Cote EL

Language: Spanish
References: 9
Page: 180-184
PDF size: 51.22 Kb.

ABSTRACT

Objective: To investigate and identify the current competence of the practice of general surgery and to integrate a proposal regarding regulation of the practice of this specialty.
Data collection: Nine editorial sources related to the subject were identified.
Selection of studies: The information related to the academic development of the surgeon, its level of competence, and existing regulations on its practice in our country was chosen.
Results: The historical antecedents of the development of surgery from the V century A.C. to the XX century are briefly described, emphasizing on the main events that contributed to the advancement of the specialty. In the current practice of general surgery it is a priority to define the scope and competence of the general surgeon; the scope has been defined, hence, the general surgeon must master the knowledge in the diagnosis areas, pre-operative operative and post-operative management, and the complications of nine areas of the economy, to which, according to our point of view, areas such as endoscopic surgery, geriatric surgery, ethical aspects, and medical-legal formation should be added. It is now a priority to define, based on the current evolution of surgery, the competence of the general surgeon and to implement the new regulations for his/her activity.
Conclusion: A consensus among surgeons and the diverse organisms regulating their professional performance in Mexico must be reached to elaborate the corresponding regulations for the practice of general surgery in Mexico.

REFERENCES

1. Toledo-Pereyra LH. Historia, Cirugía y Cultura. JGH Editores México 1998.

2. File://A: cirugía 1.htm.1-7. agosto 2002

3. File://A: cirugía 5 htm. American Board of Surgery: “Current Trends, Future Direcctions” agosto 2002

4. Cote EL, García TPO. Problemas médico legales. En: Tratado de Cirugía General. Ed. Manual Moderno. Asociación Mexicana de Cirugía General. México, 2002: 1533-1550

5. U.S. Departament of labor, The Secretary Comisión on Archiving Necessary Skills. Learning a Living: A Blueprint Performance. Washington. D.C: 1992.

6. Lester S. The Professional Accreditation of Consevator-Restores: developing a competence-based professional assessment system. Assessment and Evaluation in Higher Education 2000; 25(4): 407-419.

7. Wolf A. Competence Based Assessment. Buckingham, Inglaterra: Open University Press, 1995.

8. Sempé. La Ley y el Reglamento. Técnica legislativa y desregulación. 3ª ed. Editorial Porrúa. México 2000: 39-46.

9. Segundo Informe de Labores. Secretaría de Salud 2002: 64-65.