In the United States, the residency programs are much more limited and this kind of programs do not let the residents to perform more surgical procedures. In addition, wards in the U.S.A. are shorter than are in Mexico. How many hours per week a US resident is training?

I agree, in surgical training it’s not all about practice, but if you perform more procedures with limited resources (in public hospitals is almost inaccessible CT scans, staplers, etc.) you can do almost everything when you finish your residency (without mattering how many available resources you have).

So, I don’t like medical training in the US, because it is more difficult to do things by yourself (like procedures) and defensive medicine (some American doctors have forgotten classic medicine because of a fear of being sued).

In Mexico, because of a lack of personnel and equipment, we have to base our diagnosis on a clinical examination and history; all the laboratory and radiologic studies are for confirming purposes.

I would like to do a fellowship abroad because once you have all the basic abilities and skills, you have to look for a fellowship which you like the most and when that moment comes, you will want to count on non-limited resources. Because you are going to train in which you’re going to do all your life in the best conditions as possible.

Best regards,

Jon

Best regards,
Jon

I’m going to pick the IMSS (Instituto Mexicano del Seguro Social) and the National Medical Center 21st Century, wich is the greatest hospitals, a center of reference where you work a lot. Maybe a year or two of general surgery and then 4 years of urology. I’m not totally convinced.