<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0872-671X</journal-id>
<journal-title><![CDATA[Medicina Interna]]></journal-title>
<abbrev-journal-title><![CDATA[Medicina Interna]]></abbrev-journal-title>
<issn>0872-671X</issn>
<publisher>
<publisher-name><![CDATA[Sociedade Portuguesa de Medicina Interna]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0872-671X2025000200009</article-id>
<article-id pub-id-type="doi">10.24950/rspmi.2622</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Proposta Curricular para a Formação em Doenças Respiratórias Durante o Internato de Medicina Interna]]></article-title>
<article-title xml:lang="en"><![CDATA[Curriculum Proposal for Respiratory Diseases Training During Internal Medicine Residence]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Neves]]></surname>
<given-names><![CDATA[João]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A3"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramalho]]></surname>
<given-names><![CDATA[Ana Rita]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ascenção]]></surname>
<given-names><![CDATA[Ricardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martins]]></surname>
<given-names><![CDATA[Alfredo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ferrão]]></surname>
<given-names><![CDATA[Cláudia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Neves]]></surname>
<given-names><![CDATA[Isabel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Maia]]></surname>
<given-names><![CDATA[José Miguel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Meireles]]></surname>
<given-names><![CDATA[Mariana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A0"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Calisto]]></surname>
<given-names><![CDATA[Raquel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A1"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barros]]></surname>
<given-names><![CDATA[Rui]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Leuschner]]></surname>
<given-names><![CDATA[Pedro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Núcleo de Estudos de Doenças Respiratórias da Sociedade Portuguesa de Medicina Interna  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,ULS Santo António Centro Hospitalar Universitário de Santo António Serviço de Medicina Interna]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidade do Porto Instituto de Ciências Biomédicas de Abel Salazar ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Núcleo de Internos de Medicina Interna da Sociedade Portuguesa de Medicina Interna  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Unidade Local de Saúde de Coimbra Serviço de Medicina Interna ]]></institution>
<addr-line><![CDATA[Coimbra ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Unidade Local de Saúde da Região de Leiria Serviço de Medicina Interna ]]></institution>
<addr-line><![CDATA[Leiria ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af7">
<institution><![CDATA[,Hospital Luz Arrábida Serviço de Medicina Interna ]]></institution>
<addr-line><![CDATA[Vila Nova de Gaia ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af8">
<institution><![CDATA[,Hospital das Forças Armadas Serviço de Medicina Interna ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af9">
<institution><![CDATA[,Hospital Luz Arrábida Unidade de Cuidados Intensivos ]]></institution>
<addr-line><![CDATA[Vila Nova de Gaia ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="A10">
<institution><![CDATA[,Unidade Local de Saúde de Tâmega e Sousa Serviço de Medicina Interna ]]></institution>
<addr-line><![CDATA[Penafiel ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="A11">
<institution><![CDATA[,Unidade Local de Saúde de Matosinhos Serviço de Medicina Interna ]]></institution>
<addr-line><![CDATA[Matosinhos ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2025</year>
</pub-date>
<volume>32</volume>
<numero>2</numero>
<fpage>9</fpage>
<lpage>31</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S0872-671X2025000200009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S0872-671X2025000200009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S0872-671X2025000200009&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução: As doenças respiratórias são uma das principais causas de morbidade e mortalidade no país e na Europa. O Programa de Formação da Especialidade de Medicina Interna contempla o domínio de conhecimentos nesta área, mas de uma forma genérica. Apresentamos uma proposta curricular para formação em doenças respiratórias na Medicina Interna em Portugal, inspirada pelas recomendações da European Respiratory Society, visando adaptar e harmonizar a formação na área das doenças respiratórias. Desenvolvemos uma proposta que inclui milestones e entrustable professional activities, com o objetivo de facilitar uma avaliação baseada em competências. Esta abordagem inovadora permite que o currículo seja flexível, ajustando-se ao ritmo de aprendizagem individual dos Internos de Formação Especializada (IFE) independentemente do tempo decorrido desde o início do internato.  Métodos: Utilizamos questionários enviados a Internistas com experiência na abordagem de doentes respiratórios, diretores de serviço, responsáveis locais pela formação e internos de formação Especializada de Medicina Interna para garantir um consenso abrangente sobre as competências que devem ser integradas na formação.  Resultados: Os resultados das 88 respostas obtidas, indicam um forte consenso para a inclusão de 196 objetivos dos 262 inicialmente analisados, com 97 desses objetivos recebendo uma recomendação forte por todos os grupos consultados. Discutimos como a nossa proposta curricular pode beneficiar tanto os formandos quanto os formadores, alinhando a formação com as competências cruciais exigidas à prática de Medicina Interna.  Conclusão: Em conclusão, propomos uma melhoria significativa na formação em Medicina Interna na área respiratória, fundamentada num amplo consenso e na capacidade de adaptar o ensino às necessidades individuais dos internos, o que promove uma educação médica mais dinâmica e orientada para a competência prática.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: Respiratory diseases are among the leading causes of morbidity and mortality in Portugal and across Europe. Portuguese Internal Medicine training program covers knowledge in this area, but in a generic way. We present a curricular proposal for training in respiratory diseases in Internal Medicine in Portugal, inspired by the recommendations of the European Respiratory Society, aiming to adapt and harmonize training in the field of respiratory diseases. We developed a proposal that includes milestones and entrustable professional activities, with the goal of facilitating a competency-based evaluation. This innovative approach allows the curriculum to be flexible, adjusting to the individual learning pace of the Internal Medicine Residents, and not just the elapsed time from the beginning of the training.  Methods: We used questionnaires sent to internists with experience in managing respiratory patients, department directors, local responsible for training, and residents in Internal Medicine to ensure a comprehensive consensus on the compe-tencies that should be integrated into the training.  Results: The results from the 88 responses obtained indicate a strong consensus for the inclusion of 196 objectives out of the 262 initially analyzed, with 97 of these objectives re-ceiving strong recommendations from all consulted groups. We discuss how our curricular proposal can benefit both trainees and trainers by aligning the training with the crucial competencies required for the practice of Internal Medicine.  Conclusion: In conclusion, we propose a significant improvement in Internal Medicine training in the respiratory area, based on a broad consensus and the ability to adapt teaching to the individual needs of the interns, which promotes a more dynamic and competency-oriented medical education.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Competency-Based Education]]></kwd>
<kwd lng="en"><![CDATA[Internal Medicine/education]]></kwd>
<kwd lng="en"><![CDATA[Internship and Residency]]></kwd>
<kwd lng="en"><![CDATA[Respiratory Tract Diseases.]]></kwd>
<kwd lng="pt"><![CDATA[Doenças Respiratórias]]></kwd>
<kwd lng="pt"><![CDATA[Educação Baseada em Competências]]></kwd>
<kwd lng="pt"><![CDATA[Internato e Residência]]></kwd>
<kwd lng="pt"><![CDATA[Medicina Interna/educação.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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