In a 2004 editorial in this journal, I wondered if it was possible to think about the academic practice of surgery in Colombia. I had doubts about the feasibility of such a model, in view of the tremendous threats to the health system and the passivity of the university world that seemed to succumb to the galloping growth of the administrative bodies of the aforementioned insurance system. Today I return to this space by kind invitation of its editors and I celebrate the important article by Monica Bejarano Intellectual production of universities.