<?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>S1688-03902025000101501</article-id>
<article-id pub-id-type="doi">10.29193/rmu.41.1.8</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Estrategia para la radicación de especialistas en ginecotocología en el interior del Uruguay: descentralización de los escenarios formativos]]></article-title>
<article-title xml:lang="en"><![CDATA[Strategy for the placement of specialists in gynecology and obstetrics in the interior of Uruguay: Decentralization of training environments]]></article-title>
<article-title xml:lang="pt"><![CDATA[Estratégia para a fixação de especialistas em ginecologia e obstetrícia no interior do Uruguai: descentralização dos cenários formativos]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Briozzo]]></surname>
<given-names><![CDATA[Leonel]]></given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Nozar]]></surname>
<given-names><![CDATA[María]]></given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fiol]]></surname>
<given-names><![CDATA[Verónica]]></given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Tarigo]]></surname>
<given-names><![CDATA[Josefina]]></given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Piastri]]></surname>
<given-names><![CDATA[Miriam]]></given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Borde]]></surname>
<given-names><![CDATA[Maia]]></given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guerra]]></surname>
<given-names><![CDATA[Magdalena]]></given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sica]]></surname>
<given-names><![CDATA[Natalia]]></given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guzzo]]></surname>
<given-names><![CDATA[Vanessa]]></given-names>
</name>
</contrib>
</contrib-group>
<aff id="A">
<institution><![CDATA[,Universidad de la República Clínica Ginecotocológica A Facultad de Medicina]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<volume>41</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-03902025000101501&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-03902025000101501&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-03902025000101501&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Desde la creación del Sistema Nacional Integrado de Salud, se reconoce la importancia crucial de una distribución equitativa de los recursos humanos en salud para garantizar una atención de calidad en todo el país. La mejora en la distribución equitativa de los recursos humanos en salud sigue siendo un desafío continuo para Uruguay. La descentralización de la formación de especialistas en el interior del país es un tema relevante para mejorar la equidad y accesibilidad del sistema de salud.  Objetivo: Analizar el impacto del plan de descentralización (periodo 2010-2024 de la formación de la Unidad Académica Ginecotocología A en la radicación de profesionales en el interior del país.  Metodología: Se realizó un estudio observacional transversal con la aplicación de una encuesta en el mes de junio de 2024, desarrollada por las/os autoras/es en &#8220;Google forms&#8221; con el fin de recabar datos para el cumplimiento del objetivo: Procedencia, edad, genero, hijos, lugar de realización de la residencia, año de ingreso, motivo del lugar de radicación una vez culminado el posgrado, lugar de ejercicio de la especialidad.  Resultados: Se obtuvieron 134 respuestas del total de 135 residentes egresados en este periodo. El 61,2% se formó en Montevideo y el 38,8% en el interior. El 70% de los residentes que se formaron en el interior se radicaran en el interior. De los 56 residentes formados en centro docentes del interior el 90% (51 residentes) trabaja en el interior del país. El 62,8% de los especialistas formados en Montevideo trabaja exclusivamente en la capital y el 24,3% trabaja en Montevideo e interior.  Conclusiones: El Plan de descentralización de la formación en ginecología mostrado la capacidad formativa de centro públicos y privados del interior del país y, ha facilitado la radicación y la consiguiente respuesta a las necesidades de recursos especializados en la materia.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Since the creation of the National Integrated Health System, the crucial importance of equitable distribution of human health resources has been recognized to ensure quality care throughout the country. Improving the equitable distribution of human health resources remains an ongoing challenge for Uruguay. The decentralization of specialist training in rural areas of the country is a relevant issue to improve the equity and accessibility of the health system.  Objective: To analyze the impact of the decentralization plan (2010&#8211;2024 period) of the training provided by the Academic Unit of Gynecology and Obstetrics A on the placement of professionals in rural areas of the country.  Methodology: A cross-sectional observational study was conducted using a survey in June 2024, developed by the authors using Google Forms to collect data to meet the objective: origin, age, gender, children, place of residency training, year of admission, reasons for the choice of location after completing postgraduate studies, and place of professional practice.  Results: A total of 134 responses were obtained from 135 residents who graduated during this period. Of the respondents, 61.2% trained in Montevideo, while 38.8% trained in rural areas. Of the residents who trained in rural areas, 70% settled in those areas. Among the 56 residents trained in rural teaching centers, 90% (51 residents) currently work in rural areas. Meanwhile, 62.8% of the specialists trained in Montevideo work exclusively in the capital, and 24.3% work both in Montevideo and rural areas.  Conclusions: The decentralization plan for gynecology training has demonstrated the training capacity of public and private centers in rural areas of the country and has facilitated the placement of specialists, thereby addressing the need for specialized resources in the field.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo Desde a criação do Sistema Nacional Integrado de Saúde, reconhece-se a importância crucial de uma distribuição equitativa dos recursos humanos em saúde para garantir atendimento de qualidade em todo o país. A melhoria na distribuição equitativa dos recursos humanos em saúde continua sendo um desafio constante para o Uruguai. A descentralização da formação de especialistas no interior do país é uma questão relevante para melhorar a equidade e a acessibilidade do sistema de saúde.  Objetivo: Analisar o impacto do plano de descentralização (período 2010-2024) da formação da Unidade Acadêmica de Ginecologia e Obstetrícia A na fixação de profissionais no interior do país.  Metodologia: Foi realizado um estudo observacional transversal com a aplicação de uma pesquisa em junho de 2024, desenvolvida pelos autores no Google Forms com o objetivo de coletar dados para atender ao objetivo: procedência, idade, gênero, filhos, local de realização da residência, ano de ingresso, motivo da escolha do local de fixação após a conclusão da pós-graduação e local de exercício da especialidade.  Resultados: Foram obtidas 134 respostas do total de 135 residentes formados neste período. Do total, 61,2% realizaram a formação em Montevidéu e 38,8% no interior. Entre os residentes formados no interior, 70% fixaram residência nessas áreas. Dos 56 residentes formados em centros de ensino do interior, 90% (51 residentes) trabalham no interior do país. Por outro lado, 62,8% dos especialistas formados em Montevidéu trabalham exclusivamente na capital, enquanto 24,3% trabalham em Montevidéu e no interior.  Conclusões: O plano de descentralização da formação em ginecologia demonstrou a capacidade formativa de centros públicos e privados no interior do país e facilitou a fixação de especialistas, atendendo às necessidades de recursos especializados na área.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Recursos humanos en salud]]></kwd>
<kwd lng="es"><![CDATA[Radicación]]></kwd>
<kwd lng="es"><![CDATA[Educación médica]]></kwd>
<kwd lng="en"><![CDATA[Human health resources]]></kwd>
<kwd lng="en"><![CDATA[Placement]]></kwd>
<kwd lng="en"><![CDATA[Medical education]]></kwd>
<kwd lng="pt"><![CDATA[Recursos humanos em saúde]]></kwd>
<kwd lng="pt"><![CDATA[Fixação]]></kwd>
<kwd lng="pt"><![CDATA[Educação médica]]></kwd>
</kwd-group>
</article-meta>
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