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Formarse en lo invisible: aspectos formativos que moldean la identidad profesional en microcirugía

dc.contributor.advisorArenas Paredes, Nataly Johana
dc.contributor.gruplacEducacion Médica y en Ciencias de la Salud
dc.creatorVillamizar Durán, Mauricio
dc.creatorZapata Ospina, Alejandro
dc.creator.degreeMagíster en Educación para Profesionales de la Salud
dc.date.accessioned2025-07-17T12:26:43Z
dc.date.available2025-07-17T12:26:43Z
dc.date.created2025-07-03
dc.descriptionIntroducción: la microcirugía, técnica fundamental dentro de la cirugía plástica reconstructiva, ha sido desplazada por la cirugía estética en gran parte del mundo. A pesar de los avances tecnológicos y en simulación, la motivación de los residentes por realizar procedimientos que implican la técnica microquirúrgica se mantiene baja. También estudios recientes evidencian un descenso en la cantidad de procedimientos reconstructivos frente a un incremento sostenido en procedimientos estéticos (Gutowski et al., 2023). Al ser la identidad profesional una construcción individual y colectiva que integra experiencias, conocimientos, valores y relaciones, abordamos esta problemática desde este elemento fundamental para cualquier especialista. Objetivo: determinar los principales aspectos que influyen en la construcción de la identidad profesional de los residentes y cirujanos plásticos en relación con la microcirugía. Métodos: mediante un enfoque cualitativo, bajo un paradigma interpretativo y con la metodología Teoría Fundamentada Constructivista, se realizaron entrevistas semiestructuradas a residentes de Cirugía Plástica y Cirujanos Plásticos que se dedican a la microcirugía. Resultados y conclusiones: la información recolectada se analizó mediante codificación abierta, axial y selectiva bajo el lente de la Teoría del aprendizaje del Constructivismo Social. Se encontró que la identidad profesional en microcirugía se construye en un entorno influido por factores sociales, emocionales y formativos. La falta de estructura curricular, el escaso acompañamiento docente y las condiciones laborales adversas limitan el sentido de pertenencia y motivan el desplazamiento hacia otras áreas como la cirugía estética. Esta identidad requiere de un entorno institucional que favorezca el aprendizaje, el apoyo emocional y la sostenibilidad profesional.
dc.description.abstractIntroduction: Microsurgery, a fundamental technique within reconstructive plastic surgery, has been largely overshadowed by aesthetic surgery across much of the world. Despite advances in technology and simulation, residents' motivation to perform procedures involving microsurgical techniques remains low. Recent studies also show a decrease in reconstructive procedures alongside a sustained increase in aesthetic procedures (Gutowski et al., 2023). Since professional identity is an individual and collective construction that integrates experiences, knowledge, values, and relationships, we approach this issue from this essential perspective for any specialist. Objective: To identify the main factors influencing the construction of professional identity among plastic surgery residents and surgeons in relation to microsurgery. Methods: Using a qualitative approach under an interpretative paradigm and the Constructivist Grounded Theory methodology, semi-structured interviews were conducted with Plastic Surgery residents and practicing Plastic Surgeons involved in microsurgery. Results and Conclusions: The collected data were analyzed using open, axial, and selective coding, under the lens of Social Constructivist Learning Theory. The study found that professional identity in microsurgery is shaped within an environment influenced by social, emotional, and educational factors. The lack of curricular structure, limited faculty mentorship, and adverse working conditions undermine a sense of belonging and encourage a shift toward other areas, such as aesthetic surgery. This identity requires an institutional environment that supports learning, emotional backing, and professional sustainability.
dc.format.extent43 pp
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dc.identifier.doihttps://doi.org/10.48713/10336_45907
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/45907
dc.language.isospa
dc.publisherUniversidad del Rosario
dc.publisherPontificia Universidad Javeriana. Facultad de Medicina
dc.publisher.departmentEscuela de Medicina y Ciencias de la Salud
dc.publisher.programMaestría en Educación para Profesionales de la Salud
dc.rightsAttribution-NonCommercial-ShareAlike 4.0 International*
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dc.source.bibliographicCitationProfessional identity struggle and ideology: A qualitative study of residents' experiences Adam P. Sawatsky, Caroline L. Matchett, Frederic W. Hafferty, Sayra Cristancho, Jonathan S. Ilgen, William E. Bynum IV, Lara Varpio First published: 03 June 2023 https://doi.org/10.1111/medu.15142
dc.source.instnameinstname:Universidad del Rosario
dc.source.reponamereponame:Repositorio Institucional EdocUR
dc.subjectIdentidad profesional
dc.subjectCirugía plástica reconstructiva
dc.subjectMotivación
dc.subjectFormación médica
dc.subjectTeoría Fundamentada Constructivista
dc.subjectConstructivismo social
dc.subjectCurrículo oculto
dc.subject.keywordProfessional identity
dc.subject.keywordReconstructive plastic surgery
dc.subject.keywordMotivation
dc.subject.keywordConstructivist Grounded Theory
dc.subject.keywordHidden curriculum
dc.subject.keywordSocial constructivism
dc.titleFormarse en lo invisible: aspectos formativos que moldean la identidad profesional en microcirugía
dc.title.TranslatedTitleTraining in the Invisible: Educational Aspects That Shape Professional Identity in Microsurgery
dc.title.alternativeAspectos formativos que moldean la identidad profesional en microcirugía.
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local.department.reportEscuela de Medicina y Ciencias de la Salud
local.regionesBogotá
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