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[Pediatric residency programs in Latin America].


 Prior to 1960 pediatric hospital residency programs were scarce in Latin America, but at present only one country lacks such a program. The first push for development of pediatric residency programs began in the 1960s and was aided by visits of Latin American medical professionals to the US under sponsorship of the Committee for Development of Pediatric Residency Programs (COPREP) of the American Academy of Pediatrics. COPREP meetings in Colombia in 1970 and in Brazil in 1975 coincided with a stage of accelerated progress in establishing and improving pediatric residency programs. After the 1975 meeting, COPREP activity declined, probably because of loss of financial support from the American Academy of Pediatrics. The Pediatric Residency Committee of the Latin American Pediatric Association (ALAPE) met in Santo Domingo in 1981 to approve an outline of objectives and activities, set minimum requirements for pediatric residency programs, and establish elements for quality control. The ALAPE Pediatric Residency Committee has also been greatly weakened since 1981, probably because of inadequate financial assistance and an overly ambitious program. The weakness of the Pediatric Residency Committees has impeded development of programs in Latin America. Pediatric residency programs in the region are heterogeneous in objectives and structure because of the differing national health structures in which they are embedded. Periodic exchanges of experience at the national and regional levels might help strengthen the pediatric residency programs.
