Clinical Rotation in Argentina Austin F. Smith Sanatorio Allende Department of Orthopaedic Surgery Córdoba, Argentina

Argentina Population of 43.4M 2nd largest country in Latin America José de San Martín considered the liberator of Argentina, Chile, and Peru from Spain Large European immigrant population with a major Italian influence Buenos Aires – capital and largest city Metropolitan pop. 17M, 4th largest in the Americas

Córdoba 2nd most populous city in Argentina (1.33M) Cordobés – the dialect of Córdoba Cuarteto – the music genre of Córdoba Influence of the Jesuit Order in the establishment of universities and the “Jesuit Block” Universidad Nacional de Córdoba Dulce de leche, milenesa, Fernet Branca, choripán, Malbec

Healthcare System in Argentina Private and Public hospitals Private hospitals Insurance required (private companies) Excellent standard of care Public hospitals Free to the public Much longer wait times, especially for orthopaedic surgery Trauma vs elective procedures

Sanatorio Allende Originally founded by the Allende family Specializes in specialist care All surgical and medical subspecialties represented Two locations Nueva Córdoba (top) Cerro (bottom)

Departamento de Traumatología y Ortopedia Two teams with all subspecialties represented Hand, Foot & Ankle, Adult Reconstruction, Trauma, Sports, Spine, MSK Oncology, pediatrics, microsurgery, neuro-muscular disorders Each team trains residents Equipo de BTA 12 residents 2 sports fellows; 1 spine fellow Adult reconstruction fellowship 2 scrub techs and 1 PA Add key points in the history of your country to the timeline.

Orthopaedic Surgery Staff Insert a picture of the head leader of your country.

Quirófano (Operating Theatre)

Anesthesia for Orthopaedic Surgery Mostly using nerve blocks With or without conscious sedation Exceptions include: spine cases, pediatric cases Spinal anesthesia used for total joint replacement surgeries

Tools/Implants Use DePuy Synthes and Zimmer implants for Adult Recon Synthes, Stryker in various applications Argentine brands Implant American Surgery Insert a picture that illustrates some part of your country’s economy.

Consultorio (Clinic) Patients come immediately to the orthopedist (not referred from PCP Often patients come to “get their money’s worth” Many referrals for complicated and atypical cases Insert a picture illustrating a custom or tradition here.

Instituto Allende Working to foster a research environment Annual research forum Residents required to produce one research project per year Participation in the AAOT Faculty complete fellowships in the US, Canada, and France

Orthopaedic Surgery Training Medical school Start immediately after high school 6 years Residency To obtain an orthopaedic surgery residency students interview and test at institutions they are interested in 4 years Some choose to do a fellowship for further specialization Issues with standardization of the training across the country

Argentine Culture