Almeida-Filho Naomar
Professor aposentado, Instituto de Saúde Coletiva/ Universidade Federal da Bahia. Salvador - BA - Brasil
Hist Cienc Saude Manguinhos. 2019 Jun 19;26(2):385-405. doi: 10.1590/S0104-59702019000200002.
This text assesses the impact of the Cabanis reform on the formation of the health training model which became hegemonic in Brazil. First, we shall briefly discuss the process of constructing the social, ideological, and institutional framework for healthcare in post-revolutionary France. Next the main elements of the Cabanis reform are introduced, analyzing curricular and pedagogical aspects of the new plan for medical education based on professionalism, disciplines, and expertise that resulted in a system of higher education without universities. This is followed by assessment of the historical process which resulted in the "Francization" of the Brazilian educational system, particularly in higher education and more specifically medical education, producing a model of health training based on colleges, hospitals, classrooms, disciplines, skills, and diplomas.
本文评估了卡巴尼斯改革对在巴西占据主导地位的健康培训模式形成的影响。首先，我们将简要讨论后革命时期法国构建医疗保健社会、思想和制度框架的过程。接下来介绍卡巴尼斯改革的主要内容，分析基于专业精神、学科和专业知识的医学教育新计划的课程和教学方面，该计划导致了一个没有大学的高等教育体系。随后评估导致巴西教育体系“法国化”的历史进程，特别是在高等教育领域，更具体地说是医学教育领域，产生了一种基于学院、医院、教室、学科、技能和文凭的健康培训模式。
