[Analysis of the Argentine residency system from the paradigm of Complexity Sciences] / Análisis del sistema de residencias argentino desde el paradigma de las Ciencias de la Complejidad.

Aim: The objective is to carry out an analysis of the system of residences in Health in Argentina from the Theory of Complexity, in order to improve the understanding of the reality of this system, allowing an analysis to be carried out from another perspective different from the traditional. Source and synthesis of data: In this review, the properties and characteristics of the residence system are analyzed according to the new paradigm of the Science of Complexity. For those who make decisions about the residential training of young professionals, full knowledge of the system in a holistic way and reflection on the characteristics of an open system applied to the residential system is of great importance and, it gives (or can give off) great benefits and possible improvements for those who live the day to day of these training programs. Conclusions: It is important to mention the ultimate benefit that knowledge of the study system analyzed here has or can have: the possibility of multidisciplinarity, as one more step in the evolution of this type of system.

Objetivos: 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.

Definition of minimum procedures required to certify competence in gastrointestinal endoscopy using the Delphi method.

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.