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Internal medicine is the branch of general medicine that is responsible for the study of adult conditions such as biopsychosocial being. The clinician must have a solid professional training that allows him to know, value and transform the state of health of the population, as well as support his performance in philosophical, humanistic and ethical principles and values. The objective of this work is to offer considerations on the training process of the internal medicine specialist in Cuba. The training of internal medicine professionals has changed their conceptions throughout a historical process, marked by events and facts that define it in its current character. It is recognized that it must be the result of a formative process of excellence, which contributes from the academic, labor and investigative aspects to their instruction, education and professional growth, which constitutes the essential result of their formative process in the short, medium and long term. The internal medicine residency developed in Cuba manifests a set of features, which by way of regularities and trends have characterized it in its historical evolution, which show curricular changes and transformations in its design, dynamics, and evaluation.