Abstract

BERNARDO, Juan José Di et al. Characterization of nephrology training programs in Latin-America. FEM (Ed. impresa) [online]. 2016, vol.19, n.1, pp.39-46. ISSN 2014-9840.

Aim. To characterized curricular components apply for nephrology medical training in Latin-America. Subjects and methods. Descriptive study including nine countries. It was request to current Nephrology Training Programs. We analized different curricular variables, taking as epistemological hallmark the competence-based medical education and dimensions from Accreditation Council for Graduate Medical Education (ACGME) from USA as reference. Results. Programs from nine countries (Argentina, Bolivia, Costa Rica, Chile, Ecuador, Guatemala, Mexico, Peru and Uruguay) look to improve the specialist profile and cover sanitary demands. The positions suit the centers capacity and applicants are selected in open competition. The programs include internal medicine training causing disparity in duty hours. Some of them don't explicit graduate profile. The predominant model is 'postgraduate course with residency' with heterogeneous structures and organization. Contents are pertinent and there is equivalence within competences to develop that generally match with ACGME except for 'interpersonal and communication skills' and 'system-based practice' with less impact. All programs destiny 75% of duty hours for clinical practice-based learning with progressive responsibilities under guidance and supervision including academic activities. Evaluations are integrated to the program with adequate tools for competence assessment. Conclusions. Postgraduate level and duration should be unified, defining clearly competences of program's graduate and establishing primary health care activities into the curriculum.

Keywords : Competences; Curriculum; Medical education; Postgraduate training; Residents training.

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