Estándares De La Formación Del Cirujano: Visión De La Sociedad De Cirujanos De Chile

Z, Marco Bustamante; G, Ricardo Espinoza; K, Juan Hepp; C, Jorge Martínez

doi:10.4067/s0718-40262015000100017

Cited by 7 publications

(6 citation statements)

References 15 publications

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“…Trauma is associated with a high morbimortality rate, the fast and standardized management with early bleeding control is fundamental 29,15 . Patients' treatment is often performed by general surgeons at the emergency department of general hospitals 4 . Additionally, there is an increasing concern of the quality of some surgical skills acquired during residency training 18,22,30,34 .…”

Section: Discussionmentioning

confidence: 99%

“…residents to complex surgical cases 10,12,32 . In countries where the general surgery residency lasts for only three years, such as Chile, the factors mentioned above may have a more considerable impact than in more extended programs 4 . This situation has led to questioning the adequate competence to perform some procedures by the general surgeons with autonomy at the end of their training program 22 .…”

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confidence: 99%

“…In countries and locations where no trauma centers are available, the assessment and treatment of severe trauma are conducted by a general surgeon in the emergency department 14 . In this setting, support by specialist is not often available, and the surgeon must perform alone 4 . Moreover, most of these cases concentrate outside of working hours, making it even harder to obtain advice from a senior collegues 25,40 .…”

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Self-Confidence on Acquired Surgical Skills to Deal With Severe Trauma Patients in Recently Graduated Surgeons

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et al. 2021

ABCD, arq. bras. cir. dig.

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Background: Trauma is one of the leading causes of death in the world and proper surgical care is critical to impact mortality. In Chile, trauma associated death ranks first as mortality cause in population between 20 and 59 years old. Appropriate surgical skills are required to deal with these complex patients. Self-confidence to practice trauma procedures after the General Surgery Residency have not been reported in our country. Aim: Describe the level of self-confidence to deal with trauma procedures of surgeons who recently graduated from a General Surgery Residency. Method: Descriptive cross-sectional study. We designed and applied a survey in 2015, 2016 and 2017 to recently graduated surgeons, to inquire about self-confidence of surgical skills to deal with trauma scenarios. Eighteen trauma surgery procedures (including cervical, thoracic, abdominal and vascular procedures) were evaluated using a 5-grade Likert scale. The number of procedures performed during the residency was also queried. Results: Eighty-eight recently graduated surgeons from 11 different training programs in Chile were included. The report of competencies was high in procedures such as intestinal injuries, were 98% felt competent or very competent in their repair. On the other hand, in complex traumas such as major vessel injury, up to 76% reported not being competent. Self-confidence on procedures was directly associated with the number of procedures performed during residency. Conclusions: Recently graduated surgeons from General Surgery Programs report high levels of confidence to deal with low and intermediate complexity traumas, but a lower level of confidence to treat high complexity cases.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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Self-Confidence on Acquired Surgical Skills to Deal With Severe Trauma Patients in Recently Graduated Surgeons

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et al. 2021

ABCD, arq. bras. cir. dig.

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“…Los criterios utilizados involucran la realidad sanitaria nacional, los estándares de la práctica quirúrgica actual y el contexto docente-asistencial, entre otros. El registro de intervenciones realizadas por los residentes durante su formación es un insumo clave para la definición de estos lineamientos 16 . En conclusión, los residentes de la PUC completan un volumen importante de intervenciones en rol de primer cirujano; creemos que su registro es clave para una adecuada evaluación del programa y debiera servir de antecedente para la definición y evaluación de competencias mínimas de los PCG por las entidades correspondientes.…”

Section: Discussionunclassified

Intervenciones Realizadas Por Residentes De Cirugía General

Alvarado

et al. 2015

Rev Chil Cir

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surgical procedures performed by general surgery residents introduction:The national Society of Surgery has defined the minimum number of surgical procedures that must be performed by general surgeons in trainee, however, there is no national data reporting this accomplishment. The aim of this study is to report on detail the surgical interventions performed by General Surgery Residents at the Pontificia Universidad Catolica de Chile (PUC) as lead surgeons. methods: Retrospective analysis of surgical procedures performed by 26 Residents of the General Surgery Program (GSP) at PUC who graduated between the years 2012 and 2014. A total of 10.102 registered surgeries were reviewed and summarized. results: The mean number of interventions performed by surgery residents was 481 (20% of them on the first year). The most frequently performed procedures were (mean per resident) laparoscopic cholecystectomy (115;24%), open appendectomy (89;19%), classic hernioplasty (43;9%), laparoscopic appendectomy (34;7%) and open cholecystectomy (25;5%). Regarding complex/sub-specialty interventions, partial/ total colectomy (12;2%), thyroidectomy-parathyroidectomy (9;2%), vascular access (8;2%), thoracotomy-VATS-sternotomy (5;1%) and breast surgery (4;1%) were the most commonly performed. Fifty three percent of all procedures were done in an emergency setting. The proportion of emergency procedures increased through the GSP training (elective vs emergency: 62 vs 38% at first year and 34 vs 66% at third year, respectively; p < 0.002). Interventions were mainly performed in the capital city of Chile, Santiago (74%) and the remaining were done in other provinces. Regarding only abdominal interventions (mean per resident: 366), 42% was performed by laparoscopy. conclusions: Residents of the PUC-GSP execute a considerable large amount of interventions as resident surgeons throughout their 3-years-training program, exceeding the minimum recommendations established by the national Society of Surgery.

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“…Si bien hay que reconocer que la Sociedad de Cirujanos de Chile ha hecho esfuerzos importantes por difundir su visión en cuanto a la formación del cirujano en nuestro país y trazar líneas de trabajo y definir los desafíos más importantes 39,40 , no se han implementado, a mi parecer, planes concretos y radicales para que la educación en cirugía en nuestro país se profesionalice, se establezcan asociaciones de centros formadores y se establezcan estándares mínimos en los programas de formación.…”

Section: Análisis Y Recomendacionesunclassified

Docencia innovadora en Cirugía

Marinkovic

2020

Rev. Cirugia

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La docencia innovadora en cirugía la asociamos habitualmente al uso de tecnología moderna para mejorar la educación que realizamos en nuestra especialidad. Sin embargo, en educación, la innovación está relacionada con la incorporación de aspectos más teóricos que tecnológicos. Esto está respaldado por una creciente cantidad de evidencia conducida principalmente por educadores, quienes utilizan la mirada de las ciencias sociales, que difieren ampliamente de como validamos la evidencia los cirujanos. Pese a esto, en los últimos 40 años, hemos visto globalmente como ha habido un importante cambio paradigmático en el modelo educativo con el que educamos en cirugía. Este ha sido impulsado básicamente por la introducción de técnicas mínimamente invasivas, cambios sociales y el progreso de las ciencias de la educación. Como sociedad científica tenemos aun el desafío de impulsar la formación de educadores quirúrgicos, establecer estándares nacionales según la experiencia de paises líderes en la materia y regular los currículos de pre y postgrado introduciendo conceptos educacionales modernos como el profesionalismo y la educación basada en competencias. Nuestra meta debería ser una sola: profesionalizar la educación quirúrgica en nuestro país poniendo el foco en el residente o en el estudiante. Esto implica entre otras cosas, que se cambie el objetivo de formar profesionales que dominen una batería rígida de procedimientos a prepararlos para enfrentar competentemente un mundo profesional que se encuentra en constante cambio y evolución. Sólo así estaremos realmente realizando innovación en docencia quirúrgica y podremos enfocarnos entonces en la tecnología.

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Estándares De La Formación Del Cirujano: Visión De La Sociedad De Cirujanos De Chile

Cited by 7 publications

References 15 publications

Self-Confidence on Acquired Surgical Skills to Deal With Severe Trauma Patients in Recently Graduated Surgeons

Self-Confidence on Acquired Surgical Skills to Deal With Severe Trauma Patients in Recently Graduated Surgeons

Intervenciones Realizadas Por Residentes De Cirugía General

Docencia innovadora en Cirugía

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