Introduction: As part of the training framework for medical specialities, it is vital to provide an agreed list of the type and number of practices involved in the professional work of a given specialty. Thus, the purpose of this study is to define a list of minimum procedures to ensure competence in Gastrointestinal Endoscopy based on a structured and agreed upon process, as well as to explore the opinions of experts in gastrointestinal endoscopy on the training of endoscopy physicians in Argentina and the need to certify competencies.Materials and Methods: a mixed-method prospective study was carried out using the Delphi method as a qualitative group research technique, followed by the implementation of a structured survey.Results: The final consolidated list included 17 procedures considered essential for certification of competence in gastrointestinal endoscopy. Median was used given the range in the minimum number of procedures required to achieve competence. In the case of upper gastrointestinal endoscopy, the minimum number of procedures agreed was 200, while in the case of colonoscopy it was 150.Conclusion: This list is a fundamental element to develop a national training framework in gastrointestinal endoscopy, as well as a competence certification program.
Objetivo: El objetivo es realizar un análisis sobre el sistema de residencias en Salud de la Nación Argentina desde la Teoría de la Complejidad, a fin de lograr mejorar la comprensión de la realidad de este sistema, permitiendo realizar un análisis desde otra perspectiva distinta a la tradicional.
Fuente y síntesis de datos: En esta revisión se analizan las propiedades y las características del sistema de residencias según el nuevo paradigma de la Ciencia de la Complejidad. Para quienes toman decisiones de la formación residencial de profesionales jóvenes, el conocimiento pleno del sistema de manera holística y la reflexión de las características de un sistema abierto aplicado al sistema residencial tiene gran importancia y, desprende (o puede desprender) grandes beneficios y posibles mejoras para quienes viven el día a día de estos programas de formación.
Conclusiones: Es importante mencionar el beneficio último que tiene o puede tener el conocimiento del sistema de estudio aquí analizado: la posibilidad de la multidisciplinariedad, como un paso más en la evolución de este tipo de sistemas.
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