​Hospital del Trabajador—Santiago, Chile

Address:
Hospital del Trabajador - ACHS
Ramón Carnicer, 185 - Providencia
CP: 750 1239 Santiago
Chile

Phone: +56 2685 3333
Web
Email

Spine Center Director:
José Fleiderman

Team member:
Vicente Ballesteros
Francisco Ilabaca
Miguel Lecaros
Alejandro Urzua
Juan Zamorano  


Center description

Hospital del Trabajador’s Spine Surgery Unit is part of one of the biggest Traumatology and Orthopedics department in Chile. With over 40 attending subspecialty fully trained orthopedic surgeons. Weekly, the unit has three surgery days with one or two operating rooms assigned as needed.

Most frequent pathologies

Trauma, Degeneration

Number of cases per year:

425

Procedures

  • Cervical trauma 
approx. 1 per month
  • Degenerative cervical spine 
approx. 2 per month
  • Degenerative lumbar spine 
approx. 6 per month
  • Dysraphic Conditions
approx. 1 per month
  • Thoracic & Lumbar Trauma 
approx. 6 per month
  • Thoracolumbar deformity 
approx. 1 per month

Fellowship types

Long-term, Short-term, Observership

Language requirements

Spanish

Special Conditions:

Foreign Fellows must validate their diploma in the Chilean International Relations Ministry, according to the following description:

Title Validation:
* Applicants with graduation in Equador, Colombia, Uruguay or Brazil have an automatic validation.
* Applicants graduated in Bolivia, Costa Rica, El Salvador, Guatemala, Honduras, Nicaragua or Peru must take a qualification exam at the University of Chile. 
* Applicants graduated in others countries should validate their title in University of Chile and must apply for an evaluation process, which can take up to a year.

For further information, please access the link below.

http://www.chileatiende.cl/fichas/ver/2461 

Contact: 
Ximena Arias - Secretary of the Teaching Department of the Hospital del Trabajador
Email

Program Characteristics

Objectives:

To train  an orthopedic surgeon or neurosurgeon in the whole management of the spine pathology.

The fellowship will give to the sub-specialist theoretic concepts and practical skills in the diagnosis and treatment of the spine pathology, with a solid knowledge of basic sciences related to the spine.

Specific objectives:

General subjects

  • Biomechanics of the spine
  • Spine images
  • Electrophysiology

Specific subjects

  • Degenerative spine
  • Spine trauma in adults
  • Tumors and infections of the spine
  • Spine pathology in children (deformities)

Activities (long-term fellowship):
The fellowship considers on 9 months dedicated to adult spine pathology and 3 months to children deformities.

  • For 6 weeks, during the afternoon from 2:00 PM to 6:00 PM the fellow will do a rotation in the MRI unit.
  • For 6 weeks, during the afternoon from 2:00 PM to 6:00 PM the fellow will do a rotation with the EMG-specialist of the spine group.

Clinical practice:

  • Daily round to hospitalized patients with residents and medical students of the spine unit.
  • Clinics with the surgeon-in-charge of the fellowship, once a week.
  • Weekly round with the whole spine unit (7 ortho-spine surgeons, 1 psychiatrist, 1 psychologist, 1 rehabilitation specialist, 1 physical therapist, 1 occupational therapist and 1 nurse)
  • Weekly spine unit meeting (on Monday), where the group reviews the cases done the week before, discusses complex cases and plans the surgery for coming week.
  • Programmed surgery: the fellow will participate as scrub-in assistant in the surgeries of the spine group. Depending on his or her skills and complying with medico-
  • Legal subjects: he or she can also operate some patients, always assisted by the surgeon-in-charge of the fellowship or one of staff spine surgeons.
  • Emergency surgery: the fellow will have a cell-phone to be call at any time when a case that requires emergency surgery is admitted in the hospital. The fellow will participate in the evaluation of the patient as well as in the surgery, the same as in programmed surgery as assistant or surgeon.
  • Three months in the spine unit of a children orthopedic department, devoted to the management of spinal deformities.
Research:

The fellow will participate in the clinical research of the Spine Unit. During the fellowship at least two papers in which the fellow has been participate must be submitted to the Chilean Orthopedic Annual Congress, and then for publication.

Academic: 
The fellow must prepare at least two reviews during his or her fellowship. Those monographs will be programmed to be presented orally in the weekly orthopedic department meeting. They will also be considered to be published in the Hospital Scientific Bulletin.

Evaluation:

The fellow will be evaluated by spine surgeon-in-charge together with the staff surgeons of the spinal unit, at 6 months and again at the end of the year of the fellowship.

Timetable:

Monday to Friday from 7:30 AM to 6:00 PM
Saturday from 9:00 AM to 12:00 PM

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