History of Latin American Dermatology
History of Latin American Dermatology History of Latin American Dermatology
ELBIO FLORES-CEVALLOS, LUIS FLORES-CEVALLOS, ZUÑO BURSTEINDermatology education at the undergraduate level, and especially in the training ofresidents of the specialized field, has from the outset been backed by the collaborationof highly-specialized services from the most important hospital centers.Lastly, it must be said that the important educational work, which at one point usedto be almost exclusively under the responsibility of this modern University DermatologySchool based at the Dos de Mayo Hospital, has gradually become more decentralized,being subsequently complemented by considerable educational work on the part of scientificmedical societies of the specialized field, represented by the Peruvian DermatologyCircle (CIDERM-PERU) and the Peruvian Society of Dermatology, which play a role ofenormous significance in Peruvian Dermatology education.At present, an important education, training and research development nucleus isemerging at the Cayetano Heredia Peruvian University, led by two young stalwarts of PeruvianDermatology, Drs. Francisco Bravo and Manuel del Solar.■ References(parts I, II)1. Shady Solís R. Supe, lacivilización más antigua deAmérica. Lima: INC; 2004.2. Prescott WH. Conquista del PerúI y II. New York: The PublishersPlate Renting Company; 1858.3. Lastres JB. Historia de laMedicina Peruana. Tomos I, II,III. Lima: Imprenta SantaMaría; 1951.4. Lorenzi R, Rothchild B, Mays S.Syphilis-History. DiscoveryChannel. 12 abr 2004.Disponible en:http://dsc.Discovery.com.5. García UC. Historiografía de laenfermedad de Carrión. Ideas eimágenes de la enfermedad deCarrión. Folia Dermatol Peru..1998;9(4):45–56.6. Garcilaso de la Vega. Historiageneral del Perú. PrimeraParte. Lima: LibreríaInternacional del Perú; 1959.7. Roel V. Historia social yeconómica de la colonia. Lima:Labor; 1970.8. Estatutos de la SociedadPeruana de Dermatologíaaprobados en la AsambleaExtraordinaria del 15 de mayode 1964 [información delarchivo del Dr. Zuño Burstein].9. Valdivia L. Evaluación delEstatuto de la SociedadPeruana de Dermatología.Dermatología Peruana.1999;9(1):67–68.10. Nota Editorial. Folia DermatolPeru. 1988;1(1):1.11. Nota Editorial. Folia DermatolPeru. 1994;5(3):1.12. Comunicado. Folia DermatolPeru. 1999;10(2-3):8.13. Paz Soldán CE. Decanos,maestros y médicos de laFacultad de Medicina de Lima.Lima: Biblioteca de CulturaSanitaria. Inst. de MedicinaSocial; 1957:269-273.14. Flores L. Historia de laDermatología en el Perú. Lima:Concytec; 1999.15. Burstein Z. Maxime Kuczynski-Godard, un pionero de la SaludPública. Revista Peruana deMedicina Experimental y SaludPública. 2003;20(4):231.16. Romero O. [Comunicaciónpersonal].17. Morales A. [Comunicaciónpersonal].18. Navarro P. [Comunicaciónpersonal].19. San Martín J. [Comunicaciónpersonal].20. Cotlear A. Carta dirigida al Dr.Z. Burstein, DirectorUniversitario de ServiciosAcadémicos Asistenciales de laUNMSM. 2 oct 1967.■ Part IIIZuño BursteinHistory of the legal standing of the specialization in Dermatology in PeruBACKGROUNDIn the university bylaws of 1928, issued under mandate of Law No. 6,041, the studiesnecessary to obtain the degree of specialist were already considered. This prerogativewas only granted to the Medical and Law Schools of Lima’s National Higher University ofSt. Mark (UNMSM).330
History of Dermatology in PeruThis ruling was repeated in subsequent laws and university bylaws, but was absentfrom the text of Law 13,417 of the year 1963. This is why, in order to train its specialists,the UNMSM hastened to set up the Graduate School, in charge of organizing and orientingtheir continuing education, giving special emphasis to refresher courses, andestablishing the residency system to train specialists in the different branches of themedical activity; however, it did not confer the degree of specialist, but rather a Diplomastating that a Surgical Doctor “has successfully completed the Residency Program in thespecialized field of …..,” with the starting and final dates. This Diploma was signed bythe Dean of the Medical School and the Head of the Graduate School.GRADUATE PROGRAMSThe 1972 General Bylaws of the Peruvian University, issued by Decree No. 17,437,states that simple graduate programs (update and/or refresher courses) and residencyprograms correspond to the Second Specialization level (the First Specialization levelends with the Surgical Doctor degree), and that they will be included within the Office ofAcademic Programs in Human Medicine.SPECIALIST DEGREEBy Resolution No. 1,226-73, dated January 18, 1973, the National Council of the PeruvianUniversity (CONUP) authorized the UNMSM to implement its Program of SecondSpecialization in Human Medicine, and to grant the degree of Specialist, which for thefirst time in Peru was conferred on behalf of the Nation, in the academic mode, uponcompletion of a rigorous residency and specialized training program.Prior to the existence of this program, professional doctors became specialiststhrough a process of self-education, the exchange of knowledge, or studies undertakenindependently in the non-academic mode.The CONUP, by CONUP Resolution No. 1,556-74, on February 6, 1974, consideringthat it was convenient to award degrees in the non-academic mode in order to regularizethe situation of many professionals; that the granting of degrees is covered by Art. 62of Decree No. 19,326, and that, furthermore, no other public or private institution cantake on this role, which corresponds exclusively to the Peruvian University, which is explicitlyentitled by Law to confer specialization degrees, resolved to authorize the Programof Second Specialization in Human Medicine of the National Higher University ofSt. Mark in order to grant the degree of “Surgical Doctor Specialist in…,” on behalf of thePeruvian Nation, in the non-academic mode 1 .INTERVENTION OF THE PERUVIAN MEDICAL ASSOCIATIONIn 1969, Law No. 15,173, coordinated with Decree-Law No. 17,239, created the PeruvianMedical Association (CMP), with the aim of ensuring that the practice of the medicalprofession is carried out in accordance with the ontological guidelines of the Code ofProfessional Ethics issued by that same Association, abiding by international principlesin that respect. As members of the CMP Bylaws and Regulations Drafting Committee, andas representatives of the Medical Academic Programs, Drs. Elmer Alegría and ZuñoBurstein participated in the event.According to this legal instrument, its bylaws and regulations, being a member of theAssociation was established as a necessary requisite for the practice of the medical professionin Peru. For the registration of doctors at the CMP, it is necessary to present aprofessional degree of Surgical Doctor, granted by one of the country’s medical schools,or recertified by one of the national universities. In the case of professional degrees conferredabroad, they are exempted from the recertification when there is a valid internationalreciprocity agreement.In order to install these controls, the CMP created the National Matriculation Records331
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<strong>History</strong> <strong>of</strong> <strong>Dermatology</strong> in PeruThis ruling was repeated in subsequent laws and university bylaws, but was absentfrom the text <strong>of</strong> Law 13,417 <strong>of</strong> the year 1963. This is why, in order to train its specialists,the UNMSM hastened to set up the Graduate School, in charge <strong>of</strong> organizing and orientingtheir continuing education, giving special emphasis to refresher courses, andestablishing the residency system to train specialists in the different branches <strong>of</strong> themedical activity; however, it did not confer the degree <strong>of</strong> specialist, but rather a Diplomastating that a Surgical Doctor “has successfully completed the Residency Program in thespecialized field <strong>of</strong> …..,” with the starting and final dates. This Diploma was signed bythe Dean <strong>of</strong> the Medical School and the Head <strong>of</strong> the Graduate School.GRADUATE PROGRAMSThe 1972 General Bylaws <strong>of</strong> the Peruvian University, issued by Decree No. 17,437,states that simple graduate programs (update and/or refresher courses) and residencyprograms correspond to the Second Specialization level (the First Specialization levelends with the Surgical Doctor degree), and that they will be included within the Office <strong>of</strong>Academic Programs in Human Medicine.SPECIALIST DEGREEBy Resolution No. 1,226-73, dated January 18, 1973, the National Council <strong>of</strong> the PeruvianUniversity (CONUP) authorized the UNMSM to implement its Program <strong>of</strong> SecondSpecialization in Human Medicine, and to grant the degree <strong>of</strong> Specialist, which for thefirst time in Peru was conferred on behalf <strong>of</strong> the Nation, in the academic mode, uponcompletion <strong>of</strong> a rigorous residency and specialized training program.Prior to the existence <strong>of</strong> this program, pr<strong>of</strong>essional doctors became specialiststhrough a process <strong>of</strong> self-education, the exchange <strong>of</strong> knowledge, or studies undertakenindependently in the non-academic mode.The CONUP, by CONUP Resolution No. 1,556-74, on February 6, 1974, consideringthat it was convenient to award degrees in the non-academic mode in order to regularizethe situation <strong>of</strong> many pr<strong>of</strong>essionals; that the granting <strong>of</strong> degrees is covered by Art. 62<strong>of</strong> Decree No. 19,326, and that, furthermore, no other public or private institution cantake on this role, which corresponds exclusively to the Peruvian University, which is explicitlyentitled by Law to confer specialization degrees, resolved to authorize the Program<strong>of</strong> Second Specialization in Human Medicine <strong>of</strong> the National Higher University <strong>of</strong>St. Mark in order to grant the degree <strong>of</strong> “Surgical Doctor Specialist in…,” on behalf <strong>of</strong> thePeruvian Nation, in the non-academic mode 1 .INTERVENTION OF THE PERUVIAN MEDICAL ASSOCIATIONIn 1969, Law No. 15,173, coordinated with Decree-Law No. 17,239, created the PeruvianMedical Association (CMP), with the aim <strong>of</strong> ensuring that the practice <strong>of</strong> the medicalpr<strong>of</strong>ession is carried out in accordance with the ontological guidelines <strong>of</strong> the Code <strong>of</strong>Pr<strong>of</strong>essional Ethics issued by that same Association, abiding by international principlesin that respect. As members <strong>of</strong> the CMP Bylaws and Regulations Drafting Committee, andas representatives <strong>of</strong> the Medical Academic Programs, Drs. Elmer Alegría and ZuñoBurstein participated in the event.According to this legal instrument, its bylaws and regulations, being a member <strong>of</strong> theAssociation was established as a necessary requisite for the practice <strong>of</strong> the medical pr<strong>of</strong>essionin Peru. For the registration <strong>of</strong> doctors at the CMP, it is necessary to present apr<strong>of</strong>essional degree <strong>of</strong> Surgical Doctor, granted by one <strong>of</strong> the country’s medical schools,or recertified by one <strong>of</strong> the national universities. In the case <strong>of</strong> pr<strong>of</strong>essional degrees conferredabroad, they are exempted from the recertification when there is a valid internationalreciprocity agreement.In order to install these controls, the CMP created the National Matriculation Records331