دورية أكاديمية
أعرض في EDS

Rheumatology Training in Latin America: A Collaborative Study by the Pan American League of Associations for Rheumatology.

التفاصيل البيبلوغرافية
العنوان: Rheumatology Training in Latin America: A Collaborative Study by the Pan American League of Associations for Rheumatology.
المؤلفون: Fernández-Ávila DG; From the Unidad de Reumatología, Hospital Universitario San Ignacio-Facultad de Medicina, Pontificia Universidad Javeriana, Unidad de Investigación PANLAR., Patino-Hernandez D; Departamento de Medicina Interna, Hospital Universitario San Ignacio-Pontificia Universidad Javeriana, Bogotá, Colombia., Kowalskii S; Universidade Federal do Paraná, Unidad de Investigación PANLAR, Paraná, Brasil., Vargas-Caselles A; Hospital Italiano de Buenos Aires, Buenos Aires, Argentina., Sapag AM; Hospital Universitario Japonés, Santa Cruz, Bolivia., Cachafeiro-Vilar A; Pacífica Salud-Hospital Punta Pacífica, Ciudad de Panamá, Panamá., Meléndez B; Hospital de la Policía Nacional N1 Quito, Quito, Ecuador., Santiago-Pastelín C; Instituto Hondureño de Seguridad Social, Tegucigalpa, Honduras., Graf C; Sociedad Argentina de Reumatología, Buenos Aires, Argentina., Rossetto C; Universidade Federal do Paraná, Paraná, Brasil., Palleiro D; Instituto Nacional de Reumatología del Uruguay-Universidad de la República, Montevideo, Uruguay., Trincado D; Pontificia Universidad Católica de Chile, Departamento de Inmunología Clínica y Reumatología, Santiago de Chile, Chile., Fernández-Ávila DC; Hospital Italiano de Buenos Aires, Buenos Aires, Argentina., Arrieta D; Hospital México, Caja Costarricense del Seguro Social, San José de Costa Rica, Costa Rica., Reyes G; Universidad de Ciencias Médicas de La Habana, La Habana, Cuba., Baez JT; Hospital Metropolitano de Santiago, Santiago, República Dominicana., Ugarte-Gil MF; Hospital Guillermo Almenara Irigoyen-Universidad Científica del Sur, Lima, Perú., Cardiel M; Centro de Investigación Clínica de Morelia, Morelia, México., Colman N; Hospital de Clínicas-Universidad Nacional de Asunción, Asunción, Paraguay., Chávez N; Universidad San Carlos de Guatemala-Instituto Guatemalteco de Seguridad Social, Ciudad de Guatemala, Guatemala., Burgos PI; Pontificia Universidad Católica de Chile, Departamento de Inmunología Clínica y Reumatología, Santiago de Chile, Chile., Montufar R; Consultorio de Especialidades del Instituto Salvadoreño del Seguro Social, San Salvador, El Salvador., Sandino S; Instituto Médico GANNA, Managua, Nicaragua., Fuentes-Silva Y; Universidad de Oriente, Ciudad Bolívar, Venezuela., Soriano ER; Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
المصدر: Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases [J Clin Rheumatol] 2022 Mar 01; Vol. 28 (2), pp. e440-e443.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 9518034 Publication Model: Print Cited Medium: Internet ISSN: 1536-7355 (Electronic) Linking ISSN: 10761608 NLM ISO Abbreviation: J Clin Rheumatol Subsets: MEDLINE
أسماء مطبوعة: Publication: Philadelphia, PA : Lippincott Williams & Wilkins
Original Publication: Baltimore, MD : Williams & Wilkins, c1995-
مواضيع طبية MeSH: Rheumatic Diseases*/epidemiology , Rheumatic Diseases*/therapy , Rheumatology*, Cross-Sectional Studies ; Humans ; Latin America/epidemiology ; Rheumatologists
مستخلص: Background/objective: Demand for rheumatology care has steadily increased in recent years. The number of specialists in this field, however, seems insufficient. No recent studies have diagnosed the attributes of rheumatology training in Latin America.
Methods: This is a descriptive cross-sectional study. We obtained data on each country through local rheumatologists of the Pan-American League Against Rheumatism, who acted as principal investigators for participating countries. Our sample was analyzed and described through means and standard deviations or through frequencies and percentages, depending on the variable.
Results: Countries with the most rheumatology-training programs were Brazil (n = 50), Argentina (n = 18), and Mexico (n = 15). Ecuador, Honduras, and Nicaragua do not have rheumatology-training programs. The countries with the most available slots for rheumatology residents were Brazil (n = 126) and Argentina (n = 36). To be admitted into rheumatology training, candidates were required to have completed graduate studies in internal medicine in 42.1% of the programs. In 8 countries (42.1%), residents are not required to pay tuition; the median cost of tuition in the remaining countries is US $528 (interquartile range, US $2153).
Conclusions: Conditions associated with rheumatology training in Latin America vary. Significant differences exist in income and tuition fees for residents, for example, and 4 countries in Latin America do not currently offer programs. Information collected in this study will be useful when comparing the status of rheumatology services offered in Latin America with those in other countries. Most countries require a wider offering of rheumatology-training programs, as well as more available slots.
Competing Interests: The authors declare no conflict of interest.
(Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.)
References: Al Maini M, Adelowo F, Al Saleh J, et al. The global challenges and opportunities in the practice of rheumatology: white paper by the world forum on rheumatic and musculoskeletal diseases. Clin Rheumatol . 2015;34:819–829.
La reumatología en el pregrado. Propuestas para su enseñanza | Revista Española de Reumatología. Available at: https://www.elsevier.es/es-revista-revista-espanola-reumatologia-29-articulo-la-reumatologia-el-pregrado-propuestas-12004420 . Accessed July 24, 2020.
Gompels L, Chinoy H, Devakumar V, et al. Academic training in rheumatology in 2009: a UK trainee survey. Clin Med . 2011;11:434–437.
Sivera F, Ramiro S, Cikes N, et al. Differences and similarities in rheumatology specialty training programmes across European countries. Ann Rheum Dis . 2015;74:1183–1187.
Woolf AD. Specialist training in rheumatology in Europe. Rheumatology . 2002;41:1062–1066.
Sivera F, Ramiro S, Cikes N, et al. Rheumatology training experience across Europe: analysis of core competences. Arthritis Res Ther . 2016;18:213. doi:10.1186/s13075-016-1114-y. (PMID: 10.1186/s13075-016-1114-y)
Amor B. Series on education: what competence does a rheumatologist need?: an international perspective. Ann Rheum Dis . 2000;59:580–582.
Brown CR Jr., Criscione-Schreiber L, O'Rourke KS, et al. What is a rheumatologist and how do we make one? Arthritis Care Res (Hoboken) . 2016;68:1166–1172.
Faarvang KL, da Silva JA. Competencies in rheumatology: a European framework. Best Pract Res Clin Rheumatol . 2009;23:145–160.
Sivera F, Alunno A, Najm A, et al. 2019 EULAR points to consider for the assessment of competences in rheumatology specialty training. Ann Rheum Dis . 2021;80:65–70.
Micelli ML, Sequeira G, Fara N, et al. Description of the resources for rheumatology training and speciality certification and recertification requirements in Argentina. Rheumatol Int . 2020;40:243–249.
Falasco SI, Falasco MA. Formación de especialistas en Latinoamérica: Argentina. Educ Médica . 2018;19:4–11.
Albuquerque CP, dos Santos-Neto LL. Development of rheumatology training in Brazil: the option for a medical residency program. Rev Bras Reumatol Engl Ed . 2017;57:507–513.
Najm A, Alunno A, Sivera F, et al. Strategies for the assessment of competences during rheumatology training across Europe: results of a qualitative study. RMD Open . 2020;6:e001183.
Criscione-Schreiber LG, Brown CR Jr., O'Rourke KS, et al. New roadmap for the journey from internist to rheumatologist. Arthritis Care Res (Hoboken) . 2017;69:769–775.
Vliet Vlieland TP, van den Ende CH, Alliot-Launois F, et al. Educational needs of health professionals working in rheumatology in Europe. RMD Open . 2016;2:e000337.
Manpower in Canadian academic rheumatology units: current status and future trends. Canadian Council of Academic Rheumatologists . | The Journal of Rheumatology. Available at: https://www.jrheum.org/content/28/9/1944 . Accessed July 24, 2020.
Fernández-Ávila DG, Patino-Hernandez D, Kowalskii S, et al. Current status of the rheumatologists' workforce in Latin America: a PANLAR collaborative study. Clin Rheumatol . 2021;40:2913–2920. doi:10.1007/s10067-020-05555-w. (PMID: 10.1007/s10067-020-05555-w)
Misra DP, Agarwal V, Negi VS. Rheumatology in India: a Bird's eye view on organization, epidemiology, Training Programs and Publications. J Korean Med Sci . 2016;31:1013–1019.
Canadian post-M.D Education Registry. Individual Field of Training Tables. Available at: https://caper.ca/sites/default/files/pdf/specialty/2006-07_Individual_Specialty_Tables.pdf . Accessed July 18, 2020.
Louthrenoo W. An insight into rheumatology in Thailand. Nat Rev Rheumatol . 2015;11:55–61.
Medscape. Medscape Rheumatologist Compensation Report 2018. Available at: www.medscape.com/slideshow/2018-compensation-rheumatologist-6009674 . Accessed July 22, 2020.
de Albuquerque CP. Inequality in the distribution of rheumatologists in Brazil: correlation with local of medical residency, gross domestic product and human development index. Rev Bras Reumatol . 2014;54:166–171.
Lee CU, Kim JN, Kim J-W, et al. Korean rheumatology workforce from 1992 to 2015: current status and future demand. Korean J Intern Med . 2019;34:660–668.
Zborovski S, Rohekar G, Rohekar S. Strategies to improve recruitment into rheumatology: results of the workforce in rheumatology issues study (WRIST). J Rheumatol . 2010;37:1749–1755.
Abhishek A, Iagnocco A, Bijlsma JWJ, et al. Cross-sectional survey of the undergraduate rheumatology curriculum in European medical schools: a EULAR School of Rheumatology initiative. RMD Open . 2018;4:e000743.
Bolster MB, Bass AR, Hausmann JS, et al. 2015 American College of Rheumatology Workforce Study: the role of graduate medical education in adult rheumatology. Arthritis Rheumatol . 2018;70:817–825.
تواريخ الأحداث: Date Created: 20210804 Date Completed: 20220224 Latest Revision: 20230927
رمز التحديث: 20240628
DOI: 10.1097/RHU.0000000000001774
PMID: 34348368
قاعدة البيانات: MEDLINE
الوصف
تدمد:1536-7355
DOI:10.1097/RHU.0000000000001774