<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1688-0390</journal-id>
<journal-title><![CDATA[Revista Médica del Uruguay]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Méd. Urug.]]></abbrev-journal-title>
<issn>1688-0390</issn>
<publisher>
<publisher-name><![CDATA[Sindicato Médico del Uruguay]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-03902021000401302</article-id>
<article-id pub-id-type="doi">10.29193/rmu.37.4.9</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Impacto de la pandemia COVID-19 en la formación del residente de cirugía general en un servicio universitario]]></article-title>
<article-title xml:lang="en"><![CDATA[Impact of the covid-19 pandemic on the training of general surgery residents in a university hospital]]></article-title>
<article-title xml:lang="pt"><![CDATA[Impacto da pandemia de COVID-19 na formação de residentes de cirurgia geral em um serviço universitário]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mansilla]]></surname>
<given-names><![CDATA[Sofía]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pouy]]></surname>
<given-names><![CDATA[Andrés]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Haro]]></surname>
<given-names><![CDATA[Camila]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Brito]]></surname>
<given-names><![CDATA[Noelia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Almada]]></surname>
<given-names><![CDATA[Mario]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bonilla]]></surname>
<given-names><![CDATA[Fernando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Misa]]></surname>
<given-names><![CDATA[Ricardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Canessa]]></surname>
<given-names><![CDATA[César]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de la República Facultad de Medicina Hospital de Clínicas]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de la República Facultad de Medicina Hospital de Clínicas]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de la República Facultad de Medicina Hospital de Clínicas]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad de la República Facultad de Medicina Hospital de Clínicas]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidad de la República Facultad de Medicina Hospital de Clínicas]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<volume>37</volume>
<numero>4</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-03902021000401302&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-03902021000401302&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-03902021000401302&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción: a nivel mundial, la pandemia COVID-19 determinó una disminución significativa en el volumen de cirugía electiva. Existe preocupación por parte de generaciones de residentes quirúrgicos debido a las consecuencias en su formación. Si bien la formación alcanza otros aspectos que exceden a la práctica quirúrgica, ésta no deja de ser un pilar fundamental.  Objetivo:  cuantificar el impacto de la pandemia COVID-19 en el volumen asistencial de los residentes de cirugía general en un servicio universitario.  Método: es un estudio observacional, retrospectivo y analítico. Se comparó el volumen quirúrgico y asistencial de los residentes de cirugía general durante el período entre el 13/03/2020 y el 13/12/2020, posterior al inicio de la pandemia COVID-19, con el volumen registrado en el mismo período previo al inicio de la pandemia.  Resultados: todos los residentes participaron en un menor número de cirugías. El mayor impacto fue en la participación de cirugías de coordinación, siendo menores las diferencias en la cirugía de urgencia. El mayor impacto en cuanto a volumen de pacientes operados fue para el residente de primer año.  Discusión y conclusiones: a nivel mundial, la pandemia determinó una notoria disminución en el volumen de cirugías electivas. Este trabajo demostró una disminución significativa en el volumen quirúrgico asistencial del residente de cirugía general, por lo que, de prolongarse las medidas sanitarias, sería sustancial evaluar la necesidad de proyectar objetivos e instancias alternativas de aprendizaje.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Summary:  Introduction:  the COVID-19 pandemic caused a meaningful reduction in the number of elective surgeries at the global level. There is a great concern among different generations of surgical residents, on the consequences this might have on their medical training. Despite the medical training includes other aspects beyond the surgical practice, surgeries constitute an essential foundation.  Objective: to quantify the impact of the COVID-19 pandemic on the number of surgeries where the general surgery residents participated, in a university hospital.  Method: observational, retrospective and analytical study where the number of surgeries and assistance by the general surgery residents between March 13, 2020 and December 13, 2020, after the outbreak of the COVID-19 pandemic was compared to the number of surgeries recorded during the same period of time prior to the pandemic.  Results: all the residents participated in a smaller number of surgeries. The greater impact was found in their participation in elective surgeries, while the difference in number was smaller in emergency surgeries. The greater impact in terms of number of patients operated involved first year residents.  Discussion and conclusions: globally, the pandemic caused a significant reduction in the number of elective surgeries. This study demonstrated an important decrease in the number of assisted surgeries for the general surgery residents. Therefore, if the health emergency measures were extended, it would be important to evaluate the need to set goals and alternative forms of learning.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Introdução: em todo o mundo, a pandemia de COVID-19 determinou uma redução significativa na quantidade de cirurgias eletivas. Há preocupação por parte de gerações de residentes cirúrgicos pelas consequências em sua formação. Embora o treinamento alcance outros aspectos que vão além da prática cirúrgica, esta ainda é um pilar fundamental.  Objetivo:  quantificar o impacto da pandemia COVID-19 na quantidade de atendimento de residentes de cirurgia geral em um serviço universitário.  Método:  estudo observacional, retrospectivo e analítico. A quantidade de cirurgias e de cuidados dos residentes de cirurgia geral no período de 13/03/2020 a 13/12/2020, após o início da pandemia de COVID-19, foi comparado com a quantidade registrada em um período similar anterior à pandemia.  Resultados:  todos os residentes participaram de menos cirurgias. O maior impacto foi na participação de cirurgias de coordenação, sendo menores as diferenças nas cirurgias de emergência. O maior impacto em termos de quantidade de pacientes operados foi para o residente do primeiro ano.  Discussão e conclusões:  em todo o mundo, a pandemia determinou uma diminuição acentuada na quantidade de cirurgias eletivas. Este trabalho demonstrou uma diminuição significativa na quantidade da atenção cirúrgica do residente de cirurgia geral; se as medidas de saúde forem prolongadas, seria fundamental avaliar a necessidade de se projetar objetivos e instâncias alternativas de aprendizagem.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Cirugía General]]></kwd>
<kwd lng="es"><![CDATA[COVID-19]]></kwd>
<kwd lng="es"><![CDATA[SARS-CoV-2]]></kwd>
<kwd lng="es"><![CDATA[Pandemias]]></kwd>
<kwd lng="es"><![CDATA[Internado y residencia]]></kwd>
<kwd lng="es"><![CDATA[Residencia cirugía general]]></kwd>
<kwd lng="en"><![CDATA[General Surgery]]></kwd>
<kwd lng="en"><![CDATA[COVID-19]]></kwd>
<kwd lng="en"><![CDATA[SARS-CoV-2]]></kwd>
<kwd lng="en"><![CDATA[Pandemics]]></kwd>
<kwd lng="en"><![CDATA[Internship and residency]]></kwd>
<kwd lng="en"><![CDATA[General surgery residency]]></kwd>
<kwd lng="pt"><![CDATA[Cirurgia Geral]]></kwd>
<kwd lng="pt"><![CDATA[COVID-19]]></kwd>
<kwd lng="pt"><![CDATA[SARS-CoV-2]]></kwd>
<kwd lng="pt"><![CDATA[Pandemias]]></kwd>
<kwd lng="pt"><![CDATA[Internato e residência]]></kwd>
<kwd lng="pt"><![CDATA[Residência em cirurgia geral]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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