Medical residencies

A critical view of your access process

Abstract

In Uruguay, medical residencies (RM) were created (Law 19,301) in order to plan, regulate and carry out the training of specialists based on the health needs of the country. Their entry is made through an open competition, with two evaluation tests, anonymous correction. This work analyzes the processes of access to MRI by analyzing the syllabus, type of tests and the relationship between the plan of degree studies and the contents that are evaluated for admission to the MRI, integrating an opinion survey among inmates and residents. 50 specialties are competed in 48 tests, which include a total of 1302 subjects to be studied, (average: 19.6 subjects / discipline) and very different types of tests. For the courts, numerous middle and higher grade teachers are required for some months. The bibliographic offer was verified only in 9 specialties (18%) recommend bibliography for the preparation of the tests. The total offer includes 49 books; Some of them in English. The results showed a strong dichotomy between the topics covered in the undergraduate curriculum and the requirements of the residency tests, with little bibliographic and institutional support for their preparation. A product that has just emerged from a single study plan, there should be a discussion about establishing a test system through a consensual program that is equally useful for starting all disciplines. A reform of the system should be debated.