2015, Number 6
Workdays and their impact on medical residents in a second-level hospital
Language: Spanish
References: 24
Page: 669-679
PDF size: 438.60 Kb.
ABSTRACT
Background: The education authorities in developed countries such as the United States and the European Union are concerned about the work of medical residents and have changed their laws and regulated their working hours at a total of 56-72 hours per week in all their university specialization courses; this is something that has not happened in our country. We don’t know, in our country, the number of hours that our medical residents work and its potential impact in the different specialization courses in a second-level hospital.Objective: To determine the workdays and their impact on medical residents in a second-level hospital.
Material and method: A descriptive-cross sectional study. We included residents of medical and surgical specialties in the Regional General Hospital Number 46 of the Mexican Social Security Institute in Guadalajara, Jalisco. After signing the informed consent, we applied the survey: “Work days in medical residents”, previously developed by those responsible for this research, which consisted of two sections, the first with some demographic data (five questions) and the second with 46 items, seven open questions and 39 questions with a Likert-type data. The following dimensions were evaluated: working hours, work organization, harassment, psychosocial factors, health, professional skills and career prospects. Descriptive and inferential statistics were used and a p‹0.05 was considered statistically significant.
Results: In the evaluation of working hours for medical residents we found an average of 70.1±21.1 hours/week for all specialties; however, in the surgical specialties the average was of 89.1±21.5, while in the medical specialties was of 67.1±19.1 hours (p‹0.0001). In relation to its effects, we found impact on the following dimensions: stress, harassment, work organization, psychosocial factors, professional skills and career prospects.
Conclusion: The number of working hours in medical resident in a secondary hospital is much higher than those recommended in most specialties, and has an impact on all dimensions studied.
REFERENCES
Ley Federal del Trabajo. Cámara de Diputados del H. Congreso de la Unión. Secretaría General. Secretaría de Servicios Parlamentarios. Nueva Ley Publicada En el Diario Oficial de la Federación El 1º de abril de 1970. Última Reforma Publicada DOF 30-11-2012. (en línea) http://www.diputados.gob.mx/LeyesBiblio/pdf/125.pdf (con acceso el 10 de marzo de 2015).
Medición del tiempo de trabajo. Organización Internacional del Trabajo. Programa de actividades sectoriales informe II. Reunión de expertos en estadísticas del trabajo Ginebra, 1.º-10 de abril de 2008, pág. 1-41. (en línea) http://www.ilo.org/public/spanish/bureau/stat/download/mels2008/reptwo.pdf (con acceso el 10 de marzo de 2015).
Acero I. Disminuirán horas de trabajo y guardias a médicos residentes para mejorar su calidad de atención médica. La Jornada Aguascalientes. 17 de enero del 2013; Sección Local, Sociedad y justicia. http://www.lja.mx/2013/01/disminuiran-horas-de-trabajo-y-guardias-a-medicosresidentes-para-mejorar-su-calidad-de-atencion/ (con acceso el 10 de marzo de 2015).
Aranda Beltrán C, Pando Moreno M, Salazar Estrada JG, Torres López TM, Aldrete Rodríguez MG. Factores de riesgo psicosociales laborales incidentes en la salud de los médicos de familia en Guadalajara, México. Revista Iberoamericana de Psicología: Ciencia y Tecnología 2012;5:45-54. (En línea) http://works.bepress.com/cgi/viewcontent. cgi?article=1045&context=jose_salazar (con acceso el 10 de marzo de 2015)