<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1816-8949</journal-id>
<journal-title><![CDATA[Anales de la Facultad de Ciencias Médicas (Asunción)]]></journal-title>
<abbrev-journal-title><![CDATA[An. Fac. Cienc. Méd. (Asunción)]]></abbrev-journal-title>
<issn>1816-8949</issn>
<publisher>
<publisher-name><![CDATA[EFACIM. Editorial de la Facultad de Ciencias Médicas - Universidad Nacional de Asunción]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1816-89492023000200027</article-id>
<article-id pub-id-type="doi">10.18004/anales/2023.056.02.27</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Percepción sobre el maltrato en médicos residentes de un Hospital de referencia de Paraguay]]></article-title>
<article-title xml:lang="en"><![CDATA[Perception of mistreatment in resident physicians of a reference Hospital in Paraguay]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Méndez]]></surname>
<given-names><![CDATA[Fabiola Elizabeth]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez]]></surname>
<given-names><![CDATA[Aldo Ismael]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rios-González]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Caaguazú Facultad de Ciencias Médicas ]]></institution>
<addr-line><![CDATA[Coronel Oviedo ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2023</year>
</pub-date>
<volume>56</volume>
<numero>2</numero>
<fpage>27</fpage>
<lpage>34</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S1816-89492023000200027&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S1816-89492023000200027&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S1816-89492023000200027&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  El maltrato es una problemática que el mundo viene sufriendo y sosteniendo desde siglos anteriores y el sector salud no queda exento de tal agravio. En Latinoamérica existe un alto índice de maltratos en médicos.  Objetivos:  Determinar la percepción sobre el maltrato en médicos residentes de un hospital de referencia nacional de Paraguay durante el 2020.  Materiales y métodos:  Se realizó un estudio observacional, descriptivo de corte transversal, dónde fueron incluidos 240 residentes de las diferentes especialidades de un hospital de referencia nacional.  Resultados:  Ingresaron al estudio 240 médicos residentes, con una edad promedio de 27,3 ±1,6. El 52,08% (125) fueron del sexo masculino. En cuanto al maltrato psicológico, el 98,33% (236) recibió críticas o humillaciones, el 92,08% (221) ha sido víctima de gritos y el 39% (94) de guardia como castigo. Lo que respecta al maltrato físico, el 9% (22) de los residentes recibió golpes o empujones. El 7,92% (19) refirió haber recibido comentarios sexuales sobre su cuerpo o parte de él y el 2% (5) haber sido expuesto a material pornográfico, evidenciando el maltrato de índole sexual. En relación al perpetrador del total de episodios de maltrato que corresponde al 56,78% (494), el Residente Superior ha sido señalado como principal autor.  Conclusión:  Existe una alarmante frecuencia de maltrato en la formación profesional de los médicos residentes. Se destaca el maltrato psicológico en mayor proporción y al Residente Superior como principal perpetrador.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Abuse is a problem that the world has been suffering and sustaining for centuries and the health sector is not exempt from such injury. In Latin America there is a high rate of mistreatment in doctors.  Objectives:  To determine the perception of mistreatment in resident doctors of a national reference hospital in Paraguay during 2020.  Materials and methods:  Cross-sectional study was carried out, where 240 residents of the different specialties of a national referral hospital were included.  Results:  240 residents entered the study, with a mean age of 27.3 ± 1.6. 52.08% (125) were male. Regarding psychological abuse, 98.33% (236) received criticism or humiliation, 92.08% (221) have been the victim of shouting and 39% (94) on duty as punishment. Regarding physical abuse, 9% (22) of the residents received blows or shoves. 7.92% (19) reported having received sexual comments about their body or part of it and 2% (5) having been exposed to pornographic material, evidencing abuse of a sexual nature. In relation to the perpetrator of the total abuse episodes, which corresponds to 48.85% (594), the Senior Resident has been identified as the main author.  Conclusion:  There is an alarming frequency of abuse in the professional training of resident doctors. Psychological abuse stands out in a greater proportion and the Senior Resident as the main perpetrator.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Maltrato]]></kwd>
<kwd lng="es"><![CDATA[psicológico]]></kwd>
<kwd lng="es"><![CDATA[físico]]></kwd>
<kwd lng="es"><![CDATA[sexual]]></kwd>
<kwd lng="es"><![CDATA[percepción.]]></kwd>
<kwd lng="en"><![CDATA[Abuse]]></kwd>
<kwd lng="en"><![CDATA[psychological]]></kwd>
<kwd lng="en"><![CDATA[physical]]></kwd>
<kwd lng="en"><![CDATA[sexual]]></kwd>
<kwd lng="en"><![CDATA[perception]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Montes-Villaseñor]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[García-González]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Blázquez-morales]]></surname>
<given-names><![CDATA[MSL]]></given-names>
</name>
<name>
<surname><![CDATA[Cruz-Juárez]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[María]]></surname>
<given-names><![CDATA[X]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Exposición a la violencia durante la formación profesional de los residentes médicos]]></article-title>
<source><![CDATA[Ciencia UAT]]></source>
<year>2018</year>
<volume>12</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>54-66</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ortiz]]></surname>
<given-names><![CDATA[DD]]></given-names>
</name>
<name>
<surname><![CDATA[Vidovich]]></surname>
<given-names><![CDATA[LF]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Percepción de Médicos Residentes sobre la Calidad de sus Programas de Formación]]></article-title>
<source><![CDATA[Rev. Salud Pública Parag]]></source>
<year>2014</year>
<volume>4</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>16-25</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="">
<collab>Organización Panamericana de la Salud</collab>
<source><![CDATA[Residencias médicas en América Latina]]></source>
<year>2011</year>
<page-range>1-119</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Muñoz del Carpio-Toia]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Valdivia-Fernández]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Velásquez-Lazo]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Valdivia-Rodríguez]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Arroyo-Tovar]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Toia-Larsen]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Violencia contra médicos en hospitales de Arequipa, Perú 2016]]></article-title>
<source><![CDATA[Acta Med Peru]]></source>
<year>2016</year>
<volume>33</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>99-104</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mejía]]></surname>
<given-names><![CDATA[RC]]></given-names>
</name>
<name>
<surname><![CDATA[Allpas-Gomez]]></surname>
<given-names><![CDATA[HL]]></given-names>
</name>
<name>
<surname><![CDATA[Caceres]]></surname>
<given-names><![CDATA[OJ]]></given-names>
</name>
<name>
<surname><![CDATA[Peru]]></surname>
<given-names><![CDATA[RG]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Factores socio-laborales asociados al maltrato psicológico, físico y sexual en el personal de salud en dos hospitales de Lima, Perú]]></article-title>
<source><![CDATA[iMedPub Journals]]></source>
<year>2016</year>
<page-range>1-6</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Derive]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Casas Martínez]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Obrador Vera]]></surname>
<given-names><![CDATA[GT]]></given-names>
</name>
<name>
<surname><![CDATA[Villa]]></surname>
<given-names><![CDATA[AR]]></given-names>
</name>
<name>
<surname><![CDATA[Contreras]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Percepción de maltrato durante la residencia médica en México: medición y análisis bioético]]></article-title>
<source><![CDATA[Investigación en educación médica]]></source>
<year>2018</year>
<volume>7</volume>
<numero>26</numero>
<issue>26</issue>
<page-range>35-44</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mejía]]></surname>
<given-names><![CDATA[RM]]></given-names>
</name>
<name>
<surname><![CDATA[Diego]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Alemán]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Maliandi]]></surname>
<given-names><![CDATA[MR]]></given-names>
</name>
<name>
<surname><![CDATA[Lasala]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Percepción de maltrato durante la capacitación de médicos residentes]]></article-title>
<source><![CDATA[Medicina Buenos Aires]]></source>
<year>2005</year>
<volume>vol.65</volume>
<numero>n.4</numero>
<issue>n.4</issue>
<page-range>366-8</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chavolla]]></surname>
<given-names><![CDATA[OYB]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Sadismo educativo y psicoterror en la enseñanza de residencias médicas]]></article-title>
<source><![CDATA[ResearchGate]]></source>
<year>2019</year>
<volume>1</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>103-8</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Stolovas]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Tomasina]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Pucci]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Frantchez]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Pintos]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Trabajadores médicos jóvenes : violencia en el ejercicio de la residencia]]></article-title>
<source><![CDATA[Rev. Méd. Urug]]></source>
<year>2011</year>
<volume>27</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>21-9</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="book">
<collab>PAHO</collab>
<source><![CDATA[Comprender y abordar la violencia contra las mujeres: Consecuencias para la salud]]></source>
<year>2013</year>
<page-range>1-8</page-range><publisher-name><![CDATA[Organ Mund la Salud]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hernández]]></surname>
<given-names><![CDATA[DZ]]></given-names>
</name>
<name>
<surname><![CDATA[Pérez]]></surname>
<given-names><![CDATA[FH]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Percepción del ambiente educativo y el maltrato de médicos residentes de medicina familiar]]></article-title>
<source><![CDATA[Revista CONAMED]]></source>
<year>2020</year>
<volume>25</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>10-5</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hu]]></surname>
<given-names><![CDATA[YY]]></given-names>
</name>
<name>
<surname><![CDATA[Ellis]]></surname>
<given-names><![CDATA[RJ]]></given-names>
</name>
<name>
<surname><![CDATA[Hewitt]]></surname>
<given-names><![CDATA[DB]]></given-names>
</name>
<name>
<surname><![CDATA[Yang]]></surname>
<given-names><![CDATA[AD]]></given-names>
</name>
<name>
<surname><![CDATA[Cheung]]></surname>
<given-names><![CDATA[EO]]></given-names>
</name>
<name>
<surname><![CDATA[Moskowitz]]></surname>
<given-names><![CDATA[JT]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Discrimination, Abuse, Harassment, and Burnout in Surgical Residency Training]]></article-title>
<source><![CDATA[N Engl J Med]]></source>
<year>2019</year>
<volume>381</volume>
<numero>18</numero>
<issue>18</issue>
<page-range>1741-52</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Nagata-Kobayashi]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Maeno]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Yoshizu]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Shimbo]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Universal problems during residency: abuse and harassment]]></article-title>
<source><![CDATA[Med Educ]]></source>
<year>2009</year>
<volume>43</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>628-36</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Elbay]]></surname>
<given-names><![CDATA[RY]]></given-names>
</name>
<name>
<surname><![CDATA[Kurtulmu&#351;]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Arpac&#305;o&#287;lu]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Karadere]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Depression, anxiety, stress levels of physicians and associated factors in Covid-19 pandemics]]></article-title>
<source><![CDATA[Psychiatry Res]]></source>
<year>2020</year>
<volume>290</volume>
<page-range>113130</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Petzold]]></surname>
<given-names><![CDATA[MB]]></given-names>
</name>
<name>
<surname><![CDATA[Plag]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Ströhle]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Umgang mit psychischer Belastung bei Gesundheitsfachkräften im Rahmen der Covid-19-Pandemie]]></article-title>
<source><![CDATA[Nervenarzt]]></source>
<year>2020</year>
<volume>91</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>417-21</page-range><publisher-loc><![CDATA[German ]]></publisher-loc>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
