RESUMO
The Argentinean Society of Paediatrics introduced in 1993 a continuing professional development (CPD) programme to raise standards of clinical practice. The aims of the project were to introduce a structured, distance learning programme accessible to all paediatricians in the country, but especially for those working far from centres of paediatric excellence. The programme is planned on an annual basis. It includes four activities: a written manual designed by a team of medical experts and educationalists comprising 12 topics; field work for participants; annual meetings in several locations in the country for discussion of the subjects; and an evaluation based on centrally designed multiple choice questions distributed by mail. In spite of a registration free of 90 Pounds a year, participation in the programme increased from 3357 in 1993 to 4126 in 1996, from a membership of 10 216 paediatricians in Argentina. The popularity of the programme may result from an appropriate interpretation of professional needs of paediatricians in Argentina, adequate organisational arrangements that reach all colleagues, including those working in remote areas, and a genuine motivation of paediatricians for participating in a learning process.
Assuntos
Educação Médica Continuada , Pediatria/educação , Telecomunicações , Argentina , Criança , Serviços de Saúde da Criança , Feminino , Humanos , Masculino , Sociedades MédicasRESUMO
The better outcome of the patients with neonatal meningitis is reported in the last 3 years with ampicillin and chloramphenicol plus one aminoglucoside. (27/51). The use of intrathecal gentamicin was beneficial in 7 out of 9 babies in whom this procedure was used. The mortality rate on the years 1963-1974 in 86 cases was 70.9% in contrast with 43% (51 cases) for the years 1975-1978. Exchange-transfusion was done to 8 patients, with 6 survivals.
