“You stripped humanity as a defense mechanism”

Specialized Medical Training (FSE) in Spain, known as MistIt is a decisive and demanding stage in the profession of doctors. However, the Working and emotional conditions Those who face the population have generated anxiety. Testimonies resident They reveal a reality characterized by fatigue and pressure and Decreased psychological support monetary.

Throughout their training, the population should not face the marathon days Endless guardsBut to a Constant emotional pregnancy This varies according to the specialty. While some specialties involve direct and repeated contact with patients in critical situations, others expose doctors to quick decisions under pressure, all without sufficient psychological accompaniment in many cases, where they reside many internal doctors Medical writing.

“Guards and Night Life are the worst”

A Mist to Radiation In the Madrid community, he confirms that his specialization protects him in part of emotional corrosion by not communicating directly with patients. But this does not mean that it is free from pressure. “The worst taken as a resident 24 hours guardsNaked. the Sleep deprivation It is terrible.

In addition, and Speed ​​nights They are a constant source of tension. “Sometimes they awaken you to a serious patient and you have to develop yourself before contacting the facility. This creates a Press very highExplain.

Possible revenge

Another resident, in this case ENT in Madrid community Participation similar perception. “When you say,” I will talk to teaching, “there is always a message” I will not do it … to see if you are to limit. “It is existing resources, but we do not use.”

Although there are resources in the hospital Mental healthThe perception is that their arrival is complicated or that going to them can It has consequences. “When I complained to my school because the guards were crazy, their answer was” life like that. “There was no solution.”

Zakari GaziloResident Medical oncology in Jiminiz Diaz FoundationDescription of how your residence affects Mental health Deeply. “Residence is a very trained period, but it is also stressful. It depends a lot on the specialization you are, but in general there is Exaggerated work burdenExplain.

In your case, it adds continuous contact with the patient patients Emotional pressure additional. “Sometimes you feel it You are inhuman As a personal defense mechanism, he says. Then the daily pressure on dealing with very complex patients and feeling a lot of responsibility, and You are not always protected through your attachments“.

Gazilo emphasizes that the burden of work, guards and constant pressure leads to many population to think about leaving public order Choose the private industryThe best rewards and less tired. Population They reach the fifth year of completely burningHe wants to go to the private sector world.

Resources that do not always reach the population

he A comprehensive care program for the sick doctor ((BaimManaged by Collegate Medical (WTO), provides psychological support to residents. However, many Mist They do not know their existence. “I discovered shortly after starting a friend,” Zakari says.

R2 recalls radioactive diagnosis, that at the beginning of their stay they received a turn And first evaluation. “They made us a questionnaire for evaluation Nivel De Strés Y Burnout Before starting, some of the companions who honestly responded to psychiatry and psychology referred to. ”However, this initial evaluation does not guarantee followers.” I haven’t seen anything similar again. It seems as if it was Formalism To fulfill, “he says.

“There must be someone who supervises him.”

The three population agrees that a personality School And access to effective psychological support is essential, but they are Away from being universal. “I think you should facilitate access to a psychiatrist,” says a future radiologist, who considers support to be proactive and not just an optional thing. The resident in the science of the types of rays adds that the Fear of speaking publicly It is a problem. “There is always this feeling, if you complain a lot or notice, it may harm you to service,” he confesses.

Gazello goes further, noting that the problem is not only psychological, but structural. “more than Psychological resourcesWhat should be there The most personal and best rewardHe says: “He says excessive work is the root of the problem, because” the resources are not enough. ”

Mir teacher: “Intesta altruism?

After years of living and forming the population at the Madrid Center, where it works, a assistant From radiological diagnosis, it provides a clear perspective: “Personality School The key should be, a person with experience and closure. However, many people who assume this role do not do so for real altruism or the profession, but because it is Hold positive points In his career.

According to this facility, the most common signs are on each other Mist It is a loss of motivation, a feeling of not living or even thinking about leaving housing. Although his hospital provides treatment, he admits that “I do not know anyone who benefited from him.” In addition, it confirms that their ability to support the population depends on their personal experience, since then He never received a specific training To deal with these problems.

Support initiatives that do not reach everyone

Hospitals like your offer Strain management workshops, vigilance sessions The individual psychological advice for residents. However, these programs are not unified and It depends on the initiative of each center. In some hospitals, mental health assessments are mandatory at the beginning of the residence, but lack follow -up.

In other centers, as in San Carlos Clinical Hospital in MadridSpecific programs for mental health MistWhich includes periodic meetings with psychologists and direct access to specialized consultations. But the residents insist that these resources should be available without fear of Revenge or stigma. For many, psychological support is something theoretical, but it is not a reality in day to day. “The resources are, but no one accompanies you to use it,” summarizes the radiological diagnosis.