Cardiology Training in Brazil and Developed Countries: Some Ideas for Improvement

Autor: Lucas Colombo Godoy, Michael E. Farkouh, Isabela C. K. Abud Manta, Talia F. Dalçóquio, Remo Holanda de Mendonça Furtado, Eric H. C. Yu, Carlos Gun, José Carlos Nicolau
Jazyk: English<br />Portuguese
Rok vydání: 2019
Předmět:
Zdroj: Arquivos Brasileiros de Cardiologia, Vol 113, Iss 4, Pp 768-774 (2019)
Druh dokumentu: article
ISSN: 1678-4170
20190212
DOI: 10.5935/abc.20190212
Popis: Abstract Huge variations exist in cardiology training programs across the world. In developing (middle-income) countries, such as Brazil, to find the right balance between training improvements and social and economic conditions of the country may be a difficult task. Adding more training years or different mandatory rotations, for instance, may be costly and not have an immediate direct impact on enhancing patient care or public health. In this text, we compare the Brazilian cardiology training system with other proposals implemented in developed countries from North America and Europe, aiming to point out issues worth of future discussion. Factors such as training rotations and competencies, and program duration and distribution across the countries are presented. The number of first year cardiology trainees per inhabitants is similar between Brazil and the United States (0.24 medical residents/100,000 inhabitants in Brazil and 0.26 medical residents/100,000 inhabitants in the USA). These numbers should be analyzed considering the inequality in training program distribution across Brazil, since most centers are located in the Southeast and South regions. Having more residency programs in distant areas could improve cardiovascular care in these areas. Duration of cardiology Residency Training is shorter in Brazil (two years) in comparison with developed countries (> 3 years). Brazilian residency programs give less emphasis to scientific research and diagnostic methods. Unifying minimum training requirements across the globe would facilitate the development of international learning opportunities and even professional exchange around the world.
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