Family doctors' agreement, SMI signs but 'critical issues remain' The Italian Doctors Union (Smi) has decided to sign the National Collective Agreement on general medicine for the three-year period 2019-2021. There are several gaps in the new agreement, according to the SMI, which reports that "there is an inadequacy in the compensation provided in relation to the contribution, also in terms of human lives, of general medicine during the pandemic" The agreement also does not provide for "part-time or the valorisation of overtime work"