The university medical formation constitutes a very important area of research. So, identify the medical patient relation, as a basic question of professional practices is essential. In this way, this is a constitutive question of the medicine course what must be studied in different form. This article intends to put into evidence the importance of historical and sociological aspects of this relation as a basic question of the professional formation. The large search for medical attention from a hegemonic form of thinking is stimulated. So the live of each one suffers a permanent influence of medicine. However, since of this presuppose, we must not reduces the complexity of the relation established between this two actors (the medical and the patient). Any factors influence this relation as medical education and cultural, social, economical, historical and even institutional situation in witch it's studied. One of the main problems that generate difficulties, even conflicts between physicians and patients, is concerned with the "communication". This problem is related with the lack of satisfaction in the public health services. Since 1927, a physician called Francis Peabody in ADAM AND HERZLICH, 2000, stated that the most complaints of the patients haven't organic sources. An attention attitude of the physician can identify the emotional origin of these disturbs. The medical patient relation puts into contacts different social agents in reference to competence, prestige and power. For Talcott Parsons (1951) the acute and curable diseases define the medical patient relation as a consensual one. That is, the medical patient objective is the same: the cure. Health view as a norm and a "natural order" is opposite to diseases, considered as a disorder, a threat to social stability. The consensual puts into evidence three important aspects: the recognizing of the meaning of health and diseases in the societal point of view, the central role of medicine in the modern society and it shows that one important function of medicine is concerned with social control. The changing of historical social context, from the predominance of acute to chronic diseases, modifies the postulates of the medical patient relationship. The aged patient must be stimulated to participate actively into the therapeutic process. The communication is essential to establish an educative process. Communication is only possible if the aged patient recognizes the physician as somebody able to satisfy his demands. It's observed an increased of attitudes of no cooperation and most frequently patients criticize prescriptions and medical orders. Historically we can identify late sixties years (1968) as the moment in witch the consensual model changes into a model based in conflicts of perspectives and interest in the medical patient relationship. The negotiated order model from Anselm Strauss and his col. in ADAM E HERZLICH (2000) exceeds the old context of the medical patient relationship. This is an open relation in witch negotiation is considered as a form of social relations regulation. The patients have an active participation taking into account medical opinion face his technical competence. This kind of relation must to be stimulated because reflects the ideal type of interest among subjects. It's more symmetric, democratic, overt and effective because generates favorable conditions for the educational process. Taking into account these considerations we think that medical education must consider this new basis for a medical aged patient relation centered into the communication and active participation.