PURPOSE: To report the experience of speech, language, and hearing sciences in a multi professional integrated residency program in management and warning public health system. CASE REPORT: Since the 1980s, the speech, language, and hearing sciences have been increasingly used in the public health system, although they were initially used in rehabilitation practices. The expansion of the field includes preventive practices and health promotion, but its incorporation in management within the public health system remains small. The experience in a program at the 4th Regional Coordination of Health (RCH) is directed at health surveillance with actions planned and conducted on the basis of an indicator's monitoring and evaluation. This work focuses on worker health surveillance. A survey was initially composed of a historic series of pacts that were compared concerning the notification of work accidents in the previous 4 years in the 32 counties included in this RCH. It was obtained from the Information system on worker health. In analyzing the data, more than 50% of municipalities did not attain the agreed number of notifications. In regard to this, a meeting was held with municipal secretaries of health and representatives of the health surveillance of workers in which the importance of notifications for planning actions was discussed. CONCLUSION: The resident in management provides experience in other areas of public health with a generalist view (based on health indicators), and allows progress in still poorly understood areas in the speech, language, and hearing sciences.