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Journal ArticleDOI

Perfil actual y requisitos para un programa de especialización en obstetricia y ginecología en el nuevo milenio en chile

01 Jan 2004-Revista chilena de obstetricia y ginecología (Sociedad Chilena de Obstetricia y Ginecología)-Vol. 69, Iss: 2, pp 136-148

TL;DR: This document shows an analysis of Obstetrics and Gynecology educational programs of prestigious foreign universities and of Pontificia Universidad Catolica de Chile.

AbstractSUMMARY Permanent progress in Obstetrics and Gynecology make necessary the continuous updating and restructuring of programs, with periodical and objective evaluation of the resident in his different formative phases. Dedication must be exclusive, remunerated, supervised and activity according to developed countries standards, not lower than 80 hours weekly. This document shows an analysis of Obstetrics and Gynecology educational programs of prestigious foreign universities and of Pontificia Universidad Catolica de Chile.

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TL;DR: The psychological preferences and learning styles of 65 students of the 2001-graduating cohort of the Pontificia Universidad Catolica de Chile School of Medicine were evaluated and correlated with the information of their specialty choice or occupation two years after graduation.
Abstract: Background: Several studies indicate that doctors who work in the same area of the medical profession tend to behave somehow similarly. Thus, it has been suggested that personality relates to the medical specialty choice. However, it is not known whether people selfselect into the medical specialties according to their personality or the professional practice in a particular field influences their behavior. Aim: To explore the possible association between the graduate’s personality features and learning styles and their chosen specialty. Subjects and Methods: The psychological preferences and learning styles of 65 students of the 2001-graduating cohort of the Pontificia Universidad Catolica de Chile School of Medicine were evaluated with the Myers Briggs Type Indicator and the Kolb Learning Style Inventory, respectively. These variables were correlated with the information of their specialty choice or occupation two years after graduation. Results: Graduates distributed unevenly in different areas of the medical profession. Surgical specialties concentrated a larger proportion of extraverted, intuitive and structured doctors, whereas in Pediatrics and Internal Medicine predominated intuitive and people-oriented MD’s. Primary Care concentrated individuals with introverted, intuitive and flexible attitudes. Convergent learners (interested in problem-solving) preferred Surgery and Primary Care whereas Assimilator learners

29 citations


Journal ArticleDOI
Abstract: Objetivo: Comparar las tasas y causas de mortalidad materna entre los anos 2000 y 2003. Material y metodo: El numero de nacidos vivos, muertes maternas, causas de muerte y poblacion estimada de mujeres en edad fertil se obtuvo de los Anuarios de Estadisticas Vitales del Instituto Nacional de Estadisticas. La comparacion de proporciones se efectuo segun Chi cuadrado. Resultados: La tasa de mortalidad materna en 2000 fue 18,7/100.000 nv y en 2003 de 12,2/100.000 nv, reduccion no significativa. El numero de muertes maternas en relacion a mujeres en edad fertil se redujo significativamente. Hubo una reduccion significativa de la mortalidad materna por aborto, mientras que la reduccion por sindrome hipertensivo no fue significativa. La primera causa de muerte materna en 2003 correspondio a las enfermedades maternas concurrentes. Conclusion: La mortalidad materna en 2003 es la menor en la historia reproductiva de Chile. Actualmente la principal causa de mortalidad materna son las enfermedades maternas concurrentes

6 citations


References
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Journal ArticleDOI
Abstract: Faculty development initiatives in the year 2000 will need to respond to changes in medical education and health care delivery, to build on the achievements and accomplishments of the past, and to continue to adapt to the evolving roles of faculty members. To remain at the forefront, faculty development programs will need to broaden their focus, consider diverse training methods and formats, conduct more rigorous program evaluations, and foster new partnerships and collaborations. Academic vitality is dependent upon faculty members' interest and expertise; faculty development has a critical role to play in promoting academic excellence and innovation.

173 citations


Journal ArticleDOI
TL;DR: Assessment of technical skills can assess residents' surgical skills with high reliability and validity and have possible application for identifying residents who need additional training and might provide a mechanism to ensure competence of surgical skills.
Abstract: Objective: To develop an objective structured assessment for evaluating surgical skills of obstetrics and gynecology residents and to evaluate the reliability and validity of the assessment. Methods: A seven-station, objective, structured assessment of technical skills was administered to 24 residents. The test included laparoscopic procedures (port placement, salpingostomy, suturing, vessel ligation) and open abdominal procedures (hypogastric ligation, repair of enterotomy, salpingo-oophorectomy.) All surgical tasks were done on pigs. Residents were timed and assessed at each station using three methods of scoring, a task-specific checklist, global rating scale, and pass-fail grade. Results: Assessment of construct validity (the ability of the test to discriminate among residency levels) found significant differences on the checklist and the global rating scale by residency level. Reliability indices calculated with Cronbach’s α were 0.89 for the global rating scale and 0.89–0.95 for the individual skills checklists. Interrater reliability was 0.87 for the global rating scale and 0.78–0.98 for the checklists. Conclusion: Objective, structured assessment of technical skills can assess residents’ surgical skills with high reliability and validity. These assessments have possible application for identifying residents who need additional training and might provide a mechanism to ensure competence of surgical skills.

138 citations


Journal ArticleDOI
TL;DR: It is demonstrated that, although women house officers continued to work more than 80 hours per week during pregnancy, most had a good pregnancy outcome, and there was a higher frequency of preterm labor, preeclampsia, and fetal growth restriction in female residents than in spouses or partners of male residents.
Abstract: Objective To assess the present status of resident duty hours in obstetrics and gynecology, identify existing policies concerning work schedules during pregnancy, and evaluate pregnancy outcome in female house officers. Methods A questionnaire-based study was administered to residents taking the 2001 Council on Residency Education in Obstetrics and Gynecology examination. Results More than 90% of the residents reported that their institution had a maternity leave policy. The leave was usually 4–8 weeks long and was paid. Nearly 95% of residents reported that they had to take over the work of residents on maternity leave. Most women residents worked more than 80 hours weekly throughout pregnancy, and few took time off before delivery. Most pregnancies occurred during the fourth year of training and did not seem to be adversely affected by the long work hours. Conclusion This study, performed before the institution of the new Accreditation Council for Graduate Medical Education resident duty hour policies, demonstrated that, although women house officers continued to work more than 80 hours per week during pregnancy, most had a good pregnancy outcome. Nevertheless, there was a higher frequency of preterm labor, preeclampsia, and fetal growth restriction in female residents than in spouses or partners of male residents.

62 citations


Journal ArticleDOI
TL;DR: This study indicates that residency programs are not homogeneous in their value systems and that certain characteristics may predict those values.
Abstract: In 1992, the Executive Council of the Association of American Medical Colleges recommended that a computerized application system be investigated. Under this system, the application package would include: 1) a standardized application form, 2) a personal statement, 3) a dean's letter, 4) transcripts, 5) a chairman's letter, and 6) United States Medical Licensing Examination (USMLE) scores. To investigate the value residency directors placed on these items, all directors from Accreditation Council for Graduate Medical Education--approved residency programs in obstetrics and gynecology and family practice residency programs were surveyed. The directors were asked to prioritize the usefulness of the proposed components of the Electronic Residency Application Service application package. Transcripts, the dean's letter, and USMLE scores ranked highest (in descending order) for the obstetrics and gynecology residency directors for making decisions about "inviting a student for an interview," whereas the dean's letter, personal statement, and transcripts ranked highest for the family practice residency directors. Both ranked the interview as most valuable in ranking a student in the residency match. Although these two disciplines do not represent all fields, our study indicates that residency programs are not homogeneous in their value systems and that certain characteristics may predict those values.

59 citations


Journal Article
TL;DR: Although the incidence of medical and obstetric complications was similar for the three specialties studied (obstetrics-gynecology, psychiatry, and surgery), it was higher than that reported in the general population (5%).
Abstract: Forty-three percent of women experiencing a pregnancy during a residency education program report medical complications. Analysis of questionnaires from 1197 respondents to a survey of 2000 female physicians indicates that the actual rate of medical and obstetric complications is no different from that in the general population except for the incidence of pregnancy-induced hypertension (12%). Although the incidence was similar for the three specialties studied (obstetrics-gynecology, psychiatry, and surgery), it is higher than that reported in the general population (5%). This may reflect an older maternal age.

40 citations