IMETTYB 25748
INSTITUTO DE MEDICINA TRASLACIONAL, TRASPLANTE Y BIOINGENIERIA
Unidad Ejecutora - UE
artículos
Título:
Fellows perspective of HPB training in Latin America
Autor/es:
ESPINOZA, JOHANA L.; QUINTERO, MARCO; GONDOLESI, GABRIEL; CARNEIRO D'ALBUQUERQUE, LUIZ A.; JARUFE, NICOLAS; CHAN, CARLOS; ESPINOZA, JOHANA L.; QUINTERO, MARCO; GONDOLESI, GABRIEL; CARNEIRO D'ALBUQUERQUE, LUIZ A.; JARUFE, NICOLAS; CHAN, CARLOS; DOMÍNGUEZ-ROSADO, ISMAEL; VINTIMILLA, AGUSTIN; PEKOLJ, JUAN; HERMAN, PAULO; PADILLA, JORGE; MERCADO, MIGUEL; DOMÍNGUEZ-ROSADO, ISMAEL; VINTIMILLA, AGUSTIN; PEKOLJ, JUAN; HERMAN, PAULO; PADILLA, JORGE; MERCADO, MIGUEL; ALVAREZ, FERNANDO A.; BARZALLO, DAVID; SCHELOTTO, PABLO B.; ANDRAUS, WELLINGTON; CHAPA, OSCAR; ALSEIDI, ADNAN; ALVAREZ, FERNANDO A.; BARZALLO, DAVID; SCHELOTTO, PABLO B.; ANDRAUS, WELLINGTON; CHAPA, OSCAR; ALSEIDI, ADNAN
Revista:
HPB
Editorial:
Elsevier B.V.
Referencias:
Año: 2020 vol. 22 p. 124 - 128
ISSN:
1365-182X
Resumen:
Background: Currently, no standards for HPB training exist in Latin America. The aim of this work is to evaluate fellows´ experience of HPB training and the areas of opportunity to improve. Methods: A 35 points survey was developed and distributed among fellows from dedicated HPB training programs in Latin America. The survey was applied by direct phone call (37%) or web based (63%), to fellows graduated between 2010 and 2014, from 7 different programs. Results: Thirty-nine fellows from Argentina, Brazil, Chile and México were considered with a response rate of 82% (32/39). Most fellows (90%) shared cases with more than one co-fellow. Scrubbing with chief residents ocurred to 60% of fellows; only 14% of fellows noted having a primary surgeon role in more than 70% of cases. Median number of major hepatectomies during training was 15 (1?100), Whipple procedures 6 (1?40), and major bile duct repair 20 (1?80). Limited funding was the main reason to avoid HPB programs outside the country of origin. Conclusion: HPB training in Latin America requires more operative volume and autonomy. Financial burden is the main limitation to pursue training overseas. A multinational fellowship that takes advantage of each center may overcome differences in volume and type of cases.
