Current Status of Cardiology Residencies: Results of the 5th National Residents’ Survey (ENARE V)

espanolIntroduccion Debido a que existe gran disparidad entre las residencias medicas, el Consejo Argentino de Residentes de Cardiologia ha desarrollado encuestas para conocer la realidad de sus miembros. Presentamos los resultados de la quinta encuesta sobre esta tematica. Materiales y metodos Se realizo una encuesta cerrada y prefijada durante las 35° Jornadas Interresidencias de Cardiologia. Resultados Se incluyeron 390 participantes: 54% eran hombres, 54,2% pertenecian a instituciones privadas y 34,9% residian en Ciudad Autonoma de Buenos Aires. La mediana de edad fue de 29 anos. El 32,1% de los residentes de 1° ano realizaban mas de 8 guardias al mes, 33,2% del total trabajaban mas de 80 horas/semana, y 33,6% manifesto dormir menos 35 horas/semana. Solo el 48,5% manifesto que siempre se encontraba supervisado para tomar decisiones sobre pacientes internados. Asimismo 65% de los participantes no tenia al menos una de las rotaciones basicas para un programa de formacion en cardiologia. Un 5,8% poseian ingresos menores al salario vital y movil, mientras que 14,9% no recibian alimentacion durante su jornada laboral, 41,5% no tenian cobertura de salud y 33,3% no poseian aseguradora de riesgo de trabajo. El 90,8% de los residentes expreso que si pudiera volveria a elegir su especialidad, pero 23,1% manifesto que no elegiria nuevamente su centro formador. Conclusion Si bien el sistema de residencias es el mejor metodo para la formacion de especialistas, es necesario implementar modificaciones urgentes a fin de mejorar las condiciones en que estas se desarrollan, tanto academicamente como desde el punto de vista laboral. EnglishBackground: Due to the great disparity between medical residencies, the Argentine Council of Cardiology Residents has developed surveys to know the reality of its members. Objective: The aim of this survey was to present the results of the fifth survey on this topic. Methods: A closed and pre-established survey was carried out during the 35th Inter-Residencies of Cardiology Conference. Results: A total of 390 participants were included in the study. Median age was 29 years, 54% were male, 54.2% belonged to private institutions and 34.9% lived in the Autonomous City of Buenos Aires. Thirty-two per cent of first-year residents performed more than 8 shifts per month, 33.2% worked more than 80 hours/week, and 33.6% reported sleeping less than 35 hours/week. Only 48.5% said they were supervised on decision making of hospitalized patients. Likewise, 65% of participants did not have at least one of the basic rotations for a training program in cardiology. In 5.8% of cases they had lower incomes than the national minimum wage, while 14.9% did not receive meals during their workday, 41.5% had no health coverage and 33.3% had no labor risk insurance. In 90.8% of cases, residents said that if they could they would choose their specialty again, but 23.1% said they would not choose their training center again. Conclusions: Although the residency system is the best method for training specialists, it is necessary to implement urgent changes in order to improve the conditions in which they are developed, both academically and from the working point of view