Eduardo Freire Vasconcellos

Mais uma vez, eu não vou agradecer por essa sessão e sim pelo seu trabalho. O senhor... esses dois, acho que é o terceiro mandato do senhor. Segundo. Nesses dois mandatos, o senhor tem sido um lutador incansável, não só pela clínica médica, mas pelo bom exercício da medicina, Bruno? Muito obrigado, deputado. Que agradeço, doutor Eduardo. Doutor Viviato.

Thank you. Thank you. Thank you. What was that? - Huh? - Line on the set. Thank you. I'm participating. But Thank you. Mr. President, I thank you very much. I thank you very much. Thank you very much. I believe that... I will not be levant because it will be a very objective explanation, very practical, even because I was preceded for the people who already We are living a critical moment in the situation of the Brazilian health, and in particular, the training of the Brazilian medical. We are living a total inversely inversely. We are the country with the most number of doctors, trained for a year, which is a country that has a huge population population. and we are experiencing a drama because most of the young people form they have to leave the medical residence. This is a reality that the Federal of Medicine already exposed to us several times. The Brazilian Association It's been reiteradamente showing we are living this inversion and the clinic medical, which is the pillar, is the base for all the clinical specialists I, in my case, am a geriatric, but before I was doing geriatria, I was in clinic medical. So, the medical clinic is the essential pillar. So, today... Mr. Deputado, we are not only about a speciality, but the spine of the brain, the brain of the medical raciocínio. The medical clinic in Brazil consolidou-se, with more than 56.000 professionals working, as the biggest action and the support of the support of the for the organization of specialized attention. It's a speciality. It doesn't have to be seen as... not being a speciality, it's the base of specialities. In a complex system, like the SUS, characterized by the need to integrate the primary care to specialties, the medical clinic acts as a point between the symptom and definitive diagnosis between the general and the sub-specialized. It's important to note that the clinical service serves as a management of care and make a filter highly qualified for priorities. avoid redundancies and procedures and interactions and what is very serious, the interactions pharmacological, in my case in special, the attention to the elderly, the interceptions and the heterogeneous. a good clinic It's an impressive tool. And we, who are experiencing a demographic change in the country, We need to strengthen the formation of doctors that have a minimum of clinical rationality. For this, there is no other way that not be residence in medical clinic. Specialized Assistants in Brazil facing challenges of coordination and fragmentation. The focal specialist, sometimes, looks only a person, while the clinical looks as a whole. In a population that grows progressively, The clinical is essential to manage chronic diseases, with the comorbidities, evitando a polifarmacist desarticulada and extremely dangerous. the clinic, in the Ambulatory of Specialties, or in a hospital, realize a diagnosis with a level of precision much greater, avoid incantations unnecessary, and optimizes the flux of patients. The clinical is the elo that guarantees the longitudinality, what was already said by the Dr. Viviane. Even when a patient with a high complexity, it's a focal point of a specialist, The clinic remains as a member of the Integral Health System. Frequent, we, clinical, we take patients oncologists and do management that the clinical oncologist, via the rule, doesn't have time for a trial. Prima pela visão sistêmica, o clínico interpreta o paciente como um sistema integrado, uniting science and a humanized approach. in an era of supervalorization technology We affirm that the clinic is soberana, as we all hear from our training. This is why the medical clinic is the essence of medicine. the amnesia minuciosa, the physical exam and the raciocínio Diagnóstico. Without a strong clinic, a specialized care is becoming a car, inefficient and disconnected. For clinical medical to achieve its role, we need to strengthen the residential clinic. In this moment we have a fight against the residential clinic, with a priority for other areas, including the solicitation of access to sub-specialties clinical for non-residential clinic. We have to fortalecer the residential clinic with a unique mechanism of strengthening the SUS and strengthening the Brazilian health system. The medical clinic is not only the past of medicine. It is necessary to a medical practice and the future of a health based on value. The medical clinic is to integrate the human assistance, the treatment, the soberania and the best care to the patient's in the world. Thank you. Thank you.