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dc.contributor.author
Domínguez Rosado, Ismael
dc.contributor.author
Espinoza, Johana L.
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Alvarez, Fernando A.
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Vintimilla, Agustin
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Quintero, Marco
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Barzallo, David
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Pekolj, Juan
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Gondolesi, Gabriel Eduardo
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Schelotto, Pablo B.
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Herman, Paulo
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Carneiro D'Albuquerque, Luiz A.
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Andraus, Wellington
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Padilla, Jorge
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Jarufe, Nicolas
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Chapa, Oscar
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Mercado, Miguel
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Chan, Carlos
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Alseidi, Adnan
dc.date.available
2021-01-06T13:04:06Z
dc.date.issued
2019-07
dc.identifier.citation
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
dc.identifier.issn
1365-182X
dc.identifier.uri
http://hdl.handle.net/11336/121578
dc.description.abstract
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.
dc.format
application/pdf
dc.language.iso
eng
dc.publisher
Elsevier Science
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dc.rights
info:eu-repo/semantics/restrictedAccess
dc.rights.uri
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.subject
HPB
dc.subject
Training
dc.subject
Latinamerica
dc.subject.classification
Otras Ciencias de la Salud
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dc.subject.classification
Ciencias de la Salud
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dc.subject.classification
CIENCIAS MÉDICAS Y DE LA SALUD
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dc.title
Fellows perspective of HPB training in Latin America
dc.type
info:eu-repo/semantics/article
dc.type
info:ar-repo/semantics/artículo
dc.type
info:eu-repo/semantics/publishedVersion
dc.date.updated
2020-12-11T14:57:12Z
dc.journal.volume
22
dc.journal.number
1
dc.journal.pagination
124-128
dc.journal.pais
Reino Unido
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dc.description.fil
Fil: Domínguez Rosado, Ismael. Instituto Nacional de la Nutrición Salvador Zubiran; México
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Fil: Espinoza, Johana L.. Hospital Italiano; Argentina
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Fil: Alvarez, Fernando A.. Hospital Italiano; Argentina
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Fil: Vintimilla, Agustin. Universidade de Sao Paulo; Brasil
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Fil: Quintero, Marco. Instituto Nacional de la Nutrición Salvador Zubiran; México
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Fil: Barzallo, David. Instituto Nacional de la Nutrición Salvador Zubiran; México
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Fil: Pekolj, Juan. Hospital Italiano; Argentina
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Fil: Gondolesi, Gabriel Eduardo. Fundación Favaloro; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
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Fil: Schelotto, Pablo B.. Fundación Favaloro; Argentina
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Fil: Herman, Paulo. Universidade de Sao Paulo; Brasil
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Fil: Carneiro D'Albuquerque, Luiz A.. Universidade de Sao Paulo; Brasil
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Fil: Andraus, Wellington. Universidade de Sao Paulo; Brasil
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Fil: Padilla, Jorge. Beneficenca Portuguesa Hospital ; Brasil
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Fil: Jarufe, Nicolas. Pontificia Universidad Católica de Chile; Chile
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Fil: Chapa, Oscar. Hospital General de Mexico; México
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Fil: Mercado, Miguel. Instituto Nacional de la Nutrición Salvador Zubiran; México
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Fil: Chan, Carlos. Instituto Nacional de la Nutrición Salvador Zubiran; México
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Fil: Alseidi, Adnan. Virginia Mason Medical Center; Estados Unidos
dc.journal.title
Hpb
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dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.1016/j.hpb.2019.05.016
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/https://www.hpbonline.org/article/S1365-182X(19)30566-0/fulltext
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