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History of Latin American Dermatology

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<strong>History</strong> <strong>of</strong> <strong>Dermatology</strong> in PeruThe first University Program for Specialization in <strong>Dermatology</strong> in PeruHISTORICAL BACKGROUNDThe education and training <strong>of</strong> doctors who practice <strong>Dermatology</strong> in Peru have followeddiverse formative routes.The hospital treatment centers and health services, both public (public welfare, HealthMinistry, social security, police and Armed Forces, and local governments) and private (privateclinics) took on —at first directly, and later through competitions— doctors who had acquiredexperience in skin and venereal diseases, be it through self-teaching, at the side <strong>of</strong>pr<strong>of</strong>essionals with practical knowledge in the subject and were heads <strong>of</strong> services in charge<strong>of</strong> these ailments, or by having completed courses or exchanges in the subfield abroad.The contribution <strong>of</strong> two large Public Welfare hospital centers ever since their foundationmust be pointed out: that <strong>of</strong> the Dos de Mayo Hospital (men’s hospital) and ArzobispoLoayza Hospital (women’s hospital); there, the UNMSM’s St. Ferdinand MedicalSchool not only had highly qualified pr<strong>of</strong>essional staff working in assistance posts whilebeing university pr<strong>of</strong>essors, but also its own teaching and research facilities, thus constitutingteaching, research and treatment centers that have played – and still do – a veryimportant role in the university education <strong>of</strong> surgical doctors, medical researchers and,afterwards, specialists in the different medical branches.At the Arzobispo Loayza Hospital, a large treatment center <strong>of</strong> Lima’s Public Welfare,which later was transferred to the Health Ministry, the <strong>Dermatology</strong> and Syphilographyconsulting room, headed by Dr. Eleodoro Camacho in 1926, was occupied in 1927 by Dr.Aurelio Loret de Mola, who headed it in the 1930s, while he was also Senior Lecturer <strong>of</strong>the Chair <strong>of</strong> <strong>Dermatology</strong> and Syphilography at the UNMSM St. Ferdinand MedicalSchool. Dr. Pablo Arana was appointed Assistant Pr<strong>of</strong>essor, giving birth to the first Peruvian<strong>Dermatology</strong> School at that hospital, a school that had a very important role in undergraduateeducation in the specialized field and in the specialized training <strong>of</strong> manydoctors under the non-academic mode.This teaching and treatment structure had close links with that <strong>of</strong> Dr. Pedro Weiss,who, around 1926, was subhead <strong>of</strong> the Loayza Hospital Institute <strong>of</strong> PathologicalAnatomy, headed by Dr. Mackehenie, and who later, as Senior Lecturer <strong>of</strong> PathologicalAnatomy at the UNMSM, was founder <strong>of</strong> the important Peruvian School <strong>of</strong> Pathologists,with a special interest in Dermatopathology, Medical Mycology, Tropical Medicine andAnthropology; this relationship opened up a wide spectrum in the knowledge on the subject,and was <strong>of</strong> great importance for an appropriate approach to the specialized fieldand to <strong>Dermatology</strong> teaching.The interrelation between these two large medical schools – Loret de Mola’s <strong>Dermatology</strong>School and Pedro Weiss’s Pathology School – was <strong>of</strong> long standing; as evidence <strong>of</strong>this, we can mention the activity <strong>of</strong> dermatologist Dr. Víctor Meth, who belonged to bothgroups, teaching in the old Chair <strong>of</strong> <strong>Dermatology</strong>, being Head <strong>of</strong> the Hospital Service <strong>of</strong><strong>Dermatology</strong>, and at the same time acting as dermopathologist at the Pathology Department<strong>of</strong> the Loayza Hospital.As was pointed out in previous pages, in 1961 the pr<strong>of</strong>essors <strong>of</strong> the St. FerdinandMedical School collectively resigned. In the face <strong>of</strong> this emergency, the university governmentarranged the transfer <strong>of</strong> all the material and human resources <strong>of</strong> this Departmentto Lima’s Dos de Mayo Hospital, and decreed its reorganization, entrusting thisdelicate mission to Dr. Zuño Burstein, Assistant Pr<strong>of</strong>essor <strong>of</strong> the Chair <strong>of</strong> TropicalMedicine at UNMSM, who, as was set out above, had just arrived back from training inGermany and Israel.The Chair <strong>of</strong> <strong>Dermatology</strong> and Syphilography <strong>of</strong> the UNMSM Medical School was thusphysically located at Lima’s Dos de Mayo Hospital, starting, with the reorganization, anew institutional life.333

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