Facultad de Medicina, Universidad de la República. Av. General Flores 2125. 11.800 Montevideo Departamento de Montevideo Uruguai.
Cien Saude Colet. 2020 Mar;25(4):1205-1214. doi: 10.1590/1413-81232020254.29332019. Epub 2019 Oct 22.
The Family and Community Medicine Residency started in Uruguay in 1997. Through a self-managed process, the first generations were molded into training that integrated hospital knowledge and experience with territorial praxis in a community-based health service with a population of reference. The academic recognition of the specialty and the installation of the institutional areas for its management were achievements parallel to that process in the first decade. The second decade was marked by the territorial teaching-assistance expansion in the country, university decentralization and the active participation of Family and Community Medicine in the Health Reform, and the country's rights agenda. The third decade of the specialty begins with a crisis triggered by the sustained decline in the aspiration for residency. An initial approach to explanations reflects on the possibility of facing a more profound crisis and the need to find the keys to a 21st century Medicine that allows us to achieve the principles of Alma-Ata that are still current.
家庭医学和社区医学住院医师培训项目于 1997 年在乌拉圭启动。通过自主管理的流程，第一代培训将医院知识和经验与以社区为基础的卫生服务中的地域实践相结合，服务对象是有参考依据的人群。该专业的学术认可和管理机构的设立是该项目在头十年取得的成就之一。第二个十年的特点是在全国范围内扩大了地域教学援助，大学权力下放，以及家庭医学和社区医学积极参与卫生改革和国家权利议程。该专业的第三个十年始于持续下降的住院医师培训意愿引发的危机。对原因的初步分析反映了可能面临更深刻危机的可能性，以及寻找 21 世纪医学关键的必要性，这种医学允许我们实现仍然适用的阿马塔原则。
