Cote EL, Hurtado LLM, Mariñelarena MJL

Language: Spanish
References: 21
Page: 244-252
PDF size: 49.96 Kb.

ABSTRACT

Objective: To determine what is the labor ambience or background for the residents at General Surgery. Place: College of Medicine of the National Autonomous University of Mexico (Universidad Nacional Autónoma de México –UNAM). Design: Observational, transversal, analytical. Survey-like. Statistical analysis: Measures of central tendency and test of Pearson’s chi-square. Material and methods: Four hundred and fifty-seven residents of General Surgery that were enrolled at the College of Medicine of the UNAM from the first to the third year were applied two different questionnaires. The first one related to demographic data, and the second one referring to the labor ambience. The evaluated variables were: communication, practices and policies, cooperation and coordination, image and recognition (acknowledgement), execution and evaluation, reputation, supervision, work in itself, training and development, and labor conditions. Results: The residents that fulfilled the inclusion criteria were 413. From them, 75 (18.6%) were women and 338 (81.8%) men. The age group that presented the greatest number of residents was the group going from 27 to 28 years (40%). The prevailing marital status was the single condition (64.4%). The 6% of the residents were foreigners. The average of the level at the career of licentiate was of nine (57.6%), while the 73.7% preferred to follow a subspecialty. The 53.5% considered that the theoretical topics were covered well enough, while for the 66.8% the same consideration was expressed regarding the surgical skills. Eighty-two percent of the group considered that the transmission of humanistic and ethical values was correct. With regard to the professors, they were qualified as good to excellent for the 73% of the consulted people. The image, recognition and the work in itself of the resident at General Surgery were the best qualified (presenting a statistical significance) by the residents who would finish at subspecialty. Conclusions: Lately, the study of the influence of the ambience on the medical performance has acquired a great interest. In this particular case of the General Surgery resident, specially with regard to gender, day after day there is a high tendency to the increase. Therefore, the aspect of medicine feminization is attracting the attention more and more. Obviously, surgery is not the exception. In this study, the 18.6% corresponded to the female sex. The 73.7% of the residents enrolled at General Surgery aim at the final objective of finishing their studies with a subspecialty. In most of the cases, the resident at General Surgery denotes a good labor ambience. His/her image is better appreciated by resident doctors whose final objective is a subspecialty.

REFERENCES

1. Soberón G, Frenk J, Levy S, Gonzalez-Roara B. Health care reform in Mexico. Gac Med Mex 2001; 137: 419-43.

2. Murray CJ, Frenk J. A framework for assessing the performance of health systems. Bull World Health Organ 2000; 78: 717-31.

3. Programa Nacional de Salud 2007-2012. Por un México sano: construyendo alianzas para una mejor salud. Secretaría de Salud. Http//:alianza.salud.gob.mx/descargas/pdf/pns_version_completa.pdf

4. Estudios de la OCDE sobre los Sistemas de Salud. México. Organización para la Cooperación y el Desarrollo Económico. México D.F., Secretaría de Salud 2005: 47-50.

5. Cote EL. Servicio público de salud prestado por el Instituto Mexicano del Seguro Social en Fernández Ruiz J. Servicios públicos de Salud y temas conexos. México, D.F. Editorial Porrúa 2006:261-280.

6. Toledo PLH. Historia, Cirugía y Cultura. México D.F. JGH Editores. 1998.

7. The American Board of surgery. 2008-2009 Booklet of Information – Surgery. http://home.absurgery.org/xfer/BookletofInfo-Surgery.pdf

8. Cote EL, García TPO. Problemas médico legales. En: Aguirre RR, De la Garza VL, Eds. Tratado de Cirugía General. 1ra. Ed. Asociación Mexicana de Cirugía General México D.F. Manual Moderno 2002:1533-1550.

9. Viniegra VL. Los intereses académicos en la educación médica. Rev Invest Clin 1987; 39: 281-290.

10. Viniegra V. Una nueva estrategia para la educación médica de postgrado. Parte I. Rev Invest Clin 1990; 42: 150-156.

11. Viniegra V. Una nueva estrategia para la educación médica de postgrado. Parte II. Rev Invest Clin 1990; 42: 240-244.

12. Viniegra V. Una nueva estrategia para la educación médica de postgrado. Parte III. Rev Invest Clin 1990; 42: 321-325.

13. Viniegra VL, Campuzano RR, Díaz MFJ, Verduzco L. En busca de indicadores "teóricos" de capacidades clínicas. Rev Invest Clin 1982; 34: 183-185.

14. Viniegra VL, Jiménez JL. Nuevas aproximaciones a la medición de la competencia clínica. Rev Invest Clin 1992; 44: 269-275.

15. Gómez-Fleitas M. The need for changes in surgical training: an unresolved problem in endoscopic surgery. Cir Esp 2005; 77: 3-5.

16. Cote-Estrada L. Nivel de competencia del cirujano general. Cir Gen 2003; 25: 180-184.

17. Cote-Estrada L. Encuesta Nacional. Boletín de la Asociación Mexicana de Cirugía General. Enero-abril 2002.

18. Mayer KL, Ho HS, Goodnight JE Jr. Childbearing and child care in surgery. Arch Surg 2001; 136: 649-55.

19. Derossis AM, DaRosa DA, Dutta S, Dunnington GLA ten-year analysis of surgical education research. Am J Surg 2000; 180: 58-61.

20. Robertson CM, Klingensmith ME, Coopersmith CM. Prevalence and cost of full-time research fellowships during general surgery residency: a national survey. Ann Surg 2009; 249: 155-61.

21. Britt LD, Sachdeva AK, Healy GB, Whalen TV, Blair PG; Members of ACS Task Force on Resident Duty Hours. Resident duty hours in surgery for ensuring patient safety, providing optimum resident education and training, and promoting resident well-being: a response from the American College of Surgeons to the Report of the Institute of Medicine, "Resident Duty Hours: Enhancing Sleep, Supervision, and Safety". Surgery 2009; 146: 398-409.