|The Nutrition and Health Transition of Democratic Costa Rica (INFDC, 1995, 228 p.)|
|2. Development of the social security institute|
When the old Central Hospital became the promoter of academic medicine, training activities became a priority and were expanded in the following ways:
· Costa Rican students were accepted to complete their required internships.
· The first residencies for physicians already qualified were established to introduce full-time hospital employment.
· Resources were created that were used by the University Residence and Internship Commission to train the first specialists.
· Parallel university courses for the Beaching of medicine, surgery, and obstetrics- gynecology began in 1966.
· The training program for nurses was organized and later associated with a School of Nursing.
· Courses for auxiliary nurses were organized in both metropolitan and rural hospitals. All the technicians working in the area of patient services received special training through the courses provided by the College of Medicine and Microbiology.
· An agreement was signed with the University of Costa Rica in 1974 and renewed in 1984, to use the clinics of the Social Security Institute for teaching and research.
· An agreement was reached with the Post-graduate studies program of the University of Costa Rica for training in 34 clinical specialties with the Social Security Institute assuming the financial and administrative responsibility.
· The Center for Teaching and Investigation was established in 1974 to provide institutional coordination. In 1982, because of its academic development the Center for Research in Health and Social Security (CENDEISS) and its building space doubled with the addition of a new auditorium and more classrooms.
· In 1988, CENDEISS became the Center for Development Strategy and Information on Health and Social Security focusing on the formation of human resources based on institutional goals established by health policies of the Institute and of the government pare of the National Development Plan.