From the Unidad de Reumatología, Hospital Universitario San Ignacio-Facultad de Medicina, Pontificia Universidad Javeriana, Unidad de Investigación PANLAR.
Departamento de Medicina Interna, Hospital Universitario San Ignacio-Pontificia Universidad Javeriana, Bogotá, Colombia.
J Clin Rheumatol. 2022 Mar 1;28(2):e440-e443. doi: 10.1097/RHU.0000000000001774.
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.
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.
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).
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.
背景/目的：近年来，对风湿病治疗的需求稳步增长。然而，该领域的专家数量似乎不足。最近没有研究诊断过拉丁美洲风湿病培训的特征。
这是一项描述性的横断面研究。我们通过泛美抗风湿病联盟的当地风湿病学家获取每个国家的数据，他们作为参与国家的主要研究者。我们的样本通过平均值和标准差或通过频率和百分比进行分析和描述，具体取决于变量。
拥有最多风湿病培训项目的国家是巴西（n = 50）、阿根廷（n = 18）和墨西哥（n = 15）。厄瓜多尔、洪都拉斯和尼加拉瓜没有风湿病培训项目。拥有最多风湿病住院医师可用名额的国家是巴西（n = 126）和阿根廷（n = 36）。要被录取进入风湿病培训，候选人需要在 42.1%的项目中完成内科研究生学习。在 8 个国家（42.1%）中，住院医师无需支付学费；其余国家的学费中位数为 528 美元（四分位距，2153 美元）。
拉丁美洲与风湿病培训相关的条件各不相同。例如，住院医师的收入和学费存在显著差异，拉丁美洲的 4 个国家目前没有提供课程。本研究收集的信息将有助于比较拉丁美洲提供的风湿病服务与其他国家的服务状况。大多数国家需要提供更多的风湿病培训项目和更多的可用名额。
