[The new program of the Family and Community Medicine specialty: An opportunity not to be missed]. / El nuevo programa de la especialidad de medicina familiar y comunitaria: una oportunidad que no se debe perder.

The training program for the Family and Community Medicine specialty (MFyC), which has been in effect since 2005, is currently undergoing a review and update process. This article proposes contributions to deepen the specific contents of the specialty in order to guide towards a more significant competency development. To carry out values-oriented training, it is suggested to deploy the values function and promote the creation of care spaces where the daily experience of those values is possible. It is proposed to establish a scale of values where the two essential values of the family physician are, in this order, a commitment to the individual person, and a commitment to the group of people under their care. Additionally, it is proposed to reorganize the competency map around five competency integrators or meta-competencies: patient-centered clinical method, population-based clinical governance, primary care oriented to the community, health promotion or community health based on assets, and research in the family and community field.

[Accomplishment of preventive activities proposed by resident doctors of Family Medicine in Primary Care and its relationship with communication skills]. / Oferta de actividades preventivas propuestas por médicos residentes de Medicina Familiar en Atención Primaria y su relación con las habilidades comunicacionales.

OBJECTIVE: To determine the offer of preventive activities by resident physicians of family medicine in the Primary Care consultations and the relation with their communication habilities. DESIGN: A descriptive multicentre study assessing medical consultations video recording. LOCATION: Eight Primary Healthcare centres in Jaen (Andalucia). PARTICIPANTS: Seventy-three resident physicians (4th year) filmed and observed with patients. PRINCIPAL MEASUREMENTS: Offer of preventive activities (according to the Spanish Program of Preventive Activities and Health Promotion -PAPPS-). Doctor, patient and consultation characteristics. Peer-review of the communication between physicians and patients, using a CICAA scale. A descriptive, bivariate, logistic regression analysis was performed. RESULTS: Two hundred and sixty interviews were evaluated (duration 8.5±4.0min) of 73 residents (50.7% women, mean age 32.9±7.7 years, 79% urban environment). The patient is more frequently a woman (60%) who comes alone (72%) due to acute processes (80%) and with 2.1±1.0 demands. Preventive activities are offered in 47% (duration less than one minute) of primary (70%) and secondary (59%) prevention, offered through advice (72%) or screening (52%) and focused on the cardiovascular area (52%) and lifestyles (53%). Eighty percent related to the patient's reason for consultation. Communication skills 41% improvable, 26% adequate, 23% excellent. The offer of preventive activities is related to the duration of the consultation (OR=1.1, 95% CI 1.01; 1.16) and communication skills (OR=1.03, 95% CI 1.01; 1.10). CONCLUSIONS: Preventive activities are carried out in almost half of the consultations, although focused on advice and screening and linked to the patient's demand. Consultation time and communication skills favor a greater preventive offer.

Communication skills of tutors and family medicine physician residents in Primary Care clinics.

AIM: To determine the communicative profiles of family physicians and the characteristics associated with an improved level of communication with the patient. DESIGN: A descriptive multicentre study. LOCATION: Primary Healthcare Centres in Almeria, Granada, Jaen and Huelva. PARTICIPANTS: 119 family physicians (tutors and 4th year resident physicians) filmed and observed with patients. PRINCIPAL MEASUREMENTS: Demographic and professional characteristics. Analysis of the communication between physicians and patients, using a CICAA (Connect, Identify, Understand, Agree and Assist, in English) scale. A descriptive, bivariate, multiple linear regression analysis was performed. RESULTS: There were 436 valid interviews. Almost 100% of physicians were polite and friendly, facilitating a dialogue with the patient and allowing them to express their doubts. However, few physicians attempted to explore the state of mind of the patient, or enquire about their family situation or any important stressful events, nor did they ask open questions. Furthermore, few physicians summarised the information gathered. The mean score was 21.43±5.91 points (maximum 58). There were no differences in the total score between gender, city, or type of centre. The linear regression verified that the highest scores were obtained from tutors (B: 2.98), from the duration of the consultations (B: 0.63), and from the age of the professionals (B: -0.1). CONCLUSION: Physicians excel in terms of creating a friendly environment, possessing good listening skills, and providing the patient with information. However the ability to empathise, exploring the psychosocial sphere, carrying out shared decision-making, and asking open questions must be improved. Being a tutor, devoting more time to consultations, and being younger, results in a significant improvement in communication with the patient.

[Prevalence and factors associated with clinical counselling on drug use among internal specialists residents of Andalusia (Spain)]. / Prevalencia y factores asociados a la práctica del consejo clínico contra el consumo de drogas entre los especialistas internos residentes de Andalucía (España).

OBJECTIVES: To determine the frequency of offering clinical counseling against the consumption of alcohol, tobacco and illegal drugs by internal specialist residents (EIR) of Andalusia, and the factors related to such advice. DESIGN: Multicenter cross-sectional study by self-administered questionnaire sent by mail. SETTING AND PARTICIPANTS: EIR of Andalusia. MAIN MEASUREMENTS: The questionnaire collected the frequency of counseling against the use of alcohol, tobacco and illegal drugs (dependent variable). INDEPENDENT VARIABLES: age/gender, specialty, drug consumption and Fagerström test. RESULTS: Out of a total of 4245 participants, 66% responded, 29% did not respond, and 5% poorly completed questionnaires. The mean age was 29.1(±SD 5.1) years, 69% female, 89% Spanish nationality, 84% in medical training (73% hospital, 27% family medicine). The frequency of counseling against tobacco (85%) and alcohol (82%) is higher than illegal drugs (56%, p<.001, χ(2) test). Counseling against alcohol consumption is related to family medicine (OR=2.8; 95% CI [1.4-4.6]) and nursing (OR=2.5 [1.7-4.4]), and the age of first alcohol consumption (OR=1.07 [1.03-1.1]). Counseling against smoking is related to family medicine (OR=12.9;[7.6-21.9]) and nursing (OR=8.4;[4.3-16.5]), personal consumption of tobacco (OR=1.5 [1.2-2.0]), and wine (OR=1.1 [1.04-1.3]), and age of first alcohol consumption (OR=1.06 [1.01-1.1]). Counseling against illegal drugs is related to the age of first alcohol consumption (OR=1.09 [1.05-1.1]) and smoking (OR=.58 [.4-.7]). CONCLUSION: There is a high frequency of counseling against consumption of tobacco and alcohol by EIR, although remarkably smaller for illegal drugs. The influencing factors are both formative elements of their own specialty such as personal consumption of alcohol and tobacco, which should be considered for improvement of this preventive activity.

[Peruvian Physical Medicine and Rehabilitation residents' perception about their medical residency during the COVID-19 pandemic]. / Percepción de residentes de Medicina Física y Rehabilitación del Perú sobre su residencia médica durante la pandemia por COVID-19.

INTRODUCTION AND OBJECTIVES: The COVID-19 pandemic has affected medical residency (MR) programs worldwide. However, few reports have focused on the MR of Physical Medicine and Rehabilitation (PM&R). Therefore, our objective was to describe the perceptions of PM&R residents in Peru about their MR during the COVID-19 pandemic. MATERIALS AND METHODS: Cross-sectional study. During June 2021, we sought to address all PM&R residents in Peru, using a virtual, anonymous and voluntary survey of 13 questions elaborated in Google Forms, which addressed their perception of RM. RESULTS: Of 142 PM&R residents in Peru, 60 (42.3%) responded to the survey. Among these, 21.7% considered that their residency training site (RTS) met little or nothing with the minimum requirements to be one, 50% that their RTS cared little or notthing for him/her since the start of the COVID-19 pandemic, 35% that the physicians attending their RTS cared little or nothing about academics, and 71.7% that the lack of subspecialist physicians in PM&R greatly affects their training. In addition, 71.7% and 81.7% reported having learned little or nothing about musculoskeletal ultrasound and electrodiagnostic studies, respectively. Finally, 18.3% reported regretting to have chosen the specialty. CONCLUSIONS: We found an important negative perception about MR and a low self-perception of having learned about musculoskeletal ultrasound and electrodiagnostic studies. It is important to delve into the causes and look for alternatives to improve the training of PM&R residents.

[Kidney transplantation into the urological training in Colombia.] / Trasplante renal en el entrenamiento urológico colombiano.

Kidney transplantation (KTx) is the best therapeutic modality for end stage renal disease. Currently in Colombia there are approximately 2800 patients waiting for KTx. Historically, urologists have beenin close contact with KTx, however in Colombia the interaction between urology and KT is scarce. OBJECTIVES: To determine the perceptions and KTx training level into colombian urology residents. MATERIAL AND METHODS: We conducted a retrospective and descriptive study through 14 items survey applied to colombian urology residents. Data are summarizedas means and Pearson Chi2 test was used to evaluate differences between qualitative variables.RESULTS: The study included 76 participants. More than half of the programs of urology residency in Colombia includes KTx training into their academic programs, 36.84% of participants have received formal training (lectures, rounds, clinical rotation, seminars) on KTx, 28.95% have participated into KTx procedure, 97.37% considered the KTx as a urological field, KTx is the urological area with least academic interest for the residents, 76.32% consider their training in KTx as insufficient. The main barrier identified to increase training in KTx during urology residency is the non-availability of a formal rotation. CONCLUSIONS: KTx is not an area of primary interest for the colombian urology residents. Although most residents identify the KTx as an area related to urology and that exposure to some phases of the KTx is acceptable, 76% of residents consider their transplant training as insufficient. The main barriers identified for the urology resident's approach to KTx are modifiable.

El trasplante renal (TxR) es el mejor tratamiento para la enfermedad renal crónica terminal. En Colombia hay más de 2800 personas en lista de espera para este proceso. Históricamente el urólogo ha estado vinculado con el TxR, sin embargo, en Colombia son pocos los urólogos que ejercen su práctica clínico-quirúrgica en este ámbito. OBJETIVOS: Determinar las percepciones y el nivel de entrenamiento que reciben los médicos residentes d e urología en Colombia con relación al TxR. MATERIALES Y MÉTODOS: Se realizó un estudio descriptivo de corte transversal. Se practicó una encuesta con 14 ítems a los médicos residentes de urología de Colombia para valorar sus percepciones sobre el entrenamiento recibido en TxR. El análisis de datos incluye estadística descriptiva y las diferencias entre variables cualitativas se analizaron con la prueba de Pearson Chi2. RESULTADOS: Se incluyeron 76 participantes. 59,21% manifestó que su programa incluye formación en TxR, 36,84% ha recibido entrenamiento formal en TxR, 28,95% ha participado en un TxR, 97,37% considera el TxR como un área concerniente a la urología, el TxR fue el área de menor interés en la formación y perspectiva laboral entre los participantes, 76,32% considera que su formación en TxR es insuficiente, la principal barrera identificada para aumentar el entrenamiento en TxR durante la residencia es la no disponibilidad de una rotación formal. CONCLUSIONES: El TxR no es un área de interés principal para el residente de urología colombiano; a pesar de que la mayoría de los residentes identifica al TxR cómo un área urológica y que la exposición a algunas fases del trasplante es aceptable, el 76% de residentes considera insuficiente su formación en TxR. Las principales barreras identificadas para la aproximación der esidente de urología al TxR son modificables.

Depression and Abuse During Medical Internships in Peruvian Hospitals.

OBJECTIVE: To estimate the prevalence of depression and abuse and identify the associated factors in medical interns in Peruvian hospitals. METHODS: We conducted a multicentre, cross-sectional and analytical study during the months of March to May 2016. We included medical interns from 18 Peruvian hospitals, in Lima and provinces. We used a survey that included sociodemographic data and a scale to measure the perception of abuse (psychological, physical and sexual). In addition, we used the Spanish version of the PHQ-9 to evaluate depression. We used Poisson regression with robust variances to calculate prevalence ratios (PRs). RESULTS: A total of 402 medical interns participated in the study, the median age was 25 [IQR: 21-33], and 52.7% were male. Moreover, 25.4% of them suffered from depression. In the adjusted model, the variables associated with depression were age (PRa=1.15), the number of hours they sleep per day (PRa=1.23), being a woman (PRa=3.33), performing the internship in a province (PRa=0.25), studying at a public university (PRa=0.64), living with parents (PRa=0.65) or alone (PRa=0.33), and having perceived some type of abuse (PRa=1.07). CONCLUSIONS: A quarter of surveyed medical interns had depression. Early screening is necessary to identify perceived abuse and other triggering depression factors that may adversely affect work performance and overall mental health during medical internships.

[Lower urinary tract symptoms in medical residents as reflection of a stressful work environment.] / Síntomas del tracto urinario inferior como reflejo del ambiente laboral hospitalario en médicos residentes.

OBJECTIVE: To determine if the presence of moderate to severe lower urinary tract symptoms in medical resident are associated with workplace bullying. MATERIAL AND METHODS: Cross-sectional study conducted in medical residents. Moderate to severe lower urinary tract symptoms were defined as greater than 8 points on the International Prostate Symptom Score. Residents were classified as bullied if their total score on the Negative Acts Questoinnarie-Revised, was above 41 points. Perceived bullying was considered as present when any positive answer was documented in a specific question to measure this variable. Bivariate analysis to determine statistical differences between presence of lower urinary tract symptoms and exposure to both types of bullying was performed using χ² . The magnitude and directions of all associations were determined by calculating the Odds Ratio with 95% level of confidence. RESULTS: 209 residents were included, 63% men; 68% reported at least one lower urinary tract symptom, of which, 56% were mild, 10% moderate and 2% severe. The prevalence of bullying was 42% while perceived bullying was present in 39%. Residents with ≥8 points on the International Prostate Symptom Score had higher risk of being exposed to bullying (OR: 2.8, 95% CI: 1.1-6.7, p=0.01) and/or perceived bullying (OR: 3.1 95% CI: 1.3-7.5, p=0.00). Female gender had greater risk than man for presenting lower urinary tract symptoms at basal state (OR: 2.8, 95% CI: 1.1-6.6, p=0.01). CONCLUSIONS: Medical residents with moderate or severe urinary tract symptoms may be related to bullying. Being a woman is associated with an increased risk of developing LUTS.

OBJETIVO: Determinar si la presencia de síntomas del tracto urinario inferior moderados a severos en médicos residentes se asocian con la exposición a bullying laboral.MATERIAL Y MÉTODOS: Estudio transversal realizado en médicos residentes. Se definió síntomas del tracto urinario inferior moderados a severos como más de 8 puntos en el Índice Internacional de Síntomas Prostáticos. Los residentes se consideraron como expuestos a bullying si el puntaje total en la Escala de Conductas Negativas era mayor a 41 puntos. Se consideró como bullying percibido cualquier respuesta positiva en una pregunta específica para medir esta variable. Se realizó un análisis bivariado utilizando la χ² para determinar diferencias estadísticas entre la presencia de síntomas del tracto urinario inferior y la exposición a ambos tipos de bullying. La magnitud y dirección de las asociaciones se establecieron calculando el Odds Ratio con un intervalo de confianza al 95%. RESULTADOS: Se incluyeron 209 residentes, 63% hombres; 68% refirieron algún síntoma del tracto urinario, de los cuales, 56% fueron leves, 10% moderados y 2% severos. La prevalencia de bullying fue de 42% y el bullying percibido se presentó en el 39%. Los residentes con ≥8 puntos en el Índice Internacional de Síntomas Prostáticos tuvieron mayor riesgo de estar expuestos a bullying (OR: 2,8, IC 95%: 1,1-6,7, p=0,01) y bullying percibido (OR: 3,1 95% CI: 1,3-7,5, p 0,00). Ser mujer se asoció con mayor riesgo de presentar síntomas del tracto urinario inferior (OR: 2,8, IC 95%: 1,1-6,6, p=0,01). CONCLUSIONES: Los médicos residentes con síntomas del tracto urinario moderados o severos pueden estar relacionados a bullying. Ser mujer se asocia a mayor riesgo de presentar STUI.

Estudio nacional sobre síndrome de burnout académico en residentes de urología en Colombia / National study on academic burnout syndrome in Colombian urology residents

Objetivo: El médico residente de urología está inmerso en situaciones académicas y extraacadémicas que pueden generar agotamiento, desinterés, autosabotaje frente a sus actividades y dudas acerca del valor del estudio, lo cual conduce al síndrome de burnout en un contexto académico. Este síndrome puede desencadenar deserción, bajo rendimiento académico, baja autoestima y frustración personal. El objetivo de este estudio es determinar la prevalencia del síndrome de burnout académico en los residentes de urología en Colombia y proponer estrategias que permitan evitar o disminuir el síndrome de burnout académico en el contexto colombiano. Método: Estudio de corte transversal, con muestreo por conveniencia en médicos residentes de urología de los diferentes programas académicos de posgrado en Colombia. El instrumento aplicado fue la escala de medición Maslach Burnout Inventory-Student Survey (MBI-SS). Resultados: La prevalencia de burnout académico en residentes de urología de Colombia es del 59,5% (IC95%: 59,4-59,6%). Se categorizan las áreas de posible intervención en cuatro dimensiones: a) administración de tiempo; b) estrategias de formación; c) actividades extracurriculares, y d) cuidados de salud mental. Conclusiones: El síndrome de burnout académico afecta al 59,5% de los residentes de urología de Colombia. Las actividades para prevenir y tratar el burnout académico se pueden enfocar en: organización del tiempo de las actividades académicas, tiempos reservados para investigación, actividades asistenciales y actividades extraacadémicas; desarrollo de rutas de apoyo emocionales/académicas; promoción sobre actividades de bienestar universitario.

Objective: The urology resident is involved in academic and extra-academic situations that can generate exhaustion, disinterest, self-sabotage, and doubts about the value of this own study methods; this context leads to burnout syndrome in an academic context. This syndrome can trigger dropout, low academic performance, low self-esteem, and personal frustration. The objective of this study is to determine the prevalence of academic burnout syndrome in urology residents in Colombia, and to propose strategies to avoid or reduce academic burnout syndrome in the Colombian context. Method: Cross-sectional study with convenience sampling in urology residents of all postgraduate academic programs of Colombia. The instrument applied was the Maslach Burnout Inventory-Student Survey (MBI-SS) measurement scale. Results: The prevalence of academic burnout in urology residents in Colombia is 59.5% (IC95%: 59.4-59.6%). The areas of possible intervention are categorized into four dimensions: a) time management; b) training strategies; c) extracurricular activities management, and d) mental health care. Conclusions: Academic burnout syndrome affects 59.5% of urology residents in Colombia. Activities to prevent and treat academic burnout can be focused on: organization of time for academic activities, time reserved for research and extracurricular activities, development of emotional and academical support routes, promotion of university wellness activities.

La educación ciudadana en la formación académica de los residentes de Anestesiología y Reanimación

Fundamento: los resultados de estudios y la práctica cotidiana han demostrado la necesidad de incluir en la formación académica de los residentes en Anestesiología y Reanimación, la proyección de soluciones a problemáticas relacionadas con la educación ciudadana en el cuarto nivel de la enseñanza. Objetivo: diseñar un sistema didáctico de educación ciudadana en la formación académica de los residentes en Anestesiología y Reanimación. Métodos: se realizó una investigación de desarrollo, entre septiembre 2021-enero 2023, en la Universidad de Ciencias Médicas de Villa Clara y la Universidad Central "Marta Abreu" de Las Villas. Se emplearon métodos teóricos: analítico-sintético, inductivo-deductivo, histórico-lógico, enfoque de sistema y la modelación; y empíricos: revisión documental, encuestas a residentes, entrevista en profundidad a directivos con experiencia en la formación académica en educación ciudadana, y el criterio de especialistas. Se emplearon procesamientos matemáticos, tablas y gráficos. Resultados: se diseñó un sistema didáctico de educación ciudadana para la formación académica de los residentes en Anestesiología y Reanimación que ofreció una nueva visión a su formación académica al proponer, desde la semipresencialidad y el empleo de las tecnologías de la información y las comunicaciones, diferentes formas de organizar la superación en el cuarto nivel de la enseñanza. Conclusiones: el sistema diseñado fue valorado como adecuado para su aplicación por los especialistas, los que tuvieron en cuenta su actualidad, originalidad, pertinencia, coherencia y valor científico; además realizaron sugerencias para su perfeccionamiento.

Background: the results of studies and daily practice have demonstrated the need to include in the academic training of residents in Anesthesiology and Resuscitation, the projection of solutions to problems related to citizen education at the fourth level of education. Objective: to design a didactic system of citizen education in the academic training of residents in Anesthesiology and Resuscitation. Methods: a development investigation was carried out, from September 2021 to January 2023, at Villa Clara University of Medical Sciences and "Marta Abreu" Central University of Las Villas. Theoretical methods were used: analytical-synthetic, inductive-deductive, historical-logical, system approach and modeling; and empirical ones: documentary review, surveys of residents, in-depth interviews with managers with experience in academic training in citizenship education, and the specialists´criteria. Mathematical processing, tables and graphs were used. Results: a didactic system of citizen education was designed for the academic training of residents in Anesthesiology and Resuscitation that offered a new vision to their academic training by proposing, from semi-presentiality and the use of information and communication technologies, different ways to organize improvement at the fourth level of education. Conclusions: the designed system was assessed as appropriate for its application by the specialists, who took into account its updating, originality, relevance, coherence and scientific value; They also made suggestions for its improvement.

Manejo de la vía aérea ante un caso de paro respiratorio en un escenario clínico simulado. Experiencia en una residencia de pediatría / Airway management during a respiratory arrest in a clinical simulation scenario. Experience at a pediatric residency program

Introducción. La insuficiencia respiratoria es la causa más común de paro cardíaco en pediatría; su reconocimiento y el manejo adecuado son cruciales. La simulación se utiliza para mejorar las habilidades médicas. El objetivo del trabajo fue determinar la proporción de residentes de pediatría que reconocieron un paro respiratorio (PR) pediátrico en un centro de simulación. Métodos. Se realizó un estudio observacional con 77 médicos residentes. Se utilizó un caso simulado de un paciente con dificultad respiratoria que progresa a PR. Resultados. De los 77 participantes, 48 reconocieron el paro respiratorio (62,3 %). El tiempo medio para reconocer el PR fue de 34,43 segundos. Conclusión. El 62,3 % de los participantes logró reconocer el paro respiratorio. Entre aquellos que lo identificaron, el tiempo promedio fue de 34,43 segundos. Se observaron graves deficiencias en algunas de las intervenciones esperadas.

Introduction. Respiratory failure is the most common cause of cardiac arrest in pediatrics. Recognizing and managing it adequately is critical. Simulation is used to improve medical skills. The objective of this study was to establish the proportion of pediatric residents who recognized a respiratory arrest in a child at a simulation center. Methods. This was an observational study in 77 residents. A simulation of a patient with respiratory distress that progressed to respiratory arrest was used. Results. Among the 77 participants, 48 recognized respiratory arrest (62.3%). The mean time to recognize respiratory arrest was 34.43 seconds. Conclusion. Respiratory arrest was recognized by 62.3% of participants. Among those who did so, the average time was 34.43 seconds. Severe failures were noted in some of the expected interventions.

Efecto de la "ley de residentes" sobre el bienestar laboral en cirugía: resultados de un estudio nacional de métodos mixtos en Colombia / Effect of the "residents' law" on occupational well-being in surgery: Results of a national mixed methods study in Colombia

Introducción. El efecto de las políticas para el mejoramiento del bienestar de los residentes, en términos de desgaste profesional y compromiso laboral, es controversial y su resultado tras la implementación de la "ley de residentes" (1917/2018) en Colombia es desconocido. Este estudio explora el efecto de esta ley en médicos residentes de cirugía colombianos. Métodos. Estudio de métodos mixtos secuencial explicativo. Inicialmente, se invitó a todos los residentes de cirugía del país a autodiligenciar los cuestionarios UWES-17 y MBI-HSS para evaluar el compromiso laboral (vigor, dedicación y absorción) y desgaste profesional (agotamiento emocional, despersonalización y baja realización personal) antes (2019) y después (2022) de la implementación de la ley. Se probaron diferentes hipótesis mediante modelos de ecuaciones estructurales. Los resultados fueron explorados con cirujanos mediante grupos focales. La información cualitativa fue analizada manualmente y por inteligencia artificial, y reportada en temas principales. Resultados. Participaron en el estudio 400 residentes. La tasa de desgaste profesional fue de 24,8 % antes y 15,8 % después (p=0,032). El análisis de ecuaciones estructurales confirmó que el agotamiento emocional sobre el desgaste profesional fue menor en 2022 (p=0,022). No se identificaron cambios significativos en el compromiso laboral. La principal explicación fue atribuida a los beneficios económicos de la ley. Conclusión. La tasa de desgaste profesional en médicos residentes de cirugía colombianos se redujo significativamente tras la implementación de la "ley de residentes". Estos hallazgos tienen implicaciones para la practica y el mejoramiento de la calidad de la educación.

Introduction. The effect of policies to improve residents' well-being, in terms of professional burnout and work commitment is controversial, and its result after the implementation of the "residents' law" (1917/2018) in Colombia is unknown. This study explores the effect of this law on Colombian surgical residents. Methods. Explanatory sequential mixed methods study. Initially, all surgical residents in the country were invited to self-complete the UWES-17 and MBI-HSS questionnaires to evaluate work commitment (vigor, dedication, and absorption) and professional burnout (emotional exhaustion, depersonalization, and low personal accomplishment) before (2019) and after (2022) the implementation of the law. Different hypotheses were tested using structural equation models. The results were explored with surgeons through focus groups. Qualitative information was analyzed manually and by artificial intelligence, and reported into main themes. Results. 400 residents participated in the study. Burnout rates were 24.8% before and 15.8% after (p=0.032). The structural equations analysis confirmed that emotional exhaustion over professional burnout was lower in 2022 (p=0.022). No significant changes in work commitment were identified. The main explanation was attributed to the economic benefits of the law. Conclusion. The burnout rate in Colombian surgical residents was significantly reduced after the implementation of the "residents' law". These findings have implications for practice and improving the quality of education

Medo de mim: experiências e vivências de residentes em saúde na pandemia de Covid-19 / Miedo de mí: experiencias y vivencias de residentes de salud en la pandemia de Covid-19 / Fear of me: experiences of health residents in the Covid-19 pandemic

A pandemia de Covid-19 trouxe impactos aos profissionais de saúde, inclusive aos residentes. O estudo busca analisar os impactos da pandemia na saúde mental de residentes em saúde no contexto da Residência Médica e Multiprofissional e as implicações no processo formativo desses profissionais. Trata-se de pesquisa qualitativa com entrevistas realizadas com residentes médicos e multiprofissionais e análise temática de conteúdo. Os residentes em saúde atuaram na linha de frente no enfrentamento da pandemia, sendo considerados profissionais vulneráveis devido à exposição ao vírus e ao sofrimento psíquico, bem como ao medo do adoecimento. Sofreram os efeitos do distanciamento social, tanto como atitude para evitar a transmissão, como pelos medos de familiares e pessoas de sua convivência, provocando solidão. Surgiram impactos na saúde mental, demonstrando necessário planejamento de ações para acolher e favorecer a formação dos residentes em saúde.(AU)

La pandemia de Covid-19 causó impactos a los profesionales de salud, incluso a los residentes. El objetivo del estudio fue analizar los impactos de la pandemia en la salud mental de residentes de salud en el contexto de la Residencia Médica y Multiprofesional y las implicaciones en el proceso formativo de esos profesionales. Se trata de una investigación cualitativa con entrevistas realizadas con residentes médicos y multiprofesionales, con realización de análisis temático de contenido. Los residentes de salud actuaron en la primera línea del enfrentamiento de la pandemia, siendo considerados profesionales vulnerables debido a la exposición al virus y al sufrimiento psíquico, como el miedo a enfermarse. Sufrieron los efectos de la distancia social, tanto como actitud para evitar la trasmisión como por los miedos de familiares y personas de su convivencia, causando soledad. Surgieron impactos en la salud mental, demostrando una necesaria planificación de acciones para acoger y favorecer la formación de los residentes de salud.(AU)

The Covid-19 pandemic has affected health professionals, including residents. This study aims to reflect on the impacts of the pandemic on the mental health of residents in the context of medical and multiprofessional residency and the implications for the training process of these professionals. It is a qualitative research study involving interviews conducted with medical and multiprofessional residents, utilizing thematic content analysis. Health residents were at the forefront of confronting the pandemic and are considered vulnerable professionals due to their exposure to the virus and psychological distress, such as fear of illness. They experienced the effects of social distancing, both as a measure to prevent transmission and due to concerns from family members and cohabitants, resulting in feelings loneliness. The study reveals impacts on mental health, highlighting the importance of planning actions to provide and enhance the training of health residents.(AU)

Insuficiencias en proyectos de investigación de residentes de Estomatología General Integral: alerta necesaria

Fundamento: los proyectos de tesis de los residentes representan una de las actividades fundamentales en su desarrollo científico. Objetivo: describir las principales dificultades encontradas en los proyectos de investigación de los residentes de Estomatología General Integral. Métodos: se realizó un estudio observacional descriptivo retrospectivo en la Facultad de Ciencias Médicas de Sagua la Grande en el periodo 2014-2022. Se utilizaron métodos teóricos y empíricos para la fundamentación de la investigación y recogida de información. Se confeccionó un modelo para la recogida de datos extraídos de los proyectos, y se elaboró una base de datos para su almacenamiento. Resultados: las principales dificultades constatadas fueron: no sustentar adecuadamente la investigación, dificultades en la redacción del problema científico, específicamente en la relación entre el problema y el tipo de investigación, la conceptualización y/o operacionalización de las variables, la selección y elaboración de los métodos, técnicas e instrumentos para la recogida de la información y la acotación de la bibliografía por normas de Vancouver. Conclusiones: se constataron las principales dificultades en los proyectos de investigación de los residentes de Estomatología General Integral por la necesidad de que desarrollen habilidades investigativas desde el primer año de formación, para un mejor desempeño profesional, a partir de la aplicación del método científico en la solución de los problemas de salud bucal que se presenten en su quehacer diario.

Background: residents' thesis projects represent one of the fundamental activities in their scientific development. Objective: to describe the main difficulties found in the research projects of Comprehensive General dentistry residents. Methods: a retrospective descriptive observational study was carried out at Sagua la Grande Faculty of Medical Sciences from 2014 to 2022. Theoretical and empirical methods were used to support the research and collect information. A model was created for data collection extracted from the projects, and a database was created for its storage. Results: the main difficulties found were: not adequately supporting the research, difficulties in writing the scientific problem, specifically in the relationship between the problem and the type of research, the conceptualization and/or operationalization of the variables, the selection and preparation of the methods, techniques and instruments for collecting information and delimiting the bibliography according to Vancouver standards. Conclusions: the main difficulties were confirmed in the research projects of the residents of Comprehensive General Dentistry due to the need for them to develop research skills from the first year of training, for better professional performance, based on the application of the scientific method in the solution to oral health problems that arise in everyday life.

Constructivist On-line Learning Environment Survey (COLLES): avaliação do ensino híbrido em Programas de Residência / Constructivist Online Learning Environment Survey (COLLES): evaluating of hybrid learning in Residency Programs / Constructivist On-line Learning Environment Survey (COLLES): evaluación del aprendizaje híbrido en Programas de Residencia

Resumo A pesquisa buscou avaliar a efetividade do ensino híbrido nos Programas de Residência Médica em Medicina de Família e Comunidade e Residência Multiprofissional em Saúde da Família da SESAU/Fiocruz. Foi realizado um estudo transversal e observacional, de abordagem mista, utilizando-se o Constructivist On-line Learning Environment Survey (COLLES) com os residentes matriculados, do primeiro e segundo ano, que realizaram atividades em um modelo de ensino híbrido proposto pelos Programas. Participaram da pesquisa 88 residentes, que revelaram alta concordância sobre a relevância dos Programas para suas práticas profissionais, apontando desafios importantes sobre o processo. A implementação do ensino híbrido destacou-se como estratégia inovadora e eficaz nos Programas de Residência, evidenciando uma conexão positiva entre teoria e prática. Apesar dos desafios na interatividade, os resultados sugerem a necessidade de estratégias para uma maior colaboração entre os residentes, otimizando a experiência de aprendizado. A utilização do ensino híbrido pode ser uma ferramenta promissora em Programas de Residência, contribuindo significativamente para o desenvolvimento da formação profissional.

Abstract The research aimed to assess the effectiveness of blended learning in the Medical Residency Programs in Family and Community Medicine and Multiprofessional Residency in Family Health at the SESAU/Fiocruz. A cross-sectional observational study was conducted, utilizing a mixed-methods approach with the Constructivist Online Learning Environment Survey (COLLES) among enrolled residents in the first and second years. The study included 88 residents who showed a high level of agreement regarding the relevance of the programs to their professional practices, highlighting significant challenges in the process. Implementing blended learning emerged as an innovative and effective strategy in Residency Programs, evidencing a positive connection between theory and practice. Despite challenges in interactivity, the results suggest the need for strategies to enhance collaboration among residents, streamlining the learning experience. The use of blended learning is a promising tool in Residency Programs, contributing significantly to professional development.

Resumen La investigación buscó evaluar la efectividad de la enseñanza híbrida en los Programas de Residencia de Medicina Familiar y Comunitaria y Salud Familiar Multiprofesional del SESAU/Fiocruz. Se realizó un estudio transversal, observacional, de métodos mixtos, utilizando la Encuesta Constructivista de Entornos de Aprendizaje en Línea (COLLES, en inglés) con residentes inscritos en primer y segundo año que realizaron actividades en un modelo de enseñanza híbrida propuesto por los programas. Participaron en la investigación 88 residentes, quienes mostraron altos niveles de concordancia sobre la relevancia de los Programas para sus prácticas profesionales, señalando desafíos importantes sobre el proceso. La implementación de la docencia híbrida se destacó como una estrategia innovadora y eficaz en los Programas de Residencia, mostrando una conexión positiva entre teoría y práctica. A pesar de los desafíos en la interactividad, los resultados sugieren la necesidad de estrategias para una mayor colaboración entre los residentes, optimizando la experiencia de aprendizaje. El uso de la enseñanza híbrida puede ser una herramienta prometedora en los Programas de Residencia, contribuyendo significativamente al desarrollo de la formación profesional.

Conhecimentos, atitudes e práticas de uma equipe multidisciplinar de residentes sobre cuidados paliativos / Knowledge, attitudes and practices of a multidisciplinary team on palliative care / Conocimientos, actitudes y prácticas de un equipo multidisciplinar sobre cuidados paliativos

Objetivo: analisar conhecimentos, atitudes e práticas de residentes sobre Cuidados Paliativos. Método: estudo quantitativo, transversal, avaliativo do tipo Conhecimento, Atitude e Prática, desenvolvido em um hospital universitário da região Sul do Brasil. Participaram 49 residentes vinculados ao Programa de Residência Integrada Multiprofissional em Saúde. A coleta de dados ocorreu por meio do Google Forms. As análises foram realizadas no software Statistical Package for the Social Sciences v.25. Com nível de significância de 0,05. Resultados: A maioria afirmou não ter recebido informação suficiente sobre Cuidados Paliativos na graduação, 53,1% não sabem identificar pacientes candidatos a abordagem. Os aspectos conceituais são reconhecidos pelos residentes, no entanto, o uso de escalas, suspensão ou não de procedimentos e o uso de opióides geraram respostas diversas. O domínio Atitude foi significativo entre as categorias profissionais (P=0,008). Conclusão: Embora os participantes tenham mostrado compreensão sobre a temática, foram evidenciadas fragilidades, especialmente nos domínios atitude e prática

Objective: to analyze knowledge, attitudes and practices of multiprofessional residents related to the palliative care assistance. Method: a quantitative study, transversal, evaluative of the type Knowledge, Attitude and Practice, developed in a university hospital from the South of Brazil. 49 residents vinculated to the Multiprofessional Integrated Healthcare Residency Program participated. Data collection was made through Google Forms. The analyses were graphically represented and made with IBM SPSS Statistics v.25 software. Level of significance adopted was 0.05. Results: young group, with little professional experience, mainly women. The majority affirmed they haven't received sufficient information about palliative care and pain in graduation, 53,1% didn't knew how to identify patients candidates to palliative care. The conceptual aspects of palliative care are recognized by the residents. Nevertheless, the use of scales in palliative care, whether or not to suspend procedures and/or feeding and the use of opiates generated less cohesive answers between members of the group. Only the distribution of the Attitude domain was significant between the professional categories (P=0,008). Conclusion: participants have demonstrated comprehension about the thematic, even then, fragilities were evidenciated, especially in the Attitude and Practice domains. Palliative care should be a focus of study in the healthcare permanent education, as well as in the multiprofessional residency programs

Objetivos:analizar los conocimientos, actitudes y prácticas de los residentes sobre la asistencia en cuidados paliativos. Método: estudio cuantitativo, transversal, evaluativo del tipo Conocimiento, Actitud y Práctica, desarrollado en un hospital universitario de la región sur de Brasil. En el estudio participaron 49 residentes vinculados al Programa Integrado de Salud Multiprofesional La recogida de datos se realizó a través de Google Forms. Los análisis se realizaron utilizando el software Statistical Package for the Social Sciences v.25. El nivel de significancia adoptado fue de 0,05. Resultados: La mayoría dijo no haber recibido suficiente información sobre Cuidados Paliativos y manejo del dolor al graduarse, el 53,1% no sabe cómo identificar a los pacientes candidatos al abordaje. Los aspectos conceptuales del tema son reconocidos por los residentes, sin embargo, el uso de balanzas, suspensión o no de procedimientos y / o alimentos y el uso de opioides han generado respuestas diferentes. El dominio Actitud fue significativo entre las categorías profesionales (P = 0,008). Conclusión: Aunque los participantes mostraron comprensión sobre el tema, se evidenciaron debilidades, especialmente en los dominios de actitud y práctica

Mini entrevistas múltiples para la selección de residentes y fellows en un centro cardiovascular. Experiencia a 5 años / Multiple Mini Interviews for Selection of Residents and Fellows in a Cardiovascular Center. A 5-year Experience

RESUMEN Introducción las mini entrevistas múltiples (MME) son un modelo para evaluar las habilidades no cognitivas en la selección de profesionales ingresantes a instituciones médicas. Objetivo el objetivo de este trabajo fue evaluar la factibilidad, confiabilidad y la aceptabilidad de las MME para la selección de residentes y fellows en un centro cardiovascular en los últimos 5 años. Material y métodos se realizó un estudio observacional, en el cual se incluyeron consecutivamente postulantes a la residencia de Cardiología y a las especialidades de Medicina Nuclear y Ultrasonido en los años 2018, 2019 y 2022. Se desarrollaron diez estaciones para evaluar diferentes dominios no cognitivos. La confiabilidad se evaluó mediante el coeficiente G de generalización. Además, se encuestó a postulantes y entrevistadores para evaluar la aceptabilidad de las MME, y se evaluó la factibilidad en términos de tiempo dedicado al proceso. Resultados un total de 75 postulantes participaron de las MME. A partir del estudio G se obtuvieron coeficientes de confiabilidad de 0,62 y 0,61 acorde al diseño. Fue factible su implementación y el 92% de los postulantes valoró de manera muy positiva a las MME. El 90% de los entrevistadores refirió tener suficiente tiempo para evaluar a los participantes y que el proceso no era excesivamente agotador Conclusiones las MME son un método novedoso en nuestro medio. Demostraron ser confiables y con un elevado nivel de aceptabilidad para la evaluación de habilidades no cognitivas en el proceso de selección de postulantes a residencia de Cardiología y de subespecialidades en un centro cardiovascular.

ABSTRACT Background Multiple mini-interviews (MMIs) serve as a model to evaluate non-cognitive skills in the admission process of health care professionals. Objective The aim of this study was to evaluate the feasibility, reliability and acceptability of the MMI model for the selection of residents and fellows in a cardiovascular center in the past 5 years. Methods We conducted an observational study including applicants to the cardiology residency program and to the fellowship in Nuclear Medicine and Cardiovascular Ultrasound in 2018, 2019 and 2022. Ten stations were developed to evaluate different non-cognitive domains. Reliability was assessed using G-coefficient. Applicants and interviewers were also surveyed to assess the acceptability of the MMI model and its feasibility in terms of the time required for the process. Results A total of 75 applicants participated in the MMIs. The G study showed reliability coefficients of 0.62 and 0.61 according to the design. Implementation was feasible; 92% of applicants gave positive reviews to the MMI model, and 90% of interviewers reported they had sufficient time to assess the participants and that the process was not an excessively exhausting. Conclusion MMIs are a novel method in our setting, demonstrating reliability and a high level of acceptability for evaluating non-cognitive skills in the selection process of applicants to the cardiology residency program and fellowships in a cardiovascular center.

Manual para la preparación en temas de investigación experimental en las ciencias básicas biomédicas / Manual for training on experimental research topics in basic biomedical sciences

Fundamento: los contenidos referentes a los temas de investigación experimental en las diferentes especialidades de las ciencias básicas biomédicas son de elevada complejidad, y la literatura relacionada se encuentra de manera dispersa y escasa. Objetivo: diseñar un manual para la preparación en temas de investigación experimental de los residentes de las ciencias básicas biomédicas. Métodos: se realizó un estudio descriptivo transversal desde septiembre-2012 hasta junio-2019 en la Unidad de Investigaciones Biomédicas de la Universidad de Ciencias Médicas de Villa Clara. Se emplearon los métodos teóricos: analítico-sintético, inductivo-deductivo, sistémico-estructural y modelación; empírico: análisis documental. Se seleccionaron 11 expertos para la valoración del manual en cuanto a su pertinencia, autenticidad, actualidad, estructura metodológica, cientificidad y posible generalización. Resultados: se diseñó un material de procedimientos que facilita la consulta de los residentes para su preparación en temas de investigación experimental con modelos biológicos. Está conformado por un prólogo, tres capítulos y un acápite para la literatura consultada, en los que la temática es abordada de forma didáctica con actualización de los aspectos conceptuales, teóricos e históricos. Contiene fotografías tomadas por los propios autores y un lenguaje sencillo, que facilitan la comprensión de procedimientos que se adaptan por primera vez a las condiciones de los centros experimentales de Cuba. Conclusiones: el manual diseñado propicia la preparación requerida en temas de investigación experimental en los especialistas en formación, como aspecto significativo en la educación de los residentes de las ciencias básicas biomédicas, acorde con las exigencias de la enseñanza médica superior.

Background: the contents referring to experimental research topics in the different specialties of basic biomedical sciences are highly complex, and the related literature is scattered and scarce. Objective: to design a manual for the training of residents of basic biomedical sciences in experimental research topics. Methods: a cross-sectional descriptive study was carried out from September-2012 to June-2019 at the Biomedical Research Unit of Villa Clara University of Medical Sciences. Theoretical methods were used: analytical-synthetic, inductive-deductive, systemic-structural and modeling; empirical ones: documentary analysis. Eleven experts were selected to assess the manual in terms of its relevance, authenticity, timeliness, methodological structure, scientificity, and possible generalization. Results: a procedure material was designed that facilitates the consultation of the residents for their training in experimental research topics with biological models. It is made up of a prologue, three chapters and a section for the literature consulted, in which the subject is addressed in a didactic way with updating of the conceptual, theoretical and historical aspects. It contains photographs taken by the authors themselves and simple language, which facilitate the understanding of procedures that are adapted for the first time to the conditions of the experimental centers in Cuba. Conclusions: the designed manual promotes the preparation required in experimental research topics in training specialists, as a meaningful aspect in the education of residents of basic biomedical sciences, in accordance with the requirements of higher medical education.

Criterios sobre la dimensión Contenidos del programa Filosofía, Ciencia y Salud, según residentes / Criteria for the Contents dimension of the Philosophy, Science and Health program, according to residents

Fundamento: el perfeccionamiento constante de la superación de los egresados de la universidad médica exige el constante análisis de los programas de formación en el posgrado y la especialización. Objetivo: valorar la dimensión Contenidos del programa Filosofía, Ciencia y Salud según criterios de residentes de especialidades de las ciencias médicas. Métodos: se realizó una investigación en la Universidad de Ciencias Médicas de Villa Clara entre diciembre 2018-2020. Se utilizaron métodos teóricos: análisis-síntesis, histórico-lógico e inducción-deducción; empíricos: cuestionario para obtener criterios de los residentes acerca de los aspectos relacionados con la dimensión Contenidos del programa, para sus recomendaciones y modificaciones. Resultados: en las valoraciones emitidas por los residentes destacaron la preferencia de la mayoría por mantener la asignatura como está conformada según sus temas y tiempo de impartición, respecto a los contenidos recibidos, el indicador Interés obtuvo las más altas cifras, entre ellos, la Bioética sobresalió como la mejor valorada en los tres indicadores propuestos, entre los cuales la Asequibilidad fue la de menor puntuación. Los datos revelaron consenso sobre mantener la distribución del fondo de tiempo por temas y las formas organizativas de la enseñanza como se ofrecen en el programa, y la mayoría reconoció que es novedoso. Conclusiones: se valoró la dimensión Contenidos del programa Filosofía, Ciencia y Salud para residentes de especialidades de las ciencias médicas, de donde emergieron modificaciones para perfeccionar su metodología y alcance educativo-cultural.

Background: the steady improvement of the upgrading of the graduates of the medical university requires the constant analysis of the training programs in the postgraduate and specialization. Objectives: to assess the Contents dimension of the Philosophy, Science and Health program according to the criteria of residents of medical sciences specialties. Methods: an investigation was carried out at the Villa Clara University of Medical Sciences from December 2018 to 2020. Theoretical methods were used: analysis-synthesis, historical-logical and induction-deduction; Empirical: questionnaire to obtain criteria from residents about aspects related to the content dimension of the program, for their recommendations and modifications. Results: in the evaluations issued by the residents, the preference of the majority to maintain the subject as it is made up according to its topics and teaching time, regarding the contents received, the Interest indicator obtained the highest figures, among them, Bioethics. Stood out as the best valued in the three proposed indicators, among which Affordability was the one with the lowest score. The data revealed a consensus on maintaining the distribution of the time fund by subject and the organizational forms of teaching as offered in the program, and most recognized that it is novel. Conclusions: the Contents dimension of the Philosophy, Science and Health program for residents of medical sciences specialties was evaluated, from which modifications emerged to improve its methodology and educational-cultural scope.

Pensamiento suicida en médicos residentes con la escala de Plutchik en dos instituciones de salud en Ciudad Obregón, Sonora, México

Objetivo: Evaluar la incidencia y factores asociados al pensamiento suicida en una muestra de médicos residentes de dos instituciones. Materiales y métodos: Se realizó un estudio de tipo descriptivo, observacional, prospectivo y transversal, entre los meses de septiembre a octubre del 2022, para estimar el pensamiento suicida en los médicos residentes de dos hospitales con la escala de Plutchik, además de buscar factores asociados. Se aplicó la estadística descriptiva con medidas de tendencia central y de dispersión, frecuencias relativas y absolutas; las pruebas ji al cuadrado de Pearson y de bondad de ajuste, así como la prueba de Kruskal-Wallis se emplearon para examinar las diferencias entre especialidades, y la prueba post-hoc de Tukey para evaluar la especialidad diferente. Resultados: Se respondió un total de 225 encuestas, de las cuales se eliminaron 20 por inadecuado diligenciamiento, y quedaron 205. El promedio de edad fue de 28,66 años (DS ± 2,360) y el 71,2 % correspondió al sexo femenino. En cuanto a las especialidades, se encontró a pediatría con el 28,8 % y a anestesiología con el 20,5 %. Se evidenció asociación significativa entre especialidades, con un valor de p = 0,0000, y grado académico de p = 0,003 (p ≤ 0,05). Según la especialidad, se encontraron diferencias en cuanto al pensamiento suicida; la prueba de Kruskal-Wallis mostró un valor de p = 0,000 y la prueba post-hoc de Tukey reveló que la especialidad de ginecología fue la diferente. Conclusiones: De acuerdo con los resultados de la muestra, alrededor de una cuarta parte de los médicos residentes manifiesta pensamiento suicida. La prevalencia en dicha muestra no presenta diferencia significativa con respecto a la incidencia a nivel latinoamericano. Se encontró una asociación entre ideas suicidas, especialidades médicas y grado académico. En cuanto a comparación entre las especialidades, ginecología fue la que mostró mayor ideación suicida. Este trabajo presenta algunas limitaciones, por ejemplo, existe una gran heterogeneidad de grupos, no se empleó una técnica de selección probabilística y las pruebas estadísticas empleadas fueron no paramétricas.

Objective: To evaluate the incidence and factors associated with suicidal ideation in a sample of resident physicians from two institutions. Materials and methods: A descriptive, observational, prospective and cross-sectional study was carried out to estimate the suicidal ideation and associated factors with the Plutchik Suicide Risk Scale among resident physicians from two hospitals between September and October 2022. Descriptive statistics were used with measures of central tendency and dispersion, as well as relative and absolute frequencies. In addition, Pearson's chi-square goodness of fit test and Kruskal-Wallis H test were used to examine the differences between specialties, and Tukey's Honest Significant Difference test to determine which specialty was different. Results: A total of 225 surveys were answered, out of which 20 were eliminated due to inadequate completion, leaving 205 complete surveys for analysis. The average age was 28.66 years (SD ± 2.360) and 71.2 % were females. Concerning the specialties, pediatrics was found in 28.8 % of the respondents and anesthesiology in 20.5 %. A significant association between specialties with a value of p = 0.0000 and academic degrees with p = 0.003 (p ≤ 0.05) was evidenced. Differences regarding suicidal ideation were found by specialty: Kruskal-Wallis H test showed a value of p = 0.000 and Tukey's Honest Significant Difference test revealed that the specialty of gynecology was the different one. Conclusions: According to the results of the study sample, approximately one fourth of the resident physicians had suicidal ideation. Its prevalence in this sample showed no significant difference with respect to its incidence in Latin America. An association between suicidal ideation, medical specialties and academic degree was found. As for the comparison between specialties, gynecology was the one with the highest suicidal ideation rate. This work had some limitations; for example, the groups were very heterogeneous, a probabilistic selection technique was not used, and the statistical tests were nonparametric.