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Diferencias de Género en la Carga de Trabajo de Mensajería Segura para Pacientes Internos entre Residentes de
Stephanie A Saey1, Andrew J Halvorsen2, Hannah C Nordhues3
1Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA. saey.stephanie@mayo.edu.
Journal of general internal medicine
|December 22, 2025
Resumen
Las residentes de medicina interna enfrentan una mayor carga de mensajería segura, lo que afecta el flujo de trabajo y contribuye al agotamiento. Abordar estas disparidades de género es crucial para entornos de formación equitativos y el bienestar de los médicos.
Área de la Ciencia:
- Informática Médica; Investigación de la Fuerza Laboral Médica; Estudios de Género en Medicina
Sus antecedentes:
- La mensajería segura a través de las historias clínicas electrónicas (HCE) es común en los hospitales.; Se conocen disparidades de género en la carga de trabajo de las HCE en entornos ambulatorios, pero se han estudiado poco en médicos residentes hospitalizados.
Objetivo del estudio:
- Investigar las diferencias de género en el volumen de mensajería segura entre los residentes de medicina interna.; Explorar las percepciones de los residentes sobre el impacto de la mensajería segura en el flujo de trabajo, la educación y el agotamiento.
Principales métodos:
- Análisis retrospectivo de los datos de mensajería segura de la HCE de Epic para residentes de medicina interna (PGY1-PGY3).; Comparación de los mensajes promedio enviados/recibidos por día por género en todas las rotaciones.; Encuesta anónima que evalúa las percepciones de los residentes sobre el volumen de mensajería, el flujo de trabajo, la educación y el agotamiento.
Principales resultados:
- Las residentes recibieron significativamente más mensajes en rotaciones específicas (Medicina Hospitalaria de PGY3, Cardiología de PGY1).; Las residentes enviaron más mensajes en varias rotaciones e informaron una interrupción educativa más frecuente.; La mayoría de los residentes encontraron que la mensajería segura dificultaba la priorización y contribuía al agotamiento.
Conclusiones:
- Existen disparidades de género en el volumen de mensajería segura y la carga percibida entre los residentes de medicina interna.; Estas disparidades pueden deberse a factores estructurales y expectativas de comunicación de género.; Las instituciones deben implementar estrategias para gestionar el volumen de mensajería, promover la equidad y apoyar a los becarios, especialmente a las mujeres.
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