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The management of human resources in health has several challenges in adjusting the workforce to economic, social, and epidemiological transformations, and in consolidating a public and universal health system. One of the ways to overcome these issues is the integration between health services and educational institutions. This process is sometimes mediated by the State through normative acts, sometimes built on the articulation between management, health services, educational institutions, and social control. The objective of this study was to analyze the performance of the municipal health manager of São Paulo in the organization of human resources in public health system (SUS) linked to teaching-servicecommunity integration, understanding the public policies built for this purpose, describing the history of the contractualization of internship fields and apprehending the functioning of the devices of pactuation and articulation of the municipal management related to health training and teaching-service integration. This is a qualitative, exploratory, case study research conducted among representatives of the management of the Municipal Health Secretariat of São Paulo, health service managers and social control that work with human resources and teaching-service integration. The data were produced by semi-structured interviews and submitted to content analysis as proposed by Bardin. Additionally, public documents (decrees and ordinances) and technical documents related to the contractualization of internship fields and to the formal spaces of articulation between actors of the health training quadrilateral were used. This material was submitted to documentary analysis. The results show that there is alignment between the discourse of the subjects with the concepts of Continuing Education in Health, encouraging proposals for professional qualification from the bottom up and based on meaningful learning, but with technical deficiencies for its implementation; that the teachingservice integration is permeated by unilateral interests, despite having potential for improving health services and professional qualification; that the contractualization of internship fields is complex and with hypertrophy of administrative processes; that the articulation between the various actors of the quadrilateral is still fragile with asymmetric relations; that the normative framework helped the municipality to regulate the relationship between educational institutions and health services; that the public-private partnership, in the studied territory, has not yet managed to bring answers to the main questions related to human resource management in health and to stimulate teaching-service integration. The construction of policies for human resources planning in the SUS and service-learning integration requires better coordination and strengthening among the actors of the quadrilateral of health training, with an agenda based on common goals and committed to the discussion of professional qualification, the role of the preceptor in internship fields, the engagement of public-private partnership and joint construction of teaching plans that encourage teamwork and collaborative practices. Finally, the need for a management network of teaching-service integration and health education with more symmetrical and, at the same time, interdependent relationships among the actors involved is presented, with emphasis on greater empowerment of social control.
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