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Vol. 219. Num. 2.March 2019
Pages 61-106
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Vol. 219. Num. 2.March 2019
Pages 61-106
Original article
DOI: 10.1016/j.rceng.2018.05.001
Fifth-year internal medicine residents in Spain: A survey on education, assessment of competencies and job perspectives
Residentes de medicina interna de quinto año en España: encuesta sobre educación, evaluación de competencias y perspectivas de empleo
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C. Macía-Rodrígueza,
Corresponding author
, M.L. López Reboirob, D. Martín Iglesiasc, A. González-Munerad, J. Moreno Diaze, A. Montaño Martínezf, G. Ortiz Llauradóg, P. Demelo-Rodríguezh, C. Muñoz Muñozi, F. Salgado Ordoñezj
a Servicio de Medicina Interna, Hospital POVISA, Vigo, Pontevedra, Spain
b Servicio de Medicina Interna, Hospital Comarcal de Monforte de Lemos, Monforte de Lemos, Lugo, Spain
c Servicio de Medicina Interna, Hospital de Cruces, Barakaldo, Vizcaya, Spain
d Servicio de Medicina Interna, Hospital General Universitario Gregorio Marañón, Madrid, Spain
e Servicio de Medicina Interna, Hospital Universitario Miguel Servet, Zaragoza, Spain
f Servicio de Medicina Interna, Complejo Hospitalario Universitario de Badajoz, Badajoz, Spain
g Servicio de Medicina Interna, Hospital de Terrassa-Consorci Sanitari de Terrassa, Terrassa, Barcelona, Spain
h Servicio de Medicina Interna, Hospital General Universitario Gregorio Marañón, Madrid, Spain
i Servicio de Medicina Interna, Hospital General de Cataluña, Sant Cugat del Vallès, Barcelona, Spain
j Servicio de Medicina Interna, Hospital Regional Universitario de Málaga, Málaga, Spain
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Table 1. General data of surveyed residents.
Table 2. Research activity according to the size of the originating hospital.
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Abstract
Background

Specialist training is based on the gradual acquisition of expertise, skills and responsibilities. The aim of this study is to determine the opinion of residents regarding their training.

Material and methods

This was a cross-sectional descriptive study based on an online survey of 5th-year residents during February and March 2017.

Results

A total of 194 residents (62.8% of the total) responded to the survey, 62.9% of whom were women and 50% of whom were younger than 30years, representing hospitals from all levels and from the 17 autonomous communities. More than 80% of the residents choose the specialty once again and believed that the duration of the residence was appropriate; however, 76.3% would eliminate some of their rotations. Most of the residents did not know the objectives of each rotation, and 37.1% felt they were not adequately supervised. Some 82.5% would change the evaluation system, and 68.0% would favour performing an excellence test. Most of the residents had published at least one article or performed one presentation at a congress; however, only 27.8% had completed a doctoral thesis. Although 74.7% of the internists believed they would find employment, only 28.4% had an offer 1month after completing their residence.

Conclusions

The residents are satisfied with their training, although there is still a deficit in supervision and dissatisfaction with the method of assessing their knowledge and the precarious job market during the first year for specialists.

Keywords:
Specialty
Internal medicine
Residents
Residence
Resumen
Introducción

La formación de especialistas está basada en la adquisición gradual de conocimientos, habilidades y responsabilidades. El objetivo del estudio es conocer la opinión de los residentes sobre su formación.

Material y métodos

Estudio descriptivo transversal basado en una encuesta online realizada a los residentes de quinto año durante los meses de febrero y marzo de 2017.

Resultados

Respondieron la encuesta 194 residentes (62,8% del total); el 62,9% fueron mujeres y el 50% eran menores de 30años, con representación de hospitales de todos los niveles y de las 17 comunidades autónomas. Más del 80% volverían a elegir la especialidad y creen que la duración de la residencia es adecuada; sin embargo, el 76,3% eliminarían alguna de las rotaciones. La mayoría de los residentes desconocen los objetivos de cada rotación y un 37,1% no se han sentido adecuadamente supervisados. Un 82,5% cambiarían el sistema de evaluación y un 68,0% estarían a favor de realizar una prueba de excelencia. La mayoría de residentes han publicado al menos un artículo o realizado una comunicación en un congreso; sin embargo, solo el 27,8% están realizando una tesis doctoral. A pesar de que un 74,7% consideran que van a encontrar empleo, solo un 28,4% tienen una oferta a un mes de finalizar la residencia.

Conclusiones

Los residentes están satisfechos con la formación recibida, aunque sigue existiendo un déficit en la supervisión y un descontento tanto con la forma de evaluar sus conocimientos como con la precariedad laboral durante los primeros años de especialistas.

Palabras clave:
Especialidad
Medicina interna
Residentes
Residencia

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