Public health and primary health care training in medical students: an experience in Peru

Sr. Editor. La formación en salud pública y atención primaria de la salud (APS) en las universidades del Perú, es un tema de vital importancia frente al gran reto del siglo XXI: subsanar las desigualdades en una generación, y alcanzar la equidad sanitaria (1). Para afrontar este reto, muchos de los gobiernos de países desarrollados y en vías de desarrollo han impulsado reformas en sus sistemas de salud, basados en la estrategia de atención primaria de la salud. En el Perú, el modelo integral de salud basado en familia y comunidad está siendo implementado por el Ministerio de Salud (MINSA) (2). Para llevar a cabo estas reformas, es indispensable contar con un número suficiente de profesionales de la salud formados en los principios y estrategias de la APS. Surge, entonces, otro gran reto del siglo XXI: transformar la educación en salud para que contribuya a reforzar los sistemas de salud (3).
Authors: Champin, Denisse; Risco de Domínguez, Graciela
Source: Rev Peru Med Exp Salud Publica
URL: http://hdl.handle.net/10757/311271

Design and validation of a scale to assess latin american medical students’ perception on the labour of the first level of health care

Objectives. To design and validate a scale to assess Latin American medical students’ perception on first level of health care (FLHC). Materials and methods. An observational, analytic and multicentre study was carried out in two phases: i) A self-administered questionnaire regarding perceptions on FLHClabor was designed. ii) This questionnaire was applied to to medical students from 18 universities of eight Spanish-speaking Latin American countries. An exploratory factor analysis (EFA) was performed through a principal components analysis with orthogonal varimax rotation. Sample adequacy was evaluated. Factor extraction was based on Kaiser’s criteria, Cattell’s Scree test and the explained variance (>5%). Internal consistency was measured with Cronbach’s alpha. Results. 423 students were included in the analysis; 53.4% were from Peruvian universities. After the EFA, the questionnaire conserved 11 items, which were distributed in three domains, that explaining together 55.47% of the total variance: i) Perceptions concerning the FLHC physician; ii) Perceptions concerning the FiLC labor and iii) Perceptions about the economic consequences of working in FLHC. Conclusion. The scale is composed by three domains and can be used to assess the perceptions of the medical work on first level of health care of Spanish-speaking Latin American medical students.
Authors: Mayta Tristán, Percy; Mezones Holguin, Edward; Pereyra Elías, Reneé; Montenegro Idrogo, Juan J.; R. Mejia, Christian; Dulanto-Pizzorni, Andrés; R. Muñoz, Sergio
Source: Rev Peru Med Exp Salud Publica
URL: http://hdl.handle.net/10757/311258

Online buying and selling of thesis: An ethical problem to control

Sr. Editor. El desarrollo de una tesis es una modalidad para obtener el grado académico de bachiller o el título profesional de médico cirujano en las universidades peruanas. En su desarrollo, los estudiantes suelen presentar dificultades originadas por deficiencias en sus conocimientos acerca de metodología de la investigación, lectura crítica y redacción científica (1). Por este motivo, se han detectado faltas éticas en el desarrollo de las tesis, como la presencia de plagio (2). Para poder superar estas limitaciones, los estudiantes pueden buscar asesoría metodológica, estadística, o relativa al campo del conocimiento en el cual se centra su investigación. Sin embargo, en nuestro quehacer académico como estudiantes y docentes hemos escuchado el testimonio de estudiantes de pregrado a quienes se les ha ofrecido la elaboración completa de proyectos e informes finales de tesis, listos para la debida sustentación, bajo la figura de “asesoría”. Dichas ofertas fueron hechas de manera individual; no obstante, también hemos observado que existen anuncios que ofrecen dicho servicio a través de Internet. Por ello, el objetivo de esta comunicación es evidenciar que existe un mercado de compra y venta de tesis para estudiantes de medicina en Perú a través de Internet.
Authors: Moreno Loaiza, Oscar; Mamani Quispe, Patricia V.; Mayta Tristán, Percy
Source: Rev Peru Med Exp Salud Publica
URL: http://hdl.handle.net/10757/311236

Scientific production and cancer-related collaboration networds in Peru 2000-2011: A bibliometric study in Scopus and Science Citation Index

A bibliometric study was carried out to describe the scientific production on cancer written by peruvians and published in international health journals, as well as to assess the scientific collaboration networks. It included articles on cancer written in Peru between the years 2000 and 2011 and published in health journals indexed in SCOPUS or Science Citation Index Expanded. In the 358 articles identified, an increase in the production was seen, from 4 articles in 2000 to 57 in 2011.The most studied types were cervical cancer (77 publications); breast cancer (53), and gastric cancer (37). The National Institute of Neoplastic Diseases (INEN) was the most productive institution (121 articles) and had the highest number of collaborations (180 different institutions). 52 clinical trials were identified, 29 of which had at least one author from INEN. We can conclude that, cancer research is increasing in Peru, the INEN being the most productive institution, with an important participation in clinical trials.
Authors: Mayta Tristán, Percy; Huamaní, Charles; Montenegro Idrogo, Juan José; Samanez Figari, César; González Alcaide, Gregorio
Source: Rev Peru Med Exp Salud Publica

URL: http://hdl.handle.net/10757/311234

Latin American medical students’ appraisal on university scientific research training

Background: Learning research skills should be a goal during undergraduate training of physicians. Aim: To identify Latin American medical students’ appraisal on research skills university training. Material and Methods: A self-administered survey about experience in research, self-assessment of research skills, quality of training in the area received at the university and that importance of publishing as undergraduate students, was answered by 208 medical students aged 23 ± 3 years (54% male), attending a medical students congress. Results: Seventy percent of respondents pertained to medical students’ scientific societies and 34% had published in a scientific journal. Fifty two percent considered as good or very good the training level received at their universities on information retrieval and 45% considered good the training in research methodology. Thirty two percent considered as poor or none the training received in scientific writing and 37% in the publishing process. Eighty nine percent considered student publishing as important and 61% perceived limitations in this matter. Conclusions: The university training level received by Latin American medical students on research and publication process was evaluated as deficient by these students
Authors: Mayta Tristán, Percy; Cartagena Klein, Ronny; Pereyra Elías, Reneé; Portillo, Alejandra; Rodríguez Morales, Alfonso
Source: Rev Med Chile

URL: http://hdl.handle.net/10757/311178