Departamento de Medicina em Atenção Primária à Saúde, Faculdade de Medicina, Universidade Federal do Rio de Janeiro. R. Laura de Araújo 36/2º parte, Cidade Nova. 20211-170 Rio de Janeiro RJ Brasil.
Fundação Oswaldo Cruz. Rio de Janeiro RJ Brasil.
Cien Saude Colet. 2024 Oct;29(10):e13872024. doi: 10.1590/1413-812320242910.13872024. Epub 2024 Aug 7.
Since 2009, the Municipal Health Secretariat of Rio de Janeiro (SMS-RJ) has encouraged the creation of a Master's degree in primary health care at the National Health School/Fiocruz (ENSP/Fiocruz). In the following decade, this proposal became one of the main lines of the institution's professional stricto sensu postgraduate program, which culminated in CAPES approving the first professional doctorate class in the history of Fiocruz-RJ offered in 2024. The class comprises primary health care (PHC) students from Rio's SUS and Fiocruz employees in science, technology and innovation. Regarding the profile of the PHC students, the highlights were women (61.5%), a degree in medicine (53.8%), a mean of 15 years since graduating, 10 years working in PHC, graduates of a medical or multiprofessional residency course (69.2%) and a Master's degree in primary care from ENSP/Fiocruz or UFRJ (84.6%). The SMS-RJ thus leaves a legacy for Brazilian Public Health as a leader in the promotion of Fiocruz-RJ stricto sensu professional training programs, innovating in the end-of-course work, reviving the presence of doctors in the classes and bringing the contributions of the Portuguese SNS, a source of inspiration for the PHC reform undertaken in Rio de Janeiro, to the Rio de Janeiro SUS debate.
自 2009 年以来，里约热内卢市卫生局（SMS-RJ）一直鼓励在国家卫生学校/Fiocruz（ENSP/Fiocruz）开设初级保健专业的硕士学位。在接下来的十年中，这一建议成为该机构专业严格意义上研究生课程的主要方向之一，最终于 2024 年促成了 CAPES 批准了 Fiocruz-RJ 历史上第一届专业博士课程。该课程由里约热内卢 SUS 的初级保健（PHC）学生和科学、技术和创新领域的 Fiocruz 员工组成。关于 PHC 学生的概况，突出的特点是女性（61.5%）、医学学位（53.8%）、毕业后平均 15 年、在 PHC 工作 10 年、医学或多专业住院医师课程的毕业生（69.2%）以及来自 ENSP/Fiocruz 或 UFRJ 的初级保健硕士学位（84.6%）。因此，SMS-RJ 为巴西公共卫生留下了遗产，作为促进 Fiocruz-RJ 严格意义上专业培训计划的领导者，在课程结束时的工作中创新，恢复医生在课堂上的存在，并将葡萄牙 SNS 的贡献带到里约热内卢 SUS 的辩论中，葡萄牙 SNS 是里约热内卢初级保健改革的灵感来源。
