Sandoval-Bonilla B A, la Cerda-Vargas María F De, Stienen Martin N, Nettel-Rueda Bárbara, Ramírez-Reyes Alma G, Soriano-Sánchez José A, Castillo-Rangel Carlos, Mejia-Pérez Sonia, Chávez-Herrera V R, Navarro-Domínguez Pedro, Sánchez-Dueñas J J, Ramirez-Cardenas Araceli
Department of Neurosurgery, Hospital de Especialidades, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, México City, Mexico.
Department of Neurosurgery, Hospital de Especialidades No. 71, Instituto Mexicano del Seguro Social, Torreón, Coahuila, Mexico.
Surg Neurol Int. 2021 Dec 20;12:618. doi: 10.25259/SNI_813_2021. eCollection 2021.
Recent severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic represents an important negative impact on global training of neurosurgery residents. Even before the pandemic, discrimination is a challenge that neurosurgical residents have consistently faced. In the present study, we evaluated discriminatory conditions experienced by residents during their neurosurgical training in Mexico before the SARS-CoV-2 pandemic.
An electronic survey of 18 questions was sent among residents registered in the Mexican Society of Neurological Surgery (MSNS), between October 2019 and July 2020. Statistical analysis was made in IBM SPSS Statistics 25. The survey focused on demographic characteristics, discrimination, personal satisfaction, and expectations of residents.
A response rate of 50% (132 of 264 residents' members of MSNS) was obtained and considered for analysis. Median age was 30.06 ± 2.48 years, 5.3% ( = 7) were female and 16.7% ( = 22) were foreigners undergoing neurosurgical training in Mexico. Approximately 27% of respondents suffered any form of discrimination, mainly by place of origin (9.1%), by gender (8.3%) or by physical appearance (6.1%). About 42.9% ( = 3) of female residents were discriminated by gender versus 6.4% ( = 8) of male residents ( = 0.001); while foreign residents mentioned having suffered 10 times more an event of discrimination by place of origin compared to native Mexican residents (36.4% vs. 3.6%, < 0.001).
This manuscript represents the first approximation to determine the impact of discrimination suffered by residents undergoing neurosurgical training in Mexico before the SARS-CoV-2 pandemic.
近期严重急性呼吸综合征冠状病毒2（SARS-CoV-2）大流行对神经外科住院医师的全球培训产生了重大负面影响。甚至在大流行之前，歧视就是神经外科住院医师一直面临的挑战。在本研究中，我们评估了在SARS-CoV-2大流行之前墨西哥神经外科住院医师培训期间所经历的歧视情况。
2019年10月至2020年7月期间，对墨西哥神经外科学会（MSNS）登记的住院医师进行了一项包含18个问题的电子调查。使用IBM SPSS Statistics 25进行统计分析。该调查聚焦于住院医师的人口统计学特征、歧视情况、个人满意度和期望。
获得了50%（264名MSNS住院医师成员中的132名）的回复率并纳入分析。中位年龄为30.06±2.48岁，5.3%（n = 7）为女性，16.7%（n = 22）是在墨西哥接受神经外科培训的外国人。约27%的受访者遭受过任何形式的歧视，主要是基于出身地（9.1%）、性别（8.3%）或外貌（6.1%）。约42.9%（n = 3）的女性住院医师受到性别歧视，而男性住院医师为6.4%（n = 8）（p = 0.001）；与墨西哥本土住院医师相比，外国住院医师提到因出身地遭受歧视事件的次数多10倍（36.4%对3.6%，p < 0.001）。
本手稿首次尝试确定在SARS-CoV-2大流行之前墨西哥神经外科住院医师培训期间所遭受歧视的影响。
