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2026, Number 1

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Cir Gen 2026; 48 (1)

Education in motion: the contribution of the Itinerant CECMI to excellence and equity in surgery

Martínez-Abundis R, Loera-Torres MA, Carrillo-Silva J, Choy-Gómez J, Ordoñez-Gutiérrez ME

Language: Spanish
References: 16
Page: 18-23
PDF size: 324.93 Kb.


ABSTRACT

Introduction: continuing medical education is an indispensable asset for the development of global surgery; however, the centralization of resources limits equitable access to cutting-edge knowledge in peripheral regions. Objective: to describe the strategy of the Mexican Association of General Surgery (AMCG) to decentralize training excellence through the Itinerant CECMI program. Material and methods: an eight-hour standardized course titled "Safety in the creation of intestinal anastomoses using a minimally invasive approach" was implemented. The educational model integrated medium-fidelity simulators and laparoscopic box trainers for laparoscopic skills training and metric evaluation at remote sites. Results: in its first two years, the program trained 328 trainees across 12 courses delivered in 11 states. A total impact of 2,032 trainee-hours of specialized training was generated, combining advanced theory and hands-on practice on biological and synthetic models. Conclusions: the model demonstrates that validated portable technology, coupled with expert mentorship, allows for the democratization of highly complex surgical education, reducing the professional inequity gap in the country.


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