REFLECTIONS ABOUT MEDICAL SPECIALTIES

Introduction and Objectives: There are several aspects of professional development that influence the public policies development; The ideal parameter is 1 doctor / 1,000 inhabitants (WHO), but there is no parameter for specialties / inhabitants. In Brazil (2010) the average ratio is 1 doctor / 622 inhabitants. (Below the WHO parameter), but what is the need of every specialty in the country, states and municipalities? Method: It was used the work "Supply, demand and need for medical specialists in Brazil. Projections for 2020”, conducted by Economía Health Team of the University of Las Palmas de Gran Canaria, Spain, which developed the need for specialty calculation model for 100.000 inhabitant. We used the standard in accordance with the estimated population of the state and municipalities in 2015 and were deploying medical residences programs. Results and conclusions: It was possible to estimate absolute necessities of experts for 2020 and 2030, pointing priorities, draw up resolution on the Bipartite Commission (CIB resolution Number 070/2014) and guide residential projects. The priorities are: Endocrinology (54 and 58), geriatrics (137 and 148), Family and Community Medicine (2806 and 3039), neurology (41 and 45), Otolaryngology (74 and 81), pediatrics (240 and 260) and psychiatry (178 and 193). Even if there are differences with the countries that adopt methods of estimates of specialties needs, it will be possible to use a parameter for state public policy references and using Feederal Law 12,871, create elements for states and municipalities to share responsibility in the formation of human resources for Cheers.