Artículo
Fellows perspective of HPB training in Latin America
Domínguez Rosado, Ismael; Espinoza, Johana L.; Alvarez, Fernando A.; Vintimilla, Agustin; Quintero, Marco; Barzallo, David; Pekolj, Juan; Gondolesi, Gabriel Eduardo
; Schelotto, Pablo B.; Herman, Paulo; Carneiro D'Albuquerque, Luiz A.; Andraus, Wellington; Padilla, Jorge; Jarufe, Nicolas; Chapa, Oscar; Mercado, Miguel; Chan, Carlos; Alseidi, Adnan
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Fecha de publicación:
07/2019
Editorial:
Elsevier Science
Revista:
Hpb
ISSN:
1365-182X
Idioma:
Inglés
Tipo de recurso:
Artículo publicado
Clasificación temática:
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.
Palabras clave:
HPB
,
Training
,
Latinamerica
Archivos asociados
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Colecciones
Articulos (IMETTYB)
Articulos de INSTITUTO DE MEDICINA TRASLACIONAL, TRASPLANTE Y BIOINGENIERIA
Articulos de INSTITUTO DE MEDICINA TRASLACIONAL, TRASPLANTE Y BIOINGENIERIA
Articulos(SEDE CENTRAL)
Articulos de SEDE CENTRAL
Articulos de SEDE CENTRAL
Citación
Domínguez Rosado, Ismael; Espinoza, Johana L.; Alvarez, Fernando A.; Vintimilla, Agustin; Quintero, Marco; et al.; Fellows perspective of HPB training in Latin America; Elsevier Science; Hpb; 22; 1; 7-2019; 124-128
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