2024, Number 50
<< Back Next >>
Inv Ed Med 2024; 13 (50)
Exploration on the degree of compliance with the rights of medical residents in Mexico
Castro R, Sarmiento-Chavero M, Romay-Hidalgo F, Castañeda-Prado A
Language: Spanish
References: 27
Page: 56-67
PDF size: 547.98 Kb.
ABSTRACT
Introduction: Despite legislation guaranteeing the rights
of resident doctors, there are practices that go against
these regulations. Mistreatment and violence suffered by
resident doctors have been documented, but there are
few studies from a legal perspective.
Objective: to determine the degree of compliance with
the rights of resident doctors according to current regulations
in Mexico.
Method: an online survey was applied to resident physicians
on different topics related to their academic and
work environment, experiences of violence and knowledge
and exercise of their rights such as knowledge of
their training program, medical assistance, support for
care and others. We constructed a rights compliance
index based on seven dimensions.
Results: 678 resident physicians answered the survey.
Deficiencies were observed in the fulfillment of the rights
of those in residency. Problems were identified in knowledge
of the program, medical assistance, support for
patient care, violence by peers or superiors, supervision,
and observance of basic rights. The rights compliance
index showed that 33.7% of residents had a rights compliance
index of .5 or lower.
Discussion: the results are consistent with what is reported
in various studies documenting different forms of
mistreatment and abuse experienced by residents.
Conclusions: measures are needed to combat violence
and ensure compliance with established rights. The main
limitation of this research is the non-random nature of the
sample. However, the results show the need for further
research.
REFERENCES
Vázquez-Martínez FD. Apuntes históricos sobre la formaciónde médicos especialistas en México desde la evolución educativa.Inv Ed Med. 2018;7(25):46-52. https://doi.org/mh63
Norma Oficial Mexicana NOM-001-SSA3-2012, Educaciónen salud. Para la organización y funcionamiento de residenciasmédicas, (2013). http://tinyurl.com/2chuk5p3
Olivares-Olivares SS, Gómez-Zapata JF, Flores-Félix CM,Castañeda-Prado A, Turrubiates-Corolla ML, Esperón-HernándezRI, et al. Me preparo para prevenir la violencia y elacoso en estudiantes de medicina en México. Inv Ed Med.2021;10(40):86-96. https://doi.org/mh64
Castro R, Villanueva Lozano M. Violencia en la prácticamédica en México: un caso de ambivalencia sociológica.Estud Sociol. 2018;XXXVI(108):539-69. https://doi.org/mh65
Silver HK. Medical students and medical school. JAMA.1982;247(3):309-10. https://doi.org/dss44g
Hamui-Sutton L, Paz-Rodriguez F, Sánchez-Guzmán A,Vives-Varela T, Corona T. Violence and Clinical LearningEnvironments in Medical Residencies. Int. J. Environ. Res.Public Health 2023;20:6754. https://doi.org/mh66
Sadrabad AZ, Bidarizerehpoosh F, Farahmand Rad R,Kariman H, Hatamabadi H, Alimohammadi H. Residents’Experiences of Abuse and Harassment in EmergencyDepartments. Journal of Interpersonal Violence.2019;34(3):642-652. https://doi.org/mh67
Carrillo-Esper R, Gómez-Hernández K. Bullying duranteel pre y posgrado de la formación médica. Med Sur. 2014;21(4):172-176. http://tinyurl.com/2xphsvwb
Payne SC, Cerqueira AMC, Kulikowski J, Hategan A, WatersH. Physician Experience: Impact of Discrimination onPhysician Wellness. In: Hategan A, Saperson K, Harms S,Waters H (eds), Humanism and Resilience in ResidencyTraining. Springer, Cham; 2020. https://doi.org/mh68
Reboiras F. Condiciones de formación en las residenciasmédicas: el maltrato como práctica educativa legitimada.MS thesis. Buenos Aires: FLACSO. Sede Académica Argentina;2020.
Fitzgerald CA, Smith RN, Luo-Owen X, Turay D, Ferrada P,Han J, et al. Screening for harassment, abuse, and discriminationamong surgery residents: an east multicenter trial. TheAmerican Surgeon. 2019;85(5):456-461. https://doi.org/mh69
Vanstone M, Grierson L. Medical student strategies for activelynegotiating hierarchy in the clinical environment. MedicalEducation. 2019 Oct;53(10):1013-24.
El-Zoghby SM, Ibrahim ME, Zaghloul NM, Shehata SA,Farghaly RM. Impact of workplace violence on anxietyand sleep disturbances among Egyptian medical residents:a cross-sectional study. Human resources for health. 2022Dec;20(1):1-6.
Baker S, Gleason F, Lovasik B, Sandhu G, Cortez A, HildrethA, Cooper A, Simmons J, Delman KA, LindemanB. Relationship between burnout and mistreatment: whoplays a role?. The American Journal of Surgery. 2021 Dec1;222(6):1060-5.
Oser TK, Haidet P, Lewis PR, Mauger DT, Gingrich DL,Leong SL. Frequency and negative impact of medical studentmistreatment based on specialty choice: a longitudinal study.Acad Med. 2014;89(5):755-61. https://doi.org/f54rfz
Montes-Villaseñor E, García-González J, Blázquez-MoralesMS, Cruz-Juárez A, De-San-Jorge-Cárdenas XM. Exposicióna la violencia durante la formación profesional de los residentesmédicos. CienciaUAT. 2018 Jun;12(2):54-66.
Fried JM, Vermillion M, Parker NH, Uijtdehaage S. Eradicatingmedical student mistreatment: a longitudinal study of one institution’sefforts. Acad Med. 2012;87(9):1191-8. https://doi.org/bbzx
Nieto-Gutierrez W, Toro-Huamanchumo CJ, Taype-Rondan A,Timaná-Ruiz R, Alva Diaz C, Jumpa-Armas D, Escobedo-PalzaS, CONAREME Consejo Nacional de Residentado Médico.Workplace violence by specialty among Peruvian medicalresidents. PLoS One. 2018 Nov 29;13(11):e0207769.
Lugo MJA, Morales EM, Medina VE, et al. Percepción delrespeto al derecho a la educación y trabajo digno en médicosinternos en un hospital de segundo nivel. Med Int Mex.
2023;39(4):602-609.20. Nosotrxs. Resultados de la Encuesta Nacional de Médicos enFormación 2021 Ciudad de México: Nosotrxs; 2021. http://tinyurl.com/23k2bmac
Sammut R, Griscti O, Norman IJ. Strategies to improve responserates to web surveys: A literature review. Int J Nurs Stud.2021;123:104058. https://doi.org/10.1016/j.ijnurstu.2021.104058
Burke LA, James KE. Using online surveys for primary researchdata collection: lessons from the field. Int J InnovLearn. 2006;3(1):16-30. https://doi.org/c7jxrg
Argüelles-Nava VG, Cortés-jiménez H, Cortés-Jiménez NM,Delgado-Domínguez C, Luzanía-Valerio MS, Martínez-VillaAR, et al. Educación médica y derechos humanos. Evaluacióndel goce de los derechos humanos de estudiantes de medicinade la Universidad Veracruzana, en las unidades médicas (2019-2020) Xalapa, Ver.: Instituto de Salud Pública, UniversidadVeracruzana; 2021. http://tinyurl.com/2cm2t2rz
Vázquez-Martínez FDC. Educación médica y derechos humanos.Evaluación del respeto a los derechos humanos deestudiantes de medicina de la Universidad Veracruzana, enlas unidades de atención médica (2018-2019). Xalapa, Ver.:Instituto de Salud Pública, Universidad Veracruzana; 2020.http://tinyurl.com/2afj8vbz
Chávez-Rivera A, Ramos-Lira L, Abreu-Hernández LF. Unarevisión sistemática del maltrato en el estudiante de medicina.Gac Med Mex. 2016;152:796-811. http://tinyurl.com/29a3j33y
Fnais N, Soobiah C, Chen MH, Lillie E, Perrier L, TashkhandiM, et al. Harassment and discrimination in medicaltraining: a systematic review and meta-analysis. Acad Med.2014;89(5):817-27. https://doi.org/f54qxh
Proyecto de Norma Oficial Mexicana PROY-NOM-001-SSA-2023, Educación en salud. Para la organización y funcionamientode residencias médicas en establecimientos parala atención médica. 10/04/2023. http://tinyurl.com/2y8baq9f