Rheumatology Training in Latin America

Abstract

Background/Objective: Demand for rheumatology care has steadily increased in recent years. The number of specialists in this field, however, seems insufficient. No recent studies have diagnosed the attributes of rheumatology training in Latin America.Methods: This is a descriptive cross-sectional study. We obtained data on each country through local rheumatologists of the Pan-American League Against Rheumatism, who acted as principal investigators for participating countries. Our sample was analyzed and described through means and standard deviations or through frequencies and percentages, depending on the variable. Results: Countries with the most rheumatology-training programs wereBrazil (n = 50), Argentina (n = 18), and Mexico (n = 15). Ecuador, Honduras, and Nicaragua do not have rheumatology-training programs. The countries with the most available slots for rheumatology residents were Brazil (n = 126) and Argentina (n = 36). To be admitted into rheumatology training, candidates were required to have completed graduate studies in internal medicine in 42.1% of the programs. In 8 countries (42.1%), residents are not required to pay tuition; the median cost of tuition in the remaining countries is US $528 (interquartile range, US $2153). Conclusions: Conditions associated with rheumatology training in LatinAmerica vary. Significant differences exist in income and tuition fees for residents, for example, and 4 countries in Latin America do not currently offer programs. Information collected in this study will be useful when comparing the status of rheumatology services offered in Latin America with those in other countries. Most countries require a wider offering of rheumatology-training programs, as well as more available slots.

Burden of Other Musculoskeletal Disorders in Latin America and the Caribbean

“…Although the number of rheumatologists has increased, this appears to be limited. In LAC, four countries currently do not provide rheumatology programs 37 . Second, we propose the creation of National Programs of Musculoskeletal Health promoted by either national Rheumatology societies and/or through PANLAR recommendations, which will aid in growing awareness and provide guidance for the prevention and management of all care levels, including primary care, in rural regions (first level).…”

“…In LAC, four countries currently do not provide rheumatology programs. 37 Second, we propose the creation of National Programs of Musculoskeletal Health promoted by either national Rheumatology societies and/or through PANLAR recommendations, which will aid in growing awareness and provide guidance for the prevention and management of all care levels, including primary care, in rural regions (first level). In hospitals with well-trained rheumatologists and internists (second level), and third level, not only general rheumatologists but also rheumatology experts in different rheumatic diseases, such as lupus ("lupologists").…”

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“…escasos los programas de formación en reumatología en la región, con distribución desigual y con falta de oportunidades en el campo laboral 13 .…”