From the Emergency Department, Hospital Infantil Dr. Robert Reid Cabral, Santo Domingo, Dominican Republic.
Emergency Department, Hospital Nacional de Niños, San José, Costa Rica University of Costa Rica, San José, Costa Rica.
Pediatr Emerg Care. 2022 Feb 1;38(2):e766-e770. doi: 10.1097/PEC.0000000000002398.
Pediatric emergency medicine (PEM) is a relatively new and rapidly evolving subspecialty in many countries. The purposes of this study were to describe the characteristics and to find common/shared practices in current available PEM fellowship programs across Latin America.
An electronic, multicenter survey was created and stored on Google forms. The survey was in Spanish language and included 30 questions about the characteristics of the pediatric emergency program, history of the program, and support expected from the Latin American Pediatric Emergency Society.
A total of 11 PEM programs in 6 countries were acknowledged in Latin America. All programs are placed in pediatric tertiary care hospitals. All PEM programs were approved by the local universities and the Ministries of Health in each country. Difficulties to start a PEM program included a lack of physicians properly trained in PEM who could direct the program, physician instructors in specific topics, places to complete rotations of the future fellows, and getting the local health authorities to acknowledge the importance of the program. With regard to the duration of the program, 72.7% (8) have a 2-year curriculum and 27.3% (3) have a 1-year curriculum. Four (36.4%) program directors mentioned an admission examination as a requirement, 4 (36.4%) needed an examination plus an interview, 3 (27.3%) mentioned that it is necessary just like an interview, and 2 (18.2%) mentioned that the physicians are admitted with a scholarship. With regard to the structure of the programs and rotations included, most of the programs have rotations that are compulsory in different pediatric subspecialties. In 80% of the programs, fellows are evaluated based on different technical skill procedures that they need to learn and perform during PEM fellowship training. The PEM fellowship is recognized by different societies in emergency medicine and pediatrics, except in Dominican Republic where it is only recognized by the Ministry of Health and the university. After completion of the program in 90% (10) of the programs, graduates are not guaranteed a job, and in half, there is no mechanism implemented for recertification of the pediatric emergency physicians by the local medical council.
In Latin America, postgraduate programs in pediatric emergencies are a response to a need for health systems. Being an innovative specialty, it surpassed each country's own challenges, until it was able to reach an internationally standardized level, with a great diversity of pedagogical methodology, which the product has been to offer a high quality of emergency care to children.
描述拉丁美洲当前可用的儿科急诊住院医师培训计划的特点，并找到共同/共享的实践。
创建了一个电子的多中心调查，并存储在 Google 表单上。该调查为西班牙语，并包括 30 个关于儿科急诊项目特征、项目历史以及对拉丁美洲儿科急诊学会支持的问题。
拉丁美洲共承认 6 个国家的 11 个儿科急诊项目。所有项目均位于儿科三级保健医院。所有儿科急诊项目均获得当地大学和各国卫生部的批准。启动儿科急诊项目的困难包括缺乏能够指导项目的、受过儿科急诊培训的合格医生、特定主题的医生导师、未来研究员完成轮训的地点，以及让当地卫生当局认识到项目的重要性。关于项目的持续时间，72.7%（8 个）为 2 年课程，27.3%（3 个）为 1 年课程。4 名（36.4%）项目主任提到作为要求的入学考试，4 名（36.4%）需要考试加面试，3 名（27.3%）提到只需要面试，2 名（18.2%）提到医生凭奖学金入学。关于计划结构和纳入的轮转，大多数计划都有在不同儿科专业进行的强制性轮转。在 80%的计划中，住院医师根据他们在儿科急诊住院医师培训期间需要学习和执行的不同技术技能程序进行评估。除了多米尼加共和国，该计划仅得到卫生部和大学的认可外，儿科急诊住院医师培训计划在不同的急诊医学和儿科学会得到认可。在 90%（10 个）的计划完成后，毕业生没有工作保障，而且在一半的计划中，没有实施地方医学委员会对儿科急诊医师进行再认证的机制。
在拉丁美洲，儿科急诊研究生项目是对卫生系统需求的回应。作为一项创新专业，它超越了每个国家自己的挑战，直到达到国际标准化水平，并具有多样化的教学方法，从而为儿童提供了高质量的急救护理。
