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History of Latin American Dermatology

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<strong>Dermatology</strong> and dermatologists in Brazil150 people daily, having extended its action to the borders <strong>of</strong> Bahia, Minas Gerais andRio de Janeiro.Nosological statistical studies <strong>of</strong> dermatological diseases have been conducted, as wellas others on patients with transplants, psychodermatoses, paracoccidioidomycosis cutaneousailments, non-pulmonary tuberculosis, hanseniasis and leishmaniasis.Vitória’s Holly House <strong>of</strong> Mercy was also certified by the BSD, and had Pr<strong>of</strong>. JoãoBasílio de Souza Filho as Head <strong>of</strong> Service.Rio de Janeiro ServicesCapital <strong>of</strong> Brazil’s Kingdom and the Empire, in early times, and <strong>of</strong> the Republic up to1960, Rio de Janeiro was always one <strong>of</strong> the country’s main poles <strong>of</strong> medical development,<strong>of</strong> <strong>Dermatology</strong> and <strong>of</strong> its medical entities, among which the BSD stands out.“Unique in Brazil in obtaining a rank <strong>of</strong> 4 in the evaluation <strong>of</strong> the Ministry <strong>of</strong> Education,the Medical School <strong>of</strong> Rio de Janeiro’s Federal University <strong>of</strong>fers a Graduate Course,Masters’ and PhD degrees in <strong>Dermatology</strong>, which, in to the evaluation <strong>of</strong> the CAPES, consistentlymaintains an ‘A’ grade since 1986” 2 .The Masters’ and PhD degrees in <strong>Dermatology</strong> <strong>of</strong> RJFU are the oldest in the country.Created in 1970 by Sylvio Fraga, the first Masters’ graduate was Pr<strong>of</strong>. Carlos Cley, in1974; in that same year, the course was the first to be recognized and validated by theMEC for the specialized field.In Niterói, the first to obtain a Masters’ Degree at Fluminense Federal University wasSinésio Talhari, currently Head <strong>of</strong> the <strong>Dermatology</strong> service <strong>of</strong> the Alfredo da Mata Institute<strong>of</strong> <strong>Dermatology</strong>.Coordinator Dr. Absalom Lima Filgueira points out that the graduate program in <strong>Dermatology</strong>was created in the early 1970s, almost at the same moment <strong>of</strong> the extinction <strong>of</strong>the Chair: “We needed to train pr<strong>of</strong>essors for higher education, and the path to be followedhad to include the Masters’ and PhD degrees. The main characteristic <strong>of</strong> theBrazilian Graduate program, in the medical area, is that it has to be <strong>of</strong>fered within thescope <strong>of</strong> each specialized field. There is not, or at least there did not exist at the time,another course like it in the world, since in other countries the courses were carried outwithin the basic sciences: physics, biology, molecular biology, and chemistry.”Two aspects contributed to the success <strong>of</strong> RJFU’s Graduate Program in <strong>Dermatology</strong>:the move to the University Hospital, in 1978, leaving the centuries-old premises <strong>of</strong> theHoly House <strong>of</strong> Mercy, and the vicinity <strong>of</strong> the Health Sciences Center, which contains thefamous Biophysics Institute, an entity for basic research <strong>of</strong> international fame. The integrationbetween the two areas was gradual and total. The courses, known up to that timeas Biophysics and Biochemistry, became mother courses, giving rise to conjunctive tissue,hormone, endocrinology and photobiology laboratories.Rio de Janeiro’s first <strong>Dermatology</strong> lecturer was João Pizarro Gabizo, at the Medical-Surgical Academy, which would in 1932 be called the Medical School <strong>of</strong> the University <strong>of</strong>Brazil. Gabizo was succeeded by Luiz da Costa Chaves Faria and the already-mentionedFernando Terra, Eduardo Rabello and Francisco Eduardo Rabello (who stayed in <strong>of</strong>ficeup to his retirement, in 1975, by application <strong>of</strong> the principle <strong>of</strong> acquired rights).Still at the Holy House (Figure 13), pr<strong>of</strong>essors Sylvio Fraga and Antônio de Souza Marquesheaded the <strong>Dermatology</strong> service. At Ilha do Governador, after the move to the UniversityHospital, Pr<strong>of</strong>. Absalom Figureueira (1978-1980) was in charge <strong>of</strong> the organizationand the first Head <strong>of</strong> the <strong>Dermatology</strong> Service, succeeded by Pr<strong>of</strong>essors Rubem David Azulay(1980-1985), Antônio Carlos Pereira Junior (1986-1997), and Celso Tavares Sodré.Having an infirmary <strong>of</strong> its own, with 14 beds, the Service’s outpatient care is carriedout jointly with the other sectors <strong>of</strong> the University Hospital. In this way, neither undergraduatenor graduate students lose sight <strong>of</strong> all medical aspects. At the graduate level,the course is <strong>of</strong>fered lato or stricto sensu. Lato sensu, the graduate program works on95

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