Proceso de desarrollo en la toma de decisiones en el cirujano en formación

Introduccion: El desarrollo de programas de ensenanza de los cirujanos en formacion se considera uno de los factores mas importantes. El proceso de desarrollo de la toma de decisiones evalua situaciones y la opcion mas recomendable para resolucion de problemas, permitiendole estar entrenado en la realizacion de procedimientos invasivos. Objetivo: Analizar el programa de formacion de la Residencia de Cirugia General, evaluando las herramientas para desarrollar el proceso de toma de decisiones. Material y metodos: Se discrimina la actividad desarrollada por ano de residencia (abril2012/junio 2013), se evalua actividades extra institucionales, herramientas utilizadas, horas de entrenamiento psicomotriz, cursos de capacitacion, actividad docente, descanso, distension, divertimento y contencion psicologica de 11 residentes. Se establecen parametros de supervision y evaluacion en la toma de decisiones. Resultados: Residentes 1°Ano: 6480hs anuales. Actividad: Asistencial: 3424hs (52,83%). Psicomotriz: 1788hs. Cognitiva: 208hs. Afectiva: 1068hs. Residentes 2°Ano: 6944hs anuales. Actividad: Asistencial: 3328hs. Psicomotriz: 1788 hs. Cognitiva: 3692 hs. Afectiva: 1068hs. Residentes 3° Ano: 6179 hs anuales. Actividad: Asistencial : 2808hs. Psicomotriz : 1272hs. Cognitiva: 1040hs. Afectiva: 1068 hs. Residente 4°Ano: 6292hs anuales. Actividad: Asistencial : 3120hs. Psicomotriz : 1272hs .Cognitiva: 1144hs. Afectiva: 1068hs Jefe de Residentes: 6446hs anuales. Actividad: Asistencial: 2912hs. Psicomotriz: 1010 hs. Cognitiva: 1456 hs. Afectiva: 1068 hs... (AU) Introduction: Development of teaching programs for surgeons in trainingis considered one of the most important factors. Decision making process evaluates different problem solving situations, allowing them to be trained to perform invasive procedures. Objective: To analyze the General Surgery Residency training program, evaluating tools to develop the decision making process. Material and methods: we divided the activity per year of residence (fromapril2012/ June 2013) evaluating extra institutional activities, tools used, hours of psychomotor training, teaching, rest, relaxation, amusement and psychological containment of 11 residents. Supervision and evaluation parameters are set in decision makingprocess. Results: 1st Year Residents: 6480hs per year. Activity: Assistance health care: 3424hs (52.83%). Psychomotor training: 1788hs. Cognitive area: 208hs. Emotional area: 1068hs. 2nd Year Residents: 6944hs annual. Activity: Assistance health care :3328hs. Psychomotor training: 1788 hs. Cognitive: 3692 hs.: Emotional area 1068hs. Residents 3rd Year: 6179 hours annual. Activity: Assistance health care: 2808hs. Psychomotor training 1272hs. Cognitive area: 1040hs. Emotional area 1068 hs. 4th Year Resident: Annual 6292hs. Annual. Activity: Assistance health care: 3120hs. Psychomotor training: 1272 hs. Cognitive area: 1144hs. Emotional area 1068hs. Chief Resident: 6446hs annual. Activity: Assistance health 2912hs. Psychomotor training: 1010 hs. Cognitive: 1456 hs. Emotional area: 1068 hs All resident: achieved the minimum standards established for decision–making_process...(AU)