Análisis de la percepción del programa de formación de médicos residentes de medicina interna en Latinoamérica: una encuesta de opinión
Date
Subject
Residentes
medicina interna programas de residencias
centros de formación
condiciones laborales
Residents
internal medicine
residency programs
training centers
working conditions
medicina interna programas de residencias
centros de formación
condiciones laborales
Residents
internal medicine
residency programs
training centers
working conditions
Language:
Journal Title
Journal ISSN
Volume Title
Publisher
Intituto Tecnológico de Santo Domingo (INTEC)
Objetivo:
Evaluar la percepción de los residentes de medicina interna en Latinoamérica respecto al cumplimiento del programa académico, carga laboral, impacto en su vida personal, sueldo, fuentes de información académica y la prevalencia de maltrato por parte de superiores.
Métodos:
Se empleó un diseño transversal descriptivo, incluyendo a médicos residentes de medicina interna de Latinoamérica que respondieron a una encuesta en un formulario de Google. Para el análisis de los datos se utilizaron la media, desviación estándar y porcentajes.
Resultados:
Fueron incluidos un total de 566 médicos residentes de medicina interna de dieciocho países, 53.70% mujeres, solteros 79.70%. Años de graduado fue de 5.18 ± 2.81. Elección de medicina interna fue primera opción en 79.20%. El 25.3% admitió que el programa de clases teóricas se cumplía en un 100.00%, y el 20% manifestó que se cumplía sólo un 50% de los horarios programados. El 48.10% desconoce los objetivos del programa. El 61.60% no tiene facilidades para desarrollar una investigación durante su formación. Las horas de descanso son 5.35 ±1.2 en un día habitual y 2.1 ±1.5 en un día de guardia. El 68.6% realiza dos guardias semanales, y el 20.70% realiza tres. El 67.50% no tiene descanso post guardia. El 76.50% reconoce algún tipo de error médico durante la práctica, asignando las causas a: desconocimiento (77%) y fatiga / cansancio (76.70%). El 53% sufrió alguna forma de agresión verbal y el 44% humillación en público, agresión sexual en el 4.00%. Tareas humillantes: 31.40% y sanciones injustas o desproporcionadas en el 37.00%. Carga laboral muy intensa (40.30%) e intensa (43.30%). Dicha carga laboral afecta la vida familiar en el 75.00% y al estado de ánimo en el 79.00%. El 41.00% no contaba con dormitorios adecuados en su ámbito formativo. En más del 50.00% el sueldo de residente no alcanzaba para cubrir el 100.00% de sus gastos totales. Menos del 60% de residentes encuestados contaba con biblioteca física, biblioteca virtual, revistas actualizadas y acceso a bases de datos diagnósticas.
Conclusiones:
Los residentes reportan una percepción negativa respecto al cumplimiento de su programa académico, la carga laboral, el impacto en su vida personal, los sueldos, las fuentes de información académica y la frecuencia de conductas inapropiadas por parte de médicos tutores o residentes de mayor rango.
Objective: To evaluate the perception of internal medicine residents in Latin American countries regarding compliance with the academic program, workload, impact on personal life, salary, academic information sources, and the occurrence of various misconducts by superiors. Methods: A descriptive cross-sectional design was used, including internal medicine residents from Latin America who completed a survey in a Google form. Data analysis involved the use of means, standard deviations, and percentages. Results: A total of 566 internal medicine residents were included from eighteen countries participated, 53.70% were women, and 79.70% were single. Average years since graduation: 5.18 ± 2.81. Choosing internal medicine as the first option was reported by 79.20%. Only 25.30% confirmed that the theoretical class program was fully completed, and 20% stated that only 50.00% of the scheduled hours were fulfilled. About 48.10% were unaware of the program’s objectives. A total of 61.60% reported no facilities to conduct research during their training. Average rest hours are 5.35 ± 1.2 on a regular day and 2.1 ± 1.5 on a call day. 68.60% have two weekly calls, and 20.70% have three. Additionally, 67.50% do not have post-call rest. As for medical errors, 76.50% acknowledged some form of error during practice, attributing these to lack of knowledge (77.00%) and fatigue/exhaustion (76.70%). Also, 53.00% experienced some form of verbal aggression and 44% public humiliation, with 4% reporting sexual aggression. Humiliating tasks were reported by 31.40% and unfair or disproportionate sanctions by 37%. A very intense workload was reported by 40.30% and intense by 43.30%, which impacts family life for 75.00% and mood for 79%. About 41.00% did not have adequate dormitories in their training environment. Over 50% of the residents’ salary did not cover 100% of their total expenses. Less than 60.00% of the residents surveyed had access to a physical library, virtual library, current journals, and diagnostic databases. Conclusions: Residents report a negative perception regarding the fulfillment of their academic program, workload, impact on personal life, salaries, academic information sources, and the frequency of inappropriate behaviors by supervising doctors or higher-ranking residents.
Objective: To evaluate the perception of internal medicine residents in Latin American countries regarding compliance with the academic program, workload, impact on personal life, salary, academic information sources, and the occurrence of various misconducts by superiors. Methods: A descriptive cross-sectional design was used, including internal medicine residents from Latin America who completed a survey in a Google form. Data analysis involved the use of means, standard deviations, and percentages. Results: A total of 566 internal medicine residents were included from eighteen countries participated, 53.70% were women, and 79.70% were single. Average years since graduation: 5.18 ± 2.81. Choosing internal medicine as the first option was reported by 79.20%. Only 25.30% confirmed that the theoretical class program was fully completed, and 20% stated that only 50.00% of the scheduled hours were fulfilled. About 48.10% were unaware of the program’s objectives. A total of 61.60% reported no facilities to conduct research during their training. Average rest hours are 5.35 ± 1.2 on a regular day and 2.1 ± 1.5 on a call day. 68.60% have two weekly calls, and 20.70% have three. Additionally, 67.50% do not have post-call rest. As for medical errors, 76.50% acknowledged some form of error during practice, attributing these to lack of knowledge (77.00%) and fatigue/exhaustion (76.70%). Also, 53.00% experienced some form of verbal aggression and 44% public humiliation, with 4% reporting sexual aggression. Humiliating tasks were reported by 31.40% and unfair or disproportionate sanctions by 37%. A very intense workload was reported by 40.30% and intense by 43.30%, which impacts family life for 75.00% and mood for 79%. About 41.00% did not have adequate dormitories in their training environment. Over 50% of the residents’ salary did not cover 100% of their total expenses. Less than 60.00% of the residents surveyed had access to a physical library, virtual library, current journals, and diagnostic databases. Conclusions: Residents report a negative perception regarding the fulfillment of their academic program, workload, impact on personal life, salaries, academic information sources, and the frequency of inappropriate behaviors by supervising doctors or higher-ranking residents.
Description
Type
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
info:eu-repo/semantics/publishedVersion
Source
Science and Health; Vol. 8 No. 3 (2024): Science and Health, september-december; 7-24
Ciencia y Salud; Vol. 8 Núm. 3 (2024): Ciencia y Salud, septiembre-diciembre; 7-24
2613-8824
2613-8816
10.22206/cysa.2024.v8i3
Ciencia y Salud; Vol. 8 Núm. 3 (2024): Ciencia y Salud, septiembre-diciembre; 7-24
2613-8824
2613-8816
10.22206/cysa.2024.v8i3