<?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>2072-8174</journal-id>
<journal-title><![CDATA[Revista del Nacional (Itauguá)]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Nac. (Itauguá)]]></abbrev-journal-title>
<issn>2072-8174</issn>
<publisher>
<publisher-name><![CDATA[Hospital Nacional (Itauguá)]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2072-81742025000100113</article-id>
<article-id pub-id-type="doi">10.18004/rdn2025.e1700113</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Profesionalismo médico en especialidades clínicas y quirúrgicas: un análisis en médicos latinoamericanos]]></article-title>
<article-title xml:lang="en"><![CDATA[Medical professionalism in clinical and surgical specialties: an analysis of Latin American physicians]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guevara Tirado]]></surname>
<given-names><![CDATA[Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Real Delor]]></surname>
<given-names><![CDATA[Raul Emilio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Científica del Sur  ]]></institution>
<addr-line><![CDATA[Lima ]]></addr-line>
<country>Peru</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Nacional de Asunción Facultad de Ciencias Médicas 1° Cátedra de Clínica Médica]]></institution>
<addr-line><![CDATA[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<volume>17</volume>
<fpage>113</fpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2072-81742025000100113&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2072-81742025000100113&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2072-81742025000100113&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: el profesionalismo es crucial en la práctica médica y puede variar según la especialidad. Factores como el comportamiento ético y el compromiso con la formación continua influyen en el desempeño profesional.  Objetivo: identificar comportamientos asociados al profesionalismo que diferencien a médicos de especialidades clínicas y quirúrgicas.  Metodología: s e evaluaron 424 médicos de Perú, Paraguay y Cuba, clasificados en áreas clínicas (n = 296) y quirúrgicas (n = 128). Se aplicó el método CHAID (Chi-squared Automatic Interaction Detection) con 43 indicadores y 7 dimensiones para identificar factores predictores del profesionalismo.  Resultados: el análisis CHAID mostró diferencias significativas entre especialidades. La variable más influyente fue &#8220;salgo a escondidas del hospital mientras estaba de servicio&#8221; (p&lt;0,001), con mayor representación de médicos que nunca realizaron esta práctica en áreas clínicas (77,70 %) frente a quirúrgicas (22,30 %) y medias de 1,13 versus 1,31, respectivamente. La variable &#8220;desatiendo la formación continua&#8221; (p=0,002) evidenció que los médicos que no descuidaron su formación pertenecían mayoritariamente a áreas clínicas (71,90 %) con media de 1,14, mientras que aquellos que sí lo hicieron alcanzaron un 88.8 % (quirúrgicas: 11.2 %) con media de 1,28. En las dimensiones &#8220;deshonestidad y práctica insegura&#8221; y &#8220;conducta irresponsable e incapacidades&#8221;, los médicos con comportamientos negativos tuvieron medias más altas (1,36 y 1,29) que aquellos sin estas prácticas (1,13 y 1,10).  Conclusiones: el análisis CHAID reveló diferencias clave en el profesionalismo médico según la especialidad, asociando la ausencia de conductas negativas y el compromiso con la formación continua a mayores niveles de profesionalismo, especialmente en áreas clínicas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: professionalismis crucial in medical practice and can vary by specialty. Factors such as ethical behavior and commitment to continuing geducation influence professional performance.  Objective: to identify be haviors associated with professionalism that differentiate physicians from clinical and surgical specialties.  Methodology:  424 physicians from Peru, Paraguay, and Cuba were evaluated, classified intoclinical (n = 296) and surgical (n = 128) areas. The CHAID (Chi-squared Automatic Interaction Detection) method was applied with 43 indicators and 7 dimensions to identify predictors of professionalism.  Results: the CHAID analysis showed significant differences between specialties. Themost influential variable was &#8220;I sneak out of the hospital while on duty&#8221; (p&lt;0.001), with a higher representation of physicians whon ever performed this practice in clinical areas (77.70 %) compared to surgical areas (22.30 %) and means of 1.13 versus 1.31, respectively. The variable &#8220;neglecting continuing education&#8221; (p=0.002) showed that physicians who did not neglect their training belonged mostly to clinical areas (71.90%) with a mean of 1.14, while those who did so reached 88.8 % (surgical: 11.2 %) with a mean of 1.28. In the dimensions &#8220;dishonesty and unsafe practice&#8221; and &#8220;irresponsible conduct and disabilities&#8221;, physicians with negative be haviors had higher means (1.36 and 1.29) than those without the sepractices (1.13 and 1.10).  Conclusions: the CHAID analysis revealed key differences in medical professionalism by specialty, associating the absence of negative be haviors and commitment to continuing education with higher levels of professionalism, especially in clinical areas.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[profesionalismo]]></kwd>
<kwd lng="es"><![CDATA[ética médica]]></kwd>
<kwd lng="es"><![CDATA[educación médica continua]]></kwd>
<kwd lng="es"><![CDATA[especialización]]></kwd>
<kwd lng="es"><![CDATA[árboles de decisión]]></kwd>
<kwd lng="en"><![CDATA[professionalism]]></kwd>
<kwd lng="en"><![CDATA[ethics, medical]]></kwd>
<kwd lng="en"><![CDATA[education, medical, continuing]]></kwd>
<kwd lng="en"><![CDATA[specialization]]></kwd>
<kwd lng="en"><![CDATA[decision trees.]]></kwd>
</kwd-group>
</article-meta>
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