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ISSN 2007-5057 (Print)
Investigación en Educación Médica

2017, Number 23

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Inv Ed Med 2017; 6 (23)

Experiences of Mexican resident physicians during their first year of education

Acosta-Fernández M, Aguilera-Velasco MÁ, Pozos-Radillo BE, Torres-López TM, Parra OL

Language: Spanish
References: 26
Page: 169-179
PDF size: 208.57 Kb.


ABSTRACT

Introduction: Research into the academic training of resident physicians in Mexico has steadily grown. However, there are very few qualitative studies on the experiences of future medical specialists, particularly during the first year of academic training when there are a variety of situations that challenge the adaptability of students.
Objective: To determine, describe and interpret the experiences of medical residents during their first year of training and the influence on their welfare and health.
Method: Phenomenological study that included 18 depth interviews was conducted on 13 medical residents. Data collection was completed to obtain saturation. The Atlas.ti® program for qualitative data analysis was used.
Results: Training of medical residents was characterised by work overload, absence of control, and ambiguity in roles to play, lack of support, and scarcity of resources. There were also, imposing, threatening, humiliating, and power relationships with their superiors, as well as discrediting by general practitioners, damage to personal life, stress, and burnout.
Conclusions: The impact that academic training can have on the health of medical residents was manifested differently if one has to move to another city. They need to be offered psychological support during their training and treated as persons deserving support and respect.


REFERENCES

  1. De Souza Minayo MC. Los conceptos estructurantes de la investigacióncualitativa. Salud Colect. 2010;6:251---61.

  2. Schütz A. El problema de la realidad social: Escritos I. BuenosAires: Amorrortu; 2003.

  3. Schütz A, Luckman T. Las estructuras del mundo de la vida.Buenos Aires: Amorrortu; 1973.

  4. Schütz A. La construcción significativa del mundo social: Introduccióna la sociología comprensiva. 1.a reimp Barcelona:Paidós; 1993.

  5. Ley Federal del Trabajo, Capítulo XVI, Artículo 353, incisos A-I(12 de junio de 2015).

  6. Norma Oficial Mexicana. Educación en salud. Para la organizacióny funcionamiento de residencias médicas. NOM-001-SSA3-2012 (4 de enero de 2013).

  7. Hamui A, Varela ME, González E, Vives T, Uribe G, Morales-Castillo JD. Gestión académica de los ciclos clínicos: relacionesy tensiones entre la universidad y el hospital. Inv Ed Med.2016;5:67---74.

  8. Verdonk P, Räntzch V, de Vries R, Houkes I. Show what you knowand deal with stress yourself: A qualitative interview study ofmedical interns’ perceptions of stress and gender. BMC Med Edu.2014;1:13.

  9. Hafferty FW, Gaufberg E, O’Donnell JF. The role of thehidden curriculum in On Doctoring courses. AMA J Ethics.2015;17:129---37.

  10. Cook A, Vineet VM, Rasinski KA, Curlin FA, Yoon JD. Theprevalence of medical student mistreatment and itsassociation with burnout. Acad Med. 2014;89:749---54,http://dx.doi.org/10.1097/ACM.0000000000000204

  11. Fried JM, Vermillion M, Parker NH, Uijtdehaage S. Eradicatingmedical student mistreatment: A longitudinal studyof one institution’s efforts. Acad Med. 2012;87:1191---8,http://dx.doi.org/10.1097/ACM.0b013e3182625408

  12. Angoff NR, Duncan L, Roxas N, Hansen H. Power day:Addressing the use and abuse of power in medical training.J Bioeth Inq. 2016;13:203---13, http://dx.doi.org/10.1007/s11673-016-9714-4

  13. Babbie ER. The Basics of Social Research. 7th ed. Boston, MA:Cenage Learning; 2016.

  14. Flick U. La gestión de la calidad en investigación cualitativa.Madrid: Ediciones Morata; 2014.

  15. Lincoln YS, Guba EG. Naturalistic Inquiry. Beverly Hills, CA: SageFocus Editions; 1985.

  16. Guba EG, Lincoln YS. Effective evaluation: Improving the usefulnessof evaluation results through responsive and naturalisticapproaches. 1st ed. San Francisco, CA: Jossey-Bass Publishers;1992.

  17. Giddens A. Central problems in social theory: Action, structure,and contradiction in social analysis. 1st ed. Berkeley: Universityof California Press; 1979.

  18. Instituto Mexicano del Seguro Social. Memoria Estadística 2015.Capítulo VII: Formación de Personal de los Servicios de Salud, ycapítulo XII: Recursos Materiales y Financieros. Disponible en:http://www.imss.gob.mx/conoce-al-imss/memoria-estadistica-2015

  19. Sánchez-Mendiola M. Liderazgo en medicina: ¿debemosense˜narlo y evaluarlo? Inv Ed Med. 2015;4:99---107.

  20. Hamui-Sutton A, Vives-Varela T, Gutiérrez-Barreto S, Castro-Ramírez S, Lavalle-Montalvo C, Sánchez-Mendiola M. Culturaorganizacional y clima: el aprendizaje situado en las residenciasmédicas. Inv Ed Med. 2014;3:74---84.

  21. Bynum WE, Lindeman B. Caught in the middle: A residentperspective on influences from the learning environment thatperpetuate mistreatment. Acad Med. 2016;91:301---4.

  22. Castro R. Génesis y práctica del habitus autoritario. Rev MexSociol. 2014;76:167---97.

  23. Hurst C, Kaha D, Ruetalo M, Edwards S. A year in transition:A qualitative study examining the trajectory of first year residents’well-being. BMC Med Edu. 2013;13:96.

  24. Bouteiller M, Cordonnier D. Contraintes a l’origine de lasouffrance des internes en médecine: analyse par entretienssemi-dirigés [disertación]. Grenoble, Francia: Université JosephFourier; 2013.

  25. Fortoul TI. Lo que decimos y lo que hacemos, la incongruenciaen la ense˜nanza de los buenos hábitos: el currículo oculto. InvEd Med. 2013;2:119---212.

  26. Código de bioética para el personal de salud. Comisión Nacionalde Bioética: 2002.




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