Normatização para a concessão e revalidação do título de especialista em cardiologia e de área de atuação dentro da especialidade

Algumas considerações sobre a pirâmide invertida da formação médica brasileira e suas conseqüências para o treinamento em cardiologia

“…This ruling amounted to the implementation in Brazil of a postgraduate model inspired on American training programs that require not only two, but three years of generalist residency training prior to acceptance in the so-called "clinical subspecialties" [1][2][3] . The change was corroborated by the Brazilian Society of Cardiology, which came to value generalist training when evaluating curricula prior to granting the title of specialist 4 . Despite some arguments to the contrary -among which the fact that medical courses in Brazil are six-year courses, and not the four-year American model -the benefi ts seemed obvious.…”

“…It is interesting to note that in the US, at the time when I did my residency there, it was permitted for doctors with exceptional qualities to reduce their clinical residency by one year prior to their training in a subspecialty. According to a recent proposal made by Valentin Fuster 4 , in the case of cardiology, the prerequisite in general medicine should be reduced by one year while creating one additional year of training of a fl exible, intermediary nature -something between internal medicine and cardiology -that would be followed by the traditional Fellowship. Why not do something similar in Brazil?…”