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there are large gaps in the management of cardiovascular disease and&#44; in particular&#44; controlling the CRFs that cause the disease&#46; Specific training on cardiovascular risk &#40;CVR&#41; is therefore essential for improving patients&#8217; healthcare and reducing the likelihood of the onset or recurrence of cardiovascular disease&#44; impaired quality of life&#44; disability and associated mortality&#46; Physicians need to acquire training and expertise necessary to be competent in the clinical&#44; diagnostic&#44; and therapeutic management of cardiovascular disease and CRFs&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">Thus&#44; the internist&#8217;s inclusive approach &#40;maintaining an overall view of the patient&#41; and their ability to act as a reference for specific diseases<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> offer internists an ideal position from which to respond to this pressing societal need&#46; Numerous data are confirming the strategic role of internists in managing and treating cardiovascular diseases&#46; In the outpatient activity of Internal Medicine&#44; for example&#44; both in general and specialized consultations&#44; more than 90&#37; of patients have some CRF&#44; and approximately half have an established cardiovascular disease&#44; regardless of the type of hospital&#46;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">7</span></a></p><p id="par0030" class="elsevierStylePara elsevierViewall">As stated in the royal decree that governs the training program for the Internal Medicine specialty&#44;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> the clinical care of patients in CVR units is specifically included in the internist&#8217;s sphere of action&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">However&#44; there are currently no documents that establish the CVR training of Resident physicians in Internal Medicine &#40;RIMs&#41;&#44; the content to be taught&#44; the conduct of the training activities&#44; or the training objectives&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0030">Objectives</span><p id="par0040" class="elsevierStylePara elsevierViewall">The objective of this document was to reach a consensus and unify the recommendations for the specific training of RIMs in this health area&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">To this end&#44; the Cardiovascular Risk Workgroup of the Spanish Society of Internal Medicine &#40;SEMI&#41; proposed the development of a consensus document among all members of the group&#46; After preparing the initial draft&#44; the document was presented at the 14th group meeting in Madrid and was subsequently submitted to every member of the workgroup &#40;which has more than 800 internists enrolled in the group&#41;&#44; for their review and subsequent modification with the reported comments&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">As a result&#44; the group developed this document&#44; which specifies the proposed training in CVR for RIMs&#46;</p><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">General objectives</span><p id="par0055" class="elsevierStylePara elsevierViewall">RIMs should acquire&#8230; <ul class="elsevierStyleList" id="lis0005"><li class="elsevierStyleListItem" id="lsti0005"><span class="elsevierStyleLabel">1</span><p id="par0060" class="elsevierStylePara elsevierViewall">Knowledge of basic concepts of atherogenesis and thrombosis&#44; the CRFs&#44; their repercussion on health&#44; and how to prevent and treat cardiovascular disease&#46;</p></li><li class="elsevierStyleListItem" id="lsti0010"><span class="elsevierStyleLabel">2</span><p id="par0065" class="elsevierStylePara elsevierViewall">Experience in the use of diagnostic and therapeutic techniques for CVR&#46;</p></li><li class="elsevierStyleListItem" id="lsti0015"><span class="elsevierStyleLabel">3</span><p id="par0070" class="elsevierStylePara elsevierViewall">Study and training habits on CVR issues&#46; Updated knowledge on the clinical practice guidelines and the ability to critically read the literature on CVR&#46;</p></li><li class="elsevierStyleListItem" id="lsti0020"><span class="elsevierStyleLabel">4</span><p id="par0075" class="elsevierStylePara elsevierViewall">Ability to conduct research on CVR&#59; interpretation and collaboration with clinical trials and other studies on CVR&#59; communication and publication entitled of studies in journals&#44; etc&#46;</p></li><li class="elsevierStyleListItem" id="lsti0025"><span class="elsevierStyleLabel">5</span><p id="par0080" class="elsevierStylePara elsevierViewall">Skills for participating in the various workgroups&#44; meetings&#44; and congresses on CVR&#46;</p></li></ul></p><p id="par0085" class="elsevierStylePara elsevierViewall">To achieve these objectives&#44; the residents should finalize their training specifically in CVR units that are accredited by SEMI for this purpose&#46; In addition&#44; a specific assessment system for this rotation could be established&#44; with varying levels of accreditation based on achieving these objectives&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Theoretical knowledge</span><p id="par0090" class="elsevierStylePara elsevierViewall"><ul class="elsevierStyleList" id="lis0010"><li class="elsevierStyleListItem" id="lsti0030"><span class="elsevierStyleLabel">1</span><p id="par0095" class="elsevierStylePara elsevierViewall">Concept and classification of CRFs&#46;</p></li><li class="elsevierStyleListItem" id="lsti0035"><span class="elsevierStyleLabel">2</span><p id="par0100" class="elsevierStylePara elsevierViewall">Epidemiology of vascular disease and CRFs&#46;</p></li><li class="elsevierStyleListItem" id="lsti0040"><span class="elsevierStyleLabel">3</span><p id="par0105" class="elsevierStylePara elsevierViewall">Calculation of CVR&#46; CVR stratification scales&#46; Techniques for improving RF stratification&#46;</p></li><li class="elsevierStyleListItem" id="lsti0045"><span class="elsevierStyleLabel">4</span><p id="par0110" class="elsevierStylePara elsevierViewall">Primary and secondary prevention of vascular disease&#46;</p></li><li class="elsevierStyleListItem" id="lsti0050"><span class="elsevierStyleLabel">5</span><p id="par0115" class="elsevierStylePara elsevierViewall">Arterial hypertension&#46; Classification&#46; Diagnosis&#46; Treatment&#46; Management of hypertension in special populations&#46;</p></li><li class="elsevierStyleListItem" id="lsti0055"><span class="elsevierStyleLabel">6</span><p id="par0120" class="elsevierStylePara elsevierViewall">Dyslipidemia&#46; Classification&#46; Diagnosis&#46; Treatment&#46; Management of dyslipidemia in special populations&#46;</p></li><li class="elsevierStyleListItem" id="lsti0060"><span class="elsevierStyleLabel">7</span><p id="par0125" class="elsevierStylePara elsevierViewall">Diabetes mellitus&#46; Classification&#46; Diagnosis&#46; Treatment&#46; Microvascular and macrovascular complications&#46; Management of diabetes in special populations&#46;</p></li><li class="elsevierStyleListItem" id="lsti0065"><span class="elsevierStyleLabel">8</span><p id="par0130" class="elsevierStylePara elsevierViewall">Tobacco use&#46; Diagnosing and treating tobacco use&#46;</p></li><li class="elsevierStyleListItem" id="lsti0070"><span class="elsevierStyleLabel">9</span><p id="par0135" class="elsevierStylePara elsevierViewall">Obesity and excess weight&#46; Classification&#46; Diagnosis and treatment&#46;</p></li><li class="elsevierStyleListItem" id="lsti0075"><span class="elsevierStyleLabel">10</span><p id="par0140" class="elsevierStylePara elsevierViewall">Metabolic syndrome and fatty liver disease&#46; Classification&#46; Diagnosis&#46; Treatment&#46;</p></li><li class="elsevierStyleListItem" id="lsti0080"><span class="elsevierStyleLabel">11</span><p id="par0145" class="elsevierStylePara elsevierViewall">Physical inactivity&#46; Diagnosis&#46; Treatment&#46;</p></li><li class="elsevierStyleListItem" id="lsti0085"><span class="elsevierStyleLabel">12</span><p id="par0150" class="elsevierStylePara elsevierViewall">Other CRFs&#46; Emerging CRFs&#46;</p></li><li class="elsevierStyleListItem" id="lsti0090"><span class="elsevierStyleLabel">13</span><p id="par0155" class="elsevierStylePara elsevierViewall">Atherogenesis and thrombosis&#46; Diagnosis and treatment&#46;</p></li><li class="elsevierStyleListItem" id="lsti0095"><span class="elsevierStyleLabel">14</span><p id="par0160" class="elsevierStylePara elsevierViewall">Established vascular disease&#58; coronary artery disease&#44; cerebrovascular disease&#44; and peripheral arterial disease&#46; Diagnosis and treatment&#46;</p></li></ul></p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Practical knowledge&#46; Technical skills</span><p id="par0165" class="elsevierStylePara elsevierViewall">The resident physician should familiarize themselves with the various techniques employed in CVR and be able to establish their indication and interpretation and acquire skills for performing the techniques when available in the CVR unit&#46;</p><p id="par0170" class="elsevierStylePara elsevierViewall">For practical purposes&#44; the various techniques have been divided into six main knowledge areas&#58;<ul class="elsevierStyleList" id="lis0015"><li class="elsevierStyleListItem" id="lsti0100"><span class="elsevierStyleLabel">1</span><p id="par0175" class="elsevierStylePara elsevierViewall">Vascular surgery</p></li><li class="elsevierStyleListItem" id="lsti0105"><span class="elsevierStyleLabel">2</span><p id="par0180" class="elsevierStylePara elsevierViewall">Hypertension area</p></li><li class="elsevierStyleListItem" id="lsti0110"><span class="elsevierStyleLabel">3</span><p id="par0185" class="elsevierStylePara elsevierViewall">Lipid area</p></li><li class="elsevierStyleListItem" id="lsti0115"><span class="elsevierStyleLabel">4</span><p id="par0190" class="elsevierStylePara elsevierViewall">Diabetes area</p></li><li class="elsevierStyleListItem" id="lsti0120"><span class="elsevierStyleLabel">5</span><p id="par0195" class="elsevierStylePara elsevierViewall">Tobacco use area</p></li><li class="elsevierStyleListItem" id="lsti0125"><span class="elsevierStyleLabel">6</span><p id="par0200" class="elsevierStylePara elsevierViewall">Obesity area</p></li></ul></p><p id="par0205" class="elsevierStylePara elsevierViewall"><a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a> specifies the various techniques ordered by several areas of knowledge&#44; which&#44; in turn&#44; are divided into two groups&#58; techniques that RIMs should know how to interpret &#40;I&#41; and techniques that RIMs should know how to perform and interpret &#40;P&#41;&#46; The latter of these groups can be differentiated into the mandatory and recommended&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Teaching and research activity</span><p id="par0210" class="elsevierStylePara elsevierViewall">Physicians in training should actively participate in all teaching and research activities conducted by the CVR unit&#46;</p><p id="par0215" class="elsevierStylePara elsevierViewall">The RIMs should&#8230; <ul class="elsevierStyleList" id="lis0020"><li class="elsevierStyleListItem" id="lsti0130"><span class="elsevierStyleLabel">1</span><p id="par0220" class="elsevierStylePara elsevierViewall">Conduct sessions &#40;clinical&#44; scientific literature&#44; anatomical-clinical&#44; etc&#46;&#41;&#46; The recommendation is for the resident to present at least one clinical&#47;update session on CVR or cardiovascular disease during their rotation&#46;</p></li><li class="elsevierStyleListItem" id="lsti0135"><span class="elsevierStyleLabel">2</span><p id="par0225" class="elsevierStylePara elsevierViewall">Collaborate on the various research lines and projects conducted by the unit&#46;</p></li><li class="elsevierStyleListItem" id="lsti0140"><span class="elsevierStyleLabel">3</span><p id="par0230" class="elsevierStylePara elsevierViewall">Submit oral presentations and posters in national and international meetings and congresses on CVR&#46;</p></li><li class="elsevierStyleListItem" id="lsti0145"><span class="elsevierStyleLabel">4</span><p id="par0235" class="elsevierStylePara elsevierViewall">Participate in the publication of studies in national and international journals&#46;</p></li><li class="elsevierStyleListItem" id="lsti0150"><span class="elsevierStyleLabel">5</span><p id="par0240" class="elsevierStylePara elsevierViewall">Complete their training through attendance in external activities&#58; courses&#44; workshops&#44; updates&#44; etc&#46; The recommendation is for residents to attend the national meeting of the Cardiovascular Risk Workgroup of SEMI during the residents&#8217; year of rotation&#46;</p></li></ul></p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0055">Duration of the rotation</span><p id="par0245" class="elsevierStylePara elsevierViewall">The recommendation is an average rotation duration of 3 months in the CVR unit of the Internal Medicine department&#46;</p></span></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0060">Conclusions</span><p id="par0250" class="elsevierStylePara elsevierViewall">Cardiovascular disease is currently a major health problem&#44; not only for its high prevalence but also for the considerable morbidity&#44; mortality and disability it entails&#46;</p><p id="par0255" class="elsevierStylePara elsevierViewall">However&#44; there are large gaps in the management of cardiovascular disease and&#44; in particular&#44; controlling the CRFs that cause the disease&#46;</p><p id="par0260" class="elsevierStylePara elsevierViewall">Internists currently play a central role in the approach to this condition&#46; Improving the knowledge of RIMs who will address these patients and updating them on the correct assessment and control of CVR will therefore be key elements in providing an appropriate response to this severe health problem&#46;</p><p id="par0265" class="elsevierStylePara elsevierViewall">This article presents the proposed teaching plan for training in CVR of the Cardiovascular Risk Workgroup of SEMI as s contribution from our society to a specific training need in CVR&#46;</p><p id="par0270" class="elsevierStylePara elsevierViewall">Implementing this proposal would provide an important benefit&#44; not only for medical internists in training but also for society as a whole&#46;</p></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">Conflicts of interest</span><p id="par0275" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflicts of interest&#46;</p><p id="par0280" class="elsevierStylePara elsevierViewall">No fundings to declare</p></span></span>"
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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Vascular disease is currently a major health problem&#44; not only for its high prevalence but also for the considerable morbidity&#44; mortality and disability that it entails&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Medical internists play a central role in diagnosing and treating vascular disease and controlling the cardiovascular risk factors &#40;CRFs&#41; that cause it&#46; In fact&#44; the clinical care of patients in cardiovascular risk units is a specific characteristic of an internist&#8217;s field of action&#46;</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">This article contains the consensus document for the training of residents in CRFs&#46; This proposal by the Cardiovascular Risk Workgroup of the Spanish Society of Internal Medicine emerged as a response by our society to the specific need for training in CRFs&#46;</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Implementing this proposal would provide an important benefit&#44; not only for medical internists in training but also for society as a whole&#46;</p></span>"
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        "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">En la actualidad la enfermedad vascular &#40;EV&#41; constituye un problema de salud de primer orden&#44; no solo por su elevada prevalencia sino tambi&#233;n por la gran morbi-mortalidad y discapacidad que conlleva&#46;</p><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">El m&#233;dico internista juega un papel central en el diagn&#243;stico y tratamiento de la EV&#44; as&#237; como en el control de los factores de riesgo vascular &#40;RV&#41; que la causan&#46; De hecho&#44; dentro del campo de acci&#243;n del internista figura espec&#237;ficamente la atenci&#243;n cl&#237;nica a enfermos en Unidades de RV&#46;</p><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">En este art&#237;culo se recoge el documento de consenso para la formaci&#243;n de residentes en RV&#46; Esta propuesta del Grupo de Trabajo de RV de la Sociedad Espa&#241;ola de Medicina Interna surge como respuesta de nuestra Sociedad a una necesidad espec&#237;fica formativa en RV&#46;</p><p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">Pensamos que su implantaci&#243;n supondr&#225; un beneficio importante&#44; no solo para el m&#233;dico internista en formaci&#243;n&#44; sino tambi&#233;n para la sociedad en su conjunto&#46;</p></span>"
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        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Castilla Guerra L&#44; Su&#225;rez Fern&#225;ndez C&#44; Mostaza JM&#44; Valdivielso Felices P&#44; Torres do Rego A et al&#46; Documento de consenso para la formaci&#243;n de residentes en riesgo vascular&#46; Rev Clin Esp&#46; 2020&#59;220&#58;587&#8211;591&#46;</p>"
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          "leyenda" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">&#40;I&#41; Techniques that clinicians should know how to interpret&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">&#40;P&#41; Techniques that clinicians should know how to perform and interpret&#58; &#40;Pm&#41;&#44; Mandatory&#59; &#40;Pr&#41;&#44; Recommended&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Abbreviations&#58; APOE&#44; apolipoprotein E&#59; CT&#44; computed tomography&#59; Hb&#44; a1cglycated hemoglobin&#59; HOMA&#44; homeostatic model assessment&#59; MRA&#44; magnetic resonance angiography&#59; MRI&#44; magnetic resonance imaging&#46;</p>"
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                  \t\t\t\t"><span class="elsevierStyleItalic">Abdominal ultrasound&#58; screening of abdominal aortic aneurisms&#46; Fatty liver assessment &#40;Pm&#41;&#46;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Other vascular ultrasounds&#58; femoral ultrasound&#46; Echo-Doppler of renal arteries &#40;Pr&#41;&#46;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Ankle-brachial pressure index &#40;Pm&#41;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Arterial stiffness study</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Other parameters derived from the pulse wave &#40;I&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Cardiac MRA &#40;I&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Arterial MRA and angio-CT &#40;I&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Clinical echocardiography&#58; measurement of interventricular septum&#44; posterior wall&#44; atrial size&#44; E&#47;A wave ratio &#40;Pr&#41;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Analytical studies of secondary phases&#58; plasma renin activity&#47;aldosterone&#44; cortisol&#44; catecholamines and metanephrines &#40;I&#41;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Assessment of dependence&#46; Fagerstr&#246;m test &#40;Pm&#41;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleBold">Obesity area</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Abdominal circumference &#40;Pm&#41;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Techniques for assessing obesity and body fat&#58; calipers&#44; impedance audiometry &#40;Pr&#41;&#46;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
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                      "titulo" => "Risk factors control for primary prevention of cardiovascular disease in men&#58; Evidence from the Aragon Workers Health Study &#40;AWHS&#41;"
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                        0 => array:2 [
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                            0 => "I&#46; Aguilar-Palacio"
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                            2 => "C&#46; Feja"
                            3 => "M&#46; Lallana"
                            4 => "M&#46; Le&#243;n-Latre"
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Vol. 220. Issue 9.
Pages 587-591 (December 2020)
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Vol. 220. Issue 9.
Pages 587-591 (December 2020)
Special article
Consensus document for the training of residents in cardiovascular risk
Documento de consenso para la formación de residentes en riesgo vascular
Visits
8
L. Castilla Guerraa,
Corresponding author
castillafernandez@hotmail.com

Corresponding author.
, C. Suárez Fernándezb, J.M. Mostazac, P. Valdivielso Felicesd, A. Torres do Regoe, J.F. Gómez Cerezof, on behalf of the Vascular Risk Workgroup of the Spanish Society of Internal Medicine
a Servicio de Medicina Interna, Hospital Universitario Virgen Macarena, Sevilla, Spain
b Servicio de Medicina Interna, Hospital Universitario de La Princesa, Madrid, Spain
c Servicio de Medicina Interna, Hospital Universitario Carlos III. Madrid, Spain
d Servicio de Medicina Interna, Hospital Clínico Universitario Virgen de la Victoria. Málaga, Spain
e Servicio de Medicina Interna, Hospital General Universitario Gregorio Marañón. Madrid, Spain
f Servicio de Medicina Interna, Hospital Universitario Infanta Sofía, Madrid, Spain
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Table 1. Recommended practical knowledge and technical skills for the training of medical internists in cardiovascular risk.
Abstract

Vascular disease is currently a major health problem, not only for its high prevalence but also for the considerable morbidity, mortality and disability that it entails.

Medical internists play a central role in diagnosing and treating vascular disease and controlling the cardiovascular risk factors (CRFs) that cause it. In fact, the clinical care of patients in cardiovascular risk units is a specific characteristic of an internist’s field of action.

This article contains the consensus document for the training of residents in CRFs. This proposal by the Cardiovascular Risk Workgroup of the Spanish Society of Internal Medicine emerged as a response by our society to the specific need for training in CRFs.

Implementing this proposal would provide an important benefit, not only for medical internists in training but also for society as a whole.

Keywords:
Programme
Training
Cardiovascular risk
Cardiovascular disease
Resident
Internal Medicine
Resumen

En la actualidad la enfermedad vascular (EV) constituye un problema de salud de primer orden, no solo por su elevada prevalencia sino también por la gran morbi-mortalidad y discapacidad que conlleva.

El médico internista juega un papel central en el diagnóstico y tratamiento de la EV, así como en el control de los factores de riesgo vascular (RV) que la causan. De hecho, dentro del campo de acción del internista figura específicamente la atención clínica a enfermos en Unidades de RV.

En este artículo se recoge el documento de consenso para la formación de residentes en RV. Esta propuesta del Grupo de Trabajo de RV de la Sociedad Española de Medicina Interna surge como respuesta de nuestra Sociedad a una necesidad específica formativa en RV.

Pensamos que su implantación supondrá un beneficio importante, no solo para el médico internista en formación, sino también para la sociedad en su conjunto.

Palabras clave:
Programa
Formación
Riesgo vascular
Enfermedad vascular
Residente
Medicina Interna

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