Thesis (MFamMed)--Stellenbosch University, 2014. / BACKGROUND:Family physicians are trained to enable them to staff community health centres and primary care hospitals. Part of this training is teaching them procedural skills for anaesthetics and surgery. Knysna hospital is a training facility for family medicine registrars and this article aims to evaluate if sufficient learning opportunities exist in Knysna hospital’s theatre to teach family medicine registrars procedural skills. METHODS:A descriptive study was undertaken of the number and type of procedures performed in Knysna hospital theatre for a one year period, and compared with the required skills,as stipulated in the national training outcomes, for the discipline. RESULTS:Three thousand seven hundred and forty one procedures were performed during the study period. Anaesthesia was the most common procedure, followed by caesarean section. There were adequate opportunities for teaching most core skills. CONCLUSIONS: There were sufficient opportunities for a registrar to be taught all the core skills that are exclusive to theatre. Further research is needed to evaluate Knysna hospital as a training facility for all procedural skills. / AFRIKAANSE OPSOMMING: Geen opsomming beskikbaar.

Thesis (MNutr (Human Nutrition))--University of Stellenbosch, 2006. / INTRODUCTION: The objective of this study was to explore the barriers that doctors experience to referring patients to dietitians. The study sample (n = 700) included a selection of all practicing medical doctors and specialists in the Gauteng province of South Africa. Registration with the Health Professions Council of South Africa (HPCSA) was a prerequisite. METHOD: This was a quantitative study using a validated questionnaire e-mailed to participating doctors in order to determine factors affecting their referral practices. The first part of the questionnaire consisted of demographic and general information about the respondent and the second and third parts consisted of a series of closed-ended questions that related to specific issues of nutrition information and dietitian referral practices respectively. The questionnaire comprised a total of 21 questions. Subjects were sent the questionnaire by e-mail and given four weeks to respond. Three reminder e-mails were sent to encourage participation. Statistical analysis methods included: Kruskal-Wallis, Pearson Chi-square, likelihood ratios, linear-by-linear associations, as well as Goodman and Kruskal tau tests. RESULTS: Of the questionnaires sent out, 134 (19%) out of 700 were finally useable. Doctors who had a nutrition component in their training referred patients to dietitians more often than those who did not and older doctors referred to a dietitian less often (Chi-square tests, p < 0.05). A correlation was observed between the duration of medical practice and frequency of referral (p = 0.03) while gender had no influence on referral practice. A correlation (p < 0.001) was also found between frequency of referral and university of study with symmetric measures. Hyperlipidaemia, diabetes mellitus and obesity were identified as the conditions doctors would most likely refer to a dietitian. For 45% of the doctors insufficient time during consultation was the strongest barrier to providing nutrition councelling to their patients. The barrier identified most commonly was that doctors were unaware of dietitians in the vicinity of their practices (49%). Sixty four percent of doctors believed that better marketing by dietitians would increase their referrals, and 21.4% believed that the title ‘nutritionist’ or ‘nutrition specialist’ would be more suitable for the profession of dietetics. CONCLUSION: The findings of the study indicate that a number of factors contribute to the barriers that doctors experience to referring patients to dietitians. Although the study was limited by a small sample, it nevertheless draws attention to the responsibility of both dietitians and doctors to work together toward providing patients with a more efficient team approach treatment and care system. More qualitative studies are needed to explore the identified barriers further, especially within the South African context, as well as to establish appropriate recommendations to overcome the barriers to referral.

Thesis (MNutr (Interdisciplinarty Health Sciences. Human Nutrition))--University of Stellenbosch, 2005. / Objectives: To determine aspects of knowledge, attitudes and practices of Medical Practitioners on obesity and weight management in three urban centres in Kenya. Research methods and procedures: A cross sectional survey of a randomly selected sample of 485 Medical Practitioners (MPs) from three urban centres in Kenya namely Nairobi, Mombasa and Kisumu was carried out. Four hundred and thirty (89% response) questionnaires were fully completed and returned. Data was gathered on the demographics of the study population; knowledge of nutrition and obesity; awareness of obesity as a health problem assessment, management (diet, exercise and pharmacology) and practices regarding obesity as well as if and how the MPs would like their knowledge of obesity improved.

Made available in DSpace on 2015-04-17T15:01:54Z (GMT). No. of bitstreams: 1 Arquivototal.pdf: 1007816 bytes, checksum: 4b4d75f4ffb3f4cc34250a6de5bf0423 (MD5) Previous issue date: 2012-08-30 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES / Communication and health care is a topic that nowadays has been discussed a lot among health professionals, especially when they are asked about the perception of death. Facing the technology development and devaluation of the human being, it s observed a distance among interpersonal relations, making people even more individualists. Facing this, the Intensive Unit Therapy (UTI) has been target of this deshumanization process, due to the many stress factors related to human resources, materials and environmental. Therefore, it is important to identify factors that may contribute in this process, among them stands out the physicians spirituality and religiosity as a central element in the family relationships. Starting on this perception, the present study has as main point to analyze the presence of religiosity and spirituality in physicians communication to the family facing the imminent death of a young adult patient. The methodology had a qualitative approach using the oral history theme. The empirical material was produced by recording ten intensive care physicians of Emergency and Trauma Senador Humberto Lucena Hospital at the city of João Pessoa. This material was analyzed and interpreted based on three axes themes: the physicians perception of the ending of the young patients life, when five of them related to deal with the death naturally for being part of the natural process of life, independent of age. Although the other five related not being prepared to deal with this process, however, traits of alterity were presented, wich shows the humanized care of those professionals; as for the communication and the physician care face to the family, were presented important actions that can improve this process as: let the family members always informed, enable the health professionals and the included the spirituality and religiosity dimension in this relation; those were emphasized in the third axe because they directly influenced in the information conduction about the imminent death of a beloved family member. Thus, no matter wich religion is, it brings subsidy to enable communication of this subject. Therefore, it is believed that humanization rescue at UTI environment by the health professionals spirituality and religiosity, could be very nice to improve the life quality of the patient, family and staff, besides cross of the myth of the unit as being the death place and not the hope of life. / A comunicação e o cuidado em saúde é um tema que, atualmente, está sendo bastante discutido pelos profissionais de saúde, especialmente quando se aborda sobre a percepção destes profissionais sobre a morte. Diante do avanço tecnológico e a consequente desvalorização do ser humano, observa-se um distanciamento nas relações interpessoais, tornando as pessoas cada vez mais individualistas. Diante disso, as Unidades de Terapia Intensiva tem sido alvo desse processo de desumanização, devido aos vários fatores estressores relacionados aos recursos humanos, materiais e ambientais. Portanto, é importante identificar fatores que possam contribuir neste processo, entre eles destaca-se a espiritualidade e religiosidade dos médicos como elemento fundamental na relação com os familiares. Partindo dessa visão, este estudo teve como finalidade analisar a presença da religiosidade e da espiritualidade na comunicação feita pelo médico aos familiares diante da situação de morte iminente de um paciente adulto jovem. A metodologia teve natureza qualitativa, sendo utilizada a história oral temática. A produção do material empírico foi realizada por meio da gravação, quando foram entrevistados dez médicos intensivistas do Hospital de Emergência e Trauma Senador Humberto Lucena da cidade de João Pessoa. Este material produzido foi analisado e interpretado com base em três eixos temáticos, sendo eles: a percepção do médico sobre a terminalização da vida de pacientes jovens, quando cinco deles relataram lidar naturalmente com a morte, por fazer parte do processo natural da vida, independente da idade. Já os outros cinco disseram não se sentir preparados para lidar com este processo, porém, traços de alteridade foram apresentados, o que demonstra o cuidado humanizado desses profissionais; quanto à comunicação e o cuidado do médico diante da família, foram apresentadas ações importantes que podem melhorar este processo como: deixar os familiares sempre informados, capacitar os profissionais de saúde e a inclusão da dimensão espiritualidade e religiosidade nesta relação; estas foram enfatizadas no terceiro eixo, pois influenciam diretamente na condução da informação sobre a morte iminente de um ente querido. Assim, a religião independente de qual seja, trás subsídios para facilitar a comunicação deste assunto. Portanto, acredita-se que o resgate da humanização no atendimento no ambiente de uma UTI, por meio da espiritualidade e religiosidade dos profissionais da área de saúde, seria de grande relevância para a melhora da qualidade de vida do paciente, familiares e equipe, além de poder proporcionar a desmistificação da unidade como sendo o lugar da morte e não da esperança de vida.

Les entreprises du médicament font partie intégrante de la chaîne de soin et sont en interaction quotidienne avec les médecins. Ce travail doctoral vise à comprendre l’influence du don de cadeaux, le cadeau étant un élément fondamental du processus d’interaction entre les laboratoires pharmaceutiques et les médecins prescripteurs. Cette pratique n’étant pas sans risques, il convient d’en estimer plus précisément les conséquences en matière de prescriptions, mais également en matière de ressenti des médecins. En effet, face aux incitations des laboratoires pharmaceutiques, les médecins peuvent avoir le sentiment que ces derniers cherchent à leur forcer la main et à entraver (par le sentiment d’obligation et de réciprocité lié au don reçu) leur liberté de choix et peuvent ainsi développer une certaine résistance qualifiée de réactance psychologique. Nous avons donc observé, par une expérimentation en terrain réel avec des médecins prescripteurs au Liban, comment un don de cadeau par les entreprises du médicament pouvait impacter le niveau de prescription des médecins (versus un groupe de contrôle sans cadeau). Précisément, l’effet sur les prescriptions des médecins de deux caractéristiques des cadeaux offerts aux médecins à l’occasion du lancement d’un nouveau produit, la valeur du cadeau (faible versus forte) et le rapport du cadeau avec la profession (pas en rapport versus en rapport) a été examiné. L’attention a été centrée sur la compréhension d’un mécanisme médiateur possiblement impliqué dans ce processus, à savoir la réactance situationnelle, mais aussi sur la prise en compte du rôle modérateur des croyances des médecins envers l’influence des cadeaux. Ce travail doctoral confirme premièrement que le cadeau influe sur les prescriptions. Il indique également que la valeur du cadeau offert par les laboratoires, comme son rapport à la pratique médicale, influencent la réactance situationnelle éprouvée par les médecins. Par contre, alors que la réactance situationnelle est médiatrice de l’effet de la valeur du cadeau sur les prescriptions, elle ne joue pas ce rôle médiateur dans le cas du rapport du don avec la profession. Il ressort de ces résultats que les médecins sont moins réactants face à des cadeaux de plus faible valeur et lorsque ceux-ci sont en rapport avec leur pratique médicale. De même, s’il n’est pas constaté d’effet modérateur des croyances des médecins, il apparaît cependant que ces croyances constituent un antécédent de la réactance situationnelle. / Pharmaceutical industry is an integral part of the healthcare system and is in daily interaction with prescribers. This doctoral work aims to understand the influence of gift-giving, the gift as a major element of the interaction process between pharmaceutical companies and prescribing physicians. This practice is not without risks, it is necessary to evaluate accurately the outcome of gift-giving in terms of prescription levels as well as in terms of perceived experience by doctors. Indeed, given the incentives of pharmaceutical companies, physicians may feel impellent and their freedom of choice hindered (by the sense of obligation and reciprocity associated with the received gift) and can develop a form of resistance, namely psychological reactance. So we explored, throughout a real field experiment with prescribing physicians in Lebanon, how a gift donated by pharmaceutical companies could impact the prescription levels of doctors (versus a control group with no gifts). Specifically, we examined the effect, on physicians' prescription levels, of two characteristics of gifts offered to doctors during the launch of a new product, the value of the gift (low versus high) and the relation of the gift with the medical practice (not in relation versus in relation). We focused on the understanding of a mediating mechanism possibly involved in this process, namely situational reactance, but also taking into account the moderating role of the beliefs of physicians about the influence of gifts. This doctoral work confirms at first that gifts influence prescriptions. It also shows that the value of the gift offered by industry to physicians, likewise the relation of the gift with the medical practice, influence the situational reactance aroused by doctors. Per contra, while situational reactance mediates the effect of the value of the gift on the prescription level, it does not play this mediating role in the case of the relation of the gift with the medical practice. It appears from these results that prescribers are less reactant towards gifts of lower value as well as gifts related to their medical practice. Similarly, whereas it is not found a moderating effect of physicians’ beliefs, however, it appears that these beliefs are an antecedent to situational reactance.

Made available in DSpace on 2013-01-07T15:54:59Z (GMT). No. of bitstreams: 2 license.txt: 1748 bytes, checksum: 8a4605be74aa9ea9d79846c1fba20a33 (MD5) 45.pdf: 1317474 bytes, checksum: b38b65c060b6eeefd673dfdd34c21f62 (MD5) Previous issue date: 2004 / Analisa as consequências que a reforma implantada por Pedro Ernesto Baptista na Assistência Municipal, em 1933, trouxe para o mercado de trabalho médico. Observa as manifestações da sociedade às medidas adotadas, mas sobretudo as reações provocadas no meio médico, buscando avaliar com isto as alterações no âmbito do mercado de trabalho daquela categoria profissional.

A pesquisa qualitativa teve como objetivo estudar a autogestão de carreira ao longo da trajetória profissional dos médicos e relacionar as dimensões subjetiva e objetiva para ampliar a compreensão sobre a importância da subjetividade nas carreiras dos profissionais do conhecimento na atualidade. Como objetivos específicos foram definidos: entender o processo de gestão da carreira em seus diferentes estágios; investigar a relevância dos valores pessoais para as decisões e a percepção de sucesso na carreira; identificar a percepção do médico sobre a influência dos fatores intrínsecos e extrínsecos no seu desenvolvimento, buscando identificar diferenças e semelhanças entre os vínculos concomitantes; explorar a percepção do médico sobre as razões que levaram à escolha da profissão e aos diferentes vínculos na história de vida e entender os fatores relacionados às decisões sobre a carreira, tanto no que se refere a mudanças de emprego quanto a mudanças no trabalho realizado. A metodologia qualitativa foi empregada a partir do paradigma interpretativista e da construção social da realidade, adotando o pressuposto epistemológico do subjetivismo. Participaram doze médicos de especialidades clínicas, formados há mais de dez anos. A coleta de dados ocorreu em três fases: shadowing inicial com um sujeito, seguido de exame microscópico de dados e codificação axial, que geraram categorias iniciais utilizadas como parâmetro na análise das entrevistas em profundidade com doze sujeitos, realizadas em duas fases: entrevistas fase 1 e entrevistas fase 2. Da análise das narrativas dos entrevistados na fase 1 foram refinados os nós definidos inicialmente a partir do referencial teórico e do shadowing. Após cada entrevista foi feita a codificação aberta e axial. Ao final da fase 1 de entrevistas foi feita a codificação axial do conjunto dos dados, gerando um parâmetro para as entrevistas focalizadas na fase 2. Os códigos definidos foram refinados na análise conjunta com o entrevistado, em uma relação dialógica de criação de conhecimento. Os resultados apontam a importância do SUS como campo de produção de conhecimento e formador da reputação do médico; dificuldades ligadas à questão de gênero, associadas à falta de amparo social à maternidade; escolhas autoguiadas por valores trazendo satisfação e sucesso subjetivo. Conclui-se que a autogestão da carreira motivada por valores ligados à empatia e cuidado com o outro resultou em sucesso subjetivo mais intenso, além daqueles ligados a reconhecimento social, status e desenvolvimento do conhecimento. / Qualitative research purpose is to study the career self-management along the physicians\' professional journey and to relate the subjective and objective dimensions in order to broaden the knowledge on the importance of subjectivity in the career of the knowledge professionals nowadays. The specific objectives are: to understand the career management process in its different stages; to investigate the relevance of personal values in order to make decisions and to perceive the career success; to identify the perception of the doctor on the influence of intrinsic and extrinsic factors in their development in search of the identification of differences and similarities among several work contracts; to explore the doctors\' perception of the reasons which drove them to choose the profession, and the different bonds in their history of life and to understand the factors related to the decisions about their careers, both with regard to job changes as the changes in the workplace. The qualitative methodology was employed from the interpretive paradigm and the social construction of the reality, adopting the epistemological assumption of subjectivism. Twelve physicians of clinical specialty, with over ten years of graduation, took part in this research. Data collection occurred in three phases: initial shadowing with a physician, followed by microscopic examination of data and axial coding, which generated initial categories deeply used with twelve volunteers above as a parameter in the analysis of the interviews, that were carried out in two other phases: interview phases 1 and 2. The nodes initially defined from the theoretical review and shadowing were refined from the analysis of the narratives of respondents in phase 1. An open and axial coding was created after each interview. At the end of the first interview phase, an axial coding of all the data was done, generating a parameter for the phase 2, when the defined codes were refined in cooperation with the respondent in a dialogical relationship of knowledge creation. The results show the importance of the Sistema Único de Saúde (Unified Health System), known as SUS, as a field of knowledge production and creator of the doctors\' reputation; difficulties linked to gender, associated with lack of social support of motherhood; self-guided choices values by bringing satisfaction and subjective success. As a conclusion, the career self-management motivated by values linked to empathy and care for the other allowed a more intense subjective success, followed by social recognition, status and development of knowledge

Orientadores: Aníbal Faúndes, Maria José Duarte Osis / Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas / Made available in DSpace on 2018-08-16T20:48:38Z (GMT). No. of bitstreams: 1 Oliveira_WilliamAlexandrede_M.pdf: 659096 bytes, checksum: 56cf5a8130f44d6cf8388f074a6bdd43 (MD5) Previous issue date: 2010 / Resumo: Introdução: A pílula anticoncepcional de emergência (PAE) é uma forma de contracepção hormonal que permite evitar uma gravidez não planejada após uma relação sexual desprotegida. O acesso à PAE pode ser dificultado por atitudes negativas dos médicos, derivadas de sua opinião sobre o mecanismo de ação deste método. Objetivo: Avaliar a proporção de ginecologistas e obstetras brasileiros que prescrevem a PAE e a sua associação com algumas características dos médicos e suas percepções sobre o mecanismo de ação desse método. Sujeitos e Método: Estudo de corte transversal, baseado na análise secundária de estudo anterior com 3.337 ginecologistas e obstetras brasileiros que autorresponderam um questionário enviado. Outro banco de dados foi criado com as variáveis de interesse para este estudo: as variáveis independentes foram: opinião dos médicos em relação ao mecanismo de ação da pílula de contracepção de emergência (evitar a fecundação, impedir a implantação do óvulo fertilizado e provoca um ?microaborto"), experiência pessoal com o uso da PAE (precisou usar e usou; precisou usar, mas não usou e nunca precisou usar). A experiência de informar as potenciais usuárias sobre a disponibilidade da PAE e de prescrevê-la foram as variáveis dependentes. As variáveis de controle utilizadas foram os dados sociodemográficos dos médicos. Análise dos dados: A análise bivariada foi feita para testar as associações entre independentes e de controle com as duas variáveis dependentes e quantificar a razão de prevalência e o intervalo de confiança 95%. Finalmente, a análise de regressão múltipla de Poisson foi realizada para identificar as variáveis independentes associadas às duas variáveis dependentes. Resultados: 91,4% dos médicos afirmaram que informam seus pacientes sobre a PAE, 89,3% já prescreveram o método pelo menos uma vez durante o tempo de exercício da profissão; 20,8% afirmaram que a ação da PAE ocorria antes da fecundação e 56,9% acreditavam que interferia com a implantação e 22,3% dos médicos referiram que a PAE provocava um ?microaborto?. Com relação ao uso, 24,7% dos médicos já tiveram a necessidade de usar a PAE e usaram, 1,6% tiveram a necessidade de usar mas não usaram e 73,6% nunca tiveram a necessidade de utilizar a PAE. O percentual dos médicos que nunca tinham informado sobre a pílula anticoncepcional de emergência ou prescrito o método foi mais que duas vezes maior entre aqueles que acreditavam que a PAE provocava um ?microaborto? do que entre aqueles que tinham outra percepção sobre o mecanismo de ação da PAE. A proporção de médicos que nunca tinham informado ou prescrito a PAE foi maior entre os médicos que tiveram a necessidade usar o método e não o usaram, do que entre os médicos que nunca tiveram a necessidade de usá-lo. Conclusões: O conceito errôneo de que a PAE pode provocar um ?microaborto? é uma importante barreira para as potenciais usuárias, enquanto que a experiência de uso pessoal pelos médicos que necessitaram usá-la favorece a informação e a prescrição do método. / Abstract: Introduction: The emergency contraceptive pills (ECPs) is a form of hormonal contraception that can prevent an unintended pregnancy after unprotected sex. Access to the EAP may be hampered by negative attitudes of doctors, derived from his view on the mechanism of action of this method. Objective: To evaluate the proportion of Brazilian gynecologists and obstetricians to prescribe the ECP and its association with some characteristics of doctors and their perceptions of the mechanism of action of these methods. Subjects and Methods: Cross-sectional study, based on secondary analysis of a previous study with 3337 Brazilian gynecologists and obstetricians who autorresponderam a questionnaire. Another database was created with the variables of interest to this study: the independent variables were physicians' beliefs regarding the mechanism of action of emergency contraception pill (to prevent fertilization, prevent implantation of the fertilized egg and causes "microaborto"), personal experience with the use of PAE (needed to use and used, had to use but not used and never needed to use). The experience of informing potential users about the availability of SAP and prescribe it were the dependent variables. The control variables used were sociodemographic data for doctors. Data analysis: A new database was prepared separately from the database of original research, dividing the variables of interest described above. Bivariate analysis was done to test the associations between independent and control with the two dependent variables and quantify the prevalence ratio and confidence interval 95%. Finally, Poisson analysis was performed to identify variables independently associated with dependent variables. Results: 91.4% of doctors said they inform their patients about ECP, 89.3% had prescribed the method at least once. 20.8% said that ECP acts before fertilization and 56.9% believed that acts by interfering with implantation and only 22.3% of physicians believed that ECP causes a micro abortion. The percentage of physicians who had the necessity to use ECP and used was 24,7%, 1.6% had the necessity to use but did not use it and 73.6% had never had the necessity to use the ECP. The percentage of doctors who had never informed about the emergency contraceptive pill or prescribe the method was more than twice higher among those who believed that the ECP causes a micro abortion than among those who believed in a different mechanism of action of ECP. The proportion of doctors who had never informed or prescribed emergency contraception was greater among physicians who had the necessity to use the method and did not use it than among physicians who had never had the necessity to use it. Conclusions: The misconception that the ECP can cause a micro abortion is an important barrier to potential users, while the personal experience of doctors contribute in a positive way for the information and prescription of the method. / Mestrado / Ciencias Biomedicas / Mestre em Tocoginecologia

The purpose of this thesis is to examine the relationship between consultants and general practitioners, particularly as far as hospital in-patient care is concerned. How has the role of each of them evolved? What is the effect of the division between consultants and general practitioners on in-patient care? What is the role of the general practitioner as far as in-patient care is concerned, particularly in general practitioner units? In order to examine these questions the historical origin of the general practitioner and consultant is described, and the results of two surveys are presented. The first survey was carried out in 1970 in a teaching hospital, The Radcliffe Infirmary, Oxford, and is called the Radcliffe Survey. The second was carried out in 1970-71 and consisted of a survey of all medical admissions from one general practice in Wantage to Wantage Hospital and consultant wards in the United Oxford Hospitals; this is called the Wantage Survey. The results of these surveys are used to examine a number of hypotheses. These will be stated in detail, but broadly speaking the aim of the surveys was to try to discover how much hospital care can be provided in a general practitioner hospital as an alternative to consultant care, how the admissions to the two types of hospital are selected and how they differ. Obstetrics is not included in either survey because the role of G.P. obstetric units has been well covered in a number of publications. The Radcliffe Survey was concerned with medical and surgical patients, but it is medical admissions that form the largest part of in-patient care in general practitioner hospitals and, at the same time, the least investigated. Therefore, the Wantage Survey was concerned almost exclusively with medical admissions.

Background The shortage in Latin-American Primary Care (PC) workforce may be due to negative perceptions about it. These perceptions might be probably influenced by particular features of health systems and academic environments, thus varying between countries. Methods Observational, analytic and cross-sectional multicountry study that evaluated 9,561 first and fifth-year medical students from 63 medical schools of 11 Latin American countries through a survey. Perceptions on PC work was evaluated through a previously validated scale. Tertiles of the scores were created in order to compare the different countries. Crude and adjusted prevalence ratios were calculated using simple and multiple Poisson regression with robust variance. Results Approximately 53% of subjects were female; mean age was 20.4±2.9 years; 35.5%were fifth-year students. Statistically significant differences were found between the study subjects’ country, using Peru as reference. Students from Chile, Colombia, Mexico and Paraguay perceived PC work more positively, while those from Ecuador showed a less favorable position. No differences were found among perceptions of Bolivian, Salvadoran, Honduran and Venezuelan students when compared to their Peruvian peers. Conclusions Perceptions of PC among medical students from Latin America vary according to country. Considering such differences can be of major importance for potential local specific interventions.