Permanent Health Education: reflections on the multidisciplinary residency program in cardiovascular health care at the Maranhão University Hospital Suerly Ferreira Melo suerlyferreira.sf.sf@gmail.com Hospital Universitário da Universidade Federal do Maranhão Mariana Cavalcanti Braz Berger mariana.braz@ufma.br Universidade Federal do Maranhão doi 10.52521/opp.v22n47.13987 Abstract The Unified Health System is a historic milestone in our country. However, despite all the advances, it is far from the proposal sought by the Health Reform. What stands out as an impasse is the way in which work processes are organized in the daily routine of health services. In view of this, Permanent Health Education (EPS) is identified as an important strategy to be developed in Multiprofessional Health Residencies, which aims to contribute to the qualification and transformation of practices, through training combined with teaching and service. Thus, the objective is to analyze the patterns and trends of EPS present in the daily lives of residents in the cardiovascular health care area at the Maranhão University Hospital. The investigation was based on the method of historical-dialectical materialism, a qualitative approach, through semi-structured interviews and an electronic questionnaire applied to residents, from 2020 to 2024, accounting for 14 professionals. It was found that EPS discusses education at work and provokes the ethical-political sense of the subjects. However, the foundations and implementation of EPS face limitations when prioritizing the worker as an element of change, disregarding the contradictions of capitalism. Given this, it is essential to understand EPS from a perspective that considers different factors and contexts. Keywords Permanent Education; Work; Professional qualification. Introduction The Unified Health System (SUS) is a historic milestone in our country, created in 1988 by the Federal Constitution. It is organized around the fundamental principles of universality, equity, and comprehensiveness, and above all, it is part of a constitutional principle of health as a duty of the State and a right of all (Brazil, 1988). However, despite all the accumulations and advances, the real SUS is still far from the ambitious proposal of the Health Reform movement. Among its specificities related to the movement, it is presented as the organizer of the training of health workers in their entirety (Brazil, 1988). However, Merhy (2007) states that the way in which work processes are organized in daily life is seen as an obstacle to the proposals defended by the movement, which bet on changing the techno-assistential model in health in Brazil, characterized by traditionally supportive training based on a biomedical model. According to Matta and Morosini (2008), this model developedPermanent Health Education: reflections on the multidisciplinary residency program in cardiovascular health care at the Maranhão University Hospital Suerly Ferreira Melo suerlyferreira.sf.sf@gmail.com Hospital Universitário da Universidade Federal do Maranhão Mariana Cavalcanti Braz Berger mariana.braz@ufma.br Universidade Federal do Maranhão doi 10.52521/opp.v22n47.13987 Abstract The Unified Health System is a historic milestone in our country. However, despite all the advances, it is far from the proposal sought by the Health Reform. What stands out as an impasse is the way in which work processes are organized in the daily routine of health services. In view of this, Permanent Health Education (EPS) is identified as an important strategy to be developed in Multiprofessional Health Residencies, which aims to contribute to the qualification and transformation of practices, through training combined with teaching and service. Thus, the objective is to analyze the patterns and trends of EPS present in the daily lives of residents in the cardiovascular health care area at the Maranhão University Hospital. The investigation was based on the method of historical-dialectical materialism, a qualitative approach, through semi-structured interviews and an electronic questionnaire applied to residents, from 2020 to 2024, accounting for 14 professionals. It was found that EPS discusses education at work and provokes the ethical-political sense of the subjects. However, the foundations and implementation of EPS face limitations when prioritizing the worker as an element of change, disregarding the contradictions of capitalism. Given this, it is essential to understand EPS from a perspective that considers different factors and contexts. Keywords Permanent Education; Work; Professional qualification. Introduction The Unified Health System (SUS) is a historic milestone in our country, created in 1988 by the Federal Constitution. It is organized around the fundamental principles of universality, equity, and comprehensiveness, and above all, it is part of a constitutional principle of health as a duty of the State and a right of all (Brazil, 1988). However, despite all the accumulations and advances, the real SUS is still far from the ambitious proposal of the Health Reform movement. Among its specificities related to the movement, it is presented as the organizer of the training of health workers in their entirety (Brazil, 1988). However, Merhy (2007) states that the way in which work processes are organized in daily life is seen as an obstacle to the proposals defended by the movement, which bet on changing the techno-assistential model in health in Brazil, characterized by traditionally supportive training based on a biomedical model. According to Matta and Morosini (2008), this model developed