Alcindo Cerci Neto

Vegas. For here. - Okay. Okay. . Not yet, I'm worried about the time. I'm calm, but I'm very calm. competition. It's a debate. We have different views, even being doctors, even being educators, but we have different views. I think it's important to us to use these different views in relation to the causality of what we are facing today in reality in Brazil. It's not Secretary, to say who did or who did not. is that we have today a reality where this public audience allows us to discuss. No matter when it was the most important increase in the medicine, today we have a problem. And the Federal Federal of Medicine that I represent here, which is a federal federal special, or, or, it is also a state, want to contribute. but in a way that we understand differently from what you defend here. So I'm going to be ater to facts, I will be ater. I to show you how we see the problem. It's not a judgment, It's not a type of of rivalry, just a different view. That I have no conflict of interest in this presentation. I have never worked in medical evaluation, I am only professor universitário. I have no contract of consultancy, I have never been to a school médical, I have never been to any type of But this is important, you know why? Because there is a resolution that every doctor has to present the conflict of interest. So I'm following my institution. It's important. for me. And the problem? The problem we have today, in fact, regardless of when this happened, that we had an increase very significant in schools. And so, were evaluated, deputada, 351 schools, but we already have 446 schools. that didn't enter the last year in the last year. This increased by 239%. I'm not going to say here what was important or not, what was important, what was important, what was important, or not, this is not the point of our discussion. Okay? The point of our discussion is that there was an increase. very important schools of medicine Okay. and this increase It generates some problems that we identify with the Council. How do you identify the Council? We identify with denunciations, which often cannot be published. So what we observe? We have a difficulty with professors. with this increase in discriminating. Being a professor is not a doctor who works at UBS and receives students. "I'm a professor" is being a professor. have a career of professor. We have a deficit. The field of education are difficult. And naturally it's like. are difficult and we end up with denunciations, for example, of a vaga in the state of the SUSE, to be disputed by three schools. Why I'm saying this? Because it's important to us go to the origin of the result. I'm sure the Ministry of Education will say much better than I do the rest of the Enamed. technical results. But I can quickly let us talk a little bit about We see that we've arrived there. The formation is not being educated, not being adequate. And although the enormous efforts that are being made for the medical residence, we recognize it, it's a victory, it's an important step to increase the number of vagas, many students can't go to the medical residence. because they don't have enough money to sustain them. So they go to the work market. This is another problem. So these doctors, who come from places with bad evaluation, Even if they want to do camp in residence, they cannot get to residence because they have a debt of 800.000, They need to be able to do it. pay the dividend, support your family and earn a 4.000. So this is a problem, that the residence would be a solution, but we need to solve the question of the Bolsa. - Thank you. And in the field of stage, I'm not I, this is just the one that I took today. There are several manifestations of students in relation to campus and stage. Hospital, hospital universities, leitos, docentes. And in medicine, in internato, campus and stage is what does the doctor do. There is no medicine without stage. So it's a serious problem. in the field. Another important problem is that 41% of the medical staff are generalists. What is the generalist? and they don't do anything else. It goes to the SUS. And we are concerned about this. Because we received the reports from the Federal Council of Medicina Regionals of bad practice. These are absurd things. We are very concerned about this. When you have an adequate stage, many students want to do stage in residence, but they don't have enough residence, even if we are increasing. or he can't do residence because he needs to pay his college. This is perverse in relation to the quality of the medical that will enter the health system. We also are concerned about this. Bastante. And the Anamed, then, he showed It's important to say that The Enamed came from Enad, which already existed, already existed, medicine. We already knew that we had problems. We've already discussed this for a long time. We already knew that we had problems. We already knew that we had around 30% of the institutions that took notes 1 and 2 from the old ENAD. Of course, the format now changed, became better. The proof got better, the proof has a matriz of competencies. which is a theory that is to evaluate, beyond the theoretical knowledge, but The test has a focus on the primary care. Thank you. 62% of the questions of the Named were in the field of primary care. I want to clarify something. The general doctor is not a doctor who works in primary care. This is incorrect. It's not because you're a generalist that you'll only work in primary care. In reality, it doesn't happen. The medical recém-formal will work in emergency, in emergency, in UPA and in the plant. Usually the primary vagues have a contest, or test select, or in a city of the interior. So this has this question also. And within the prova, the 15 competencies that were put in importance in the medical training, were four of them, were brought to the diagnosis. E. basically. So, what we evaluated in this case of the result was not saw the question of the medical sufficiently formed. There was a evaluation, where we found 33% of the egressors that came from institutions with low notes. I won't enter this detail because I know that colleagues will say much better than me. results in itself. But here I have a discussion, I would like to say that the Senhores of the Ministry of Education, "Será que a gente quer um conceito 3?" because we are talking about concepts 1 and 2, deputado. Concept 3 is not good. We have our The meta has to be the concept 5. The population deserves a medical school that comes from a school with a 5. It doesn't have to be a 3. So when we talk about this number, which is 33%, we are talking about the concept of 1. And two. If we put the concept 3, we will only have 43,6% of the adequate courses. This is the rule that we put on, because this is not the rule. Thank you. The rule in the world where they do test of sufficient tests is 95%. Of course, the systems are different. We can't compare our system with Canada, with the United States or with the United States. It's our system that we need Format that. But the rule is that When you do examen of proefficacy, the goal is 95%. The examen of proefficacy, it doesn't be done for reproving. It's made to say that the educational system is good. and our, unfortunately, in medicine, not. I will not enter into detail about the public or private institution, because we are talking about medical. And medical who enter in the market, it doesn't matter where he comes from. But if we consider the ENAD in 2019 and the ENAMED in 2023, and the ENAD in 2023 and the ANAMED in 2026, this is the number of egressors that we already knew that came from and with 1 and 2. Some reflections will be finished. What we are seeing? - The President of the United States, the President, and the President, the President, Enamed was a great conquest. in the sense of showing with numbers and some things we already knew. But we are only seeing the point of iceberg We don't see the total practice.