rev bras ortop.2015;50(5):487–488
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Practicingmedicineisanindividualactivity,sinceethicsand professionalresponsibilityare personal.Thereisnowayin whichwecanshareresponsibilityregardingmedicalacts,nor canweascribeethicalresponsibilitytoinstitutions.
On many occasions, situations with consequences that affectphysiciansbutinwhichtheirparticipationissmall,can beseen.Themostfrequentoftheseisinadequacyof health-careequipment,whichgoesfromchoosingimplantmaterials tothestateofhospitals.
Ourindividualityisminimizedthroughourprofessional associations,whichinrealityareofrelativelyrecentorigin.
The Brazilian Medical Association (Associac¸ão Médica Brasileira,AMB)originatedfromtheSãoPauloMedical Associ-ation(Associac¸ãoPaulistadeMedicina,APM)in1951,founded byProfessorJairoRamos,anditsfirstpresidentwasthegreat surgeonProfessorAlipioCorreaNetto.Itwasinitiallyasociety ofscientificnature,buttodayitsroleistodefendthemedical professioninpoliticalandinstitutionalarenas.
TheJournaloftheBrazilianMedicalAssociation(Jornalda Associac¸ãoMédicaBrasileira,JAMB)wasinitiallyascientific journalbuttodayitisdedicatedtosubjectsofprofessionaland politicalnature.Itiswidelyread,andisprobablythemedical publicationthatismostreadinBrazil.
Overthese64years,medicinehasevolvedandmany spe-cialtieshaveemergedandhavebecomeautonomous.Inthis manner,medicineinthefullnessofitsextenthasbecome frag-mentedintomanyfields,andtheAMBisleftwiththetaskof overalldefenseofmedicine,withthevariousspecialtiesasits subsidiaries.WeattheBrazilianSocietyofOrthopedicsand Traumatology(SociedadeBrasileiradeOrtopedia e Trauma-tologia,SBOT)are thesubsidiaryofthe AMBinthefield of orthopedicsandwehaveanexcellentrelationshipwiththe AMB.TheSãoPauloregionaldivisionoftheSBOThashadits mainofficeonthepremisesoftheAPMformanyyears.
The AMB is a body that protects and brings together the medical profession and acts in all fields of medical activity whenever requested. Recently, Brazilian specialist medicaljournalswerehavingsomeassessmentandvaluation difficulties with the government funding agency CAPES (Coordenac¸ãodeAperfeic¸oamentodePessoaldeNível Supe-rior;CoordinationOfficeforImprovementofUniversity-level Personnel),anditwastheAMBthathasbroughtustogether toseeksolutionsfortheseproblems.
ThecongressesoftheAMBusedtobeexcellentandthere wasevenadepartmentofcongresseswithintheAMB,headed by Silvia Mangabeira Albernaz and by Celina Fleury, who definedpracticallyeverythingthatexiststodaywithregardto organizingcongressesinBrazil.
Today,AMBcongressesnolongertakeplace,andthereis nodoubtthatthishasweakenedtheinstitutionandhas dis-tancedusfromourprofessionalactivity.Wearephysicians beforeweare orthopedists, butweare unawareofwhatis goingoninotherspecialties,regardlessofhowmuchthese might influenceourpatients and consequentlyour profes-sional activity.Weevenhavedifficulty inrecommending a colleagueinanotherfieldforourclients.
TheSBOTwasfoundedin1935,wellbeforetheAMB,andit isturning80thisyear.Ithelditsfirstcongressin1936,inSão Paulo.
In this eightieth year, we are holding our 47th Brazil-ian Congress of Orthopedicsand Traumatology (Congresso Brasileirode OrtopediaeTraumatologia, CBOT),alsoinSão Paulo.
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rev bras ortop.2015;50(5):487–488Whenallthespecialtiesreachmajorityandautonomy,the CBOTwillprobablyhavetochangeitsfocus.
TheDayoftheSpecialty,anideaimportedfromthe Amer-icanAssociationofOrthopedicSurgeons(AAOS),needstobe givenduevalue,sothatwecanattractspecialistsand com-plementgeneralists’training.Wecannotneglectmattersof generalinterest,sincethesemaintaintheunityofthe spe-cialtiesandthusmaketheCBOTviable.
Thesurvival ofthe CBOT willdepend on scientificand commercialfactors.Ifthereisscientificinterest,therewillbe economicinterest.
We will be remaining alert, so that what happened to theAMB congressdoesnothappentotheCBOT,sincethis
is the time whenthe SBOT comestogether and shows its strength.
Asindividualistsnotbychoicebutthroughconsequence, weneedourstronginstitutions.
GilbertoLuisCamanho RevistaBrasileiradeOrtopedia E-mail:[email protected]
2255-4971/©2015SociedadeBrasileiradeOrtopediae Traumatologia.PublishedbyElsevierEditoraLtda. Allrightsreserved.