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Gender differences in professional adversities and mental health among surgical and nonsurgical medical trainees: an internet-based survey

dc.creatorFresán, Anaes_ES
dc.creatorGuízar-Sánchez, Dianaes_ES
dc.creatorYoldi-Negrete, Maríaes_ES
dc.creatorRobles-García, Rebecaes_ES
dc.creatorTovilla-Zárate, Carlos-Alfonsoes_ES
dc.creatorSaracco-Álvarez, Ricardoes_ES
dc.date2023
dc.date.accessioned2025-03-26T18:24:59Z
dc.date.available2025-03-26T18:24:59Z
dc.date.issued2023
dc.identifierJC58es_ES
dc.identifier.issn1931-7204
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/8275
dc.identifier.urihttps://doi.org/10.1016/j.jsurg.2023.01.013
dc.descriptionBackground: Physicians in training face a variety of stressors throughout their professional development and according to their gender. Among them, surgical trainees appear to be especially at risk for mental health problems. Objective: The aim of the present study was to compare demographic features, professional activities and adversities, depression, anxiety, and distress among men and women trainees of surgical and nonsurgical medical specialties. Design and participants: A cross-sectional, retrospective, comparative study was conducted on a total of 12,424 trainees (68.7% nonsurgical and 31.3% surgical) from Mexico through an online survey. Demographic features, variables related to professional activities and adversities, depression, anxiety, and distress were evaluated through self-administered measures. Comparative analyses using the Cochran-Mantel-Haenszel test for categorical variables and multivariate analysis of variance including medical residency program and gender as fixed factors to test their interaction effect for continuous variables were used. Results: An important interaction between medical specialty and gender was found. Women trainees from surgical specialties report more frequent psychological and physical aggressions. Women from both specialties had higher distress, significant anxiety, and depression than men. Men from surgical specialties worked more hours per day. Conclusions: Gender differences are evident in trainees for medical specialties, with a larger impact in surgical fields. Mistreatment of students is a pervasive behavior that affects society as a whole, and actions to improve learning and working environments in all medical specialties, but mostly in surgical fields, are urgently needed.es_ES
dc.formatPDFes_ES
dc.language.isoenges_ES
dc.publisherElsevieres_ES
dc.relation80(5):666-675
dc.rightsAcceso Cerradoes_ES
dc.titleGender differences in professional adversities and mental health among surgical and nonsurgical medical trainees: an internet-based surveyes_ES
dc.typeArtículoes_ES
dc.contributor.affiliationSubdirección de Investigaciones Clínicas, Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, Mexico City, Mexico
dc.contributor.emailfresan@imp.edu.mx (Ana Fresán)
dc.relation.jnabreviadoJ SURG EDUC
dc.relation.journalJournal of Surgical Education
dc.identifier.placeEstados Unidos
dc.date.published2023
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
dc.identifier.eissn1878-7452
dc.identifier.doi10.1016/j.jsurg.2023.01.013
dc.subject.kwMedical specialty
dc.subject.kwSurgical training
dc.subject.kwWomen
dc.subject.kwMental health
dc.subject.kwGender
dc.subject.kwDoctors’ healthcare


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