RESUMO
Objetivos: Desde la instauración de las enseñanzas de especialización a través del sistema de residencia, la sanidad española ha pretendido mantener un equilibrio entre las necesidades establecidas y los profesionales formados, con el objetivo de evitar el déficit o exceso de especialistas sanitarios con las consecuencias que de ello pudieran derivar. El objetivo de la presente revisión es conocer la situación laboral de los médicos especialistas en urología al finalizar el periodo formativo MIR. Métodos: Se presentan los resultados de una encuesta destinada a médicos especialistas en urología que finalizaron su contrato de residencia desde el 2012 hasta 2016, valorando situación laboral, datos académicos y laborales durante los primeros meses tras la finalización de la formación especializada. Resultados: Se recogieron un total de 42 respuestas. La totalidad de los encuestados tuvo contrato laboral a los 6 meses tras finalizar el MIR. El 71% contaba con un contrato temporal, la mayoría con una duración menor de un año. Hay más números de contratos en la empresa pública, aunque aumentan progresivamente en la privada. Más de la mitad de los encuestados se encontraban satisfechos con su situación laboral. Conclusiones: La inserción laboral de los urólogos recientemente especializados es alta, llegando al 100% a los 6 meses de finalizar su especialización. No son tan positivas cuestiones relacionadas con la calidad laboral, observando una gran inestabilidad laboral asociada a una alta proporción de contratos temporales menores de 6 meses (AU)
Objectives: Since the establishment of specialization of medicine through the residency system, Spanish health care has sought to maintain a balance between established needs and trained professionals, with the aim of avoiding the deficit or excess of health specialists with its consequences. The objective of the present review is to know the working conditions of urologist specialists at the end of the residency training period. Méthods: The results of a survey for urologist who completed their residency contract from 2012 to 2016 are presented, assessing working status, academic and working data during the first months after the completion of specialized training. Results: A total of 42 surveys were collected. All respondents had a working contract within 6 months of completing their training. 71% had a temporary contract, most with duration of less than one year. There are more contract numbers in the public health system, although they increase progressively in the private sector. More than half of the respondents were satisfied with their work situation. Conclusiones: The work insertion of the recently specialized urologists is high, reaching 100% within 6 months of finishing their specialization. Labor quality issues are not so positive, observing great working instability associated to a high proportion of temporary contracts lower than 6 months (AU)
Assuntos
Urologistas/economia , Mercado de Trabalho , Contratos/estatística & dados numéricos , Espanha , Urologistas/estatística & dados numéricos , Internato e ResidênciaRESUMO
Las redes sociales se caracterizan porque todos sus servicios son participativos. Los usuarios de las tecnologías 2.0 pueden relacionarse de forma sencilla y abierta con otras personas, compartir recursos y comunicarse de forma inmediata y simultánea. La investigación se favorece de las tecnologías participativas, al permitir que los grupos compartan reflexiones, metodologías, recursos y resultados. La red social con mayor difusión y uso en la urología posiblemente sea Twitter ya que permite realizar lo que se conoce como "microblogging", los usuarios generan comentarios y mensajes breves a través de la creación de "tweets". Es posible determinar que existen tres grandes ámbitos en los que las redes sociales desde un punto de vista científico se manifiestan: compartir investigación, recursos y resultados. El uso y las aplicaciones de las redes sociales se convierten en una gran responsabilidad en el área de la salud y la urología, obviamente por razones de privacidad, rigor científico, ética y la naturaleza del contenido médico - legal (AU)
Social media is characterized because all its services are participative. Users of 2.0 technologies can interact easily and openly with other people, share resources and communicate immediately and simultaneously. Research improves from participatory technologies by allowing groups to share reflections, methodologies, resources and results. The social media platform with greater diffusion and use in urology is possibly Twitter because it allows to realize what is known like "microblogging", the users generate comments and brief messages through the creation of "tweets". It is possible to determine that there are three broad areas from a scientific point of view in which social media are manifested: sharing research, resources and results. The use and applications of social media become a major responsibility in the area of health and urology, obviously for reasons of privacy, scientific rigor, ethics and the nature of the medical - legal content (AU)
Assuntos
Humanos , Rede Social , Educação Continuada/tendências , Urologia/educação , Mídias Sociais , Comunicação e Divulgação Científica , Mídias Sociais/estatística & dados numéricosRESUMO
OBJECTIVES: Since the establishment of specialization of medicine through the residency system, Spanish health care has sought to maintain a balance between established needs and trained professionals, with the aim of avoiding the deficit or excess of health specialists with its consequences. The objective of the present review is to know the working conditions of urologist specialists at the end of the residency training period. METHODS: The results of a survey for urologist who completed their residency contract from 2012 to 2016 are presented, assessing working status, academic and working data during the first months after the completion of specialized training. RESULTS: A total of 42 surveys were collected. All respondents had a working contract within 6 months of completing their training. 71% had a temporary contract, most with duration of less than one year. There are more contract numbers in the public health system, although they increase progressively in the private sector. More than half of the respondents were satisfied with their work situation. CONCLUSIONS: The work insertion of the recently specialized urologists is high, reaching 100% within 6 months of finishing their specialization. Labor quality issues are not so positive, observing great working instability associated to a high proportion of temporary contracts lower than 6 months.
Assuntos
Emprego , Internato e Residência , Urologia/educação , Emprego/estatística & dados numéricos , Autorrelato , EspanhaRESUMO
Social media is characterized because all its services are participative. Users of 2.0 technologies can interact easily and openly with other people, share resources and communicate immediately and simultaneously. Research improves from participatory technologies by allowing groups to share reflections, methodologies, resources and results.The social media platform with greater diffusion and use in urology is possibly Twitter because it allows to realize what is known like "microblogging", the users generate comments and brief messages through the creation of "tweets". It is possible to determine that there are three broad areas from a scientific point of view in which social media are manifested: sharing research, resources and results. The use and applications of social media become a major responsibility in the area of health and urology, obviously for reasons of privacy, scientific rigor, ethics and the nature of the medical - legal content.
Assuntos
Mídias Sociais , Urologia/educação , Educação de Pós-Graduação em Medicina/métodosRESUMO
El cáncer de próstata (CaP) es el de mayor incidencia entre los varones y sin embargo se conoce muy poco sobre sus factores de riesgo. El presente artículo tiene por objetivo conocer la incidencia hospitalaria, tendencia y distribución municipal del CaP en el área de salud de León (ASL). Métodos. Fueron incluidos los casos nuevos de cáncer de próstata (CIE-9: 185, CIE-10: C61) del registro hospitalario de tumores del Complejo Asistencial Universitario de León, entre 1996 y 2010 en sujetos con residencia en el ASL. Se calcularon las incidencias hospitalarias brutas trienales y ajustadas a población mundial y europea. Como denominador se utilizaron los datos del Instituto Nacional de Estadística de población desagregada por grupos quinquenales de edad de residentes en municipios del ASL. Para el análisis de la distribución espacial se estimaron los riesgos relativos (RR) municipales suavizados mediante el ajuste del modelo de Besag, York y Mollié y sus probabilidades posteriores de que los RR fuesen > 1 (PP), utilizando métodos bayesianos. Resultados: Se incluyeron 3.366 casos. Las tasas estandarizadas con población europea ascendieron de 30,3 (1996-98) a 119,0 (2008-2010) casos nuevos por 100.000 hombres. El número de casos órgano-confinados pasó de 281 (1999-2001) a 999 (2008-2010). Las determinaciones de PSA ascendieron de 30.985 (1999-2001) a 117.396 (2008-2010). Conclusiones: Se observó un gran incremento de la frecuencia de CaP a expensas de los casos órgano-confinados, que correlacionan muy bien con las determinaciones de PSA llevadas a cabo en el ASL. No hubo diferencias de interés en la distribución municipal de las incidencias (AU)
Background: Prostate cancer (PC) is the most prevalent among men and yet its risk factors are little known. This article aims to determine the hospital incidence, trend and municipal distribution of PC in Health Area of León (HAL). Methods: We included new cases of prostate cancer (ICD-9: 185, ICD-10: C61) enrolled in the Hospital Tumor Registry of the Complejo Asistencial Universitario de León, between 1996 to 2010 with residence in HAL. We calculated crude triennial hospital incidences and adjusted at global and European population. As denominator we used the INE population data disaggregated by five-year age groups of residents in municipalities of the HAL. To analyze the spatial distribution, we estimated municipal relative risks (RR) smoothed by fitting the Besag, York and Mollié model and the posterior probability (PP) of RR > 1 using Bayesian methods. Results: 3,366 cases were included. Standardized rates at European population amounted of 30.3 (1996-98) to 119.0 (2008-2010) new cases per 100,000 men. The number of organ-confined cases were increased from 281 (1999-2001) to 999 (2008-2010). PSA determinations amounted from 30,985 (1999-2001) to 117 396 (2008-2010). Conclusions: A great increase was observed in the frequency of PC at the expense of organ-confined cases which correlate very well with PSA determinations performed in HAL. There were no differences of interest in the municipal distribution incidences (AU)
Assuntos
Humanos , Masculino , Neoplasias da Próstata/epidemiologia , Antígeno Prostático Específico/análise , Demografia/estatística & dados numéricos , Estudos de Coortes , Epidemiologia DescritivaRESUMO
BACKGROUND: Prostate cancer (PC) is the most prevalent among men and yet its risk factors are little known. This article aims to determine the hospital incidence, trend and municipal distribution of PC in Health Area of León (HAL). METHODS: We included new cases of prostate cancer (ICD-9: 185, ICD-10: C61) enrolled in the Hospital Tumor Registry of the Complejo Asistencial Universitario de León, between 1996 to 2010 with residence in HAL. We calculated crude triennial hospital incidences and adjusted at global and European population. As denominator we used the INE population data disaggregated by five-year age groups of residents in municipalities of the HAL. To analyze the spatial distribution, we estimated municipal relative risks (RR) smoothed by fitting the Besag, York and Mollié model and the posterior probability (PP) of RR >1 using Bayesian methods. RESULTS: 3,366 cases were included. Standardized rates at European population amounted of 30.3 (1996-98) to 119.0 (2008-2010) new cases per 100,000 men. The number of organ-confined cases were increased from 281 (1999-2001) to 999 (2008-2010). PSA determinations amounted from 30,985 (1999-2001) to 117 396 (2008-2010). CONCLUSIONS: A great increase was observed in the frequency of PC at the expense of organ-confined cases which correlate very well with PSA determinations performed in HAL. There were no differences of interest in the municipal distribution incidences.
