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Administración y Medicina, los estudiantes de postgrado entre dos mundos

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dc.contributor.advisorOlmos Vega, Francisco Manuel
dc.creatorDelgadillo Sánchez, Vivian Paola
dc.creatorAluja Jaramillo, Felipe
dc.creator.degreeMagister en Educación para Profesionales de la Saludes
dc.creator.degreetypeVirtuales
dc.date.accessioned2023-01-12T21:58:22Z
dc.date.available2023-01-12T21:58:22Z
dc.date.created2022-12-13
dc.date.embargoEndinfo:eu-repo/date/embargoEnd/2023-02-12
dc.descriptionContexto: es limitada la información disponible en la literatura respecto a la forma en que los estudiantes de postgrados médicos adquieren competencias en Gestión Administrativa (GA) en los lugares de práctica y rara vez sus experiencias son contempladas en el diseño de estrategias de transformación educativa en el área, a pesar de ocupar un rol protagónico en la ejecución del día a día de las labores administrativas en las instituciones sanitarias. Objetivo: diseñamos una investigación que exploró los Mundos Figurados de los médicos residentes y cómo sus experiencias en el lugar de trabajo incidieron en la adquisición de competencias en GA. Metodología: desarrollamos una investigación cualitativa de Teoría Fundamentada Constructivista, con grupos focales y entrevistas semiestructuradas en 22 residentes médicos de la Pontificia Universidad Javeriana, de diferentes niveles formativos y disciplinas, rotantes en el Hospital Universitario San Ignacio, en la ciudad de Bogotá, Colombia. Resultados: La adquisición de competencias en GA en residentes médicos se enmarca en dos mundos figurados opuestos. Uno de ellos constituido por vivencias negativas y poco formativas, y, en contraposición, un mundo enriquecido por estrategias de transformación cultural y apropiación de la GA como parte del acto médico. Conclusiones: Los médicos, sin duda, debemos adquirir competencias administrativas en beneficio de una mejor calidad, seguridad en la atención y un uso eficiente de los recursos sanitarios; para lograrlo, se requiere una profunda transformación cultural de la comunidad educativa, partiendo de los profesores quienes deben afianzar sus conocimientos en GA y mejorar su integración a la práctica clínica.es
dc.description.abstractIntroduction: Administrative tasks have historically been part of the care burden of medical residents, who are forced to assume them often without prior preparation (Myers & Provonost, 2017). However, healthcare management (HCM) competencies are relevant to provide efficient and high-quality patient care (Souza, Ros & Zeferino, 2012). Limited information in the literature explains how postgraduate medical students acquire competencies in HCM in the workplace. Their experiences are rarely considered in designing educational transformation strategies in this area despite occupying a leading role in the day-to-day execution of administrative tasks in health organizations. In this study, we explore how residents’ experiences in the workplace influenced the acquisition of HCM competencies using the Figured World theory as the theoretical framework. Methods: We designed a constructivist grounded theory study. We conducted focal groups and semi-structured interviews with 22 medical residents of the Pontificia Universidad Javeriana from different learning levels and disciplines, rotating at the San Ignacio University Hospital in Bogotá, Colombia. We constructed the final results using iterative data collection and analysis, constant comparison methods, and theoretical sampling. Results: We constructed two opposite figured worlds that represent residents' experience with the acquisition of HCM competencies: The non-managing physician and the physician-as-administrator. The former is characterized by a discourse that deliberately underscores the role of the HCM tasks as part of residents' training, is full of negative interactions with the healthcare team, and limits residents' agency. This world is heavily influenced and perpetuated by an established hierarchy and supervisors that uphold the discourse. In contrast, the physician-as-administrator world is enriched by strategies that incorporate the HCM tasks as part of the medical act. In this world, residents collaborate and learn from other healthcare team members, have supervisors who model how to incorporate HCM tasks into their daily activities and demonstrate an expanded sense of agency. Residents either align with one or the other, developing their professional identity according to the world they are being introduced to. Discussion and Conclusion: Educational leaders must understand that the traditional non-managerial physician figured world gives residents a feeling of uprooting and discomfort when carrying out this type of tasks. It could also generate clinical safety risks and financial losses. To transform this world into the physician-as-administrator, it is necessary to reconfigure some workplace hierarchies, consolidate interprofessional collaborations and change the discourse perpetuated by influential role models. Supervisors must also strengthen their knowledge of HCM and improve its integration into clinical practice. Any effort to train residents on HCM competencies could be lost if the workplace underscores their value in patient care.es
dc.description.embargo2023-01-12 17:05:01: Script de automatizacion de embargos. Correo enviado12ene2023: Respetada Vivian Paola, reciba un cordial saludo, Hemos realizado la publicación de su documento: Administración y Medicina, los estudiantes de postgrado entre dos mundos, el cual puede consultar en el siguiente enlace: https://repository.urosario.edu.co/handle/10336/37867 Identificamos que ha marcado como restringido en el formulario, pero no realizo la notificación al correo edocur@urosario.edu.co, justificando la medida restrictiva al acceso del texto completo de su obra, frente a lo cual, el documento ha quedado embargado solo por un mes hasta el 12 de febrero de 2023 en concordancia con las Políticas de Acceso Abierto de la Universidad. Si usted desea dejarlo con acceso abierto antes de finalizar dicho periodo o si por el contrario desea extender el embargo al finalizar este tiempo, puede enviar un correo a esta misma dirección realizando la solicitud. Tenga en cuenta que los documentos en acceso abierto propician una mayor visibilidad de su producción académica. De otra parte, si desea publicar su obra en una revista de prestigio, queremos invitarla a tomar una asesoría con nuestros asesores de información del CRAI, quienes podrán brindarle orientación en la identificación de una revista adecuada para su obra y acompañamiento en la edición para publicación. La solicitud de asesoría puede agendarla en el siguiente link: https://n9.cl/agendamiento_servicios_crai
dc.format.extent27 ppes
dc.format.mimetypeapplication/pdfes
dc.identifier.doihttps://doi.org/10.48713/10336_37867
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/37867
dc.language.isospaes
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.rightsAtribución-NoComercial-SinDerivadas 2.5 Colombia*
dc.rights.accesRightsinfo:eu-repo/semantics/embargoedAccesses
dc.rights.accesoRestringido (Temporalmente bloqueado)es
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/co/*
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dc.source.instnameinstname:Universidad del Rosario
dc.source.reponamereponame:Repositorio Institucional EdocUR
dc.subjectEstudiantes de postgrados médicoses
dc.subjectCompetencias en Gestión Administrativa para médicoses
dc.subjectProfesionales de la salud y competencias administrativases
dc.subject.ddcPromoción de saludes
dc.subject.keywordFigured worldses
dc.subject.keywordQualitative researches
dc.subject.keywordConstructivist grounded theoryes
dc.subject.keywordManagementes
dc.subject.keywordMedical residentses
dc.subject.keywordMedical graduate studentses
dc.subject.keywordManagement Skills administrative for doctorses
dc.subject.keywordHealth professionals and administrative powerses
dc.titleAdministración y Medicina, los estudiantes de postgrado entre dos mundoses
dc.title.TranslatedTitleMedical residents: navigating between two worldses
dc.typebachelorThesises
dc.type.documentTrabajo de gradoes
dc.type.spaTrabajo de gradoes
local.department.reportEscuela de Medicina y Ciencias de la Saludes
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