Certificación como especialistas clínicos de médicos con formación de pre y post título en el extranjero: experiencia de la Corporación Nacional Autónoma de Certificación de Especialidades Médicas / Certification as clinical specialists of physicians with pre and post grade education at foreign countries: experience of the CONACEM

Materials and methods:The certification process for 90 physicians (38 Chilean and 52 foreing) with studies abroad is reported. Criteria for certification of specialties were the same used for physicians with studies in Chile and results were compared with those obtained by the latter. Results: Physicians with studies abroad required additional evaluations with a greater frequency than local physicians, due to the fact that foreign training programs are not well known by CONACEM members. Eighty five percent of foreighn physicians required those further evaluations, compared with 66.6 percent of all physicians certified bu the commission. Fifty five percent of Chilean physicians with studies abroad did not accept this additional assessment. Aplications for specialties of physicians with studies abroad, were rejected with a greeater frequency than those of Chilean psysicians (31 percent and 13 percent, respectively). Conclusions: Physicians with studies abroad applying for certification of medical specialties required more evaluations and were rejected with a greater frequency than Chilean physicians

Cirugía no resectiva en el tratamiento del síndrome de retención gástrica secundario a úlcera péptica / Non resective surgery in the treatment of gastric out let obstruction and peptic ulcer

El síndrome de retención gástrica (SRG) secundario a úlcera péptica es de resolución quirúrgica y debe contemplar, en lo posible, la corrección de la obstrucción y de la enfermedad ulcerosa. El objetivo del trabajo es analizar los resultados inmediatos y alejados con la VSS-GE y la GE. Entre los años 1982-1990 se operaron 27 pacientes con esta complicación. El SRG era leve en 7 casos (25,9%), moderado en 10 (37%) y severo en 10 (37%). En 17 se practicó VSS-GE (63%) y en 10 sola GE (37%), dejando esta última para las estenosis severas, con dilatación gástrica extrema, en pacientes de mal pronóstico. La morbilidad fue del 10% y la mortalidad, de un 3,7%. En 19 pacientes controlados (70%), con un promedio de 4 años 3 meses, 18 corresponden a Visick I-II (95%)