Director: Dr. Miguel A. Ramirez Luna and Co-Director: Dr. Enrique Coss-Adame
Introduction:
The WGO Mexico City Training Center was inaugurated in Mexico City on July 28, 2008 and is directed by Dr. Miguel A. Ramirez Luna and Co-Directed by Dr. Enrique Coss-Adame.
Aims/Objectives:
The following are objectives of the Mexico City Training Center:
To provide theoretical and practical training in advanced techniques of gastroenterology, hepatology, gastrointestinal motility, and endoscopy
To improve the learning process through effective teaching activities: conferences, discussions, workshops with animal models and electronic simulators, live demonstrations with patients, tutorials and interactive video, and computer programs
To promote interaction between regional and international experts and gastroenterology and endoscopy associations
To diffuse knowledge of advanced techniques in gastroenterology in the geographical region, with the multiplier effect achieved when the trained student returns to his or her place of origin
Facilities:
The Mexico City Training Center is located at the "Instituto Nacional de Ciencias Médicas y Nutricíon". Fundamental to the Center are the medical and paramedical personnel and infrastructure of the departments of Gastroenterology, Gastrointestinal Endoscopy, Imageology and the Medical Skills Development Center ("Centro de Desarrollo de Destrezas Médicas", CEDDEM).
The Training Center is composed of the Departments of Gastroenterology and Endoscopy, the GI Motility and GI molecular labs, as well as the Medical and Surgical Skills Center.
The motility lab is fully equipped with Medtronics and Sandhill working stations to perform high resolution esophageal (with/without impedance) and pH studies. High resolution anorectal manometry (2D and 3D), biofeedback therapy for fecal incontinence and constipation. H2 and CH4 breath testing for sugar intolerances and SIBO.
The Digestive Endoscopy Unit consists of 5 endoscopy rooms; 2 for gastroscopes, 1 for colonoscopy, 1 for enteroscopy and endoscopic ultrasound and 1 for ERCP. All rooms are equipped with state-of-the-art Olympus and Fujinon video-endoscopes, endoscopic ultrasound, electrosurgical generators, argon plasma coagulators, and accessories for therapeutic endoscopy. A room for disinfection and sterilization process is also available in this unit
A fully equipped angiography suite is used for hepatic hemodynamics and TIPS placement.
GI lab is mainly dedicated to research activities. It is equipped with real time PCR, blood chemistry multiprocessor, cell culture chamber, electrophoresis, ELISA, and other lab techniques used in molecular biology
The Medical and Surgical Skills Center, the first of its kind in Mexico and Latin America, provides a laboratory setting where basic and complex medical and surgical procedures can be learned and practiced. The models used in the Center vary from very basic knot-tying boards used for basic skills, partial simulators, and animal models to virtual reality simulators
To enhance the learning experience, the Center is equipped with telecommunications capability. Directly linked with operating and endoscopy rooms in the hospital, participants can view live endoscopy or surgery in the context of the course and are able to interact directly with the operating surgeon or endoscopist. Using this telecommunications system, the Center is also able to connect with any similarly equipped facility in the world and continues to expand their video conference capabilities
In-house videotaping of expert endoscopies and other procedures has also provided several key applications:
The person who performed the endoscopy or procedure can reflect and evaluate their technique.
Students can review and learn from the taped expert.
As research has confirmed that video learning is an effective way of training, particularly for early learners, the Center has placed a strong emphasis on this style of education.
State-of-the-art virtual reality simulators (Simbionix®) are part of the equipment of the center; there are 2 simulators for laparoscopic surgery, 1 for urology, 1 for gastrointestinal endoscopy, 1 for bronchoscopy, which also has the capability to have software for gastrointestinal endoscopy, 1 for vascular access, 1 for aniography, and 1 simulator for all areas of medicine. The gastrointestinal endoscopy simulator is composed of modules for upper GI (Gastroscopy), lower GI (colonoscopy), endoscopic retrograde cholangio-pancreatography (ERCP), flexible sigmoidoscopy, and endoscopic ultrasound. In addition, there are also partial simulators for different areas such as anesthesia, nursing and critical care, for instance difficult airway, vascular access, ultrasound, arrhythmia, cardiovascular resuscitation, etc.
Multimedia Library and Scientific Journals are also available for trainees.
Teaching Facilities:
Two are the maximum number of trainees accepted per course
Twelve courses (3-months duration) per year with proper funding can be held in the Training Center.
Courses start in January, April, July, and October
Six trainees/faculties can be accommodated for periods of 12 weeks.
Housing Facilities:
Four double rooms in the medical residency, which can be used to accommodate 6 foreign trainees free-of-charge simultaneously for periods of 12 weeks (2 meals per day included). Low-cost rooms in a nearby hotel can also be arranged.
Areas of Training:
GI Motility Tests
Endoscopic Ultrasound
Enteroscopy
ERCP and Bilio-Pancreatic Therapeutic Endoscopy
Training Course Coordinators:
GI Motility Tests: Dr. Enrique Coss-Adame
Endoscopic Ultrasound: Dr. Miguel A. Ramirez
Enteroscopy: Dr. Luis Eduardo Zamora Nava
ERCP and Bilio-Pancreatic Therapeutic Endoscopy: Dr. Miguel Angel Ramirez Luna
Training / Courses Offered:
One trainee is accepted for each of the training courses listed above for a training duration of 3 months. The curriculum is flexible according to the experience and background education of the trainees and special requirements of the home institutions. Please see attached core curriculum overview.
Dr. Rafael Barrero Zuñiga (Endoscopy)
Dr. Guido Grajales Figueroa (Endoscopy)
Dr. Ignacio García Juarez (Liver)
Dr. Kazuo Yamamoto (Inflamatory bowel disease)
Further Information:
For more comprehensive information on the Mexico City Training Center, including the trainee application process, course offerings, and other details, please refer to the downloadable pdf: >Mexico City Training Center Information Packet ()
The WGO Mexico City Training Center - Centro de Entrenamiento Avanzado Cuidad de Mexico.
A fellow receives instruction during a procedure.
Training Center Director Dr. Miguel Valdovinos instructs trainees.
Dr. Tanimoto during an ESD.
Training with electronic simulators.
World Digestive Health Day (WDHD) 2011 Symposium.
The WGO would like to give special thanks to the Instituto Nacional de Ciencias Médicas Nutrición, the Mexican Association of Gastroenterology, Instituto Danone, Asociación Interamericana de Gastroenterología (AIGE), Fujinon Latin America, Ferrer, and Olympus Latin America for their support and sponsorship of the WGO Mexico City Training Center.
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