stability, and a minimal demand for publication, permits academic promotions that in US medical schools would be unthinkable.
Continuing Medical Education is not required in Chile. See discussion of "Graduate Medical Education."
During the last few years there have been some efforts to change the medical school curricula. An Ad Hoc National Commission, appointed by the medical schools to study curricular reform, recently proposed that: (1) tutorial teaching be expanded and self-education stimulated; (2) content related to ethical and humanistic values be increased; (3) basic and clinical subjects be integrated; and (4) undergraduate and postgraduate training in ambulatory medicine be increased.
Many of these ideas come from international recommendations and the positive results of established innovative programs in US and Canadian medical schools. Some of the medical schools are seriously attempting to implement these ideas. A drastic change in the curriculum may provide a more stimulating atmosphere for the students, but unfortunately it will leave untouched the underlying weakness of a system based on part-time faculty.
Chile, Republic of Ministry of Health. 1992. Health situation and health care in Chile. pp. 1-35.
Medina E., and A. Kaempffer. 1988. "Necisidad de Médicos en Chile". Rev. Med Chile 116:389-394.
Oficina Panamericana de la Salud. 1990. Las condiciones de salud en las Américas. Publiciôn Cientifica no. 524. Washington, DC. 2:117-124.