Diário da República publishes map with 2,338 Medical Internship vacancies for 2026

The Central Administration of the Health System, IP (ACSS) has published the map of vacancies by specialization area and institution for the 2026 Medical Internship, totaling 2338 positions. The notice is contained in the Diário da República, 2nd series, no. 193, of October 6, 2026, in a supplement, and the map was approved by a decree of September 29, 2026, by His Excellency the Secretary of State for Health Management. The document, signed on October 1 by the board member Paula Oliveira, serves as the basis for the specialized training selection process.

The competitive procedure for entry into the 2026 Medical Internship was opened by Opening Notice no. 21633/2025/2, of August 29, published in Diário da República no. 166, 2nd series. The legal framework is Decree-Law no. 13/2018, of February 26, in its current version, and the Medical Internship Regulation approved in the annex to Ordinance no. 79/2018, of March 16.

The map distributes vacancies by specialty, region or autonomous region, and placement institution, covering local health units (ULS), health centers, private and social sector hospitals, and services of the autonomous regions. The notice consists of 47 pages and is published as an integral part of the selection procedure.

Distribution by specialization area

The national total is divided into four major training areas:

• Hospital specialization areas: 1595 vacancies
• General and Family Medicine: 675 vacancies
• Public Health: 59 vacancies
• Legal Medicine: 9 vacancies
• National total: 2338 vacancies

Among the hospital specialties, the most representative are Internal Medicine (216 vacancies), Pediatrics (110), Anesthesiology (102), Psychiatry (82), General Surgery (72), Gynecology/Obstetrics (71), and Orthopedics (70). These are followed by Clinical Pathology (59), Physical and Rehabilitation Medicine (52), Medical Oncology (50), Cardiology (44), Urgency and Emergency Medicine (42), Neurology (37), Clinical Hematology (27), Gastroenterology (27), Infectious Diseases (26), and Occupational Medicine (26).

General and Family Medicine concentrates the largest share

General and Family Medicine is the area with the most vacancies, 675, distributed mainly across family health units (USF) and personalized health care units (UCSP). The regional distribution is as follows:

• Lisbon and Vale do Tejo: 237 vacancies
• North: 226 vacancies
• Center: 121 vacancies
• Alentejo: 41 vacancies
• Algarve: 24 vacancies
• Azores: 18 vacancies
• Madeira: 8 vacancies

The list includes dozens of specific units, such as ULS Santa Maria — USF Andreas, ULS São José — USF da Baixa, ULS Coimbra — USF Briosa, or ULS Braga — USF Gualtar.

Protocolled and reserved vacancies

The map indicates specific placement situations, identified by footnotes:

• One protocolled vacancy from SESARAM (Madeira) with the training institution ULS de São João.
• One protocolled vacancy from Hospital de Santo Espírito da ilha Terceira, EPE with ULS de Lisboa Ocidental.
• One protocolled vacancy from Hospital de Santo Espírito da ilha Terceira, EPE with ULS de Coimbra.
• One reserved vacancy under the protocol between the Ministry of Health and the Ministry of National Defense, published in the annex to Notice no. 10394/2020, of July 14.
• Two reserved vacancies under the same protocol.

Private and social sector on the map

The notice also includes private and social sector institutions among the placement locations, such as CUF Descobertas Hospital, Hospital da Luz Lisboa, Hospital dos Lusíadas, Hospital CUF Tejo, Hospital Luz Setúbal, Hospital Público Privado de Cascais, CUF Porto, Hospital Trofa Saúde, and Hospital da Luz — Arrábida — Gaia. These units receive vacancies in specialties such as Internal Medicine, Anesthesiology, Pediatrics, Psychiatry, and Medical Oncology.

The vacancy map determines where newly licensed doctors will undergo specialized training and therefore conditions the provision of healthcare in the coming years, especially in regions with greater difficulty in retaining doctors. The concentration of places in General and Family Medicine and in hospital areas with the highest healthcare pressure is the main signal the document sends to candidates and institutions.

Source: Diário da República, 2nd series, no. 193, of October 6, 2026, Supplement, Part C — Health, pág. 1/47 (official reference: Notice no. 24519-A/2026/2).