Factors associated with university and hospital mistreatment in medical students from seven Latin American countries

Mejia C.R.; Serrano F.T.; Hidalgo S.R.; Avila Y.C. · Educacion Medica (2022) · DOI: 10.1016/j.edumed.2022.100757

Resumen

Introduction: Mistreatment in the medical career is a frequent activity, but few studies of analytical design in multiple Latin American realities that determine the associated factors, so the objective was to determine the factors associated with university and hospital mistreatment in medical students from seven Latin American countries. Material and methods: Analytical cross-sectional design, secondary data analysis. By means of a self-administered questionnaire between 2016-2017, the self-reported outcome variables of physical, sexual, academic and psychological mistreatment perceived by medical students were obtained, associating themselves with socio-educational variables using Generalized Linear Models. Results: The main mistreatment was psychological 7,3% and 2,7% in the university and hospital, respectively, with Colombia and Chile being the most mistreated in all areas. At university, physical mistreatment was higher when studying in Ecuador (p < 0.001), but less in women (p = 0.019) and in Argentina (p < 0.001); the psychological, lower in private universities (p < 0.001), higher according to age (p < 0.001), with significant differences in all countries (p < 0.001); the academic, lower in private university (p < 0.001), higher according to age (p < 0.001) with significant differences in the countries (p < 0.001). In the hospital, the psychological, was higher in private university (p < 0.001) with statistical difference in the countries (p < 0.05), except Argentina; the academic was higher according to age (p < 0.001), but lower in Argentina and Ecuador (p < 0.001). Conclusion: Mistreatment is very frequent in the medical career, with statistical differences according to socio-educational variables, being highly heterogeneous between countries; therefore, it is very important that programs are generated to intervene in this fundamental aspect of medicine.

Instituciones: Universidad Continental