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Discrimination of residents during neurosurgical training in Mexico: Results of a survey prior to SARS-CoV-2.
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.
  • Sandoval-Bonilla BA; Department of Neurosurgery, Hospital de Especialidades, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, México City, Mexico.
  • la Cerda-Vargas MF; Department of Neurosurgery, Hospital de Especialidades No. 71, Instituto Mexicano del Seguro Social, Torreón, Coahuila, Mexico.
  • Stienen MN; Department of Neurosurgery, Kantonsspital St.Gallen, St.Gallen, Switzerland.
  • Nettel-Rueda B; Department of Neurosurgery, Hospital de Especialidades, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, México City, Mexico.
  • Ramírez-Reyes AG; Department of Pediatric Neurosurgery, Hospital de Pediatría, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, México City, México.
  • Soriano-Sánchez JA; President of the Mexican Society of Neurological Surgery, Mexico City, México; Latin American Federation of Neurosurgical Societies, Montevideo, Uruguay; Spine Clinic, The American British Cowdray Medical Center IAP, Mexico City, Mexico; World Federation of Neurosurgical Societies, Nyon, Vaud, Switz
  • Castillo-Rangel C; Department of Neurosurgery, Hospital 1° de Octubre, ISSSTE, Mexico.
  • Mejia-Pérez S; Department of Neurosurgery, Instituto Nacional de Neurología y Neurocirugía "Manuel Velasco Suárez", Mexico.
  • Chávez-Herrera VR; Department of Neurosurgery, Hospital de Especialidades, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, México City, Mexico.
  • Navarro-Domínguez P; Department of Neurosurgery, Hospital de Especialidades No. 71, Instituto Mexicano del Seguro Social, Torreón, Coahuila, Mexico.
  • Sánchez-Dueñas JJ; Laboratory of Comparative Cognition, Faculty of Psychology, Universidad Nacional Autonoma de Mexico, Mexico City, Mexico.
  • Ramirez-Cardenas A; Graduate School of Neural and Behavioural Sciences, International Max Planck Research School, Tuebingen University, Tuebingen, Germany.
Surg Neurol Int ; 12: 618, 2021.
Article in English | MEDLINE | ID: covidwho-1836391
ABSTRACT

BACKGROUND:

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.

METHODS:

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.

RESULTS:

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% (n = 7) were female and 16.7% (n = 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% (n = 3) of female residents were discriminated by gender versus 6.4% (n = 8) of male residents (P = 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%, P < 0.001).

CONCLUSION:

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.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Observational study Country/Region as subject: Mexico Language: English Journal: Surg Neurol Int Year: 2021 Document Type: Article Affiliation country: SNI_813_2021

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Observational study Country/Region as subject: Mexico Language: English Journal: Surg Neurol Int Year: 2021 Document Type: Article Affiliation country: SNI_813_2021