William Alberto Delgado Nava is a medical graduate from the University of Zulia (Venezuela). He crossed the pond to do his residency in Cardiology, which he completed between 2013 and 2018 at the Puerta del Mar hospital in Cádiz (Spain). During this time, he obtained two titles of University Expert in Atrial Fibrillation and Cardiac Imaging. Today, he is a cardiologist specialist at the Institute of Research and Biomedical Innovation of Cádiz and a researcher in the areas of sudden death, ventricular arrhythmias, and cardiac imaging. He also performs echocardiographic examinations and Holter stress tests in a private practice setting. His results in Practicum Script are exceptional.
Madrid - April 1, 2019. Your generation has grown in a technological and globalized environment. What advantages do you see in controlled simulation environments?
The advantage of simulated environments is to be able to put our knowledge into practice, which, in some cases, we are unable to do in real life due to limited experience.
You finished your residency in 2018, and your [Practicum Script] results are excellent (hypotheses: 96%, scenarios: 87%). How has [Practicum] contributed to your training as a resident/specialist?
By allowing me to exercise with different scenarios and pathologies, a knowledge that would require years of practice. Let's say that the course accelerates experiential maturation through simulation.
You are young and have just gone through [a medical curriculum]: why do you think that a curriculum that only contemplates seeing patients and exercising clinical reasoning in its final stage is still maintained?
It is probably due to lack of resources and to the fact that those who are currently responsible for the curricula do not keep up with technology.
How does Practicum Script fit into your care practice? May I ask for a “bridge case” that catalyzed this learning?
It fits very well. As I explained earlier, we can address a large number of topics at a theoretical level, but the actual practice varies a lot and depends on your work environment. An example is the simulation of management of infrequent diseases and their corresponding diagnostic and therapeutic strategies.
To what extent is it helpful to rely on previous cases, as it happens with jurisprudence in the field of law?
It helps a lot since it allows us to understand better how different scenarios are handled. In medicine, each case is different.
As you know, debate and uncertainty comprise the basis of our approach. How do you deal with dilemmatic situations?
By consulting with older colleagues who are equal or less experienced. All opinions help.
Do you consider Practicum Script to be effective in the task of building conceptual networks?
Any means that allows us to improve is always good.
Would you recommend the course to a colleague? Would you change anything?
Yes, I have already recommended. I would add more cases with images and videos.
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