Other data, including the total number of seats authorized by CNRM per state and RMFC seat occupancy, was updated in early 2016 and 2017, respectively.
Consequently, the following categories were set: creation of the project of changes based on the PMM Law; choice of Family and Community Medicine as a priority specialty in PMM; path of implementation of the medical residency universalization proposal; residency expansion and RMFC seat occupancy; existing experiences and accumulated expertise in the education of preceptors.
PROVAB's supervision was reoriented to foster the creation of RMFC seats (24).
Analyzing the process in which RMFC is determined as a priority specialty, it is possible to identify some elements that had influence in the insertion of primary care as a subject in the government agenda.
Considering the need to create an important number of new RMFC seats, different strategies were thought and discussed with managers in the three levels of SUS and with municipal management programs with successful experience in managing RMFC programs.
Some of these incentives were: scholarship funding to institutions; changes in the assessment criteria of institutions in order to lead to the creation of residency seats to all graduates, with at least 70% of RMFC; mandatory creation of RMFC seats to new private medical courses selected by notice; and directive of financial incentive to the structure and costs of higher education institutions that create or expand residency seats.
The expansion of RMFC seats by municipal and state managers, and Public Health Schools had different incentives.
The creation of seats in the National RMFC Program (developed by Conceicao Hospital Group in partnership with the Ministry of Health) was based on the definition of cities where PMM seat would be reverted into residency program.
Despite the efforts to universalize seats, it is estimated that CNRM did not advance into the regulation format of medical residency programs to which RMFC would be a prerequisite and into the necessary time to join other specialties (5).
The process of expansion of RMFC scholarship funding intensified after the creation of PMM.
With the universalization of seats, the law (10) regulates that all doctors who join residency will take at least one year of RMFC, with at least one possibility of a small number of seats of joining nine other direct-access specialties: Medical Genetics, Occupational Medicine, Traffic Medicine, Sports Medicine, Rehab and Physical Medicine, Legal Medicine, Nuclear Medicine, Pathology and Radiology.