History of Latin American Dermatology

PAULO R. CUNHAtwo levels: Specialization Course I and SpecializationCourse II, with six vacancies each. The number of hoursof the course is compatible with the specialization and theprogram is simultaneous with the Medical Internship. Interestin the courses is such that every year more than ahundred candidates apply to dispute the eight vacanciesoffered.Figure 13. Clinic ofthe Medical School ofthe Holy House, Riode Janeiro, SanMiguel PavilionIASERJ (Institute for Treatment for Rio de Janeiro StateCivil Servants)One of the most respected organs of the specializedfield in the country is the Dermatology Service of the Institutefor Treatment for Rio de Janeiro State Civil Servants,which was planned and organized by its founder, Glynne Leite Rocha, who wassucceeded by Manoel Sternick and Arlindo Ferraro. In 1970, the Medical Residency wasimplemented, certified by the BSD, which up to 2001 had among its graduates a total of70 specialist doctors from all around Brazil, 7 Masters’ and 2 PhDs in Dermatology.At the ITRJSCS service, which is not linked to the university system, two doctors graduateeach year. Its scientific output is identified with that of Professor Glynne Rocha, “oneof the most solid and most efficient pillars of the History of Brazilian Dermatology,” itbeing necessary to point out the publication, in the Anais Brasileiros de Dermatologia, oftwo journals dedicated exclusively to the work of the Service.In the first year of Medical Internship, the students fulfill outpatient and infirmary activities.In the second year, the interns treat patients of the service at their own clinic,and undergo training in special units outside the hospital, for instance, Pediatric Dermatologyat the Jesus Hospital, Hanseniasis and infectious diseases at the Fiocruz andCutaneous Oncology at the INCA.The residents constantly prepare clinical cases in order to present them at the traditionalmonthly meetings of the BSD-RJ, at congresses and in various publications. Dermopathologyand medical mycology courses take place annually. As Professor SérgioQuinete, Head of the Service, reports, the activities include the Journal Club, on Tuesdays;the slide session, on Wednesdays, the clinical-pathological meeting (presentation ofpatients with discussion and projection of hystopathological diagrams) on Thursdays;and the discussion of dermatological topics, on Fridays, as well as monthly evaluations.Gaffrée-GuinleThe Dermatology Service of Gaffrée-Guinle’s University Hospital, of the Medical andSurgery School, had Prof. Ramos e Silva as its first Dermatology Head, and professorsDemétrio Peryassu and Antar Padilha-Gonçalves as assistants. The physical base was Riode Janeiro’s General Polyclinic. In the 1960s, as Prof. Gabriela Lowy says, “a great victorywas obtained upon acquiring the Gafrée-Guinle Hospital, where the teaching of thecourse was shifted.”The leadership of the Dermatology classes continued to be held by thePeryassu/Gonçalves two-man team, with Drs. Aldy Barbosa Lima, Gabriela Lowy andDanilo Vicente Filgueiras as collaborators, up to the end of 1972, even after the holdingof the public competition for full professor that appointed both of them; however, shortlyafterwards an illness caused the death of Demétrio Peryassu.Under the management of Antar Padilha Gonçalves two great advances took place:the installation of the Dermatology infirmary and the creation of the specialization inDermatology course, with the authorization, support and approval of the BSD. Aroundthe same time, there was a physical expansion of the Service with the creation of newclassrooms and better facilities for ambulatory treatment.96