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publicado em 01/05/2013 às 12h49:00
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Creating a medical specialty is not solution for emergency situation in Brazil

Antonio Carlos Lopes, president of the Brazilian Society of Internal Medicine

 
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Foto: SBCM
Antonio Carlos Lopes, president of the Brazilian Society of Internal Medicine
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Antonio Carlos Lopes, president of the Brazilian Society of Internal Medicine

In contrast to the excellent resolutions has been implementing in recent times, the Federal Council of Medicine (CFM) errs in approving a proposal for the creation of the specialty of Emergency Medicine and Emergency. It is a fact that this field of medicine could receive more attention from the Brazilian authorities and be contemplated, for example, with higher workload graduation. With all due respect, to make that decision, CFM ended up not adopting the posture that is peculiar.

In the Brazilian health system meet the urgencies and emergencies does not provide health professionals with the necessary infrastructure, in addition to missing sound public policies to ensure quality assistance to citizens. And creation of a new specialty would be ineffective in a palliative reverse frame.

First you must understand that in Brazil the Emergency Department is, par excellence, an area multi and interdisciplinary approach involving many different academic disciplines and different specialties represented by the Council of Specialties Brazilian Medical Association (AMB). Accordingly, we do not need an individual with expertise in emergencies, but a team of qualified and prepared to meet the demands of this service. Create a new specialty would exaggerate the fragmentation and compartmentalization of medical knowledge.

A surgeon, for example, is not trained to treat cardiac arrhythmia or myocardial infarction with the same jurisdiction as a specialist in Cardiac Surgery. And the gym, temple of learning, has also not qualify as an individual for the exercise of Emergency Medicine and Emergency involving all medical specialties.

One must remember that some time ago, the Brazilian Medical Association very ably worked out the principles and concepts that should characterize a medical specialty. And I am sure that the entities linked to the AMA today can not be shouldered to one another that would not meet these requirements, such as a possible specialty of Emergency Medicine and Emergency. Just to cite one example, cardiology is a specialty that has its emergency area very structured, including serving as a model for other countries.

Finally, I agree strongly that this decision would only professionals the requirement to obtain a security specialist to work in emergency and emergency services, which in practice would mean more investment of time and money, with no guarantee quality. An ethical problem also, since individuals do not carry the title of specialist would have problems to practice and may even be involved in ethical issues among its regional councils and even the courts.

You need to think broadly and less myopic, without other interests can permeate the proposal to create a specialty of Emergency Medicine and Emergency. Fortunately there is still nothing definite. The opinion of the CFM is just one step towards a possible and wrong - recognition of the specialty of Emergency Department. The proposal still requires approval of the Joint Specialty (formed by representatives of the CFM, the Scientific Committee of the Brazilian Medical Association and the National Residency). Hopefully, both the AMA, as CNRM not rectify this distortion.

Source: Isaude.net
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