The potential for a medical occupancy programme in Brazil's development of rheumatology training

Author(s): Cleandro Pires Albuquerque

Objective: To describe the characteristics and progression of the force of new rheumatologists in Brazil, from 2000 to 2015.

Styles: Consultations to databases and sanctioned documents of institutions related to training and instrument of rheumatologists in Brazil took place. The data were compared, epitomized and presented descriptively.

Results: From 2000 to 2015, Brazil qualified 1091 croakers as rheumatologists, of which76.9 (n = 839) completed a medical occupancy program in rheumatology (MRPR); the others (n = 252) achieved this title without MRPR training. There was an expansion of MRPR positions. At the same time, there was a change in the profile of the recently good croakers. Beforehand in the series, the bit of new rheumatologists without MRPR, entering the request annually, was approaching 50, dropping to about 15 in recent times. In 2015, Brazil offered 49 MRPR accredited programs, with 120 positions per time for access. There was an imbalance in the distribution of MRPR positions across the country, with a strong attention in the southeast region, which in 2015 held59.2 of the positions. Public institutions reckoned for 94( n = 789) of graduates in MRPR during the study period, while still maintaining93.3( n = 112) of seats for admission in 2015.

Conclusions: In the last sixteen times, in resembling with the expansion of places of access, MRPR has established itself as the preferred route for rheumatology training in Brazil, substantially supported by public finances. Regional inequalities in the provision of MRPR positions still persist, as challenges that must be faced.