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Uruguayan Medical Journal

ISSN: 1688-0390

Vol.23 - Nº 3 - Set. 2007

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Postgraduate Education in General Surgery. Strengths and weaknesses from residency point of view

Rev Med Urug 2007; 23: 200-202
Full text (spanish) |  Full text (spanish) (New windows, pdf) | Abstract


In Uruguay, postgraduate education in general surgery has progressively decreased because of multiple factors.

This paper analyzes the surgical volume and characteristics of surgical skills of six general surgeon residents during their postgraduate education in the Maciel Hospital (Hospital

Maciel, Montevideo) from 1999 to 2001.

For the period of this short residency (3 years), fewer surgical procedures were recorded (mean: 259.6) compared

to literature (360-600).

According to Categories of procedures, there is also a deficitarian aspect: 180 major surgery procedures, 20 high volume surgeries and only 1.3 complex surgeries.

There were 66.1% surgeries performed in the urgency ward, where no direct participation of educational teams is needed. This educational deficit and the absence of a professional certification system have transformed the academic teaching career in a second educational stage

Dres. Daniel González, Luis Ruso

202 Revista Médica del Uruguay

and a way of recognition by the market.

It is crucial to extend surgical residency for 4 years, to

plan hospitalarian attendance in a full-time regime, to create

public and private teaching units along the country, in

a professional certification system.