History of Latin American Dermatology

History of Latin American Dermatology History of Latin American Dermatology

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RUBÉN GUARDA TATÍNundergraduate syllabus (at an unknown date) until 1989. In March 1954 PUC created theformal Dermatology chair and appointed Hernán Hevia Parga as professor; he taught atthe same Aguirre Hospital where he worked. Around 1975 PUC formed a small teachingfaculty associated with the Aguirre Hospital to teach its students and interns, to collaboratewith Dr. Hevia; it included Drs. Honeyman, Eguiguren and Guarda.In 1980 Dr. Hevia was appointed PUC’s first full professor of Dermatology. After his retirementfrom this role in 1983, the chair was turned over to Juan Honeyman Mauro,named full professor in 1990. In 1983 PUC created the Associated Dermatology TeachingUnit with an autonomous physical venue, located at the PUC outpatient offices at its southernuniversity campus, with its own staff of dermatologists; at the outset only treatmentwas offered, and the first dermatologist hired was Dr. Mirtha Cifuentes; later, teachingwork was also undertaken for its undergraduate students. Other teaching dermatologistsat PUC have been María Luisa Pérez-Cotapos, Montserrat Molgó, María Soledad Zegpi,Rosamary Soto, Ariel Hasson and Sergio Silva, among others. In the year 2000 the post ofhead of the service and of the chair was taken over by Dr. Pérez-Cotapos.Undergraduate education at provincial universitiesWe shall only mention undergraduate education at those medical schools in theprovinces that belong to ASOFAMECH. At the University of Concepción, the first doctorlinked to Dermatology was Raúl Puga, who did treatment work and apparently collaboratedin teaching, although further information on him is unavailable. Around 1950 theautonomous chair of Dermatology was created, Alberto Brieva Durán being appointed asthe first professor; he held the post until 1964. He was succeeded by Juan González Martin(1964-1972), Ezio Olivari (1972-1987), Lidia Medina (1987-2003) and Rosario Alarcón(2004-).Until 1973, the Medical School of the Southern University of Valdivia sent its studentsto Santiago for very brief courses in Dermatology and other specialized medical fields; in1974 and 1975 it invited Ignacio González Díaz of UCH to give courses in Valdivia, lastingfive days annually, to teach some cutaneous pathologies. Between 1976 and 1979,Daniel Villalobos (as guest professor in charge of the chair), Manuel Melis and Félix Fich(as collaborators), dermatologists at the St. Borja-Arriarán hospital complex in Santiago,were invited to develop the first formal course of Dermatology in Valdivia. In parallelfashion, in Santiago they trained Isabel Moreno and Mónica Hering as dermatologists inorder to later take on teaching responsibilities. In consequence, from 1980 to date, thechair has been headed by Dr. Moreno, with Dr. Hering’s collaboration since 1984.At the Medical School of the Frontier University of Temuco, Patricio Rifo has been incharge of the chair from its creation in 1975 to date. At the University of Valparaíso thefirst doctor in charge of the chair was Ramón Staforelli (1974-1990); he was succeededby Jorge Testart (1990-1991) and Antonio Guglielmetti from 1992 to date.Undergraduate education at the new medical schoolsat traditional or private universitiesAt the University of Santiago, the first course on Dermatology was taught in 1998. AlfredoCardemil and Héctor Fuenzalida have been successively in charge. At the Universityof the Andes – the first private university to open a medical school – the firstDermatology course was given in 1995; the professor in charge of the chair, up to thistime, has been Walter Gübelin. At the Higher University, the first course on Dermatologywas given in 1991 and Lilian Pérez has been in charge of the chair. At the Catholic Universityof Concepción, Dermatology is not taught as an autonomous discipline but as partof a unified medical course. At St. Sebastian University of Concepción, the Dermatology172

Historical sketch of Chilean Dermatologycourse was launched in 1998 and Enrique Wageman has been in charge since then.Other new medical schools are not mentioned because they are very recent, becausetheir Dermatology courses are still incipient or because of the difficulty in obtaining data.Textbooks for undergraduate educationUntil 1960 there were no undergraduate Dermatology textbooks published by Chileandermatologists, so that only the publications of French Dermatology and those of Spanishor Argentine dermatologists were employed. The textbook by Jean Darier, later publishedby his disciples (Jean Civatte among them), was the main reference source forspecialists. Students used to employ informal classroom notes taken in previous years orhanded over by the professors themselves as outlines, until in 1960 Florencio Prats publisheda multi-author book written by him and the collaborators of his chair at theAguirre Hospital. Nevertheless, that book never managed to became established as atextbook in common undergraduate use because its contents were more ambitious.Later, for many years an unpublished compendium of class notes was used, written byHernán Hevia and some of his collaborators. This compendium served as the basis forthe publication, toward 1990, and appropriately updated, of a multi-author collaborativetextbook by the professors of the same chair; Juan Honeyman and Raquel Nahuel actedas editors. Two other multi-author textbooks have also appeared: one in 2001, edited byMaría Isabel Herane and Francisco Urbina, and another in 2003 edited by María LuisaPérez-Cotapos and Ariel Hasson of PUC; both books constitute a worthy contribution, althoughthey surpass the scope of an undergraduate course.Graduate educationUntil the 1960s, the graduate teaching of Dermatology to physicians for the expresspurpose of training specialists was carried out in an informal and irregular manner atthe major hospital centers. In general, knowledge of the specialized field was acquiredby a kind of practical training ensuing from young doctors, paid or unpaid, joining treatmentservices at services and chairs, learning Dermatology from strict observation of diagnosticand therapeutic conducts of the professors or dermatologists with greaterexperience. Dermatologists already trained and linked to teaching hospitals or to thosesolely providing treatment always willingly took on the responsibility of training theseyoung physicians who joined voluntarily.In 1966 UCH launched the offer of quotas in scholarships/residencies in Dermatology,lasting 2 years, leading to the degree of specialist. This represented the first step taken bya university in Chile to offer graduate studies in this specialized field; the first to take thecourse and graduate from it was Alan Rojas Canala (1966-1968). The UCH quotas in scholarships/residenciesin Dermatology were not filled for several years because of the abovementionedscarce interest in this specialized branch; the cases of Carlos Vera andFernando Oyarzún were exceptions. The lack of interest was demonstrated by the lownumber of physicians (only 12) who undertook this program between 1966 and 1980. TheUCH centers that offered training for dermatologists were at that time the Aguirre, St. Johnof God and St. Louis/Savior hospitals. Over those 14 years, education was haphazard, withouta definite internship program nor theoretical courses, and included the treatment bothof outpatients (general and STDs) and of hospitalized cases, with partial tutorship by teachingdermatologists; regarding this period the residents in training especially rememberHernán Hevia, Roger Lamas, Ignacio González Díaz, Marco Antonio de la Parra, Raúl Alarcón,Isidoro Pasmanik, Daniel Villalobos and René Wolf as notable tutors.In 1980 the full professor Juan Honeyman named Rubén Guarda as coordinator ofgraduate education to redesign the UCH program for the training of specialists. Dr.173

RUBÉN GUARDA TATÍNundergraduate syllabus (at an unknown date) until 1989. In March 1954 PUC created theformal <strong>Dermatology</strong> chair and appointed Hernán Hevia Parga as pr<strong>of</strong>essor; he taught atthe same Aguirre Hospital where he worked. Around 1975 PUC formed a small teachingfaculty associated with the Aguirre Hospital to teach its students and interns, to collaboratewith Dr. Hevia; it included Drs. Honeyman, Eguiguren and Guarda.In 1980 Dr. Hevia was appointed PUC’s first full pr<strong>of</strong>essor <strong>of</strong> <strong>Dermatology</strong>. After his retirementfrom this role in 1983, the chair was turned over to Juan Honeyman Mauro,named full pr<strong>of</strong>essor in 1990. In 1983 PUC created the Associated <strong>Dermatology</strong> TeachingUnit with an autonomous physical venue, located at the PUC outpatient <strong>of</strong>fices at its southernuniversity campus, with its own staff <strong>of</strong> dermatologists; at the outset only treatmentwas <strong>of</strong>fered, and the first dermatologist hired was Dr. Mirtha Cifuentes; later, teachingwork was also undertaken for its undergraduate students. Other teaching dermatologistsat PUC have been María Luisa Pérez-Cotapos, Montserrat Molgó, María Soledad Zegpi,Rosamary Soto, Ariel Hasson and Sergio Silva, among others. In the year 2000 the post <strong>of</strong>head <strong>of</strong> the service and <strong>of</strong> the chair was taken over by Dr. Pérez-Cotapos.Undergraduate education at provincial universitiesWe shall only mention undergraduate education at those medical schools in theprovinces that belong to ASOFAMECH. At the University <strong>of</strong> Concepción, the first doctorlinked to <strong>Dermatology</strong> was Raúl Puga, who did treatment work and apparently collaboratedin teaching, although further information on him is unavailable. Around 1950 theautonomous chair <strong>of</strong> <strong>Dermatology</strong> was created, Alberto Brieva Durán being appointed asthe first pr<strong>of</strong>essor; he held the post until 1964. He was succeeded by Juan González Martin(1964-1972), Ezio Olivari (1972-1987), Lidia Medina (1987-2003) and Rosario Alarcón(2004-).Until 1973, the Medical School <strong>of</strong> the Southern University <strong>of</strong> Valdivia sent its studentsto Santiago for very brief courses in <strong>Dermatology</strong> and other specialized medical fields; in1974 and 1975 it invited Ignacio González Díaz <strong>of</strong> UCH to give courses in Valdivia, lastingfive days annually, to teach some cutaneous pathologies. Between 1976 and 1979,Daniel Villalobos (as guest pr<strong>of</strong>essor in charge <strong>of</strong> the chair), Manuel Melis and Félix Fich(as collaborators), dermatologists at the St. Borja-Arriarán hospital complex in Santiago,were invited to develop the first formal course <strong>of</strong> <strong>Dermatology</strong> in Valdivia. In parallelfashion, in Santiago they trained Isabel Moreno and Mónica Hering as dermatologists inorder to later take on teaching responsibilities. In consequence, from 1980 to date, thechair has been headed by Dr. Moreno, with Dr. Hering’s collaboration since 1984.At the Medical School <strong>of</strong> the Frontier University <strong>of</strong> Temuco, Patricio Rifo has been incharge <strong>of</strong> the chair from its creation in 1975 to date. At the University <strong>of</strong> Valparaíso thefirst doctor in charge <strong>of</strong> the chair was Ramón Staforelli (1974-1990); he was succeededby Jorge Testart (1990-1991) and Antonio Guglielmetti from 1992 to date.Undergraduate education at the new medical schoolsat traditional or private universitiesAt the University <strong>of</strong> Santiago, the first course on <strong>Dermatology</strong> was taught in 1998. AlfredoCardemil and Héctor Fuenzalida have been successively in charge. At the University<strong>of</strong> the Andes – the first private university to open a medical school – the first<strong>Dermatology</strong> course was given in 1995; the pr<strong>of</strong>essor in charge <strong>of</strong> the chair, up to thistime, has been Walter Gübelin. At the Higher University, the first course on <strong>Dermatology</strong>was given in 1991 and Lilian Pérez has been in charge <strong>of</strong> the chair. At the Catholic University<strong>of</strong> Concepción, <strong>Dermatology</strong> is not taught as an autonomous discipline but as part<strong>of</strong> a unified medical course. At St. Sebastian University <strong>of</strong> Concepción, the <strong>Dermatology</strong>172

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