Hospital Santo Tomás (HST) ('Saint Thomas Hospital'), is a

public hospital A public hospital, or government hospital, is a hospital which is government owned and is fully funded by the government and operates solely off the money that is collected from taxpayers to fund healthcare initiatives. In some countries, this typ ...

in Panama City. It was founded in 1703.

History

The first written mention of HST was on April 11, 1703, in a letter by Juan de Argüeyes, the

Bishop A bishop is an ordained clergy member who is entrusted with a position of authority and oversight in a religious institution. In Christianity, bishops are normally responsible for the governance of dioceses. The role or office of bishop is c ...

Panama City Panama City ( es, Ciudad de Panamá, links=no; ), also known as Panama (or Panamá in Spanish), is the capital and largest city of Panama. It has an urban population of 880,691, with over 1.5 million in its metropolitan area. The city is locat ...

King Philip V of Spain Philip V ( es, Felipe; 19 December 1683 – 9 July 1746) was King of Spain from 1 November 1700 to 14 January 1724, and again from 6 September 1724 to his death in 1746. His total reign of 45 years is the longest in the history of the Spanish mona ...

where he told him about a hospice he founded and that had been working since the day of

Saint Thomas of Villanueva Thomas of Villanova (1488 – September 8, 1555), born Tomás García y Martínez, was a Spanish friar of the Order of Saint Augustine who was a noted preacher, ascetic and religious writer of his day. He became an archbishop who was famous for ...

, September 22, 1702 to treat poor women who had nowhere to go and he begged him to bear to this hospice the title of hospital. In 1819, construction of new facilities to replace the HST were started. This new building was built on "B" Avenue. The new hospital began to treat also men when San Juan de Dios, the hospital for men, was closed by the government of the time. On September 1, 1924, a new complex of buildings was built at the present location, on Balboa Avenue under the administration of President

Belisario Porras Belisario Porras Barahona (28 November 185628 August 1942) was a Panamanian journalist and politician. He served three terms as President of Panama between 1912 and 1924. Porras was born in Las Tablas, on the thirty-fifth anniversary of Panama ...

who wanted to give the country a new, modern hospital. The hospital was built on 5 hectares of which 3 are buildings, streets, sidewalks and parkings and 2 hectares were gardens. Opposition politicians criticized the project, calling it a

white elephant A white elephant is a possession that its owner cannot dispose of, and whose cost, particularly that of maintenance, is out of proportion to its usefulness. In modern usage, it is a metaphor used to describe an object, construction project, sch ...

because they said it was too big for a small country. Time gave President Porras vindication, as 30 years later, when he was on his lasts moments he couldn't find a bed in this hospital, so he had to go to a

Private hospital A private hospital is a hospital not owned by the government, including for-profits and non-profits. Funding is by patients themselves ("self-pay"), by insurers, or by foreign embassies. Private hospitals are commonly part, albeit in varying deg ...

where he died. The Hospital that people said was an exaggeration to this small country, couldn't handle the demand. Even today, the HST is called sometimes the

, but not in a disrespective form. Also, former wards of HST evolved to become independent hospitals by themselves, the pediatric ward became Hospital del Niño (Children's Hospital) and the Oncologic ward became the Instituto Oncologico Nacional (National Oncologic Institute). As a result, the HST takes care of people 15 years old and up, and refers cancer patients to the National Oncologic Institute.

The fourth Hospital

At the end of the 20th century, it was obvious the HST was in need of a major renovation, the fourth of its long history. The hospital complex was built with the building standards of the time, with various separate buildings that housed Residents, a Maternity Ward, ER, administration, outpatient clinic, etc. In 2000 plans began to modernize the facilities by tearing down 5 buildings and replacing them with 4 bigger brand new buildings to bring many services closer. Some buildings were evacuated but maintained as they are considered historical landmarks and plans are in progress to renovate them as a museum or administrative offices for the hospital.

Teaching hospital

HST is one of the biggest

teaching hospital A teaching hospital is a hospital or medical centre that provides medical education and training to future and current health professionals. Teaching hospitals are almost always affiliated with one or more universities and are often co-located ...

s of the country. It is considered a

level I trauma center A trauma center (or trauma centre) is a hospital equipped and staffed to provide care for patients suffering from major traumatic injuries such as falls, motor vehicle collisions, or gunshot wounds. A trauma center may also refer to an emergen ...

. The hospital has the following teaching programs: *

Medical intern A medical intern is a physician in training who has completed medical school and has a medical degree but does not yet have a license to practice medicine unsupervised. Medical education generally ends with a period of practical training similar t ...

ship, that lasts 2 year and it consists on a traditional rotational internship. * Medical Residencies on the following

medical specialties A medical specialty is a branch of medical practice that is focused on a defined group of patients, diseases, skills, or philosophy. Examples include those branches of medicine that deal exclusively with children (paediatrics), cancer (oncology), ...

OB/GYN Obstetrics and Gynaecology (also spelled as Obstetrics and Gynecology; abbreviated as Obs and Gynae, O&G, OB-GYN and OB/GYN) is the medical specialty that encompasses the two subspecialties of obstetrics (covering pregnancy, childbirth, and t ...

, Internal medicine,

Anesthesiology Anesthesiology, anaesthesiology, or anaesthesia is the medical specialty concerned with the total perioperative care of patients before, during and after surgery. It encompasses anesthesia, intensive care medicine, critical emergency medicine, ...

, Surgery,

Orthopedic surgery Orthopedic surgery or orthopedics ( alternatively spelt orthopaedics), is the branch of surgery concerned with conditions involving the musculoskeletal system. Orthopedic surgeons use both surgical and nonsurgical means to treat musculoskeletal ...

Neurosurgery Neurosurgery or neurological surgery, known in common parlance as brain surgery, is the medical specialty concerned with the surgical treatment of disorders which affect any portion of the nervous system including the brain, spinal cord and pe ...

Urology Urology (from Greek οὖρον ''ouron'' "urine" and '' -logia'' "study of"), also known as genitourinary surgery, is the branch of medicine that focuses on surgical and medical diseases of the urinary-tract system and the reproductive org ...

, Otorhinolaryngology,

Radiology Radiology ( ) is the medical discipline that uses medical imaging to diagnose diseases and guide their treatment, within the bodies of humans and other animals. It began with radiography (which is why its name has a root referring to radiat ...

Pneumology Pulmonology (, , from Latin ''pulmō, -ōnis'' "lung" and the Greek suffix "study of"), pneumology (, built on Greek πνεύμων "lung") or pneumonology () is a medical specialty that deals with diseases involving the respiratory tract. ...

Pathology Pathology is the study of the causes and effects of disease or injury. The word ''pathology'' also refers to the study of disease in general, incorporating a wide range of biology research fields and medical practices. However, when used in ...

Ophthalmology Ophthalmology ( ) is a surgical subspecialty within medicine that deals with the diagnosis and treatment of eye disorders. An ophthalmologist is a physician who undergoes subspecialty training in medical and surgical eye care. Following a medic ...

Dermatology Dermatology is the branch of medicine dealing with the skin.''Random House Webster's Unabridged Dictionary.'' Random House, Inc. 2001. Page 537. . It is a speciality with both medical and surgical aspects. A dermatologist is a specialist medica ...

, Emergency Medicine,

Intensive care medicine Intensive care medicine, also called critical care medicine, is a medical specialty that deals with seriously or critically ill patients who have, are at risk of, or are recovering from conditions that may be life-threatening. It includes pro ...

and Vascular surgery. * Also

medical Medicine is the science and practice of caring for a patient, managing the diagnosis, prognosis, prevention, treatment, palliation of their injury or disease, and promoting their health. Medicine encompasses a variety of health care practic ...

nursing Nursing is a profession within the health care sector focused on the care of individuals, families, and communities so they may attain, maintain, or recover optimal health and quality of life. Nurses may be differentiated from other health ...

, physiotherapy and

odontology Dentistry, also known as dental medicine and oral medicine, is the branch of medicine focused on the teeth, gums, and mouth. It consists of the study, diagnosis, prevention, management, and treatment of diseases, disorders, and conditions o ...

students have rotational programs as part of their education.

Medical specialties available

Cardiology Cardiology () is a branch of medicine that deals with disorders of the heart and the cardiovascular system. The field includes medical diagnosis and treatment of congenital heart defects, coronary artery disease, heart failure, valvular h ...

* Cardiovascular surgery * Critical care medicine *

Endocrinology Endocrinology (from '' endocrine'' + '' -ology'') is a branch of biology and medicine dealing with the endocrine system, its diseases, and its specific secretions known as hormones. It is also concerned with the integration of developmental event ...

Gastroenterology Gastroenterology (from the Greek gastḗr- “belly”, -énteron “intestine”, and -logía "study of") is the branch of medicine focused on the digestive system and its disorders. The digestive system consists of the gastrointestinal tract ...

* General Surgery * Hematology * Infectology * Internal medicine * Maxillofacial surgery * Nephrology *

Neurology Neurology (from el, νεῦρον (neûron), "string, nerve" and the suffix -logia, "study of") is the branch of medicine dealing with the diagnosis and treatment of all categories of conditions and disease involving the brain, the spinal ...

Nuclear Medicine Nuclear medicine or nucleology is a medical specialty involving the application of radioactive substances in the diagnosis and treatment of disease. Nuclear imaging, in a sense, is " radiology done inside out" because it records radiation emi ...

Obstetrics and gynaecology Obstetrics and Gynaecology (also spelled as Obstetrics and Gynecology; abbreviated as Obs and Gynae, O&G, OB-GYN and OB/GYN) is the medical specialty that encompasses the two subspecialties of obstetrics (covering pregnancy, childbirth, and t ...

* Otorhinolaryngology * Physiotherapy *

Plastic surgery Plastic surgery is a surgical specialty involving the restoration, reconstruction or alteration of the human body. It can be divided into two main categories: reconstructive surgery and cosmetic surgery. Reconstructive surgery includes cranio ...

Psychiatry Psychiatry is the specialty (medicine), medical specialty devoted to the diagnosis, prevention, and treatment of mental disorders. These include various maladaptations related to mood, behaviour, cognition, and perceptions. See glossary of psych ...

Thoracic surgery Cardiothoracic surgery is the field of medicine involved in surgical treatment of organs inside the thoracic cavity — generally treatment of conditions of the heart (heart disease), lungs (lung disease), and other pleural or mediastinal stru ...

External links

*
Alonso Roy's account of the inauguration of St. Thomas Hospital Building in 1924.
{{Authority control Hospitals in Panama Hospital buildings completed in 1819 Hospital buildings completed in 1924 Hospitals established in the 1700s 1703 establishments in the Spanish Empire Buildings and structures in Panama City