Experiencia docente en un programa de formación de Medicina Familiar y General a distancia / Teaching experience in a distance learning program for Family and General Medicine

La distribución inequitativa del talento humano en salud afecta la capacidad de los sistemas de ofrecer servicios esenciales. En la provincia de Córdoba, el primer nivel de atención es responsabilidad de los municipios, pero el nivel provincial procura sostener la rectoría y ser garante del derecho a la salud. En ese marco, se desarrolló un programa para reducir las brechas en la distribución de médicos: el Plan Cordobés de Médicos del Interior. Acompañando ese plan se ejecutó un convenio específico con la Universidad Nacional de Córdoba para garantizar la formación en la especialidad de Medicina Familiar y General. Ingresaron al programa 170 personas, y hoy contamos con 98 médicos en formación o seguimiento. En este artículo damos cuenta de la experiencia docente, los desafíos y dificultades que supuso afrontar una formación en lugares de práctica variados, y con el aporte de las tecnologías de la información y comunicación. Esperamos que la experiencia sirva para transmitir los aprendizajes de nuestra práctica (AU)

The inequitable distribution of human talent in health affects the capacity of systems to offer essential services. In the province of Córdoba, the primary level of care is the responsibility of municipalities, but the provincial level aims to maintain leadership and guarantee the right to health. Within this framework, a program was developed to reduce gaps in the distribution of physicians: the Cordobés Plan for Interior Physicians. Accompanying this plan, a specific agreement was executed with the National University of Córdoba to ensure training in the specialty of Family and General Medicine. 170 individuals entered the program, and today we have 98 physicians in training or under supervision. In this article, we give an account of the teaching experience, the challenges, and difficulties involved in facing training in various practice settings, along with the contribution of information and communication technologies. We hope that this experience serves to transmit the lessons learned from our practice (AU)

Prevalence of pulp and periapical diseases in the endodontic postgraduate program at the national autonomous University of Mexico 2014-2019.

Background: Investigations on the prevalence of pulp and periradicular diseases in Mexican population produced few studies, conducted to specific age population. Considering the importance of epidemiological investigation. The aim of this study was to estimate the prevalence of pulp and periapical pathologies and their distribution according to sex, age, affected teeth, and etiological factors found in patients the DEPeI, FO, UNAM Endodontic Postgraduate Program during the period 2014-2019. Material and Methods: The data collected were from the records of the Single Clinical File of patients treated at the Endodontic Specialization Clinic, DEPeI, FO, UNAM, period 2014-2019. The following variables were recorded for each endodontic file: diagnosed pulp and periapical pathology, sex, age, affected tooth, and etiological factor. Descriptive statistical analysis was performed with 95% CI (Confidence intervals). Results: Of all the registers reviewed, irreversible pulpitis (34.58%) and chronic apical periodontitis (34.89%) proved to be the most prevalent pulp and periapical pathologies, respectively. The female sex predominated (65.36%). The age group that requested the most endodontic treatment, according to the records reviewed, was 60 or older (36.99%). The most treated teeth were the upper first molars (24.15%) and lower (36.71%), and the most prevalent etiological factor was dental caries (84.07%). Conclusions: Irreversible pulpitis and chronic apical periodontitis were the most prevalent pathologies. The predominant sex was female, and the age group was 60 years or older. The first upper and lower molars were the most endodontically treated teeth. The most prevalent etiological factor was dental caries. Key words:Pulp pathology, periapical pathology, prevalence.