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2011, Número 1

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Cir Cir 2011; 79 (1)


Evolución de la educación quirúrgica del siglo XX al XXI

Dudrick SJ

Idioma: Español
Referencias bibliográficas: 54
Paginas: 16-35
Archivo PDF: 345.82 Kb.


RESUMEN

Se presenta una breve visión general del desarrollo de la cirugía y las primeras etapas de la educación, el entrenamiento y la práctica quirúrgica, desde la América colonial en el siglo XVIII hasta la primera década del siglo XXI. Se describen y discuten la metamorfosis y la transformación de los programas de entrenamiento quirúrgico en Estados Unidos, así como algunos razonamientos y justificaciones relevantes para muchos de los cambios que se introdujeron, establecieron o resolvieron y aquéllos que se encuentran en progreso. Se presentan los requerimientos actuales de acreditación, supervisión y gestión de los programas de entrenamiento en cirugía general; la incorporación de múltiples avances técnicos y tecnológicos en la práctica de la cirugía general; la adición de los módulos y los sistemas requeridos para los programas; así como sus implicaciones, consecuencias e impacto secundarios sobre los programas. Éstos comprenden los impedimentos financieros y de insumos, las implicaciones y las limitaciones de la jornada de trabajo semanal de 80 horas, la explosión tecnológica, las demandas de un plan de estudios extenso de cirugía general y las dificultades para conjuntar estos factores o que propician confusión en un programa de cirugía general efectivo y viable. Finalmente se expresan algunas percepciones, opiniones, experiencias y conceptos personales del autor.


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