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Updated: Sep 17, 2025

The Resident-intruder Paradigm: A Standardized Test for Aggression, Violence and Social Stress
Published on: July 4, 2013
[Discrimination and violence in residences for different careers and specialties]
Judith Sagardía1,2, María Alicia Sáenz Valiente, María Fernanda Gómez2,3
1Hospital Nacional Profesor Alejandro Posadas, Buenos Aires, Argentina.
Introduction:
The residence system can become an area of social inequalities and inequities, also becoming a scenario where discrimination and work-related and gender violence are reproduced. The objectives of the study are to understand the perception of discrimination and workplace violence, the most frequent types of discrimination, the factors related to perceived discrimination and violence, and the degree of knowledge about institutional protocols.
Materials And Methods:
Cross-sectional study. A survey was conducted among residents and fellows assigned to the residency system of a public hospital.
Results:
A total of 149 surveys were obtained. The frequency of the different types of violence in order of frequency were psychological/verbal 56%, sexual 7% and physical 6%. Due to discrimination: racial 13%, gender 10%, appearance or disability 9% and maternity, paternity or childcare 7%. The latter was classified 41% of the time as very serious or serious. Physical, psychological and sexual violence were perceived as not serious, 100%, 78% and 75% respectively. More than 75% of the events of gender and sexual orientation violence were classified as mild-moderate. Years of residency were protective against violence of any kind. There is a high level of ignorance about institutional protocols and how to act.
Discussion:
Violence is a frequent experience for residents and fellows at the institution. Promoting a cultural change within the training system to create healthier workplaces is essential.
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