Foram descritos e comparados os códigos de ética da odontologia vigentes, na Argentina, na Colômbia, na Espanha, no México, em Portugal, no Peru, no Uruguai e na Venezuela com o Código de Ética Odontológica vigente no Brasil. Referida comparação deu-se no tangente aos seguintes aspectos: direitos e deveres do profissional, relação com o paciente, sigilo profissional, honorários profissionais, publicidade e propaganda e especialidades odontológicas. Observaram-se algumas desvantagens e vantagens nos códigos de ética estrangeiros em relação ao código brasileiro. Com base nisto propuseram-se algumas modificações ao Código de Ética Odontológica, tais como a inclusão de incisos que disciplinem a conduta do profissional em relação a pacientes soropositivos, obriguem o mesmo à denúncia de violência sofrida por paciente, lhe garantam a posse do prontuário odontológico, estabeleçam o sigilo profissional exclusivamente como dever do profissional, bem como a modificação do texto para melhor explicar quais são os fatos e informações que devem ser objeto de sigilo profissional. / The dentistry ethics codes in Argentina, Colombia, Spain, Mexico, Portugal, Peru, Uruguay and Venezuela have been described and compared with the dentistry ethics code existing in Brazil. The referred comparison happened about the following aspects: rights and duties of the professional, relationship with the patient, professional secrecy, professional fees, advertising and dental specialties. Some advantages and disadvantanges, were observed in the foreign codes of ethics in relation to the brazilian dentistry ethics code. On that basis, some changes were proposed to the brazilian dentistry ethics code, such as the inclusion of items which discipline the conduct of the professional dealing with HIV positive patients, force the professional to the denunciation of violence suffered by patient, insure the professional the possession of dental records, establish professional secrecy exclusively as duty of the occupation, as well as the change of the text to better explain what are the facts and information that should be subject of the professional secrecy.

O aumento no número de infrações éticas cometidas por cirurgiõesdentistas face ao descumprimento das normas do Código de Ética Odontológica (CEO), sugere que estes profissionais estão despreparados para enfrentar os dilemas éticos que surgem no dia a dia de sua profissão. Diante disso, propôs-se analisar o conhecimento de cirurgiões-dentistas e discentes em Odontologia, a respeito deste código deontológico, buscando ainda, verificar, se há diferença estatisticamente significante, quanto ao nível de conhecimento, entre os grupos: dos acadêmicos do último ano de graduação em Odontologia (GRUPO I), dos cirurgiões-dentistas que atuam exclusivamente em consultório ou clínica (GRUPO II), e dos cirurgiõesdentistas clínicos que cursam especialização (GRUPO III). Para isso, foram aplicados 150 questionários (50 para cada grupo), com questões objetivas que versavam sobre alguns dos principais artigos do CEO. Os resultados confirmaram que realmente existe deficiência no conhecimento de alguns aspectos éticos ligados a Odontologia, onde, dos 150 participantes, n=90 (60%) não sabem que, além do cirurgião-dentista, todos os profissionais de outras categorias auxiliares reconhecidas pelo Conselho Federal de Odontologia, devem seguir as normas éticas do CEO. Outro resultado interessante, mostra que 31% dos participantes, desconhecem que, em alguns casos, o cirurgião-dentista tem direito a renunciar ao atendimento do paciente durante o tratamento. O GRUPO II, quando comparado com os outros grupos, foi o que demonstrou uma maior deficiência no conhecimento das questões éticas que envolvem a Odontologia. Concluiu-se que é necessária uma maior divulgação possível do CEO, principalmente àqueles profissionais exclusivamente clínicos, com empenho máximo dos Conselhos de Odontologia, além dos docentes da área e as entidades de classe, buscando preventivamente educar e instruir, para evitar condenar e punir. / The increase in the number of ethical infractions committed by dentists for not fulfilling the norms of the Code of Dental Ethics (CDE), suggests that these professionals are unprepared to face the ethical problems that appear in the daily of its profession. Ahead of this, it was considered to analyze the knowledge of dentists and dental students, related to this deontological code, searching still, to verify, if it has statistically significant difference, how much to the knowledge level, between the groups: of the academics of the last year of graduation in Dentistry (GROUP I), of the dentists who exclusively act in doctor\'s office or clinic (GROUP II), and of the clinical dentists of who attend a course specialization (GROUP III). For this, 150 questionnaires had been applied (50 for each group), with objective questions that turned on some of main articles of the CDE. The results had confirmed that really deficiency in the knowledge of some on ethical aspects attended with the Dentistry, where, of the 150 participants, n=90 (60%) don\'t know that, beyond the dentist, all the professionals of other recognized auxiliary categories for the Federal Advice of Dentistry, must follow the ethical norms of the CDE. Another interesting result, sample that 31% of the participants, not to know that, in some cases, the dentist has right to resign to the attendance of the patient during the treatment. The GROUP II, when compared with the other groups, it was what it demonstrated a bigger deficiency in the knowledge of the ethical questions that involve the Dentistry. One concluded that a bigger possible spreading of the CDE is necessary, mainly to those professionals exclusively physicians, with maximum persistence of the Advice of Dentistry, beyond the professors of the area and the entities of classroom, searching preventively to educate and to instruct, to prevent to condemn and to punish.

O aumento no número de infrações éticas cometidas por cirurgiõesdentistas face ao descumprimento das normas do Código de Ética Odontológica (CEO), sugere que estes profissionais estão despreparados para enfrentar os dilemas éticos que surgem no dia a dia de sua profissão. Diante disso, propôs-se analisar o conhecimento de cirurgiões-dentistas e discentes em Odontologia, a respeito deste código deontológico, buscando ainda, verificar, se há diferença estatisticamente significante, quanto ao nível de conhecimento, entre os grupos: dos acadêmicos do último ano de graduação em Odontologia (GRUPO I), dos cirurgiões-dentistas que atuam exclusivamente em consultório ou clínica (GRUPO II), e dos cirurgiõesdentistas clínicos que cursam especialização (GRUPO III). Para isso, foram aplicados 150 questionários (50 para cada grupo), com questões objetivas que versavam sobre alguns dos principais artigos do CEO. Os resultados confirmaram que realmente existe deficiência no conhecimento de alguns aspectos éticos ligados a Odontologia, onde, dos 150 participantes, n=90 (60%) não sabem que, além do cirurgião-dentista, todos os profissionais de outras categorias auxiliares reconhecidas pelo Conselho Federal de Odontologia, devem seguir as normas éticas do CEO. Outro resultado interessante, mostra que 31% dos participantes, desconhecem que, em alguns casos, o cirurgião-dentista tem direito a renunciar ao atendimento do paciente durante o tratamento. O GRUPO II, quando comparado com os outros grupos, foi o que demonstrou uma maior deficiência no conhecimento das questões éticas que envolvem a Odontologia. Concluiu-se que é necessária uma maior divulgação possível do CEO, principalmente àqueles profissionais exclusivamente clínicos, com empenho máximo dos Conselhos de Odontologia, além dos docentes da área e as entidades de classe, buscando preventivamente educar e instruir, para evitar condenar e punir. / The increase in the number of ethical infractions committed by dentists for not fulfilling the norms of the Code of Dental Ethics (CDE), suggests that these professionals are unprepared to face the ethical problems that appear in the daily of its profession. Ahead of this, it was considered to analyze the knowledge of dentists and dental students, related to this deontological code, searching still, to verify, if it has statistically significant difference, how much to the knowledge level, between the groups: of the academics of the last year of graduation in Dentistry (GROUP I), of the dentists who exclusively act in doctor\'s office or clinic (GROUP II), and of the clinical dentists of who attend a course specialization (GROUP III). For this, 150 questionnaires had been applied (50 for each group), with objective questions that turned on some of main articles of the CDE. The results had confirmed that really deficiency in the knowledge of some on ethical aspects attended with the Dentistry, where, of the 150 participants, n=90 (60%) don\'t know that, beyond the dentist, all the professionals of other recognized auxiliary categories for the Federal Advice of Dentistry, must follow the ethical norms of the CDE. Another interesting result, sample that 31% of the participants, not to know that, in some cases, the dentist has right to resign to the attendance of the patient during the treatment. The GROUP II, when compared with the other groups, it was what it demonstrated a bigger deficiency in the knowledge of the ethical questions that involve the Dentistry. One concluded that a bigger possible spreading of the CDE is necessary, mainly to those professionals exclusively physicians, with maximum persistence of the Advice of Dentistry, beyond the professors of the area and the entities of classroom, searching preventively to educate and to instruct, to prevent to condemn and to punish.

Background: Teeth affected by apical periodontitis (AP) that could be retained by root canal therapy (RCT) are increasingly being extracted and replaced with implant-supported crowns (ISC). Objectives: 1) To investigate preferences of dentists and patients towards retaining a tooth with AP using RCT versus its extraction followed by, no replacement, replacement with an ISC, or with a partial fixed or removable denture. 2) To investigate patients’ preferred role and dentists’ ethical responsibilities in decision-making. Methods: A mail-out survey (sent to: dental specialists, n=195, response rate=39%; patients, n=434, response rate=43%) and a web-based survey (general dentist sample, n=304, response rate =15%) were used to collect data. Statistical bivariate and multivariate analyses were undertaken with P set at < 0.05 with Bonferroni adjustment as necessary. Results: RCT or ISC were the most selected treatment choices for dentists, while the preference for RCT was reduced for teeth treated previously with RCT. Dentists’ preferences were associated with their specialty as well as clinical experience in endodontics and/or implant dentistry. Patients’ stated general preference for saving teeth was associated with higher self-rated oral health, frequent dental check-ups, and higher socio-demographic factors. Those with higher education, regular dental visits and previous experience of RCT preferred to undergo RCT for future treatment in comparison to those who never experienced RCT. Patients preferred a collaborative role with their dentists in making treatment decisions and valued the retention of natural teeth very highly. They also felt that communication with and trust in their dentist was paramount. Conclusion: Dentists should establish rapport with patients in a milieu that values and respects the patients’ autonomy. By following the highest standards of evidence-based care, and transferring unbiased information on treatment options and associated risks/benefits, it is highly probable that dental care will be delivered in a more ethical manner than would otherwise be possible.

Background: Teeth affected by apical periodontitis (AP) that could be retained by root canal therapy (RCT) are increasingly being extracted and replaced with implant-supported crowns (ISC). Objectives: 1) To investigate preferences of dentists and patients towards retaining a tooth with AP using RCT versus its extraction followed by, no replacement, replacement with an ISC, or with a partial fixed or removable denture. 2) To investigate patients’ preferred role and dentists’ ethical responsibilities in decision-making. Methods: A mail-out survey (sent to: dental specialists, n=195, response rate=39%; patients, n=434, response rate=43%) and a web-based survey (general dentist sample, n=304, response rate =15%) were used to collect data. Statistical bivariate and multivariate analyses were undertaken with P set at < 0.05 with Bonferroni adjustment as necessary. Results: RCT or ISC were the most selected treatment choices for dentists, while the preference for RCT was reduced for teeth treated previously with RCT. Dentists’ preferences were associated with their specialty as well as clinical experience in endodontics and/or implant dentistry. Patients’ stated general preference for saving teeth was associated with higher self-rated oral health, frequent dental check-ups, and higher socio-demographic factors. Those with higher education, regular dental visits and previous experience of RCT preferred to undergo RCT for future treatment in comparison to those who never experienced RCT. Patients preferred a collaborative role with their dentists in making treatment decisions and valued the retention of natural teeth very highly. They also felt that communication with and trust in their dentist was paramount. Conclusion: Dentists should establish rapport with patients in a milieu that values and respects the patients’ autonomy. By following the highest standards of evidence-based care, and transferring unbiased information on treatment options and associated risks/benefits, it is highly probable that dental care will be delivered in a more ethical manner than would otherwise be possible.

Foram descritos e comparados os códigos de ética da odontologia vigentes, na Argentina, na Colômbia, na Espanha, no México, em Portugal, no Peru, no Uruguai e na Venezuela com o Código de Ética Odontológica vigente no Brasil. Referida comparação deu-se no tangente aos seguintes aspectos: direitos e deveres do profissional, relação com o paciente, sigilo profissional, honorários profissionais, publicidade e propaganda e especialidades odontológicas. Observaram-se algumas desvantagens e vantagens nos códigos de ética estrangeiros em relação ao código brasileiro. Com base nisto propuseram-se algumas modificações ao Código de Ética Odontológica, tais como a inclusão de incisos que disciplinem a conduta do profissional em relação a pacientes soropositivos, obriguem o mesmo à denúncia de violência sofrida por paciente, lhe garantam a posse do prontuário odontológico, estabeleçam o sigilo profissional exclusivamente como dever do profissional, bem como a modificação do texto para melhor explicar quais são os fatos e informações que devem ser objeto de sigilo profissional. / The dentistry ethics codes in Argentina, Colombia, Spain, Mexico, Portugal, Peru, Uruguay and Venezuela have been described and compared with the dentistry ethics code existing in Brazil. The referred comparison happened about the following aspects: rights and duties of the professional, relationship with the patient, professional secrecy, professional fees, advertising and dental specialties. Some advantages and disadvantanges, were observed in the foreign codes of ethics in relation to the brazilian dentistry ethics code. On that basis, some changes were proposed to the brazilian dentistry ethics code, such as the inclusion of items which discipline the conduct of the professional dealing with HIV positive patients, force the professional to the denunciation of violence suffered by patient, insure the professional the possession of dental records, establish professional secrecy exclusively as duty of the occupation, as well as the change of the text to better explain what are the facts and information that should be subject of the professional secrecy.

O avanço técnico-científico das últimas décadas fez com que as Ciências da Saúde, incluindo a Odontologia, se desenvolvessem rapidamente, em prol da saúde do paciente. Por outro lado, o progresso vertiginoso fez com que os profissionais da área da saúde voltassem sua atenção a este desenvolvimento, despersonalizando a relação com o paciente. O ser humano necessita ser olhado e visto na sua totalidade, atitudes que devem ser desenvolvidas pelos profissionais que lidam com pessoas, principalmente pessoas vulnerabilizadas pela dor e pelo sofrimento, como é o caso da Odontologia. Neste sentido, o presente trabalho avaliou, através da técnica hermenêutica, o Código de Ética Odontológica vigente, ou seja, a Resolução 42/2003, em relação à promoção da humanização das relações assistenciais. A interpretação dessa normativa permitiu concluir que o documento que deu origem ao referido código, elaborado na III CONEO preocupou-se com o zelo à saúde do paciente e com o respeito à dignidade do mesmo, preceitos fundamentais da humanização da assistência. E ainda que o Código poderia ser menos repetitivo em algumas questões e ter um objetivo mais definido com ênfase ao conceito de pessoa humana. / The technical and scientific progress made over the last decades promoted a rapid development of Health Sciences, including Odontology for the benefit of the patients’ health. On the other hand, this tremendous progress drew the attention of health professionals to the developments made and turned their relationship with their patients more impersonal. People need to be looked upon and seen as a whole, and so professionals must develop their interpersonal skills so as to behave accordingly, especially when faced with people more vulnerable by their pains and sufferings, as it is very often the case in the field of Odontology. For that purpose, this work used a hermeneutic method to assess the Code of Dental Ethics currently in force - i.e., the Resolution 42/2003 - concerning the promotion of more humane assistance care services. The interpretation of this norm enabled to conclude that the draft of the code in reference, which was elaborated at the 3 rd Brazilian National Conference on Dental Ethics [“III CONEO"] was concerned with the care given to the patients’ health and with the respect held for their dignity, both of which are fundamental precepts for the humanization of assistance care services. Finally, the work concluded that the Code would, nevertheless, gain in being less repetitive on some issues and in having a more defined purpose, while emphasizing on the concept of the human being.

A atenção à pessoa humana requer o reconhecimento de sua dignidade. Para isso, é necessário que a pessoa seja percebida como ser único, como unidade de corpo e espírito e em sua totalidade, ou seja, nas suas diversas dimensões (biológica, psicológica, social e espiritual). Para compreender essa necessária atenção, no âmbito da formação em Odontologia, este estudo discute o significado da reestruturação curricular da FOUSP, da contribuição do docente e da Bioética para a formação integral do aluno, a fim de que essa atenção possibilite a abordagem integral do processo saúde-doença e que, consequentemente, promova o respeito à dignidade do paciente. Trata-se de estudo qualitativo realizado por meio de análise etnográfica e pela análise temática de conteúdo. Para isso, a coleta de dados consistiu de observação-participante (imersão da pesquisadora por três anos na instituição), da análise de dados documentais, de entrevistas com docentes e de informações obtidas de alunos da graduação. A análise das atividades promovidas em razão da participação da instituição no Pró-saúde permite concluir que grandes avanços têm sido percebidos a partir desse processo de reformulação do currículo, como a capacitação pedagógica dos docentes, a diversificação dos cenários de práticas, e a reestruturação do ensino da clínica. Mas, sobretudo, permite considerar que a maior contribuição desse processo é o resgate da preocupação de todos com o ensino da graduação. Além disso, o ensino da Bioética pode contribuir para despertar no aluno a reflexão acerca da vida a partir de suas próprias experiências. Sobretudo quando o ensino da Bioética ocorre na prática, pela vivência de situações reais, que possibilitam ao aluno o desenvolvimento do pensamento crítico baseado em circunstâncias em que os olhares dos alunos e pacientes podem se cruzar, as atitudes éticas são exercitadas e serão assimiladas mais facilmente pelos alunos. Enfim, para que a formação do aluno seja de fato integral, conforme descrito nas Diretrizes Curriculares Nacionais e que culmine com o atendimento integral do paciente, é preciso haver o engajamento de toda a instituição. Isso deverá ocorrer por meio de mudanças epistemológicas na Instituição (o que está proposto pela reestruturação curricular), e por meio da participação de todos os docentes, que devem se envolver no processo de formação humanística, social e ética do aluno de graduação. / The attention to the human person requests the recognition of his/her dignity. For that, it is necessary that the person is perceived as a unique being, as a unity of body and spirit and in his/her totality, in other words, in several dimensions (biological, psychological, social and spiritual). To understand this necessary attention, in the extent of the formation in Dentistry, this study discusses the meaning of the curricular restructuring of Sao Paulo State University Dental School (FOUSP), of the teacher\'s contribution and of Bioethics for the student\'s integral formation, so this attention enables the integral approach of the health-disease process and that, consequently, promote the respect to the patient\'s dignity. It is qualitative study accomplished through ethnographic analysis and trough thematic analysis of content. For that, data collection consisted of observation - participant (the researcher\'s immersion for three years in the institution), of the analysis of documental data, of interviews with teachers and information obtained with under-graduation. The analysis of the activities promoted in reason of the participation of the institution in the Pró-saúde allows concluding that great progress has been observed as of the process of restructuring the curriculum, as the teachers\' pedagogic training, the diversification of practice sceneries and the restructuring of clinical teaching. But, above all, it allows considering that the largest contribution of this process is the rescue of the concern of all with the under graduation teaching. Besides, the teaching of Bioethics can contribute to rouse in the student the reflection on life from his/her own experiences. Above all when the teaching of Bioethics happens in practice, experiencing real situations, that allow the student to develop a critical thinking based on circumstances that students\' and patients glances can cross, ethical attitudes are exercised and will be assimilated more easily by the students. Finally, for the student\'s formation to be integral, as described in the National Curricular Guidelines and culminating with the integral care of the patient, the engagement of all the institution is necessary. This should happen through epistemological changes in the Institution (that is proposed by the curricular restructuring), and through participation of whole faculty that must be involved in the process of humanistic, social and ethical formation of the under graduation student.

La santé bucco-dentaire est encore aujourd’hui une importante problématique de santé publique en France. Pour une partie des patients, les consultations chez le chirurgien-dentiste reposent sur le ressenti d’un problème, le plus souvent une douleur, qui pourra motiver une demande de prise en charge en urgence en rendant le patient dépendant de l'intervention d'un chirurgien-dentiste. En France, l’offre de soins odontologiques d’urgence dépend majoritairement de soins dispensés au sein de cabinets dentaires privés tandis que l’offre de soins publique reste minoritaire et hétérogène. Cette organisation particulière associée à la difficile définition de ce qui constitue une urgence odontologique est susceptible d’entraîner pour les patients des difficultés d’accès aux soins d’urgence. L’analyse de la littérature internationale montre que des problématiques identiques existent dans des pays de niveau de vie équivalent et ces constatations plaident pour un développement de l’offre de soins odontologiques d’urgence en milieu hospitalier. Ce travail s’articule autour de trois études s’adressant chacune aux différents acteurs de l’urgence odontologique (patients, chirurgiens-dentistes en exercice et étudiants en odontologie). Il a pour objectifs (i) de caractériser la notion d’urgence dans le contexte de l’odontologie, (ii) de discuter des bénéfices et des limites actuels de ses deux modes de prise en charge (privé et public), (iii) d’envisager les enjeux éducationnels relatifs à l’enseignement de l’urgence odontologique et (iv) de discuter des enjeux éthiques relatifs à une meilleure prise en considération professionnelle de cette dernière. / Despite major therapeutic progress, oral health still remains an important public health problem in France. The use of dental care is mainly based on patients’ perception of a dental problem, mostly pain, that may motivate a request for emergency dental care. In contrast to what is available for the management of medical emergencies, the provision of emergency dental care in France relies mainly on care provided in private dental offices while the supply of public emergency dental care remains minor and heterogeneous. This particular organization, associated with the difficulty in identifying precisely what constitutes a dental emergency, is likely to result in patients lacking access to emergency dental care. The analysis of the international literature shows that similar issues have been raised in countries of equivalent standard of living and these findings call for developing the provision of dental care in the hospital environment. This work is based on three complementary studies, each of which addressing the different actors involved in dental emergencies (patients, dentists and dental students). The aim of this work is (i) to characterize the notion of urgency in the context of dentistry, (ii) to discuss the benefits and current limitations of the two co-existing ways of management of dental emergencies (i.e. private offices and public hospital), (iii) to consider the educational issues related to the teaching of dental emergency topic and (iv) to carry out, on the basis of the synthesis of our experimental results, a reflection on the ethical issues related to better consideration of these common care situations by dentists.

A atenção à pessoa humana requer o reconhecimento de sua dignidade. Para isso, é necessário que a pessoa seja percebida como ser único, como unidade de corpo e espírito e em sua totalidade, ou seja, nas suas diversas dimensões (biológica, psicológica, social e espiritual). Para compreender essa necessária atenção, no âmbito da formação em Odontologia, este estudo discute o significado da reestruturação curricular da FOUSP, da contribuição do docente e da Bioética para a formação integral do aluno, a fim de que essa atenção possibilite a abordagem integral do processo saúde-doença e que, consequentemente, promova o respeito à dignidade do paciente. Trata-se de estudo qualitativo realizado por meio de análise etnográfica e pela análise temática de conteúdo. Para isso, a coleta de dados consistiu de observação-participante (imersão da pesquisadora por três anos na instituição), da análise de dados documentais, de entrevistas com docentes e de informações obtidas de alunos da graduação. A análise das atividades promovidas em razão da participação da instituição no Pró-saúde permite concluir que grandes avanços têm sido percebidos a partir desse processo de reformulação do currículo, como a capacitação pedagógica dos docentes, a diversificação dos cenários de práticas, e a reestruturação do ensino da clínica. Mas, sobretudo, permite considerar que a maior contribuição desse processo é o resgate da preocupação de todos com o ensino da graduação. Além disso, o ensino da Bioética pode contribuir para despertar no aluno a reflexão acerca da vida a partir de suas próprias experiências. Sobretudo quando o ensino da Bioética ocorre na prática, pela vivência de situações reais, que possibilitam ao aluno o desenvolvimento do pensamento crítico baseado em circunstâncias em que os olhares dos alunos e pacientes podem se cruzar, as atitudes éticas são exercitadas e serão assimiladas mais facilmente pelos alunos. Enfim, para que a formação do aluno seja de fato integral, conforme descrito nas Diretrizes Curriculares Nacionais e que culmine com o atendimento integral do paciente, é preciso haver o engajamento de toda a instituição. Isso deverá ocorrer por meio de mudanças epistemológicas na Instituição (o que está proposto pela reestruturação curricular), e por meio da participação de todos os docentes, que devem se envolver no processo de formação humanística, social e ética do aluno de graduação. / The attention to the human person requests the recognition of his/her dignity. For that, it is necessary that the person is perceived as a unique being, as a unity of body and spirit and in his/her totality, in other words, in several dimensions (biological, psychological, social and spiritual). To understand this necessary attention, in the extent of the formation in Dentistry, this study discusses the meaning of the curricular restructuring of Sao Paulo State University Dental School (FOUSP), of the teacher\'s contribution and of Bioethics for the student\'s integral formation, so this attention enables the integral approach of the health-disease process and that, consequently, promote the respect to the patient\'s dignity. It is qualitative study accomplished through ethnographic analysis and trough thematic analysis of content. For that, data collection consisted of observation - participant (the researcher\'s immersion for three years in the institution), of the analysis of documental data, of interviews with teachers and information obtained with under-graduation. The analysis of the activities promoted in reason of the participation of the institution in the Pró-saúde allows concluding that great progress has been observed as of the process of restructuring the curriculum, as the teachers\' pedagogic training, the diversification of practice sceneries and the restructuring of clinical teaching. But, above all, it allows considering that the largest contribution of this process is the rescue of the concern of all with the under graduation teaching. Besides, the teaching of Bioethics can contribute to rouse in the student the reflection on life from his/her own experiences. Above all when the teaching of Bioethics happens in practice, experiencing real situations, that allow the student to develop a critical thinking based on circumstances that students\' and patients glances can cross, ethical attitudes are exercised and will be assimilated more easily by the students. Finally, for the student\'s formation to be integral, as described in the National Curricular Guidelines and culminating with the integral care of the patient, the engagement of all the institution is necessary. This should happen through epistemological changes in the Institution (that is proposed by the curricular restructuring), and through participation of whole faculty that must be involved in the process of humanistic, social and ethical formation of the under graduation student.