Se cree que el médico tiene una habilidad natural para la docencia y desarrolla su labor intuitivamente. Se han diseñado sistemas de evaluación docente que incluyen variados instrumentos que tratan de investigar las acciones que identifican a un buen docente en los diferentes escenarios de la enseñanza y que a la vez sean válidos y confiables. Uno de ellos es el MEDUCPG14 el cual evalúa a los docentes en los programas de especialización. En nuestro país no se ha encontrado estudios en los que se utilicen instrumentos de evaluación docente con validez y confiabilidad definida, por lo que se decidió aplicar el instrumento en nuestro medio. Los objetivos fueron determinar la validez y confiabilidad de los resultados del instrumento MEDUCPG14 y describir los resultados de la evaluación docente en los programas quirúrgicos de residentado médico de la UPCH. Metodología: Se realiz...

Objectives: To determine the validity and reliability of results obtained using the MEDUCPG14 instrument as well as to describe the results of the academic evaluation of surgical resident programs of a private university. Methods: A cross- sectional study was performed; the instrument was applied to 77 residents of surgical programs of Universidad Peruana Cayetano Heredia and to 41 professors. Results: A reliability coefficient of 0.959 was obtained. Two domains were found: teaching, feedback and evaluation (11 items) attained a coefficient of 0.957 and respectful treatment (3 items) attained a coefficient of 0.923. Answer rate was higher than 90%. No difference by age, gender and subspecialty was found. Conclusion: MEDUCPG-14 has adequate validity and reliability to evaluate academic performance in surgical resident programs. Four or more evaluations per professor are needed; no differe...

Introduction: Cesarean delivery was an option initially reserved for cases where vaginal delivery could compromise the life of the pregnant woman or the fetus. Due to diverse socioeconomic or cultural causes, cesarean delivery has become more accepted as an elective birth procedure. The WHO has established a marginal cesarean rate of 15% in primary cesarean deliveries, as higher rates do not decrease fetal morbidity and mortality. Worldwide, there have been rates as high as 21% (European countries), and 36% in Peru in 2015. Objectives: To determine the frequency of cesarean section and the most frequent indications in a public teaching hospital. Methods: Descriptive, retrospective series of case studies of patients who underwent elective or emergency cesarean section between January 2013 and December 2017 at a public teaching hospital in Lima, Peru. Results: The frequency of c...

Gestational trophoblastic disease is a proliferative disorder of trophoblast cells. Choriocarcinoma is the most aggressive type due to its rapid vascular invasion and metastasis formation. We present three rare cases of choriocarcinoma. Three women 30, 47, and 44 years old respectively were admitted for vaginal bleeding and vaginal tumor as main complaints with different presentations of the disease and past medical history; various and rare metastases were found. We report these cases because of their rarity and aggressive pathology, showing a wide clinical spectrum, unusual presentations and the need for early diagnostic and optimal treatment.

Objectives: To determine demographic and clinical characteristics of patients with diagnosis of postpartum endometritis at a national hospital. Design: Descriptive, series of cases, retrospective study. Setting: Gynecology and Obstetrics Service, Hospital Nacional Cayetano Heredia (HNCH), Lima, Peru. Participants: Women post partum. Material: Cases with puerperal endometritis from July 2011 through July 2012 were selected from the database of the Epidemiology Unit. Data collected included demographic characteristics, clinical history, risk factors, diagnosis, treatment, evolution and complications. Main outcome measures: Puerperal endometritis cases characteristics. Results: Thirty two cases of puerperal endometritis represented a prevalence of 0.6%. Mean age was 23 +/- 6.2 years, 76% finished high school and 72% were nulliparous. Delivery was by cesarean section in 53% of cases. Most co...

Objectives: To determine demographic and clinical characteristics of patients with diagnosis of postpartum endometritis at a national hospital. Design: Descriptive, series of cases, retrospective study. Setting: Gynecology and Obstetrics Service, Hospital Nacional Cayetano Heredia (HNCH), Lima, Peru. Participants: Women post partum. Material: Cases with puerperal endometritis from July 2011 through July 2012 were selected from the database of the Epidemiology Unit. Data collected included demographic characteristics, clinical history, risk factors, diagnosis, treatment, evolution and complications. Main outcome measures: Puerperal endometritis cases characteristics. Results: Thirty two cases of puerperal endometritis represented a prevalence of 0.6%. Mean age was 23 +/- 6.2 years, 76% finished high school and 72% were nulliparous. Delivery was by cesarean section in 53% of cases. Most co...