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Cuadernos Hospital de Clínicas
Print version ISSN 1562-6776
Abstract
MARISCAL PALLE, Efraín et al. Maltrato y/o violencia: fenómeno de estudio en centros de enseñanza asistenciales: Internado Rotatorio de Medicina gestión 2005 - 2006. Cuad. - Hosp. Clín. [online]. 2007, vol.52, n.1, pp.46-54. ISSN 1562-6776.
RESEARCH QUESTION What is the magnitude and which are the types of abuse and/ or violence committed in the centres of assisting teaching from the perspective of last year medical students during the academic year 2005-2006? OBJECTIVE To establish the magnitude and types of abuse and/or violence in the assisting teaching centres from the perspective of last year medical students of Universidad Mayor de San Andrés (UMSA) in La Paz - academic year 2005-2006 DESIGN Descriptive, cross sectional. SITE Centres of assisting teaching, hospitals of second and third level. SUBJECTS Medical students during the rotary internship, sample of 125 students. MATERIAL AND METHODS A questionnaire was applied to 125 students who were finishing the rotary internship of the Medical School of UMSA, during the academic year 2005-2006. The questionnaire consisted of 20 questions in order to investigate the relationship with the health personnel of the assisting teaching centre , types of abusive behaviour and/or violence perceived and their effect on the academic performance and the communication assisting teacher - intern. The qualitative evaluation was quantified as: never = 1; seldom = 2, once in a while = 3; fairly frequent = 4; very frequent = 5. RESULTS AND CONCLUSIONS The interns of the medical career, during the rotary internship, perceived aggression against themselves, indicating as alleged aggressors nurses and attending physicians. The reason was the excessive work, the type of aggressive behaviour was PSYCHOLOGICAL, SEXUAL and PHYSICAL, motivated by abuse of power and superiority complex, places were the rooms of medical rounds and the operating room. Ways to face up to the aggressive behaviour, were to accept passively the action, not to seek help out of fear of the retaliations. The symptoms during the aggression were feelings of abandonment, impotence, anguish, stress, sadness and depression, with effects on mental health, on relations to the family, on academic performance and on the communication with the assisting teacher. Our results permit us to establish the prevalence of abuse and/or violence in the assisting teaching centres where the rotary internship takes place, against the personnel during INTERN training. At the same time, we verified abuse of health personnel and of the patients.
Keywords : Emotional intelligence; institutional violence; abuse and/or violence against interns of medicine; assisting teacher.