[Response to comment on "The ENARM and the schools and faculties of medicine. An analysis that nobody will like"].

The authors give their point of view to the comments received on the article “The ENARM and the schools and faculties of medicine. An analysis that nobody will like”, published in 2017, stating that, in their opinion, the important thing is to contribute to improve the fate of the graduates of the different medical schools.

[The professional differentiation in medical practice. A theoretical model of the process of changing].

The structure of the change process on medical professionalization has not being studied enough. The physicians are made aware of the necessity of changing their medical practice in ways that also affect their personal life. A change involves the need to plan, evaluate possibilities and resources with efficacy and outline competencies.