New training program in Anesthesiology. Update for the challenges of anesthesiology of the XXI century

Villalonga Vadell, R.; Cobo Castro, T.; Guillén Antón, J.; Rabanal Llevot, J.M.; Sánchez Pérez, C.A.; Tamayo Gómez, E.; García Collada, C.; Ferrando Ortolá, C.; García Martínez, J.A.; de la Varga Martínez, O.; Álvarez Escudero, J.
doi:10.1016/j.redare.2020.08.005
 array:24 [
  "pii" => "S2341192921000019"
  "issn" => "23411929"
  "doi" => "10.1016/j.redare.2020.08.005"
  "estado" => "S300"
  "fechaPublicacion" => "2021-01-01"
  "aid" => "1211"
  "copyright" => "Sociedad Espa&#241;ola de Anestesiolog&#237;a&#44; Reanimaci&#243;n y Terap&#233;utica del Dolor"
  "copyrightAnyo" => "2020"
  "documento" => "simple-article"
  "crossmark" => 1
  "subdocumento" => "edi"
  "cita" => "Revista Espa&#241;ola de Anestesiolog&#237;a y Reanimaci&#243;n &#40;English Version&#41;. 2021;68:5-9"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:1 [
    "total" => 0
  ]
  "Traduccion" => array:1 [
    "es" => array:19 [
      "pii" => "S0034935620302036"
      "issn" => "00349356"
      "doi" => "10.1016/j.redar.2020.08.003"
      "estado" => "S300"
      "fechaPublicacion" => "2021-01-01"
      "aid" => "1211"
      "copyright" => "Sociedad Espa&#241;ola de Anestesiolog&#237;a&#44; Reanimaci&#243;n y Terap&#233;utica del Dolor"
      "documento" => "simple-article"
      "crossmark" => 1
      "subdocumento" => "edi"
      "cita" => "Rev Esp Anestesiol Reanim. 2021;68:5-9"
      "abierto" => array:3 [
        "ES" => false
        "ES2" => false
        "LATM" => false
      ]
      "gratuito" => false
      "lecturas" => array:1 [
        "total" => 0
      ]
      "es" => array:10 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Editorial</span>"
        "titulo" => "Nuevo Programa Formativo de Anestesiolog&#237;a y Reanimaci&#243;n&#46; Actualizaci&#243;n para los retos de la anestesiolog&#237;a del siglo XXI"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "5"
            "paginaFinal" => "9"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "New training program in Anesthesiology&#46; Update for the Challenges of Anesthesiology of the XXI Century"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "R&#46; Villalonga Vadell, T&#46; Cobo Castro, J&#46; Guill&#233;n Ant&#243;n, J&#46;M&#46; Rabanal Llevot, C&#46;A&#46; S&#225;nchez P&#233;rez, E&#46; Tamayo G&#243;mez, C&#46; Garc&#237;a Collada, C&#46; Ferrando Ortol&#225;, J&#46;A&#46; Garc&#237;a Mart&#237;nez, O&#46; de la Varga Mart&#237;nez, J&#46; &#193;lvarez Escudero"
            "autores" => array:11 [
              0 => array:2 [
                "nombre" => "R&#46;"
                "apellidos" => "Villalonga Vadell"
              ]
              1 => array:2 [
                "nombre" => "T&#46;"
                "apellidos" => "Cobo Castro"
              ]
              2 => array:2 [
                "nombre" => "J&#46;"
                "apellidos" => "Guill&#233;n Ant&#243;n"
              ]
              3 => array:2 [
                "nombre" => "J&#46;M&#46;"
                "apellidos" => "Rabanal Llevot"
              ]
              4 => array:2 [
                "nombre" => "C&#46;A&#46;"
                "apellidos" => "S&#225;nchez P&#233;rez"
              ]
              5 => array:2 [
                "nombre" => "E&#46;"
                "apellidos" => "Tamayo G&#243;mez"
              ]
              6 => array:2 [
                "nombre" => "C&#46;"
                "apellidos" => "Garc&#237;a Collada"
              ]
              7 => array:2 [
                "nombre" => "C&#46;"
                "apellidos" => "Ferrando Ortol&#225;"
              ]
              8 => array:2 [
                "nombre" => "J&#46;A&#46;"
                "apellidos" => "Garc&#237;a Mart&#237;nez"
              ]
              9 => array:2 [
                "nombre" => "O&#46;"
                "apellidos" => "de la Varga Mart&#237;nez"
              ]
              10 => array:2 [
                "nombre" => "J&#46;"
                "apellidos" => "&#193;lvarez Escudero"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S2341192921000019"
          "doi" => "10.1016/j.redare.2020.08.005"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => false
            "ES2" => false
            "LATM" => false
          ]
          "gratuito" => false
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341192921000019?idApp=UINPBA00004N"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0034935620302036?idApp=UINPBA00004N"
      "url" => "/00349356/0000006800000001/v1_202012230645/S0034935620302036/v1_202012230645/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S234119292030175X"
    "issn" => "23411929"
    "doi" => "10.1016/j.redare.2020.08.003"
    "estado" => "S300"
    "fechaPublicacion" => "2021-01-01"
    "aid" => "1212"
    "copyright" => "Sociedad Espa&#241;ola de Anestesiolog&#237;a&#44; Reanimaci&#243;n y Terap&#233;utica del Dolor"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "fla"
    "cita" => "Revista Espa&#241;ola de Anestesiolog&#237;a y Reanimaci&#243;n &#40;English Version&#41;. 2021;68:10-20"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:13 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Original article</span>"
      "titulo" => "Critically ill COVID-19 patients attended by anesthesiologists in northwestern Spain&#58; A multicenter prospective observational study"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "10"
          "paginaFinal" => "20"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Pacientes cr&#237;ticos COVID-19 atendidos por anestesi&#243;logos en el Noroeste de Espa&#241;a&#58; estudio multic&#233;ntrico&#44; prospectivo&#44; observacional"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:8 [
          "identificador" => "fig0005"
          "etiqueta" => "Figure 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 2313
              "Ancho" => 2167
              "Tamanyo" => 177843
            ]
          ]
          "detalles" => array:1 [
            0 => array:3 [
              "identificador" => "at0005"
              "detalle" => "Figure "
              "rol" => "short"
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Cumulative incidence of patients who died or were discharged from the ICU&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "M&#46; Taboada, P&#46; Rama, R&#46; Pita-Romero, E&#46; Moreno, S&#46; Leal, M&#46; Varela, M&#46; Cid, V&#46; Caruezo, S&#46; Alvarado de la Torre, M&#46; Corujeira, A&#46; Sarmiento, B&#46; Dom&#237;nguez, P&#46; Diaz, L&#46; C&#225;novas, M&#46; L&#243;pez S&#225;nchez, E&#46; Vilas, A&#46; Rodr&#237;guez, L&#46; Freire, S&#46; Dom&#237;nguez, A&#46; Baluja, P&#46;G&#46; Atanassoff"
          "autores" => array:21 [
            0 => array:2 [
              "nombre" => "M&#46;"
              "apellidos" => "Taboada"
            ]
            1 => array:2 [
              "nombre" => "P&#46;"
              "apellidos" => "Rama"
            ]
            2 => array:2 [
              "nombre" => "R&#46;"
              "apellidos" => "Pita-Romero"
            ]
            3 => array:2 [
              "nombre" => "E&#46;"
              "apellidos" => "Moreno"
            ]
            4 => array:2 [
              "nombre" => "S&#46;"
              "apellidos" => "Leal"
            ]
            5 => array:2 [
              "nombre" => "M&#46;"
              "apellidos" => "Varela"
            ]
            6 => array:2 [
              "nombre" => "M&#46;"
              "apellidos" => "Cid"
            ]
            7 => array:2 [
              "nombre" => "V&#46;"
              "apellidos" => "Caruezo"
            ]
            8 => array:2 [
              "nombre" => "S&#46;"
              "apellidos" => "Alvarado de la Torre"
            ]
            9 => array:2 [
              "nombre" => "M&#46;"
              "apellidos" => "Corujeira"
            ]
            10 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Sarmiento"
            ]
            11 => array:2 [
              "nombre" => "B&#46;"
              "apellidos" => "Dom&#237;nguez"
            ]
            12 => array:2 [
              "nombre" => "P&#46;"
              "apellidos" => "Diaz"
            ]
            13 => array:2 [
              "nombre" => "L&#46;"
              "apellidos" => "C&#225;novas"
            ]
            14 => array:2 [
              "nombre" => "M&#46;"
              "apellidos" => "L&#243;pez S&#225;nchez"
            ]
            15 => array:2 [
              "nombre" => "E&#46;"
              "apellidos" => "Vilas"
            ]
            16 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Rodr&#237;guez"
            ]
            17 => array:2 [
              "nombre" => "L&#46;"
              "apellidos" => "Freire"
            ]
            18 => array:2 [
              "nombre" => "S&#46;"
              "apellidos" => "Dom&#237;nguez"
            ]
            19 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Baluja"
            ]
            20 => array:2 [
              "nombre" => "P&#46;G&#46;"
              "apellidos" => "Atanassoff"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0034935620302048"
        "doi" => "10.1016/j.redar.2020.08.004"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => false
          "ES2" => false
          "LATM" => false
        ]
        "gratuito" => false
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0034935620302048?idApp=UINPBA00004N"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S234119292030175X?idApp=UINPBA00004N"
    "url" => "/23411929/0000006800000001/v1_202101200640/S234119292030175X/v1_202101200640/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S2341192920301724"
    "issn" => "23411929"
    "doi" => "10.1016/j.redare.2020.04.007"
    "estado" => "S300"
    "fechaPublicacion" => "2021-01-01"
    "aid" => "1153"
    "copyright" => "Sociedad Espa&#241;ola de Anestesiolog&#237;a&#44; Reanimaci&#243;n y Terap&#233;utica del Dolor"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "Revista Espa&#241;ola de Anestesiolog&#237;a y Reanimaci&#243;n &#40;English Version&#41;. 2021;68:1-4"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Editorial article</span>"
      "titulo" => "Hydroxyethyl starch 2020"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "1"
          "paginaFinal" => "4"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Hidroxietilalmid&#243;n&#44; 2020"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "M&#46; Basora Macaya, J&#46;L&#46; Jover Pinillos, J&#46; Ripoll&#233;s-Melchor"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "M&#46;"
              "apellidos" => "Basora Macaya"
            ]
            1 => array:2 [
              "nombre" => "J&#46;L&#46;"
              "apellidos" => "Jover Pinillos"
            ]
            2 => array:2 [
              "nombre" => "J&#46;"
              "apellidos" => "Ripoll&#233;s-Melchor"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0034935620301158"
        "doi" => "10.1016/j.redar.2020.04.009"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => false
          "ES2" => false
          "LATM" => false
        ]
        "gratuito" => false
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0034935620301158?idApp=UINPBA00004N"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341192920301724?idApp=UINPBA00004N"
    "url" => "/23411929/0000006800000001/v1_202101200640/S2341192920301724/v1_202101200640/en/main.assets"
  ]
  "en" => array:14 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Editorial article</span>"
    "titulo" => "New training program in Anesthesiology&#46; Update for the challenges of anesthesiology of the XXI century"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "5"
        "paginaFinal" => "9"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "R&#46; Villalonga Vadell, T&#46; Cobo Castro, J&#46; Guill&#233;n Ant&#243;n, J&#46;M&#46; Rabanal Llevot, C&#46;A&#46; S&#225;nchez P&#233;rez, E&#46; Tamayo G&#243;mez, C&#46; Garc&#237;a Collada, C&#46; Ferrando Ortol&#225;, J&#46;A&#46; Garc&#237;a Mart&#237;nez, O&#46; de la Varga Mart&#237;nez, J&#46; &#193;lvarez Escudero"
        "autores" => array:11 [
          0 => array:4 [
            "nombre" => "R&#46;"
            "apellidos" => "Villalonga Vadell"
            "email" => array:1 [
              0 => "rvillalonga@ub.edu"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "&#42;"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "T&#46;"
            "apellidos" => "Cobo Castro"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "J&#46;"
            "apellidos" => "Guill&#233;n Ant&#243;n"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "aff0015"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "J&#46;M&#46;"
            "apellidos" => "Rabanal Llevot"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">d</span>"
                "identificador" => "aff0020"
              ]
            ]
          ]
          4 => array:3 [
            "nombre" => "C&#46;A&#46;"
            "apellidos" => "S&#225;nchez P&#233;rez"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">e</span>"
                "identificador" => "aff0025"
              ]
            ]
          ]
          5 => array:3 [
            "nombre" => "E&#46;"
            "apellidos" => "Tamayo G&#243;mez"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">f</span>"
                "identificador" => "aff0030"
              ]
            ]
          ]
          6 => array:3 [
            "nombre" => "C&#46;"
            "apellidos" => "Garc&#237;a Collada"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">g</span>"
                "identificador" => "aff0035"
              ]
            ]
          ]
          7 => array:3 [
            "nombre" => "C&#46;"
            "apellidos" => "Ferrando Ortol&#225;"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">h</span>"
                "identificador" => "aff0040"
              ]
            ]
          ]
          8 => array:3 [
            "nombre" => "J&#46;A&#46;"
            "apellidos" => "Garc&#237;a Mart&#237;nez"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">i</span>"
                "identificador" => "aff0045"
              ]
            ]
          ]
          9 => array:3 [
            "nombre" => "O&#46;"
            "apellidos" => "de la Varga Mart&#237;nez"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">f</span>"
                "identificador" => "aff0030"
              ]
            ]
          ]
          10 => array:3 [
            "nombre" => "J&#46;"
            "apellidos" => "&#193;lvarez Escudero"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">j</span>"
                "identificador" => "aff0050"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:10 [
          0 => array:3 [
            "entidad" => "Vicepresidenta de la Comisi&#243;n Nacional de Anestesiolog&#237;a&#44; Reanimaci&#243;n y Terap&#233;utica del Dolor&#44; Barcelona&#44; Spain"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Servicio de Anestesiolog&#237;a y Reanimaci&#243;n&#44; Hospital de Sierrallana&#44; Torrelavega&#44; Cantabria&#44; Spain"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
          2 => array:3 [
            "entidad" => "Servicio de Anestesiolog&#237;a y Reanimaci&#243;n&#44; Hospital Cl&#237;nico Universitario Lozano Blesa&#44; Zaragoza&#44; Spain"
            "etiqueta" => "c"
            "identificador" => "aff0015"
          ]
          3 => array:3 [
            "entidad" => "Servicio de Anestesiolog&#237;a y Reanimaci&#243;n&#44; Hospital Universitario Marqu&#233;s de Valdecilla&#44; Valdecilla&#44; Spain"
            "etiqueta" => "d"
            "identificador" => "aff0020"
          ]
          4 => array:3 [
            "entidad" => "Servicio de Anestesiolog&#237;a y Reanimaci&#243;n&#44; Hospital General Universitario de Elda&#44; Alicante&#44; Spain"
            "etiqueta" => "e"
            "identificador" => "aff0025"
          ]
          5 => array:3 [
            "entidad" => "Servicio de Anestesiolog&#237;a y Reanimaci&#243;n&#44; Hospital Cl&#237;nico Universitario de Valladolid&#44; Valladolid&#44; Spain"
            "etiqueta" => "f"
            "identificador" => "aff0030"
          ]
          6 => array:3 [
            "entidad" => "Servicio de Anestesiolog&#237;a y Reanimaci&#243;n&#44; Gerencia Atenci&#243;n Integrada Cuenca &#8211; Hospital Virgen de la Luz&#44; Cuenca&#44; Spain"
            "etiqueta" => "g"
            "identificador" => "aff0035"
          ]
          7 => array:3 [
            "entidad" => "Servicio de Anestesiolog&#237;a y Reanimaci&#243;n&#44; Hospital Clinic de Barcelona&#44; Barcelona&#44; Spain"
            "etiqueta" => "h"
            "identificador" => "aff0040"
          ]
          8 => array:3 [
            "entidad" => "Servicio de Anestesiolog&#237;a y Reanimaci&#243;n&#44; Hospital Cl&#237;nico Universitario Virgen de la Arrixaca&#44; Murcia&#44; Spain"
            "etiqueta" => "i"
            "identificador" => "aff0045"
          ]
          9 => array:3 [
            "entidad" => "Servicio de Anestesiolog&#237;a y Reanimaci&#243;n&#44; Complejo Hospitalario Universitario de Santiago de Compostela&#44; Ex presidente de la Comisi&#243;n Nacional de Anestesiolog&#237;a&#44; Reanimaci&#243;n y Terap&#233;utica del Dolor&#44; A Coru&#241;a&#44; Spain"
            "etiqueta" => "j"
            "identificador" => "aff0050"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Nuevo Programa Formativo de Anestesiolog&#237;a y Reanimaci&#243;n&#46; Actualizaci&#243;n para los retos de la anestesiolog&#237;a del siglo XXI"
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">In Spain&#44; Specialized Medical Training &#40;SMT&#41; in Health Sciences is based on the residency programme&#44; which was introduced more than 35 years ago&#46; This syllabus is currently undergoing in-depth changes in design&#44; and above all&#44; in philosophy&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">It is up to the National Commission &#40;NC&#41; to review and update specialist training syllabuses&#46; The current training syllabus in anaesthesiology and resuscitation&#44; which dates from 1996&#44;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> has never been updated&#46; This is the case with most specialties&#44; despite 4 new versions having been submitted to the Ministry of Health&#44; Consumer Affairs and Social Welfare since 2003&#46; Fortunately&#44; the current syllabus&#44; though old&#44; is generic&#44; broad&#44; and poorly defined&#44; so over the years teaching hospitals&#47;units have been able to introduce the many different evidence-based&#44; fully established techniques and advances introduced since then&#44; allowing them to continue to provide their residents with excellent&#44; top quality training at all times&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Developing a training syllabus is a considerable challenge&#46; It must include the core knowledge and skills demanded by current international standards&#44; it must be forward-looking and specific&#44; but at the same time flexible enough to incorporate all the latest scientific and technical advances as they emerge in order to avoid becoming obsolete&#46; In short&#44; it must be a syllabus that provides future specialists with an excellent education that conforms with established international standards and is equivalent to training in other European countries&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Since 1993&#44; the European Union of Medical Specialists &#40;UEMS&#41; and its specialist divisions has been working with various scientific associations<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2&#44;3</span></a> to design and update different training programs and establish the minimum standards required&#46; These training guidelines are not intended to derogate the authority of each state to define the content of training curricula&#44; but to complement their decisions and ensure uniform&#44; high quality training throughout Europe&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">In Anaesthesiology&#44; training standards are set by consensus of the Anaesthesiology section of the UEMS&#44; the European Board of Anaesthesiology &#40;EBA&#41; and the European Society of Anaesthesiology &#40;ESA&#41;&#46;<a class="elsevierStyleCrossRefs" href="#bib0020"><span class="elsevierStyleSup">4&#8211;6</span></a> These organisations issue periodic updates for the purpose of establishing a training curriculum that reflects modern medical practice and scientific advances in the specialty&#44; and providing high-quality&#44; harmonised and standardised education at the European level in compliance with Directive 2005&#47;36&#47;EC&#46;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">7</span></a> This directive outlines a system of automatic&#44; mutual recognition of medical competence&#44; thereby facilitating the exchange and movement of specialists in Europe&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">In the 2000s&#44; major training institutions and societies in the US&#44;<a class="elsevierStyleCrossRefs" href="#bib0040"><span class="elsevierStyleSup">8&#44;9</span></a> Canada&#44;<a class="elsevierStyleCrossRefs" href="#bib0050"><span class="elsevierStyleSup">10&#44;11</span></a> and Europe &#40;specifically&#44; the UEMS and the World Federation for Medical Education &#8211;WFME&#41;&#44;<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">12</span></a> introduced concrete European specifications for the progressive improvement of knowledge based on on-going technical and clinical changes in healthcare&#46; This made it necessary to provide effective&#44; efficient&#44; safe&#44; performance-based training for future specialists&#44; and led to the introduction of competence-based training&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">Competence</span>&#44; in Health Sciences&#44; is the acquisition over time of the knowledge&#44; technical and non-technical skills&#44; attitudes and values needed to perform in a given context according to prevailing standards&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">Training syllabuses must establish two types knowledge and skill domains&#58;<ul class="elsevierStyleList" id="lis0005"><li class="elsevierStyleListItem" id="lsti0005"><span class="elsevierStyleLabel">-</span><p id="par0045" class="elsevierStylePara elsevierViewall">Domains related to the specific competences of each specialty&#46;</p></li><li class="elsevierStyleListItem" id="lsti0010"><span class="elsevierStyleLabel">-</span><p id="par0050" class="elsevierStylePara elsevierViewall">Transversal or generic domains that are very similar and shared by all specialties and include skills that reintroduce humanism in Health Sciences&#58; ethical values&#44; professionalism&#44; attitudes and behaviours&#44; communication skills&#44; management&#44; leadership&#44; research and teaching&#44; information management&#44; and self-learning&#44; all of which are essential for any specialist practising today&#46;</p></li></ul></p><p id="par0055" class="elsevierStylePara elsevierViewall">At the state level&#44; Act 44&#47;2003<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">13</span></a> on the management of the healthcare profession established the need to acquire these horizontal or generic competences progressively and continuously throughout the training period&#44; and called for certain changes to be made in training syllabuses&#46;</p><p id="par0060" class="elsevierStylePara elsevierViewall">Regarding specific competences&#44; a training syllabus must describe the behaviours&#44; or skills&#44; to be acquired at the end of the training period&#44; and must define and establish realistic objectives for each competence&#44; including&#58; theoretical knowledge&#44; practical and clinical skills&#44; attitudes&#46; It must also verify these competences by establishing the most appropriate modalities and methodologies for evaluating each one and accrediting the training of the future specialist&#46;</p><p id="par0065" class="elsevierStylePara elsevierViewall">Procedure for developing the new training syllabus in Anaesthesiology and Resuscitation&#46;</p><p id="par0070" class="elsevierStylePara elsevierViewall">In November 2016&#44; this National Commission was ordered by the General Directorate for Healthcare Professions of the Ministry of Health&#44; Consumer Affairs and Social Welfare &#40;MSCBS&#41; to develop a new specialist training syllabus &#40;STS&#41;&#46;</p><p id="par0075" class="elsevierStylePara elsevierViewall">The work was conducted primarily online&#44; with a very small number of face-to-face meetings&#44; and the project was concluded and presented on 10 May 2020&#46;</p><p id="par0080" class="elsevierStylePara elsevierViewall">The following five documents were submitted&#44; pursuant to the Ministry&#8217;s own regulations governing the development of new training syllabuses&#58;<ul class="elsevierStyleList" id="lis0010"><li class="elsevierStyleListItem" id="lsti0015"><span class="elsevierStyleLabel">1</span><p id="par0085" class="elsevierStylePara elsevierViewall">Draft of the new specialty training syllabus &#40;STS&#41;&#46;</p></li><li class="elsevierStyleListItem" id="lsti0020"><span class="elsevierStyleLabel">2</span><p id="par0090" class="elsevierStylePara elsevierViewall">Rationale for extending the training period to five years&#46;</p></li><li class="elsevierStyleListItem" id="lsti0025"><span class="elsevierStyleLabel">3</span><p id="par0095" class="elsevierStylePara elsevierViewall">A skills training itinerary presented in a user-friendly Excel spreadsheet&#46;</p></li><li class="elsevierStyleListItem" id="lsti0030"><span class="elsevierStyleLabel">4</span><p id="par0100" class="elsevierStylePara elsevierViewall">Proposal for a rotation schedule&#46;</p></li><li class="elsevierStyleListItem" id="lsti0035"><span class="elsevierStyleLabel">5</span><p id="par0105" class="elsevierStylePara elsevierViewall">Criteria for accrediting teaching units&#46;</p></li></ul></p><p id="par0110" class="elsevierStylePara elsevierViewall">All these are published on the Intranet established for this purpose by the MSCBS&#44; <span class="elsevierStyleItalic">eRoom</span>&#44; pending final assessment and evaluation&#46;</p><p id="par0115" class="elsevierStylePara elsevierViewall">The new syllabus was drawn up after reviewing and evaluating various training syllabuses established according to international standards<a class="elsevierStyleCrossRefs" href="#bib0030"><span class="elsevierStyleSup">6&#8211;12</span></a> together with the CoBaTrICE syllabus&#44;<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">14</span></a> which establishes the minimum common standards necessary for the management of critical patients &#8211; included in this syllabus &#8211; and the recommendations of the Spanish Society of Anaesthesiology&#44; Resuscitation and Pain Therapy &#40;SEDAR&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">15</span></a></p><p id="par0120" class="elsevierStylePara elsevierViewall">Following publication by the UEMS&#47;EBA of their document 2018&#46;17 outlining the new European Training Requirement &#40;ETR&#41; in Anaesthesiology &#40;ETR Anaesthesiology&#44; 2018&#41;&#44;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> this NC was compelled to return to the drawing board and adapt the syllabus to the new guidelines and competencies to be acquired during training&#44; which was extended to a minimum of five years&#46; This NC has incorporated these changes into the new syllabus and&#44; together with SEDAR&#44; has notified the MSCBS to this effect on various occasions&#46;</p><p id="par0125" class="elsevierStylePara elsevierViewall">The main objective of the new syllabus is to provide future specialists with excellent&#44; unified&#44; evidence-based training and the most current clinical practice&#44; aligning Spanish training with that offered in any European country&#44; and facilitating the recognition&#44; accreditation&#44; exchange&#44; and mobility of professionals&#46;</p><p id="par0130" class="elsevierStylePara elsevierViewall">This up-to-date&#44; comprehensive training will provide high-quality&#44; transversal&#44; multifunctional&#44; versatile care tailored to the specific needs of each clinical areas staffed by anaesthesiologists&#46; It will enable our specialists to deal with any situations and&#47;or care demands and rapidly activate or deactivate these without the need for structural or personnel changes&#44; always ensuring the presence of specialists who can provide an immediate&#44; multidisciplinary response&#44; especially in critical situations&#46; This has been demonstrated during the current COVID-19 pandemic&#44; and anaesthesiologists need to be prepared for such situations in the future to guarantee society safe&#44; effective and efficient care in all circumstances&#46;</p><p id="par0135" class="elsevierStylePara elsevierViewall">Pursuant to the provisions of Act 44&#47;2003&#44;<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">13</span></a> this NC has drawn up a training syllabus divided in 22 domains that address the general and specific competences established in the ETR Anaesthesiology 2018<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> and include only the specific transversal competences of the specialty&#46;</p><p id="par0140" class="elsevierStylePara elsevierViewall">It is important to correctly <span class="elsevierStyleBold">define the specialty</span> to include all the basic competences required&#46;</p><p id="par0145" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">Anaesthesiology and Resuscitation</span>&#58; Medical specialty responsible for perioperative medicine&#44; with the knowledge and skill to perform all anaesthetic&#44; analgesic and sedation techniques for diagnostic and therapeutic procedures&#44; emergencies&#44; resuscitation&#44; care of all critically ill patients irrespective of the aetiology&#44; and the treatment of acute and chronic pain&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Duration of the training period&#58; five years</span><p id="par0150" class="elsevierStylePara elsevierViewall">The <span class="elsevierStyleBold">draft STS</span> outlines the basic training elements&#46;<ul class="elsevierStyleList" id="lis0015"><li class="elsevierStyleListItem" id="lsti0040"><span class="elsevierStyleLabel">1</span><p id="par0155" class="elsevierStylePara elsevierViewall">Definition of the <span class="elsevierStyleBold">specialist</span> in Anaesthesiology and Resuscitation&#44; including the <span class="elsevierStyleBold">holistic competencies</span> of the European specialist&#58;</p></li><li class="elsevierStyleListItem" id="lsti0045"><span class="elsevierStyleLabel">-</span><p id="par0160" class="elsevierStylePara elsevierViewall">Expert clinician able to work in a multidisciplinary setting in anaesthesia&#44; perioperative medicine&#44; intensive care&#44; critical emergency medicine and pain therapy&#46;</p></li><li class="elsevierStyleListItem" id="lsti0050"><span class="elsevierStyleLabel">-</span><p id="par0165" class="elsevierStylePara elsevierViewall">Professional leader with skills in communication and the management and organization of the different healthcare areas of the specialty&#46;</p></li><li class="elsevierStyleListItem" id="lsti0055"><span class="elsevierStyleLabel">-</span><p id="par0170" class="elsevierStylePara elsevierViewall">Academic scholar&#44; who develops and maintains a high degree of professionalism and competence&#44; and contributes to the development of the specialty&#46;</p></li><li class="elsevierStyleListItem" id="lsti0060"><span class="elsevierStyleLabel">-</span><p id="par0175" class="elsevierStylePara elsevierViewall">Inspired humanitarian&#44; who exhibits irreproachable behaviour&#46;</p></li><li class="elsevierStyleListItem" id="lsti0065"><span class="elsevierStyleLabel">2</span><p id="par0180" class="elsevierStylePara elsevierViewall">Establishment of <span class="elsevierStyleBold">the scope of action of the anaesthesiologist</span>&#44; divided into three fields&#58; a&#41; healthcare &#8211; in all areas within their competence&#44; b&#41; teaching &#8211; training both anaesthesiology residents and residents in related specialties&#44; and c&#41; research &#8211; basic and clinical in the different areas of the specialty&#46;</p></li><li class="elsevierStyleListItem" id="lsti0070"><span class="elsevierStyleLabel">3</span><p id="par0185" class="elsevierStylePara elsevierViewall">The <span class="elsevierStyleBold">fundamental objective of the syllabus</span> is to establish the <span class="elsevierStyleBold">competencies</span> to be acquired during training in order to obtain the title of Specialist in Anaesthesiology and Resuscitation&#46; The criteria for defining each competence have been specified&#46;</p></li><li class="elsevierStyleListItem" id="lsti0075"><span class="elsevierStyleLabel">4</span><p id="par0190" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">Defining competences&#46;</span> The syllabus has defined the new competences to be mastered that complement the knowledge acquired during undergraduate studies&#46; To avoid repetitions&#44; a <span class="elsevierStyleItalic">general framework</span> has been drawn up that includes the core skills to be acquired simultaneously with the acquisition of competences specific to each domain&#46; These competencies&#44; which practice should be evidence-based&#44; include all patients groups &#40;adults&#44; paediatrics&#44; obstetrics&#41;&#46;</p></li></ul></p><p id="par0195" class="elsevierStylePara elsevierViewall">The specialist in Anaesthesiology and Resuscitation must have mastered all the competencies of <span class="elsevierStyleBold">perioperative medicine</span>&#44; which is the continuum in patient care&#44; starting before the operative procedure with a pre-anaesthesia evaluation and lasting well into the postoperative period&#46; The foregoing comprises the care and treatment of patients in any critical situation until resolution and the management and treatment of acute and chronic pain &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0200" class="elsevierStylePara elsevierViewall">For this purpose&#44; the syllabus requires trainees to acquire the groups of competences specified in the <span class="elsevierStyleBold">training itinerary&#58;</span><ul class="elsevierStyleList" id="lis0020"><li class="elsevierStyleListItem" id="lsti0080"><span class="elsevierStyleLabel">-</span><p id="par0205" class="elsevierStylePara elsevierViewall">10 transversal competences common to all Health Science specialties&#44; established by the MSCBS&#46;</p></li><li class="elsevierStyleListItem" id="lsti0085"><span class="elsevierStyleLabel">-</span><p id="par0210" class="elsevierStylePara elsevierViewall">4 generic anaesthesiology competencies&#46;</p></li><li class="elsevierStyleListItem" id="lsti0090"><span class="elsevierStyleLabel">-</span><p id="par0215" class="elsevierStylePara elsevierViewall">18 competencies included in the general framework&#46;</p></li><li class="elsevierStyleListItem" id="lsti0095"><span class="elsevierStyleLabel">-</span><p id="par0220" class="elsevierStylePara elsevierViewall">11 domains of basic general competences&#46;</p></li><li class="elsevierStyleListItem" id="lsti0100"><span class="elsevierStyleLabel">-</span><p id="par0225" class="elsevierStylePara elsevierViewall">11 domains of specific competences&#46;</p></li></ul></p><p id="par0230" class="elsevierStylePara elsevierViewall">Following the European model&#44; which stresses the importance of training and tutorship&#44; the syllabus describes the <span class="elsevierStyleBold">teaching methodology</span> to be used by such tutors&#46; Residents must also be familiar with this methodology&#44; not only in terms of the knowledge they need to acquire&#44; but also of how they must acquire it&#44; and how that knowledge will be evaluated&#46; SMT is based on adult teaching&#44; emphasizing self-learning&#44; self-assessment&#44; the construction of knowledge&#44; together with reflection and tutor-resident feedback&#46; The model is <span class="elsevierStyleItalic">learner</span>-based&#44; and requires the active participation of residents in an open&#44; flexible and personalized process that is facilitated&#44; encouraged and guided by the tutor&#46;</p><p id="par0235" class="elsevierStylePara elsevierViewall">To facilitate this joint effort&#44; the new programme outlines the different teaching modalities and methods&#44; particularly problem-based learning &#40;PBL&#41; and evidence-based medicine &#40;EBM&#41;&#44; and the different evaluation methodologies used&#44; specifying the different tools to be used to assess each competence&#46; This is intended to facilitate the work of the tutor&#44; and allow residents to become more directly involved in their training&#46;</p><p id="par0240" class="elsevierStylePara elsevierViewall">Although residents Spain qualify as specialists in accordance with prevailing legislation in this regard&#44; the new syllabus urges residents to obtain the European Diploma in Anaesthesiology and Intensive Care &#40;EDAIC&#41;<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">16</span></a> to be accredited as a specialist in the practice of anaesthesiology in Europe&#46; Bear in mind that the European Society of Anaesthesiology recently changed its name to the European Society of Anaesthesiology and Intensive Care &#40;ESAIC&#41;<ul class="elsevierStyleList" id="lis0025"><li class="elsevierStyleListItem" id="lsti0105"><span class="elsevierStyleLabel">5</span><p id="par0245" class="elsevierStylePara elsevierViewall">The <span class="elsevierStyleBold">responsibility</span> of the doctor is directly linked to decision-making&#46; The resident&#8217;s performance is supervised and programmed&#59; therefore&#44; their decision-making capacity must be closely linked to their progressive acquisition of knowledge and skills&#44; allowing the degree of supervision to be reduced as training progresses and giving the resident progressively greater autonomy and responsibility&#46; The syllabus establishes the three levels of responsibility in accordance with prevailing Spanish regulations<a class="elsevierStyleCrossRefs" href="#bib0085"><span class="elsevierStyleSup">17&#44;18</span></a>&#59; however&#44; in line with other European countries&#44; residents are encouraged to start training undergraduate students and residents with less experience&#46; The aim of this strategy is to help them develop teaching skills by preparing lessons that they will later teach to younger students&#46;</p></li><li class="elsevierStyleListItem" id="lsti0110"><span class="elsevierStyleLabel">6</span><p id="par0250" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">On-call shifts</span> are an important part of resident training&#46; During the first months of residency&#44; it may be advisable to assign residents to emergency shifts&#46; During the rest of the training period they should perform their on-call shifts in the Anaesthesiology and Resuscitation service&#44; dividing their time proportionally between the operating rooms of each specialty and the emergency room&#44; as well as the resuscitation units&#44; critical care units and anaesthesia critical care units&#46; The total number of shift hours are stipulated in prevailing legislation&#46;<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">17</span></a></p></li><li class="elsevierStyleListItem" id="lsti0115"><span class="elsevierStyleLabel">7</span><p id="par0255" class="elsevierStylePara elsevierViewall">The <span class="elsevierStyleBold">Rotations</span> recommended in an addendum to the STS are for guidance purposes&#44; and are distributed by year of residence&#46; The aim of rotations is to master the basic professional competencies needed to achieve the teaching objectives specified in the syllabus&#46; They must be approved by the local Teaching Commission and adapted to the requirements of each teaching unit&#46;</p></li><li class="elsevierStyleListItem" id="lsti0120"><span class="elsevierStyleLabel">8</span><p id="par0260" class="elsevierStylePara elsevierViewall">To acquire specialist competences&#44; residents need to perform a minimum number of <span class="elsevierStyleBold">anaesthetic procedures&#44;</span> and treat patients in <span class="elsevierStyleBold">critical care and pain units</span> during their rotations&#46; These requirements have been drawn up following a comparative review of various training syllabuses&#44; and the minimum recommended number of techniques and procedures to be performed has also been established &#40;<a class="elsevierStyleCrossRef" href="#tbl0010">Table 2</a>&#41;&#46; The minimum number required to master each technique and procedure will be determined by their corresponding learning curves&#46; All activities must be recorded in the Resident&#8217;s Logbook or Portfolio&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia></li></ul></p><p id="par0265" class="elsevierStylePara elsevierViewall">The criteria for acquiring competencies&#44; together with the minimum number of anaesthetic procedures and critical patients treated and the schedule of rotations&#44; will give teaching units greater freedom and flexibility to structure and organise resident training&#46; This is because the training activity can be redirected once the competence has been acquired and the minimum requirements have been met&#44; thereby avoiding rigid and sometimes ineffective rotations&#44; while improving the teaching capacity of the unit&#46;<ul class="elsevierStyleList" id="lis0030"><li class="elsevierStyleListItem" id="lsti0125"><span class="elsevierStyleLabel">9</span><p id="par0270" class="elsevierStylePara elsevierViewall">The program also includes <span class="elsevierStyleBold">regular training tasks to be performed by the resident</span>&#44; such as sessions and recommended courses according to year of residence&#46;</p></li></ul></p><p id="par0275" class="elsevierStylePara elsevierViewall">The draft STS and the teaching unit accreditation document outlines the requirements of the <span class="elsevierStyleBold">teaching environment</span>&#44; including the materials&#44; devices and different educational documents needed to comply with the training road map established in the quality plan&#44; and also specifies the regulations governing the <span class="elsevierStyleBold">rights and duties</span> of the resident&#46;<a class="elsevierStyleCrossRefs" href="#bib0065"><span class="elsevierStyleSup">13&#44;17&#44;18</span></a><ul class="elsevierStyleList" id="lis0035"><li class="elsevierStyleListItem" id="lsti0130"><span class="elsevierStyleLabel">10</span><p id="par0280" class="elsevierStylePara elsevierViewall">The program specifies the <span class="elsevierStyleBold">research</span> activities residents are required to undertake&#44; and encourages them to start their doctoral thesis during the last years of residence&#46;</p></li></ul></p><p id="par0285" class="elsevierStylePara elsevierViewall">Finally&#44; the <span class="elsevierStyleBold">competencies</span> established for each of the 22 domains are displayed in an Excel spreadsheet&#44; specifying the most appropriate evaluation tools for each competence&#44; the most suitable learning context&#44; and the training activities and specific recommendations&#46; This gives both residents and their tutors an overview of the contents of the residency curriculum&#46;</p><p id="par0290" class="elsevierStylePara elsevierViewall">The National Commission has developed this new syllabus to update SMT in Anaesthesiology and Resuscitation in Spain&#44; providing a new approach to training future specialists in an effective&#44; efficient and safe way&#44; and in accordance with European standards&#46; The new syllabus is specific&#44; yet flexible enough to accommodate future technical and scientific advances&#46; It sets out the competences to be acquired&#44; and provides the training and evaluation tools needed to facilitate tutoring&#44; learning and training&#46; We hope it fulfils the needs of the 21st century medical specialist&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Funding</span><p id="par0295" class="elsevierStylePara elsevierViewall">This article has not received any financial support&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Conflict of interests</span><p id="par0300" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflict of interest&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:4 [
        0 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Duration of the training period&#58; five years"
        ]
        1 => array:2 [
          "identificador" => "sec0010"
          "titulo" => "Funding"
        ]
        2 => array:2 [
          "identificador" => "sec0015"
          "titulo" => "Conflict of interests"
        ]
        3 => array:1 [
          "titulo" => "References"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Villalonga Vadell R&#44; Cobo Castro T&#44; Guill&#233;n Ant&#243;n J&#44; Rabanal Llevot JM&#44; S&#225;nchez P&#233;rez CA&#44; Tamayo G&#243;mez E&#44; et al&#46; Nuevo Programa Formativo de Anestesiolog&#237;a y Reanimaci&#243;n&#46; Actualizaci&#243;n para los retos de la anestesiolog&#237;a del siglo XXI&#46; Rev Esp Anestesiol Reanim&#46; 2021&#59;68&#58;5&#8211;9&#46;</p>"
      ]
    ]
    "multimedia" => array:2 [
      0 => array:8 [
        "identificador" => "tbl0005"
        "etiqueta" => "Table 1"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0005"
            "detalle" => "Table "
            "rol" => "short"
          ]
        ]
        "tabla" => array:1 [
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Physiological and pharmacological principles of anaesthesia&#46;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Intensive care medicine&#46;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Management and organization of the operating room&#46; Safety&#44; hygiene and risk management in the surgical patient&#46;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Critical emergency medicine&#46;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Advanced anaesthesia and monitoring equipment&#46;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Obstetric anaesthesiology&#46;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Preoperative evaluation&#46;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Cardiothoracic anaesthesiology&#46;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Airway management&#46;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Neuroanaesthesiology&#46;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Management and intraoperative care of the surgical patient&#46;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Solid organ donation and transplantation&#46;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Regional anaesthesia&#46;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Paediatric anaesthesiology&#46; Paediatric critical care&#46;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Postoperative care and acute pain management&#46;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Non-operating room anaesthesiology&#46;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Cardiopulmonary and cerebral resuscitation&#46;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Outpatient anaesthesiology&#46;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Emergency anaesthesiology&#46;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Multidisciplinary pain management&#46;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Anaesthesia non-technical skills&#46;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Professionalism and ethics&#46;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab2495141.png"
              ]
            ]
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Domains of competence&#46;</p>"
        ]
      ]
      1 => array:8 [
        "identificador" => "tbl0010"
        "etiqueta" => "Table 2"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0010"
            "detalle" => "Table "
            "rol" => "short"
          ]
        ]
        "tabla" => array:2 [
          "leyenda" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">ASA&#58; <span class="elsevierStyleItalic">American Society of Anesthesiologists</span>&#59; CS&#58; cardiac surgery&#59; ESA&#58; <span class="elsevierStyleItalic">European Society of Anaesthesia</span>&#59; ENT&#58; ears&#44; nose and throat&#59; GIS&#58; gastrointestinal surgery&#59; MOS&#58; major outpatient surgery&#59; NS&#58; neurosurgery&#59; URO&#58; urology&#59; Pat&#46;&#58; patients&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">SEDAR&#58; Spanish Society of Anaesthesiology&#44; Resuscitation and Pain Therapy&#59; TS&#58; thoracic surgery&#59; VS&#58; vascular surgery&#46;</p>"
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">ESA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">ASA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">SEDAR&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Total anaesthetic procedures&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1500&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">No data&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1500&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">General A&#46;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1000&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">No data&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1000&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Emergency A&#46;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">No data&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">No data&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">300&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Spinal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">100&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">40&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">50&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Epidural&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">100&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">40&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">100&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Per&#46; block&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">100&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Recommended&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">75&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Children &#60;5 y&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">30&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">20&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">20&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Children &#60;5 y&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">10&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">10&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Caesarean&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">10&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">10&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">50&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Labour epidural&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">50&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">10&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">50&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">TS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">20&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">20&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">20&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">CS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">10&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">20&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">20&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">VS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">20&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">20&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">20&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">20&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">20&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">15&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">URO&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">20&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">10&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">30&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">GIS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">15&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">20&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">30&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">ENT&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">20&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">15&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">20&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">MOS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">40&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Recommended&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">40&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Critical&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">50 pat&#46;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&#8239;m&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1 year &#40;100 pat&#46;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Pain&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">50 pat&#46;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#8239;m &#40;50 pat&#46;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#8239;m &#40;50 pat&#46;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab2495142.png"
              ]
            ]
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Minimum number of recommended anaesthetic techniques and procedures&#46;</p>"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:18 [
            0 => array:3 [
              "identificador" => "bib0005"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Ministerio de Sanidad y Consumo&#46; Madrid"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "Gu&#237;a de Formaci&#243;n de Especialistas"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:1 [
                        "fecha" => "1996"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Charter adopted by the Management Council of the UEMS&#46; October"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "Charter on Training of Medical Specialists in the European Community"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:1 [
                        "fecha" => "1993"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The European Council for Accreditation of Medical Specialist Qualifications&#46; October"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "UEMS"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:1 [
                        "fecha" => "2010"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "European Society of Anaestehesiology &#40;ESA&#41;&#46; Education&#46; Available from&#58; <a target="_blank" href="https://www.esahq.org/education">https&#58;&#47;&#47;www&#46;esahq&#46;org&#47;education</a> &#91;Accessed 24 September 2019&#93;&#46;"
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0025"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Education and training in anaesthesia &#8211; revised guidelines by the European Board of Anaesthesiology Reanimation and Intensive Care&#46; Section and Board of Anaesthesiology&#46; UEMS"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "C&#46; Carlsson"
                            1 => "D&#46; Keld"
                            2 => "E&#46; Van Gessel"
                            3 => "J&#46;P&#46;H&#46; Fee"
                            4 => "H&#46; van Aken"
                            5 => "P&#46; Simpson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1017/S0265021508004237"
                      "Revista" => array:6 [
                        "tituloSerie" => "Eur J Anaesthesiol&#46;"
                        "fecha" => "2008"
                        "volumen" => "25"
                        "paginaInicial" => "528"
                        "paginaFinal" => "530"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18413009"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "European training requirement ETR in anaesthesiology&#46; From the Standing Committee on Education and Professional Development &#40;EPD&#41; of the section and board of anaesthesiology"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "Anaesthesiology Section of UEMS &#40;EBA UEMS&#41;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:2 [
                        "tituloSerie" => "ETR Anaesthesiolgy&#46;"
                        "fecha" => "2018"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0035"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Directiva 2005&#47;36&#47;CE del Parlamento Europeo y del Consejo de 7 de septiembre de 2005&#44; relativa al reconocimiento de cualificaciones profesionales&#46; Diario Oficial de la Uni&#243;n Europea de 30&#46;09&#46;2005&#46; Available from&#58; <a target="_blank" href="https://www.boe.es/doue/2005/255/L00022-00142.pdf">https&#58;&#47;&#47;www&#46;boe&#46;es&#47;doue&#47;2005&#47;255&#47;L00022-00142&#46;pdf</a> &#91;Accessed 8 October 2019&#93;&#46;"
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0040"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "An introduction to competency-based residency education&#8217;&#58; a product of the ACGME Outcome Project"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "ACGME"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:1 [
                        "fecha" => "2006"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib0045"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "ACGME Program Requirements for Graduate Medical Education In Anesthesiology&#46; 1 July 2019&#46; <a target="_blank" href="https://www.acgme.org/Portals/0/PFAssets/ProgramRequirements/040_Anesthesiology_2019.pdf?ver=2019-06-17-094411-477">https&#58;&#47;&#47;www&#46;acgme&#46;org&#47;Portals&#47;0&#47;PFAssets&#47;ProgramRequirements&#47;040&#95;Anesthesiology&#95;2019&#46;pdf&#63;ver&#61;2019-06-17-094411-477</a> &#91;Accessed 8 Oct 2019&#93;&#46;"
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib0050"
              "etiqueta" => "10"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Defining and assessing professional competence"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "R&#46;M&#46; Epstein"
                            1 => "E&#46;M&#46; Houndert"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1001/jama.287.2.226"
                      "Revista" => array:6 [
                        "tituloSerie" => "JAMA&#46;"
                        "fecha" => "2002"
                        "volumen" => "287"
                        "paginaInicial" => "226"
                        "paginaFinal" => "235"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11779266"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib0055"
              "etiqueta" => "11"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "CanMEDS 2015&#46; Physician Competency Framework&#46; Available from&#58; <a target="_blank" href="http://canmeds.royalcollege.ca/uploads/en/framework/CanMEDS%202015%20Framework_EN_Reduced.pdf">http&#58;&#47;&#47;canmeds&#46;royalcollege&#46;ca&#47;uploads&#47;en&#47;framework&#47;CanMEDS&#37;202015&#37;20Framework&#95;EN&#95;Reduced&#46;pdf</a> &#91;Accessed 8 October 2019&#93;&#46;"
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib0060"
              "etiqueta" => "12"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "WFME Global Standards for Quality Improvement in Medical Education&#46; European Specifications"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "World Federation for Medical Education &#40;WFME&#41; and The Association of Medical Schools in Europe &#40;AMSE&#41;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:1 [
                        "fecha" => "2007"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib0065"
              "etiqueta" => "13"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Ley 44&#47;2003&#44; de 21 de noviembre&#44; de ordenaci&#243;n de las profesiones sanitarias&#46; BOE n&#250;m&#46; 280&#44; de 22 de noviembre de 2003 Referencia&#58; BOE-A-2003-21340&#46; Texto consolidado&#46; Available from&#58; <a target="_blank" href="https://www.boe.es/buscar/pdf/2003/BOE-A-2003-21340-consolidado.pdf">https&#58;&#47;&#47;www&#46;boe&#46;es&#47;buscar&#47;pdf&#47;2003&#47;BOE-A-2003-21340-consolidado&#46;pdf</a> &#91;Accessed 8 October 2019&#93;&#46;"
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib0070"
              "etiqueta" => "14"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "European Society of Intensive Care Medicine&#46; The CoBaTrICE Collaboration&#58; 1st September 2006&#46; Cobatrice Syllabus&#46; Available from&#58; <a target="_blank" href="http://www.cobatrice.org/Data/upload/images/File/About/Coba-resources/CoBaTrICE_Syllabus%28all%29_v1.0_2006.pdf">http&#58;&#47;&#47;www&#46;cobatrice&#46;org&#47;Data&#47;upload&#47;images&#47;File&#47;About&#47;Coba-resources&#47;CoBaTrICE&#95;Syllabus&#37;28all&#37;29&#95;v1&#46;0&#95;2006&#46;pdf</a> &#91;Accessed 24 September 2019&#93;&#46;"
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib0075"
              "etiqueta" => "15"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cuidados Intensivos de Anestesia&#58; recomendaciones de la Secci&#243;n de Cuidados Intensivos de la Sociedad Espa&#241;ola de Anestesiolog&#237;a"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "P&#46; Monedero"
                            1 => "P&#46; Paz-Mart&#237;n"
                            2 => "J&#46; Cardona-Pereto"
                            3 => "F&#46; Barturen"
                            4 => "L&#46; Fern&#225;ndez-Quero"
                            5 => "L&#46; Aguilera-Celorrio"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.redar.2016.12.007"
                      "Revista" => array:6 [
                        "tituloSerie" => "Rev Esp Anestesiol Reanim&#46;"
                        "fecha" => "2017"
                        "volumen" => "64"
                        "paginaInicial" => "282"
                        "paginaFinal" => "285"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28258746"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib0080"
              "etiqueta" => "16"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "European Diplome in Anaesthesiology and Intensive Care&#46; Available from&#58; <a target="_blank" href="https://www.esahq.org/education/edaic/about">https&#58;&#47;&#47;www&#46;esahq&#46;org&#47;education&#47;edaic&#47;about</a> &#91;Accessed 8 October 2019&#93;&#46;"
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib0085"
              "etiqueta" => "17"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Real Decreto 1146&#47;2006&#44; de 6 de octubre&#44; por el que se regula la relaci&#243;n laboral especial de residencia para la formaci&#243;n de especialistas en Ciencias de la Salud&#46; BOE n&#250;m&#46; 240&#44; de 7 de octubre de 2006&#46; BOE-A-2006-17498&#46; Texto consolidado&#46; Available from&#58; <a target="_blank" href="https://www.boe.es/buscar/pdf/2006/BOE-A-2006-17498-consolidado.pdf">https&#58;&#47;&#47;www&#46;boe&#46;es&#47;buscar&#47;pdf&#47;2006&#47;BOE-A-2006-17498-consolidado&#46;pdf</a> &#91;Accessed 8 October 2019&#93;&#46;"
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib0090"
              "etiqueta" => "18"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Real Decreto 183&#47;2008&#44; por el que se determinan y clasifican las especialidades en Ciencias de la Salud y se desarrollan determinados aspectos del sistema de Formaci&#243;n Sanitaria Especializada &#40;BOE n&#250;m&#46; 45&#44; del jueves 21&#46;02&#46;2008&#41;&#46; Available from&#58; <a target="_blank" href="https://www.boe.es/boe/dias/2008/02/21/pdfs/A10020-10035.pdf">https&#58;&#47;&#47;www&#46;boe&#46;es&#47;boe&#47;dias&#47;2008&#47;02&#47;21&#47;pdfs&#47;A10020-10035&#46;pdf</a> &#91;Accessed 8 October 2019&#93;&#46;"
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/23411929/0000006800000001/v1_202101200640/S2341192921000019/v1_202101200640/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "62207"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Editorial article"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/23411929/0000006800000001/v1_202101200640/S2341192921000019/v1_202101200640/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341192921000019?idApp=UINPBA00004N"
]
Indexed in:

Follow us:

Subscribe:

Article

Indexed in:

Follow us:

Subscribe:

Article

Subscribe to our newsletter
