FAMILY MEDICINE TRAINING IN CHILE

Abstract

The training of Family Medicine specialists in Chile started in academic circles, with a strong focus on primary care shaping its core elements. This includes practical training to address common health issues, a holistic approach considering biological, psychological, and social aspects, and a push for health promotion. Currently, fourteen universities offer residency programs, mostly in Family Medicine, while three universities have differentiated programs targeting specific population groups. In the growth of training programs, key milestones include the 2005 health reform that introduced the Comprehensive Health Care Model (MAIS), the accreditation of training programs, the certification process for medical specialties, and a law enforcing payment for Family Medicine specialists in primary care. Despite reaching around 1,500 professionals, Family Medicine practitioners represent only 4% of specialists in the Chilean health system, mainly working in the public sector and particularly in primary care. The upcoming health system reform suggests Universal Primary Care as a central focus. To achieve this goal, it is crucial to encourage the training of Family Medicine specialists and ensure they stay within the system, recognizing the valuable contributions they make to the overall health network.