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

2. 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

3. 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

4. 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

5. 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)

6. 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
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7. Orthopaedic Surgery Staff
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8. Quirófano (Operating Theatre)

9. 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

10. Tools/Implants Use DePuy Synthes and Zimmer implants for Adult Recon
Synthes, Stryker in various applications
Argentine brands
Implant
American Surgery
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11. 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
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12. 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

13. 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

14. Argentine Culture