surname>
<given-names><![CDATA[Jurjo Torres]]></given-names>
</name>
</person-group>
<source><![CDATA[Globalização e Interdisciplinaridade: o currículo integrado]]></source>
<year></year>
<publisher-loc><![CDATA[Porto Alegre ]]></publisher-loc>
<publisher-name><![CDATA[Artmed]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Anastasiou]]></surname>
<given-names><![CDATA[L. das G. Camargos]]></given-names>
</name>
<name>
<surname><![CDATA[ALVES]]></surname>
<given-names><![CDATA[L. Pessate]]></given-names>
</name>
</person-group>
<source><![CDATA[Processos de Ensinagem na Universidade: pressupostos para as estratégias de trabalho em aula]]></source>
<year></year>
<edition>3</edition>
<publisher-loc><![CDATA[Joinville ]]></publisher-loc>
<publisher-name><![CDATA[Univille]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Andrade]]></surname>
<given-names><![CDATA[MRS]]></given-names>
</name>
</person-group>
<source><![CDATA[Recontextualização do currículo integrado nos cursos de medicina da UFSC e UNOCHAPECÓ]]></source>
<year></year>
<publisher-loc><![CDATA[São Paulo ]]></publisher-loc>
<publisher-name><![CDATA[Faculdade de educação da Universidade Estadual de Campinas]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dahle]]></surname>
<given-names><![CDATA[LO]]></given-names>
</name>
<name>
<surname><![CDATA[Brynhildsen]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Behrbohm Fallsberg]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Rundquist]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Hammar]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[ABP e Medicina- Desenvolvimento de alicerces teóricos sólidos e uma postura profissional de base científica]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[ARAÚJO]]></surname>
<given-names><![CDATA[U.F]]></given-names>
</name>
<name>
<surname><![CDATA[SASTRE]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<source><![CDATA[Aprendizagem baseada em problemas no ensino superior]]></source>
<year></year>
<publisher-loc><![CDATA[São Paulo ]]></publisher-loc>
<publisher-name><![CDATA[Summus]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Branda]]></surname>
<given-names><![CDATA[LA]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[A Aprendizagem Baseada em Problemas- o resplendor tão brilhante de outros tempos]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[ARAÚJO]]></surname>
<given-names><![CDATA[U.F]]></given-names>
</name>
<name>
<surname><![CDATA[SASTRE]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<source><![CDATA[Aprendizagem baseada em problemas no ensino superior]]></source>
<year></year>
<publisher-loc><![CDATA[São Paulo ]]></publisher-loc>
<publisher-name><![CDATA[Summus]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gomes]]></surname>
<given-names><![CDATA[AP]]></given-names>
</name>
<name>
<surname><![CDATA[Rego]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[Transformação da Educação Médica: É Possível Formar um Novo Médico a partir de Mudanças no Método de Ensino-Aprendizagem?]]></article-title>
<source><![CDATA[RevBrasEduc Med]]></source>
<year></year>
<volume>35</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>557-66</page-range></nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Costa]]></surname>
<given-names><![CDATA[JRB]]></given-names>
</name>
<name>
<surname><![CDATA[Romano]]></surname>
<given-names><![CDATA[VF]]></given-names>
</name>
<name>
<surname><![CDATA[Costa]]></surname>
<given-names><![CDATA[RR]]></given-names>
</name>
<name>
<surname><![CDATA[Gomes]]></surname>
<given-names><![CDATA[AP]]></given-names>
</name>
<name>
<surname><![CDATA[Alves]]></surname>
<given-names><![CDATA[LA]]></given-names>
</name>
<name>
<surname><![CDATA[Batista]]></surname>
<given-names><![CDATA[RS]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[A Transformação Curricular e a Escolha da Especialidade Médica]]></article-title>
<source><![CDATA[Rev Bras EducMed]]></source>
<year></year>
<volume>38</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>47-58</page-range></nlm-citation>
</ref>
<ref id="B20">
<label>20</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Peixoto]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Ribeiro]]></surname>
<given-names><![CDATA[MMF]]></given-names>
</name>
<name>
<surname><![CDATA[Amaral]]></surname>
<given-names><![CDATA[CFS]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[Atitude do estudante de Medicina a Respeito da Relação Médico-Paciente x Modelo Pedagógico]]></article-title>
<source><![CDATA[Rev BrasEduc Med]]></source>
<year></year>
<volume>35</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>229-36</page-range></nlm-citation>
</ref>
<ref id="B21">
<label>21</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Taroco]]></surname>
<given-names><![CDATA[APRM]]></given-names>
</name>
<name>
<surname><![CDATA[Tsuji]]></surname>
<given-names><![CDATA[H, Higa]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[Currículo Orientado por Competência para a Compreensão da Integralidade]]></article-title>
<source><![CDATA[Rev Bras Educ Med]]></source>
<year></year>
<volume>41</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>12-21</page-range></nlm-citation>
</ref>
<ref id="B22">
<label>22</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Teófilo]]></surname>
<given-names><![CDATA[TJS]]></given-names>
</name>
<name>
<surname><![CDATA[Santos]]></surname>
<given-names><![CDATA[NLP]]></given-names>
</name>
<name>
<surname><![CDATA[Baduy]]></surname>
<given-names><![CDATA[RS]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[Apostas de Mudança na Educação Médica: trajetórias de uma escola de medicina]]></article-title>
<source><![CDATA[Interface]]></source>
<year></year>
<volume>60</volume>
<numero>21</numero>
<issue>21</issue>
<page-range>177-88</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
