Perception of modiiable factors affecting medical education in Honduras: survey 2019.

Abstract

ABSTRACT. Background: The health system in Honduras contributes to medical training in an important manner, providing access to the facilities, staff and patients. Objective: Describe the perception of medical trainees and trainers about factors that can affect medical education and patient safety, Honduras, 2019. Methods: Cross-sectional study on medical students (seventh and eighth year), medical residents and trainers from three universities. We estimated a randomized sample. An online survey was conducted through a web platform available for one week. Results: In total there were 324 participants, 205 (63.3%) medical students (seventh and eighth year), 102 (31.5%) medical residents and 17 (5.3%) trainers; 53.4% (173) were female. 33.9% (104) informed being sexually harass, 38.8% (113) receiving unregulated sanctions, 47.9% (147) performed procedures not taught and without supervision. 58.8% (10) of trainer considered assigned time to teach insuficient in contrast with other trainer’s obligations. 42.3% (130) of students and 11.8% (2) of trainers presented with severe Burnout Syndrome. Work overload was associated to not acquiring new skills in 7th year medical students (OR 2.5, IC95% 1.2-3.7, p=0.02), and not attending mandatory teaching in seventh year medical students and medical residents in 75.1% (OR 3.4, IC95% 2.82-3.98, p<0.00001). Discussion: Work overload, sexual and labour harassment, unregulated sanctions and Burnout Syndrome are modiiable factors that can contribute to an urgent improvement of medical education in Honduras.