rev bras ortop.2017;52(2):123
SOCIEDADE BRASILEIRA DE ORTOPEDIA E TRAUMATOLOGIA
w w w . r b o . o r g . b r
Editorial
SBOT
will
be
responsible
for
basic
orthopedic
formation
A
SBOT
será
responsável
pela
formac¸ão
básica
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ortopedia
The recent changes in the curriculum of medical schools directlyaffectthetrainingofspecialistsinareasthatarenot consideredasgeneralknowledge.
Thetendencyistowardsbroadteaching,withoutgoinginto details,aimingatglobalcare;specialtieswillbetaughtinother periodsofinstruction.Thisphilosophygoesagainstthe edu-cationalprojectoforthopedics,becausewhileduringmedical educationstudentslearnabouttraumaticsyndromesofthe lowerlimbs,whichconsiderfractures,muscularinjuries, vas-cularinjuries,andskinlesionsasawhole,ourtendencyisto detailthefracturesofthetibiatotheutmost,forexample.
One ofthe reasons that led to the modification of the curriculumisthat,overthe years,therehasbeena signifi-cantincrease inmedicalknowledgewithoutaproportional increaseincourseduration.
Anincreaseincoursedurationwouldbeapalliativeand temporarymeasure.Itwasdecidedtomakethecoursemore informativeand generic,topreparethestudentforperiods of complementary training according to their professional choices.
This great increase of knowledgewas also observed in orthopedics, with the emergence of sub-specializations in the 1980s. The new parameters we now have in various areascannotbecomparedwiththeknowledgeofthe1980s: justrememberthatwedidnothavemagneticresonanceor arthroscopybackthen.
TheBrazilian Society of Orthopedics and Traumatology (SociedadeBrasileira de Ortopedia eTraumatologia [SBOT]) hasneverbeenabletoperformintheareaofacademic train-ing,althoughithashadforsometimeacommitteethatcould beresponsibleforthisarea,butisinfactresponsiblefor post-graduatetraining,especiallytheinitialtraining–themedical residency.
Itisnotourplacetoquestionthecurricularchange,butI believewehavetomodifyourresidencyprograms.
Initially,wecannotdeviatefromgeneraltrainingin ortho-pedics,whichIbelieveshouldbeimproved,sinceitwillbe non-existentintrainingcourses.
Thebasicprinciplesoftheorthopedics,whichwillguide the specialized training,are paramount. Theknowledgeof bone,joint,andmuscularphysiologies,theprinciplesof semi-ology, theknowledge ofbasicsurgical techniques, and the principlesofhealingofthetissuesofthelocomotorsystem cannotbeforgotten.
Ifthebasicknowledgeisnotvalued,therewillbeaclear and veryharmfulprematurespecialization,whichwilllead SBOTtobecomeasocietyofsecondaryimportance.
ItwillbeuptoSBOTtoprovidebasicorthopedictraining, sincethetrainingcourseswillnot.Wehavethestructurefor this.Withdistancelearningtechnologies,wecanoffertraining inbasicareasevenforresidencyservicesthatarenotprepared forsuchtraining.
Inqualifiedservices,certifiedbythespecialtysocieties,the teaching ofthespecialtiesshouldbecomplementary;these servicesarenotnecessarilythesamethatprovidebasic train-ing.
We must review the residency curricula and quickly prepareourselvestoreceivetheseyoungdoctors,whoinfive years will receive their degree and will onlyhave avague notionofourspecialty.
Underthisnewparadigm,thethree-yearresidencywillnot besufficienttofullyqualifyanorthopedistforworkwhohas anexpectationofbecominganexpertinsomesub-specialty.
GilbertoLuisCamanho
RevistaBrasileiradeOrtopedia,SãoPaulo,SP,Brazil
