[Surgical/medical competences, self-perception among a group of students recently graduated]. / Competencias médico-quirúrgicas. Autopercepción en médicos recién egresados de la licenciatura.

BACKGROUND: Medical professional proficiency comprises a set of skills, knowledge, and attitudes necessary to efficiently accomplish the practice of medicine. We undertook this study to identify the surgical/medical competencies (SMC) acquired by a group of students after graduating from the Faculty of Medicine, National Autonomous University of Mexico. METHODS: This was a cross-sectional, comparative, observational, and prospective study. Students from the class (1999-2003) who accepted to participate were included in the study. Thirty SMC were evaluated as well as demographic and academic background data from the graduates. Data were analyzed using Mann-Whitney, Kruskal-Wallis andX2tests. RESULTS: Of 341 interviewees, 310 subjects participated in the study; 61% of all participants were females. Mean age at graduation was 25 years; 66% of all participants concluded their medical training in 6 years; 30% of the interviewees had a < or = 8.0-point grade average score; 62% concluded their 6th school year in a Mexican Institute of Social Security (IMSS) and/or in a Ministry of Health (SSa) facility. Subjects reported having little or no command over 21/30 listed SMCs. Female participants rated themselves as less proficient than their male counterparts (p < or = 0.05). The presence of three other concomitant factors among several participants negatively influenced their self-perception of whether or not they possessed certain skills. CONCLUSIONS: A group of recently graduated physicians subjectively perceived themselves as possessing partial or no command over the SMCs included in the Surgery Department syllabus. These results must be completed through an objective assessment.

Pericarditis neoplasica: a proposito de un caso / Neoplastic pericarditis: On Pourpose of a case

Sedescribe un caso de pericarditis neoplasica, en un varon joven de 16 años de edad secundario a linfoma de Hodgkin. Con ccuadro clinico de compromiso coardiovascular por taponamiento cardiaco, demostrado por estudio anatomo patologico que posteriormente fallece por retraso en la terapeutica ofrecida

Enfermedad mixomatosa de la valvula mitral: reporte de un caso clinico quirurgico / Mixomatosa desease mitral valve report of a surgical clinic case

Se describe un caso de prolapso de valvula mitral de origen primario, con degeneracion mixomatosa en un paciente de 19 años, operado con cambio de valvula mitral

A proposito de un caso de infarto agudo de miocardio en paciente joven con endocarditis infecciosa / Report of a case of acute myocardial infartion in a young patient with infections myocarditis

Paciente de 20 años de edad que ingresa de mergencia por infarto agudo de miocardio de evolución atípica caracterizada por fiebre, anemia, insuficiencia aórtica severa y falla ventricular izquierda. Integrando estos datos clínicos y examenes complemetarios de laboratorio y gabinete, se diagnostica endocarditis infecciosa complicada con embolia en arteria coronaria izaquierda (descendente anterior) provocando infarto agudo de miocardio de cara que evolucionó con insuficiencia cardíaca refractaria a tratamiento médico y finalmente edema agudo pulmonar y óbito. El estudio anatomopatológico (necropsia) confirmó estas conclusiones.