Prieto-Miranda Sergio Emilio, Jiménez-Bernardino Carlos Alberto, Monjaraz-Guzmán Elizabeth Guadalupe, Esparza-Pérez Ramiro Israel
Departamento de Terapia Intensiva, Hospital Civil Nuevo de Guadalajara "Dr. Juan I. Menchaca", Guadalajara, Jalisco, México.
Rev Med Inst Mex Seguro Soc. 2017 Mar-Apr;55(2):269-272.
It takes many years to acquire abilities and technical skills necessary to do a good work as a doctor and even more years, for being "good professionals". Much of this training is based on old teaching schemes, but medicine has changed. So far no studies in our medium addressing the problem are known. The aim of this paper was to determine the level of professionalism in physicians that work in a second-level hospital.
Descriptive cross-sectional study. We apply a survey to physicians, residents and medical interns in a second-level hospital. We developed and implemented a questionnaire on professionalism, which contained 18 items, 3 demographic questions and 15 questions with a Likert scale, which identified four dimensions: specialized knowledge, autonomy in decision-making, self-regulation and social commitment. Descriptive and inferential statistics were used, considering significant a p-value <0.05.
We surveyed 228 physicians, 57.5% demonstrated competence in professionalism. 93.3% of the participants were competent in specialized knowledge and 60.5% in social commitment. The physicians and residents got the higher scores, and these differences were significant between autonomy in decision-making and specialized knowledge (p < 0.001). The medical interns obtained lower scores in all dimensions compared with residents and physicians.
More than a half of physicians surveyed had a competent level of professionalism but only in some dimensions. We observed higher scores with a higher academic grade.
成为一名优秀的医生需要多年时间来培养必要的能力和技术技能，而成为“优秀的专业人员”则需要更长时间。这种培训大多基于旧的教学模式，但医学已经发生了变化。到目前为止，在我们这个地区尚未发现有针对该问题的研究。本文的目的是确定在二级医院工作的医生的专业水平。
描述性横断面研究。我们对一家二级医院的医生、住院医师和医学实习生进行了一项调查。我们编制并实施了一份关于专业素养的问卷，其中包含18个项目、3个人口统计学问题以及15个采用李克特量表的问题，这些问题确定了四个维度：专业知识、决策自主性、自我约束和社会责任感。使用了描述性和推断性统计方法，将p值<0.05视为具有统计学意义。
我们调查了228名医生，57.5%的人在专业素养方面表现出能力。93.3%的参与者在专业知识方面表现出能力，60.5%的人在社会责任感方面表现出能力。医生和住院医师得分较高，在决策自主性和专业知识方面存在显著差异（p<0.001）。与住院医师和医生相比，医学实习生在所有维度上得分较低。
超过一半接受调查的医生在专业素养方面达到了合格水平，但仅在某些维度上。我们观察到学术等级越高得分越高。
