Evidence map›Paper›PMID 41774866›Full record

ArticleRevista medica del Instituto Mexicano del Seguro Social2026

[The persistence of abuse in students and medical residents in Mexico: Analysis and solution proposals].

Gilberto Guzmán-Valdivia Gómez

Abstract readEnglish Abstract
In one paragraph

Article in Revista medica del Instituto Mexicano del Seguro Social, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

Gilberto Guzmán-Valdivia GómezUniversidad La Salle, Vicerrectoría de investigación, Jefatura del Departamento de Medicina y Salud. Ciudad de México, México.ORCID 0000-0003-2317-3054

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This article presents a comprehensive analysis of the prevalence and underlying causes of mistreatment of medical students and residents in Mexico. The available evidence indicates that this phenomenon represents a critical and persistent problem with an alarmingly high prevalence, affecting a substantial proportion of future healthcare professionals. Beyond being merely an ethical or human resources concern, mistreatment constitutes a systemic public health crisis, as its direct consequences adversely affect trainees' mental health and, critically, the quality and safety of patient care. This behavior is perpetuated by a deeply entrenched hierarchical and punitive medical culture that normalizes abuse as a "rite of passage." Although laws and regulations aimed at addressing this issue exist, their enforcement remains ineffective due to institutional barriers and fear of retaliation. This analysis concludes by presenting a comprehensive reform plan that advocates for a multi-stakeholder approach, including revision of the regulatory framework, establishment of safe reporting mechanisms, promotion of a profound cultural shift, and prioritization of trainees' mental health.

Indexed as

Emotional AbuseInternship and ResidencyPhysical AbuseStudents, MedicalHumansMexicoPrevalenceAbuso EmocionalAbuso FísicoEmotional AbuseInternado y ResidenciaInternship and ResidencyPhysical Abuse

Identifiers

PMID41774866
PMCPMC13061264

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.