Resumo O artigo aborda a educação permanente na ótica reflexiva e rizomática, abrangendo a necessidade de desterritorializar os saberes circulantes na saúde. Trata-se de pesquisa bibliográfica cujo referencial teó-rico estrutura-se no materialismo histórico marxista. O estudo descreve um breve histórico sobre a política educacional com base em dois eventos marcantes ocorridos na década de 1980: a escassez de trabalhadores para o trabalho complexo, denominado 'apagão educacional', e o surgimento do novo ensino superior no Brasil. Tais eventos, ao atravessarem a formação profissional, reproduzem na educação em serviço a estrutura do conhecimento mais hierarquizada. Se o ensino na saúde apresenta limitações, oferece também possibilidades e perspectivas para romper com a rigidez epistemológica e aproximar-se da educação menor e do crescimento de rizomas nas práticas em saúde. Palavras-chave educação permanente; SUS; profissional reflexivo; educação menor; pedagogia rizomática. AbstractThe article discusses continuing education from reflective and rhizomatic perspective, covering the need to deterritorialize the current knowledge on health. It is a review of the literature the theoretical reference for which is structured in historical Marxist materialism. The study describes a brief history of the educational policy based on two landmark events in the 1980s: A shortage of workers for complex work, which was called an educational blackout, and the emergence of new higher education in Brazil. Such events, when traversing professional training, reproduce the more hierarchical structure of knowledge in education in work. While teaching in health has limitations, it also offers possibilities and perspectives to break away from the epistemological rigidity and to approach the lower education and growth of rhizomes in health practices.

Problem: Job insecurity is a phenomenon which has a destructive character that expropriates the rights of workers which have been historically achieved. It distorts the ontological dimension of work and the quality of the services provided. These neo-liberal values have been reproduced in educational practices and thus affect the dignity of the worker in the Unified Health System (UHS). Objective: To legitimize the role of pedagogical training as a privileged locus for reflection and formulate strategies to cope with job instability in the UHS. Method: Qualitative field research in the form of action research, using the dialectical method. Scenario: Basic unit of Collective Health in Niterói. Subjects: Health professionals and trainees who are not employed as permanent public servants. According to Resolution 196/96, the ethical aspects involving the research into human beings will be respected.