Historia de la creación y primeros desarrollos de los Cuadernos Médico Sociales. De la Cátedra de Medicina Preventiva a la Formación Médico Social en Chile. Años sesenta y setenta.

Saved in:

Bibliographic Details
Title:	Historia de la creación y primeros desarrollos de los Cuadernos Médico Sociales. De la Cátedra de Medicina Preventiva a la Formación Médico Social en Chile. Años sesenta y setenta.
Alternate Title:	History of the creation and first developments of the Social Medical Notebooks. From the Chair of Preventive Medicine to Social Medical Training in Chile. Sixties and seventies.
Authors:	Lastra Torres, Jorge^1,2 jlastra@colegiomedico.cl
Source:	Cuadernos Médico Sociales. 2024, Vol. 64 Issue 2, p5-16. 12p.
Abstract (English):	At the end of 1958, the Department of Public Health of the Medical College reported in its minutes that it had received approval from the General Council to carry out a Seminar on Medical Training. After listening to various reports of the visit of its members and other doctors to the main educational centers in the United States and Europe, they reported on the efforts of those schools to adjust to the changes that reality was demanding of them. Something similar to what happened in the debate that the Department itself had on the guidelines that needed to be introduced in the training of health professionals, in accordance with what the national scenario demanded within the framework of a series of transformations of the medical work and the National Health System. In order to carry out the meeting, the search for bibliography was carried out, at a global and national level, and, at the same time, the creation of the “Cuadernos Médico Sociales”, where these documents and the discussions that were held were published. were given in the country on this topic. Meanwhile, the country was shaking off the second government of Carlos Ibáñez del Campo, which ended with a severe social, economic and political crisis, with the rise of union mobilization under the leadership of a Single Central of Workers and the strengthening of political parties. politicians, who were the representation of those same sectors, and who demanded better public services, including health. The Seminar had the support of three key actors: the Medical College itself, through its Department of Public Health, the three universities that taught medicine and other health careers, and the National Health Service. This triad was fundamental so that the discussions that resonated in the care centers, the cloisters and the health institutions were more than a rhetorical exercise and were translated into programs and policies that gave new life to training and the care model. Likewise, in the trajectory of these actors we can find the bases for the changes that were subsequently introduced and that allowed significantly better health outcomes for the country, particularly in the two governments that collected these lessons and made them part of their health policies, with Eduardo Frei Montalva and Salvador Allende as presidents. For its part, the “Cuadernos Médico Sociales”, where these same actors also converged, was the space for the compilation of national and international reflection, in addition to the transmission of the experiences of the conceptual and interdisciplinary amalgamation of the teams of professionals with the desire of a social medicine that would contribute to justice and the redistribution of resources. This article wishes to rescue from historical memory the story of current actors of that epic, primary and other secondary sources of the time, to answer the question about what were the conditions that made possible the transformations that medical training and the healthcare system underwent. health, something that today, from the same interest, is greatly needed. Go beyond the rhetorical and declarative, to achieve effective changes, both in the graduation profile of professionals and in the health system, in order to achieve better health results. The hypothesis proposed here is that by achieving the synergy of the three aforementioned actors; health professionals, academia and the health system, their history could be collected and new practices made effective. That was the key to success. [ABSTRACT FROM AUTHOR]
Abstract (Spanish):	A fines del año 1958 el Departamento de Salud Pública del Colegio Médico informaba en sus actas que había recibido la aprobación del Consejo General para llevar adelante un Seminario sobre la Formación Médica. Después de escuchar diversos reportes de la visita de sus integrantes, y otros médicos a los principales centros de educación de Estados Unidos y Europa, quienes informaron de los esfuerzos de esas escuelas por ajustarse a los cambios que la realidad les estaba exigiendo. Algo similar a lo que ocurría en el debate que el propio Departamento tenía sobre las orientaciones que era necesario introducir a la formación de los profesionales de la salud, esto de acuerdo a lo que el escenario nacional demandaba en el marco de una serie de transformaciones del trabajo médico y del Sistema Nacional de Salud. Con la finalidad de poder llevar a cabo el encuentro se dio paso a la búsqueda de bibliografía, a nivel mundial y nacional, y, al mismo tiempo, a la creación de los Cuadernos Médico Sociales, donde se publicaron esos documentos y las discusiones que se daban en el país sobre este tema. Mientras tanto, el país se sacudía del segundo gobierno de Carlos Ibáñez del Campo, el que concluía con una severa crisis social, económica y política, con el ascenso de la movilización gremial bajo la conducción de una Central Única de Trabajadores y el fortalecimiento de partidos políticos, los que eran la representación de esos mismos sectores, y que exigían mejores servicios públicos, entre ellos de salud. El Seminario contó con el respaldo de tres actores clave: el propio Colegio Médico, a través de su Departamento de Salud Pública, las tres universidades que impartían los estudios de medicina, y otras carreras de la salud, y el Servicio Nacional de Salud. Esta tríada fue fundamental para que las discusiones que resonaban en los centros de atención, los claustros y la institucionalidad sanitaria, fueran más que un ejercicio retórico y se tradujeran en programas y políticas que dieron nuevos aires a la formación y al modelo de atención. Asimismo, en la trayectoria de esos actores se pueden encontrar las bases de los cambios que se fueron introduciendo posteriormente y que permitieron resultados sanitarios significativamente mejores para el país, particularmente en los dos gobiernos que recogieron estas enseñanzas y las hicieron parte de sus políticas de salud, con Eduardo Frei Montalva y Salvador Allende como presidentes. Por su parte, los Cuadernos Médico Sociales, donde también confluyeron esos mismos actores, fue el espacio de la recopilación de la reflexión nacional e internacional, además de la transmisión de las experiencias de la amalgama conceptual e interdisciplinaria de los equipos de profesionales con el anhelo de una medicina social que aportara a la justicia y a la redistribución de los recursos. Este artículo desea rescatar de la memoria histórica el relato de actores vigentes de esa épica, fuentes primarias y otras secundarias de la época, para responder la pregunta acerca de cuáles fueron las condiciones que hicieron posible las transformaciones que vivió la formación médica y el sistema de salud, algo que hoy, desde el mismo interés, hace mucha falta. Salir de lo retórico y declarativo, para lograr cambios efectivos, tanto en el perfil de egreso de los profesionales como en el sistema de salud, para así alcanzar mejores resultados sanitarios. La hipótesis que se plantea aquí es que al lograr la sinergia de los tres actores comentados; profesionales de la salud, academia y sistema sanitario, se pudo recoger su historia y hacer efectivas nuevas prácticas. Esa fue la clave del éxito. [ABSTRACT FROM AUTHOR]
	Copyright of Cuadernos Médico Sociales is the property of Colegio Medico de Chile (A.G.) and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database:	MedicLatina

Description
Abstract:	At the end of 1958, the Department of Public Health of the Medical College reported in its minutes that it had received approval from the General Council to carry out a Seminar on Medical Training. After listening to various reports of the visit of its members and other doctors to the main educational centers in the United States and Europe, they reported on the efforts of those schools to adjust to the changes that reality was demanding of them. Something similar to what happened in the debate that the Department itself had on the guidelines that needed to be introduced in the training of health professionals, in accordance with what the national scenario demanded within the framework of a series of transformations of the medical work and the National Health System. In order to carry out the meeting, the search for bibliography was carried out, at a global and national level, and, at the same time, the creation of the “Cuadernos Médico Sociales”, where these documents and the discussions that were held were published. were given in the country on this topic. Meanwhile, the country was shaking off the second government of Carlos Ibáñez del Campo, which ended with a severe social, economic and political crisis, with the rise of union mobilization under the leadership of a Single Central of Workers and the strengthening of political parties. politicians, who were the representation of those same sectors, and who demanded better public services, including health. The Seminar had the support of three key actors: the Medical College itself, through its Department of Public Health, the three universities that taught medicine and other health careers, and the National Health Service. This triad was fundamental so that the discussions that resonated in the care centers, the cloisters and the health institutions were more than a rhetorical exercise and were translated into programs and policies that gave new life to training and the care model. Likewise, in the trajectory of these actors we can find the bases for the changes that were subsequently introduced and that allowed significantly better health outcomes for the country, particularly in the two governments that collected these lessons and made them part of their health policies, with Eduardo Frei Montalva and Salvador Allende as presidents. For its part, the “Cuadernos Médico Sociales”, where these same actors also converged, was the space for the compilation of national and international reflection, in addition to the transmission of the experiences of the conceptual and interdisciplinary amalgamation of the teams of professionals with the desire of a social medicine that would contribute to justice and the redistribution of resources. This article wishes to rescue from historical memory the story of current actors of that epic, primary and other secondary sources of the time, to answer the question about what were the conditions that made possible the transformations that medical training and the healthcare system underwent. health, something that today, from the same interest, is greatly needed. Go beyond the rhetorical and declarative, to achieve effective changes, both in the graduation profile of professionals and in the health system, in order to achieve better health results. The hypothesis proposed here is that by achieving the synergy of the three aforementioned actors; health professionals, academia and the health system, their history could be collected and new practices made effective. That was the key to success. [ABSTRACT FROM AUTHOR]
ISSN:	07161336
DOI:	10.56116/cms.v64.n2.2024.2025