title: [A critical analysis of medical specialities and strategies for their integration into the Unified National Health System in Brazil]
abstract: The implementation of medical specialization in Brasil has been relatively free of constraints. There has thus been a progressive fragmentation of medical work. The so-called root specialities are losing both their strength and clinical problem-solving capacity. Two operational concepts are proposed for achieving better administration of medical responsibilities and the role of medical professionals: 1) field of competence and 2) core competence. General goals are suggested for reforming specialized training and integration of specialists into the Unified National Health System.
authors.affiliation: Departamento de Medicina Preventiva e Social, Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, SP, 13081-970, Brasil.
authors.initials: GW
authors.lastname: Campos
authors.initials: M
authors.lastname: Chakour
authors.initials: Rd
authors.lastname: Santos