Para além do Ministério da Saúde e do Conselho Federal de Medicina : a (re)construção dos discursos de profissionalismo de médicos brasileiros e cubanos a partir do contexto do programa Mais Médicos

Abstract

How does the arrival of foreign medical professionals, working mainly in health posts with Brazilian physicians, in the context of the implementation and validity of the "Mais Médicos" program, has stressed the discourses of professionalism and what are the effects of this contact for professional identifications? Different types of professional training, with varied or contrasting approaches, within the same profession, have produced competitive discourses of professionalism, given the same work position? Starting from the official speeches of the institutions of the Ministry of Health and representative organs of the medical profession, I sought to understand how physicians, in their daily lives, have built and have negotiated their identities and negotiate the discourse of professionalism, and how they have positioned themselves in this debate and deal with the differentiation introduced by public police. The fieldwork, consisting of 14 qualitative interviews and the analysis of the discourses from different organs, actors and publications expressing the clash around the program, have allowed us to understand how the processes of reworking and negotiating these discourses and identities occur, and how they appear and are disseminated in the speech of physicians working in the municipality of São Bernardo do Campo, located in the metropolitan region of São Paulo.