2019, Number 3
<< Back Next >>
Acta Ortop Mex 2019; 33 (3)
Installed Capacity Perception Survey for the Training of Resident’s Program in Orthopedics and Care Needs in Acute and Chronic Musculoskeletal Pathology in Mexico
Redondo‑Aquino G, Gutiérrez‑Gómez JJ, Gil‑Orbezo FI, Gómez‑Sánchez E, Torres‑González R, Encalada‑Díaz IM, Aguirre‑Moreno MA, Álvarez‑Garnier JC, Álvarez‑Carrillo GA, Bonilla‑Tame JC, Burboa‑Quiroz J, Chávez‑Amezcua LA, Cuellar‑Ríos E, De La Fuente‑Zuno JC, Camarena‑Martínez J, Díaz‑De Jesús B, Cisneros‑Dreinhofer FA, Espejo‑Sánchez G, Fuentes‑Nucamendi MA, García‑Balderas A, García Félix‑Díaz GJ, García‑Hernández A, García‑Pinto G, Gómez‑García F, González‑Castillo CJ, González‑Quintanilla RG, Guerrero‑Rubio TM, Guzmán‑Hernández G, Hernández‑Olivé M, Jiménez‑Monteón S, Joachín‑Chávez A, Lomelí‑Zamora D, López‑Estrada D, Lora‑Fierro EH, Luna‑Chaparro LT, Meza‑Flores J, Medina‑Rodríguez F, Montoya‑Verdugo CA, Monarrez‑Bañuelos JL, Monroy‑Maya R, Moye‑Elizalde GA, Nava‑Reyna JA, Núñez‑Valdés JA, Orivio‑Gallegos JA, Osorno‑Gómez JA, Peña‑Martínez VM, Quiroz‑Piña AJ, Ramírez‑Martínez J, Robles‑Contreras EM, Rodríguez‑Ramos A, Rosas‑Cadena JL, Rovirosa‑Vizoso F, Ruíz‑Román JI, Salas‑Morales GA, Sepúlveda‑Oyervides VM, Sierra‑Martínez O, Soto‑Ordóñez O, Tito‑Hernández H, Toledo‑Infanson V, Valencia‑Martínez G, Vélez‑De Lachica JC, Villalobos‑Campuzano CA, Villegas‑Saldaña J, Zapata‑Villalobos MT
Language: Spanish
References: 10
Page: 173-181
PDF size: 180.62 Kb.
ABSTRACT
Introduction: It is essential that orthopaedic resident physicians be highly proficient in all aspects, considering the balance between supply, demand, need and context. Fundamental to identify the capacity and quality installed for their training in Mexico.
Material and methods: Observational Study, transverse, non-probabilistic sampling-conglomerates, in two phases. The instrument has 8 domains, 57 variables and 4,867 items. 60 graduate professors of 20 states, 50 hospital sites, 22 university programs.
Results: 1,038 years of experience (collective intelligence), 17 years of experience/teacher (01 to 50 years). Identified: acute pathology 30 (2 to 90%), chronic pathology 30 (5 to 96%), patients ‹ 15 years, 10 (3 to 30%), patients between 15 and 65 years, 47 (2 to 78%), patients › 65 years, 20 (2 to 60%), number of beds/seat 20 (2 to 510), number of clinics 3 (1 to 48), number of surgical procedures/headquarters per year at the national level, was 960 (50 to 24,650). The national average per resident doctor is 362 surgeries/year with 1,450 surgical times/year.
Conclusions: The needs and resources for the training of physicians specializing in orthopedics/traumatology are highly heterogeneous, so it should be adapted to the epidemiological needs of the region of influence, in an area of epidemiological transition. 62.2% expressed not having or have bad academic and scientific infrastructure at its headquarters, more than 50% without rotation overseas and › 90% without regular scientific production.
REFERENCES
Fajardo-Dolci G, Santacruz-Varela J, Lavalle-Montalvo C. La Formación de Médicos Especialistas en México. Documento de Postura. Academia Nacional de Medicina. ISBN 978-607-443-514-62, Editorial Intersistemas S.A. de C.V. México. 2015.
Akaki-Blancas JL, López-Bárcena J. La educación de pre y postgrado en América Latina. Formación de médicos especialistas en México. Educ Med. 2018; 19(S1): 36-42.
Barroso-García EG, Torres-González R. Campo de acción y oportunidad laboral del médico cirujano ortopedista en México. [Tesis que para obtener el grado de Especialista en Ortopedia]. Clasificación 001-11245-B5-2010, UNAM, Facultad de Medicina, IMSS. [Fecha de consulta: 19 de Noviembre 2018] Disponible en: http://132.248.9.195/ptb2010/septiembre/0661269/Index.html.
Torres-González R. Impacto económico y social de las enfermedades musculoesqueléticas en México. Gaceta Impactar; 2015; [Fecha de consulta: 19 de Noviembre 2018] (3): 2-4. Disponible en: https://docplayer.es/76589751-Cuanto-y-como-le-duele-a-mexico.html.
Lozano R, Gómez-Dantés H, Garrido-Latorre F, Jiménez-Corona A, Campuzano-Rincón JC, Franco-Marina F, et ál. Burden of disease, injuries, risk factors and challenges for the health system in Mexico. Salud Pública Méx. 2013; 55(6): 580-94.
Institute for Health Metrics and Evaluation. Global Burden of Disease. [Fecha de consulta: 19 de Noviembre 2018] Available in: https://vizhub.healthdata.org/gbd-compare/.
Casas-Anguita J, Repullo-Labrador JR, Donado-Campos J. La encuesta como técnica de investigación. Elaboración de cuestionarios y tratamiento estadístico de los datos (I). Aten Primaria. 2003; 31(8): 527-38.
Organización Panamericana de la Salud (PAOH), Organización Mundial de la Salud, Sección 2: Los Desafíos de salud y Desarrollo en México. [Fecha de consulta: 22 de Noviembre 2018] Disponible en https://www.paho.org/mex/index.php?option=com_docman&view=download&category_slug=technical-documentation&alias=1056-ccs-mex-1518-web2&Itemid=493.
Recart A. Cirugía mayor ambulatoria. Una nueva forma de entender la medicina quirúrgica. Revista Médica Clínica Las Condes. 2017; 28 (5): 682-90.
Sheehan KJ, Sobolev B, Villán Villán YF, Guy P. Patient and system factors of time to surgery after hip fracture: a scoping review. BMJ Open. 2017; 7(8): e016939. doi: 10.1136/bmjopen-2017-016939.