Objetivo. Describir la frecuencia y características de los procesos ético-disciplinarios derivados de actos médicos resueltos por el Consejo Nacional del Colegio Médico del Perú, así como las características de los médicos implicados. Material y métodos. Se analizaron las resoluciones emitidas por el Consejo Nacional del Colegio en procesos ético-disciplinarios instaurados por denuncias de pacientes en el periodo 1991-2015. Resultados. Los procesos ético-disciplinarios instaurados por denuncias de pacientes aumentaron 4,3 veces entre 1991-2000 y 2006-2015; la mayoría (87%) provino de Lima y Callao. La tasa de incidencia de médicos involucrados en los procesos éticos fluctuó entre 1,5/1000-3,36/1000 en el periodo de estudio. La demanda más frecuente fue por mala atención (55%) seguida de certificado médico irregular (12%), delitos (11%) y no obtener consentimient...

Objetivo. Describir la frecuencia y características de los procesos ético-disciplinarios derivados de actos médicos resueltos por el Consejo Nacional del Colegio Médico del Perú, así como las características de los médicos implicados. Material y métodos. Se analizaron las resoluciones emitidas por el Consejo Nacional del Colegio en procesos ético-disciplinarios instaurados por denuncias de pacientes en el periodo 1991-2015. Resultados. Los procesos ético-disciplinarios instaurados por denuncias de pacientes aumentaron 4,3 veces entre 1991-2000 y 2006-2015; la mayoría (87%) provino de Lima y Callao. La tasa de incidencia de médicos involucrados en los procesos éticos fluctuó entre 1,5/1000-3,36/1000 en el periodo de estudio. La demanda más frecuente fue por mala atención (55%) seguida de certificado médico irregular (12%), delitos (11%) y no obtener consentimient...

Objectives: To determine physicians applicants to the medical residency´s knowledge on informed consent. Design: Questionnaire on informed consent. Setting: Faculty of Medicine, Universidad Nacional Mayor de San Marcos. Participants: Physicians applying to postgraduate medical residency. Methods: A multiple choice examination was elaborated. One thousand four hundred and eighty six (95 %) applicants to the Universidad Nacional Mayor de San Marcos 2009 medical residency participated in the study. An Excel data base was prepared and SPSS 15 for statistic frequency analysis and Atlas-ti for qualitative analysis were used. Participation in the study was voluntary and anonymous. Main outcome measures: Knowledge on informed consent. Results: Fifty-six per cent of participants were male with a mean age of 31.5 (S.D. 5.1) and range between 23 and 58. They graduated in 26 national medical school...

Objectives: To identify factors associated to the informed consent acquaintance in Peruvian physicians. Design: Retrospective study, based in a comprehensive exam. Setting: Universidad Nacional Mayor de San Marcos. Participants: Physicians postulating medical specialization. Methods: A data base of 1 486 physicians applying to the 2009 residency program at San Marcos University who answered an informed consent acquaintance examination was used. Sex, age, university of origin and year of graduation were classified in two categories and the total score obtained in the examination in three categories, in order to procedure with bi and multivariate analysis. SPSS 15 program for chi square and multivaried analysis and Atlas ti program for comments qualitative analysis were used. Main outcome measures: Theoretical knowledge on informed consent. Results: Significant statistical differences in t...

Patient’s autonomy and decision making in health: acquaintance by Peruvian medicalinterns - 2010Objectives: To determine acquaintance on patient’s autonomy and decision making in health care in medical interns from five cities of Peru. Design: Opinion poll type study. Setting: Institute of Ethics in Health, Faculty of Medicine, Universidad Nacional Mayor de San Marcos, Lima, Peru. Participants: Medical interns. Methods: Five cases from the literature with multiple choice questions were used as the instrument; its validity and reliability was established by both a group of experts and Cronbach alpha. Participants in the study were medical interns from five Peruvian cities: Lima (n=48), Huacho (n=21), Ica (n=24), Trujillo (n=132), and Huancayo (n=47). Main outcome measures: Correct ethical answers. Results: From the interns participating 61,4% were male, mean age 26 (SD 2,8) min 21 and...

Objective. To identify teaching of professionalism (excellence, humanism, accountability and altruism) in the medical curricula of the Universidad Nacional Mayor de San Marcos. Design. Qualitative, specifically encoded qualitative study. Setting. Faculty of Medicine, Universidad Nacional Mayor de San Marcos, Lima, Peru. Material. Medical education syllabi. Methods. Thirty-eight syllabi of courses corresponding to the six years of medical education were examined. A panel of experts was settled and the content analysis method was used. The inter-rater reliability was established and principles of professionalism were identified in competencies, contents, teaching methods and syllabi assessment. Main outcome measures. Teaching of professionalism. Results. Fifty-eight per cent of courses mentioned some elements of professionalism; the most frequent competencies were related to excellence fol...