Factores determinantes del nivel de carrera médica en un hospital nacional nivel III-1

Objetivo: describir los factores determinantes del nivel de la carrera medica en los servicios de medicina, obtenidos en el proceso de ascenso del personal medico de un Hospital Nacional nivel III-1 en el ano 2010. Materiales y metodos: estudio transversal. Se incluyo a todos los medicos de las especialidades de medicina y se excluyo a los medicos que ya habian alcanzado el nivel maximo de ascenso. Los factores que se tomaron en cuenta fueron: tiempo de servicio, calificacion profesional y evaluacion semestral. Se empleo el programa Ms Excel 2007 para el analisis descriptivo. Resultados: se estudiaron 71 medicos pertenecientes a 13 servicios de Medicina, 21 medicos pertenecian al servicio de Medicina Interna. El servicio de Psiquiatria presento el mayor tiempo de servicio con una media de 26.3 anos; Dermatologia presento el mayor puntaje en el rubro de calificacion profesional con una media de 24.3; y Hematologia el mayor puntaje en la evaluacion semestral con una media de 92.2 puntos. Dermatologia obtuvo el mayor puntaje total de los factores intervinientes en la progresion de la carrera medica con 89 puntos. Conclusiones: el servicio de Dermatologia cuenta con el mayor puntaje total de los factores determinantes en la progresion de la carrera medica. Aim: to describe the determinants factors of the medical career level achieved in medical departments, during the process of promotion of medical staff at a national reference hospital in 2010. Methods: Cross-sectional study. We included physicians from every specialty, doctors who had already reached the maximum level of promotion were excluded. Factors taken into account were: length of work, professional training and evaluation every six months. Ms Excel 2007 program was used for descriptive analysis. Results: We studied 71 physicians from 13 medical departments; 21 of them were from the Internal Medicine Department. Psychiatry Department had the highest length of work with anaverage of 26.3 years; Dermatology had the highest score in the area of professional qualification with a mean of 24.3 points and Hematologyhad the highest score in semi-annual evaluation with a mean of 92.2 points. Dermatology had the highest total score of the factors involved in the progression of the medical career with 89 points. Conclusions: Dermatology Department had the highest total score of determinants in the progression of the medical career.