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Discrimination of residents during neurosurgical training in Mexico: Results of a survey prior to SARS-CoV-2

B A Sandoval-Bonilla, María F De La Cerda-Vargas, Martin N. Stienen, Barbara Nettel-Rueda, Alma G Ramírez-Reyes, José A Soriano-Sánchez, Carlos Castillo-Rangel, Sonia Mejia-Pérez, V R Chávez-Herrera, Pedro Navarro-Domínguez, J J Sánchez-Dueñas & Araceli Ramirez-Cardenas

abstract

Background
Recent severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic represents an important negative impact on global training of neurosurgery residents. Even before the pandemic, discrimination is a challenge that neurosurgical residents have consistently faced. In the present study, we evaluated discriminatory conditions experienced by residents during their neurosurgical training in Mexico before the SARS-CoV-2 pandemic.

Methods
An electronic survey of 18 questions was sent among residents registered in the Mexican Society of Neurological Surgery (MSNS), between October 2019 and July 2020. Statistical analysis was made in IBM SPSS Statistics 25. The survey focused on demographic characteristics, discrimination, personal satisfaction, and expectations of residents.

Results
A response rate of 50% (132 of 264 residents' members of MSNS) was obtained and considered for analysis. Median age was 30.06 ± 2.48 years, 5.3% ( = 7) were female and 16.7% ( = 22) were foreigners undergoing neurosurgical training in Mexico. Approximately 27% of respondents suffered any form of discrimination, mainly by place of origin (9.1%), by gender (8.3%) or by physical appearance (6.1%). About 42.9% ( = 3) of female residents were discriminated by gender versus 6.4% ( = 8) of male residents ( = 0.001); while foreign residents mentioned having suffered 10 times more an event of discrimination by place of origin compared to native Mexican residents (36.4% vs. 3.6%, < 0.001).

Conclusion
This manuscript represents the first approximation to determine the impact of discrimination suffered by residents undergoing neurosurgical training in Mexico before the SARS-CoV-2 pandemic.
   
citation Sandoval-Bonilla B A, La Cerda-Vargas M F D, Stienen M N, Nettel-Rueda B, Ramírez-Reyes A G, Soriano-Sánchez J A, Castillo-Rangel C, Mejia-Pérez S, Chávez-Herrera V R, Navarro-Domínguez P, Sánchez-Dueñas J J, Ramirez-Cardenas A. Discrimination of residents during neurosurgical training in Mexico: Results of a survey prior to SARS-CoV-2. Surg Neurol Int 2021; 12:618.
   
type journal paper/review (English)
date of publishing 20-12-2021
journal title Surg Neurol Int (12)
ISSN print 2229-5097
pages 618
PubMed 34992934
DOI 10.25259/SNI_813_2021