<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2007-5057</journal-id>
<journal-title><![CDATA[Investigación en educación médica]]></journal-title>
<abbrev-journal-title><![CDATA[Investigación educ. médica]]></abbrev-journal-title>
<issn>2007-5057</issn>
<publisher>
<publisher-name><![CDATA[Universidad Nacional Autónoma de México, Facultad de Medicina]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2007-50572016000200102</article-id>
<article-id pub-id-type="doi">10.1016/j.riem.2016.01.020</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Burnout en médicos internos de pregrado del Hospital General de México Dr. Eduardo Liceaga]]></article-title>
<article-title xml:lang="en"><![CDATA[Burnout on fifth year medical interns in General Hospital of Mexico Dr. Eduardo Liceaga]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Athié Gutiérrez]]></surname>
<given-names><![CDATA[César]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cardiel Marmolejo]]></surname>
<given-names><![CDATA[Lino Eduardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Camacho Aguilera]]></surname>
<given-names><![CDATA[Jaime]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mucientes Avellaneda]]></surname>
<given-names><![CDATA[Víctor Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Terronez Girón]]></surname>
<given-names><![CDATA[Andrea del Mar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cabrera Mora]]></surname>
<given-names><![CDATA[Norma Alejandra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cueto Romero]]></surname>
<given-names><![CDATA[Héctor Daniel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García Nava]]></surname>
<given-names><![CDATA[Guadalupe Susana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jiménez García]]></surname>
<given-names><![CDATA[Aldo Daniel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez Durán]]></surname>
<given-names><![CDATA[Dennis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valdés Peñaloza]]></surname>
<given-names><![CDATA[Ana Laura]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sainos Ramírez]]></surname>
<given-names><![CDATA[Claudia Alejandra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,S.S.A. Dirección General del Hospital General de México Dr. Eduardo Liceaga ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,S.S.A. Hospital General de México Dr. Eduardo Liceaga Dirección de educación y capacitación en salud]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,S.S.A del Hospital General de México Dr. Eduardo Liceaga Jefatura de Departamento de Desarrollo Profesional Continuo]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad Nacional Autónoma de México Facultad de Medicina ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,S.S.A. Hospital General de México Dr. Eduardo Liceaga Jefatura del Departamento de Pregrado]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2016</year>
</pub-date>
<volume>5</volume>
<numero>18</numero>
<fpage>102</fpage>
<lpage>107</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2007-50572016000200102&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2007-50572016000200102&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2007-50572016000200102&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción El síndrome de burnout, entendido como una reacción afectiva en respuesta al estrés laboral crónico, se integra con 3 ejes fundamentales: desgaste emocional, despersonalización y falta de realización personal. Repercute significativamente tanto a instituciones como a empleados, particularmente los relacionados con la medicina. Jornadas laborales extenuantes, alta exigencia académica y demandas emocionales son constantes durante el internado médico de pregrado, siendo los médicos internos de pregrado (MIP) vulnerables para desarrollar burnout. Por esto es conveniente realizar estudios para identificar dicho síndrome y sus componentes, implementar medidas preventivas y mejorar las condiciones laborales, garantizando una mejor calidad de servicio al paciente.  Objetivo Determinar la prevalencia del síndrome de burnout en los MIP del Hospital General de México Dr. Eduardo Liceaga y establecer asociaciones con factores de riesgo.  Método Se realizó un estudio transversal, observacional y descriptivo a 141 MIP del Hospital General de México Dr. Eduardo Liceaga a través de la encuesta de Maslach Burnout Inventory para conocer la prevalencia de burnout y analizar su correlación con factores asociados mediante la prueba estadística Rho de Spearman.  Resultados El total de la población presentó algún grado de desgaste laboral y el 16% cumplió con criterios de burnout. Se encontró relación estadísticamente significativa entre el burnout y el tiempo de traslado (&#961; = -0.203, p = 0.016), así como la universidad de procedencia (&#961; = -0.184, p = 0.029).  Conclusiones En respuesta a los resultados obtenidos se sugiere realizar una valoración al inicio del internado para identificar población en riesgo, modificación en el rol de la rotación, otorgar la posguardia en servicios de alta demanda y apoyo psicológico en caso de ser necesario.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction Burnout syndrome, defined as an emotional reaction in response to chronic job stress, is constituted by three central axes: emotional exhaustion, depersonalisation, and lack of personal fulfilment. It affects both institutions and employees significantly, particularly those related to medicine. Strenuous working hours, high academic expectations and emotional demands are constant during the medical internship; hence the students enrolled in the fifth year become vulnerable to develop burnout. Therefore, it is of interest conduct studies to identify this syndrome, as well as its components to improve working conditions and implement preventive measures to ensure a better quality of service to the patient.  Objective To determine the prevalence of burnout syndrome in medical undergraduates enrolled in the fifth year (MUE) in the Dr. Eduardo Liceaga General Hospital of Mexico, and determine the associated risk factors.  Method A cross-sectional, observational and descriptive study was conducted on 141 MUE from the Dr. Eduardo Liceaga General Hospital of Mexico using the Maslach Burnout Inventory survey to determine the prevalence of burnout and analyse its relationship with associated factors using the Spearman's rank correlation coefficient.  Results The whole population had some degree of work exhaustion, and 16% met criteria for burnout. A statistically significant relationship was found between burnout and two factors: transport time home-hospital (&#961; = -0203, P = .016) and university of origin (&#961; = -0184 P = .029).  Conclusions In response to the results, it is suggested to make an evaluation at the beginning of the medical internship to identify risk population, change in the role of the rotation, give the day off after the night shift in high-demand services, and psychological support if necessary.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Burnout]]></kwd>
<kwd lng="es"><![CDATA[Desgaste emocional]]></kwd>
<kwd lng="es"><![CDATA[Despersonalización]]></kwd>
<kwd lng="es"><![CDATA[Realización personal]]></kwd>
<kwd lng="es"><![CDATA[Médicos de pregrado]]></kwd>
<kwd lng="en"><![CDATA[Burnout]]></kwd>
<kwd lng="en"><![CDATA[Emotional exhaustion]]></kwd>
<kwd lng="en"><![CDATA[Depersonalisation]]></kwd>
<kwd lng="en"><![CDATA[Fulfilment]]></kwd>
<kwd lng="en"><![CDATA[Undergraduate medical]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Bienestar psicológico en estudiantes universitarios: facilitadores y obstaculizadores del desempeño académico]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Salanova]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<name>
<surname><![CDATA[Martínez]]></surname>
<given-names><![CDATA[I.]]></given-names>
</name>
<name>
<surname><![CDATA[Bresó]]></surname>
<given-names><![CDATA[E.]]></given-names>
</name>
<name>
<surname><![CDATA[Llorens]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
<name>
<surname><![CDATA[Grau]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
</person-group>
<source><![CDATA[An Psicol]]></source>
<year>2005</year>
<volume>21</volume>
<page-range>170-80</page-range></nlm-citation>
</ref>
<ref id="B2">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Burnout estudiantil: un enfoque unidimensional]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Barraza]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
</person-group>
<source><![CDATA[Rev Psicol Cient]]></source>
<year>2008</year>
</nlm-citation>
</ref>
<ref id="B3">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Insufficient sleep predicts clinical bunout]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Söderström]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<name>
<surname><![CDATA[Jeding]]></surname>
<given-names><![CDATA[K.]]></given-names>
</name>
<name>
<surname><![CDATA[Ekstedt]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<name>
<surname><![CDATA[Perki]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[Akerstedt]]></surname>
<given-names><![CDATA[T.]]></given-names>
</name>
</person-group>
<source><![CDATA[J Occup Health]]></source>
<year>2012</year>
<volume>17</volume>
<page-range>175-83</page-range></nlm-citation>
</ref>
<ref id="B4">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Validez factorial de la adaptación al español del Maslach Burnout Inventory-General Survey]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gil-Monte Pedro]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
</person-group>
<source><![CDATA[Salud Pública Méx]]></source>
<year>2002</year>
<volume>44</volume>
<page-range>33-40</page-range></nlm-citation>
</ref>
<ref id="B5">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Born to burnout: A meta-analytic path model of personality, job burnout, and work outcomes]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Swider Brian]]></surname>
<given-names><![CDATA[W.]]></given-names>
</name>
<name>
<surname><![CDATA[Zimmerman Ryan]]></surname>
<given-names><![CDATA[D.]]></given-names>
</name>
</person-group>
<source><![CDATA[J Vocat Behav]]></source>
<year>2010</year>
<volume>76</volume>
<page-range>487-506</page-range></nlm-citation>
</ref>
<ref id="B6">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Burnout en estudiantes universitarios de España y Portugal y su relación con variables académicas]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Martínez]]></surname>
<given-names><![CDATA[I.]]></given-names>
</name>
<name>
<surname><![CDATA[Marques]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
</person-group>
<source><![CDATA[Revista Aletheia]]></source>
<year>2005</year>
<volume>21</volume>
<page-range>21-30</page-range></nlm-citation>
</ref>
<ref id="B7">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Prevalencia del síndrome del quemado y estudio de los factores asociados en los trabajadores de un hospital comarcal]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pera]]></surname>
<given-names><![CDATA[G.]]></given-names>
</name>
<name>
<surname><![CDATA[Serra-Prat]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
</person-group>
<source><![CDATA[Gac Sanit]]></source>
<year>2002</year>
<volume>16</volume>
<page-range>480-6</page-range></nlm-citation>
</ref>
<ref id="B8">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Prevalencia del síndrome de burnout en las enfermeras de la UPC del Hospital del Trabajador, Santiago de Chile y una propuesta de cambio]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Quintanilla]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
</person-group>
<source><![CDATA[Rev Chil Med Int]]></source>
<year>2002</year>
<volume>19</volume>
<page-range>33-8</page-range></nlm-citation>
</ref>
<ref id="B9">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Salud mental del médico: prevención y control del burnout]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Flórez Lozano]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
</person-group>
<source><![CDATA[Salud Global]]></source>
<year>2003</year>
<volume>3</volume>
<page-range>2-7</page-range></nlm-citation>
</ref>
<ref id="B10">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Effect of brief behavioral intervention program in managing stress in medical students from two southern California universities]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bughi]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[Sumcad]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[Bughi]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
</person-group>
<source><![CDATA[Med Educ]]></source>
<year>2006</year>
<volume>11</volume>
<page-range>11-8</page-range></nlm-citation>
</ref>
<ref id="B11">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Escalas de evaluación comportamental para la cuantificación de la sintomatología psicopatológica en los trastornos depresivos]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Conde]]></surname>
<given-names><![CDATA[V.]]></given-names>
</name>
<name>
<surname><![CDATA[Valverde]]></surname>
<given-names><![CDATA[F.]]></given-names>
</name>
</person-group>
<source><![CDATA[BMJ]]></source>
<year>1984</year>
<volume>91</volume>
<page-range>31-56</page-range></nlm-citation>
</ref>
<ref id="B12">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Resident burnout]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Niku]]></surname>
<given-names><![CDATA[K.]]></given-names>
</name>
</person-group>
<source><![CDATA[JAMA]]></source>
<year>2004</year>
<volume>292</volume>
<page-range>2880-9</page-range></nlm-citation>
</ref>
<ref id="B13">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Prevalencia de síndrome de burnout en alumnos del séptimo año de medicina de una universidad privada de Lima, Perú]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Estela-Villa]]></surname>
<given-names><![CDATA[L.]]></given-names>
</name>
<name>
<surname><![CDATA[Jiménez-Román]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
<name>
<surname><![CDATA[Landeo-Gutiérrez]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[Tomateo-Torvisco]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[Vega-Dienstmaier]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
</person-group>
<source><![CDATA[Rev Neuropsiquiatr]]></source>
<year>2010</year>
<volume>73</volume>
<page-range>147-56</page-range></nlm-citation>
</ref>
<ref id="B14">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Health Impact of psychosocial hazards at work: An overview]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Stavroula]]></surname>
<given-names><![CDATA[L.]]></given-names>
</name>
<name>
<surname><![CDATA[Aditya]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
</person-group>
<source><![CDATA[WHO]]></source>
<year>2010</year>
</nlm-citation>
</ref>
<ref id="B15">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[La asociación entre burnout, depresión, ansiedad y biomarcadores inflamatorios: proteína C reactiva y fibrinógeno en hombres y mujeres]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Toker]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
<name>
<surname><![CDATA[Itzhak]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
<name>
<surname><![CDATA[Melamed]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
</person-group>
<source><![CDATA[J Occup Heal Psy]]></source>
<year>2005</year>
<volume>13</volume>
<page-range>25-31</page-range></nlm-citation>
</ref>
<ref id="B16">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Síndrome de burnout en estudiantes de internado del Hospital Universidad del Norte]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Borda]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<name>
<surname><![CDATA[Navarro]]></surname>
<given-names><![CDATA[E.]]></given-names>
</name>
<name>
<surname><![CDATA[Aun]]></surname>
<given-names><![CDATA[E.]]></given-names>
</name>
<name>
<surname><![CDATA[Berdejo]]></surname>
<given-names><![CDATA[H.]]></given-names>
</name>
<name>
<surname><![CDATA[Racedo]]></surname>
<given-names><![CDATA[K.]]></given-names>
</name>
<name>
<surname><![CDATA[Ruiz]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
</person-group>
<source><![CDATA[Salud Uninorte]]></source>
<year>2007</year>
<volume>23</volume>
<page-range>43-51</page-range></nlm-citation>
</ref>
<ref id="B17">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Estado de salud y estrés laboral en médicos internos del IMSS en Tepic, Nayarit]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Barraza-Salas]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[Romero-Paredes]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[Lores Padilla]]></surname>
<given-names><![CDATA[L.]]></given-names>
</name>
<name>
<surname><![CDATA[Pérez-Reyes]]></surname>
<given-names><![CDATA[B.]]></given-names>
</name>
<name>
<surname><![CDATA[Piña-Jiménez]]></surname>
<given-names><![CDATA[N.]]></given-names>
</name>
<name>
<surname><![CDATA[Romero-Pérez]]></surname>
<given-names><![CDATA[D.]]></given-names>
</name>
</person-group>
<source><![CDATA[Waxapa]]></source>
<year>2009</year>
<volume>1</volume>
<page-range>35-41</page-range></nlm-citation>
</ref>
<ref id="B18">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Evaluación de salud mental en los médicos residentes de los post-grados de Medicina de la Universidad Nacional Autónoma de Honduras en el año 2000]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Aguilar]]></surname>
<given-names><![CDATA[L.]]></given-names>
</name>
<name>
<surname><![CDATA[Rovelo]]></surname>
<given-names><![CDATA[B.]]></given-names>
</name>
<name>
<surname><![CDATA[Padgett]]></surname>
<given-names><![CDATA[D.]]></given-names>
</name>
<name>
<surname><![CDATA[Reyes]]></surname>
<given-names><![CDATA[T.]]></given-names>
</name>
</person-group>
<source><![CDATA[Rev Med Post Unah]]></source>
<year>2001</year>
<volume>1</volume>
<page-range>30-40</page-range></nlm-citation>
</ref>
<ref id="B19">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Estrategias de prevención del burnout desde los recursos humanos]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lorente]]></surname>
<given-names><![CDATA[L.]]></given-names>
</name>
<name>
<surname><![CDATA[Salanova]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<name>
<surname><![CDATA[Martínez]]></surname>
<given-names><![CDATA[I.]]></given-names>
</name>
</person-group>
<source><![CDATA[Ges Pract Riesgo Laborales]]></source>
<year>2007</year>
<volume>41</volume>
<page-range>12-20</page-range></nlm-citation>
</ref>
<ref id="B20">
<nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Graue]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Alvarez]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Sánchez]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<source><![CDATA[El síndrome de burnout: La despersonalización, el agotamiento emocional y la insatisfacción en el trabajo como problemas en el ejercicio de la medicina y el desarrollo profesional]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B21">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Burnout en personal sanitario: Validación de la escala MBI en México]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hernández]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
<name>
<surname><![CDATA[Llorebs]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
<name>
<surname><![CDATA[Rodriguez]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
</person-group>
<source><![CDATA[Forum de Recerca]]></source>
<year>2011</year>
<volume>16</volume>
<page-range>837-46</page-range></nlm-citation>
</ref>
<ref id="B22">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Síndrome de burnout en residentes con jornadas laborales prolongadas]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lopez]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[González]]></surname>
<given-names><![CDATA[F.]]></given-names>
</name>
<name>
<surname><![CDATA[Morales]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<name>
<surname><![CDATA[Espinoza]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
</person-group>
<source><![CDATA[Rev Med Inst Mex Seguro Soc]]></source>
<year>2007</year>
<volume>45</volume>
<page-range>233-42</page-range></nlm-citation>
</ref>
<ref id="B23">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Validación de la escala de somnolencia del epworht en población mexicana]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sandoval]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<name>
<surname><![CDATA[Alcalá]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
<name>
<surname><![CDATA[Herrera]]></surname>
<given-names><![CDATA[I.]]></given-names>
</name>
<name>
<surname><![CDATA[Jieménez]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
</person-group>
<source><![CDATA[Gac Med Méx]]></source>
<year>2013</year>
<volume>149</volume>
<page-range>409-16</page-range></nlm-citation>
</ref>
<ref id="B24">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Factores psicosociales y síndrome de burnout en médicos de familia. México]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Aranda-Beltrán]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
<name>
<surname><![CDATA[Pando-Moreno]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<name>
<surname><![CDATA[Torres-López]]></surname>
<given-names><![CDATA[T.]]></given-names>
</name>
<name>
<surname><![CDATA[Salazar-Estrada]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[Franco-Chávez]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
</person-group>
<source><![CDATA[An Fac Med]]></source>
<year>2005</year>
<volume>66</volume>
<page-range>225-31</page-range></nlm-citation>
</ref>
<ref id="B25">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Percepción sobre factores estresantes en estudiantes de medicina de primer semestre, sus padres y sus maestros]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Phinder-Puente]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<name>
<surname><![CDATA[Sánchez-Cardel]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[Romero-Castellanos]]></surname>
<given-names><![CDATA[F.]]></given-names>
</name>
</person-group>
<source><![CDATA[Inv Ed Med]]></source>
<year>2014</year>
<volume>3</volume>
<page-range>139-46</page-range></nlm-citation>
</ref>
<ref id="B26">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Síndrome de desgaste profesional en el personal médico (adscrito y residentes de la especialidad de urgencias) de un servicio de urgencias de la ciudad de México]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Loria]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[Hernandez]]></surname>
<given-names><![CDATA[G.]]></given-names>
</name>
</person-group>
<source><![CDATA[Rev Cub Med Int Emerg]]></source>
<year>2006</year>
<volume>5</volume>
<page-range>432-43</page-range></nlm-citation>
</ref>
<ref id="B27">
<nlm-citation citation-type="">
<collab>Comisión Ejecutiva Confederal de UGT</collab>
<source><![CDATA[Observatorio permanente riesgos psicosociales. Guía sobre el síndrome de quemado (burnout)]]></source>
<year>2006</year>
<publisher-loc><![CDATA[Madrid ]]></publisher-loc>
</nlm-citation>
</ref>
<ref id="B28">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[The relation between burnout and sleep disorders in medical students]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pagnin]]></surname>
<given-names><![CDATA[D.]]></given-names>
</name>
<name>
<surname><![CDATA[de Queiroz]]></surname>
<given-names><![CDATA[V.]]></given-names>
</name>
<name>
<surname><![CDATA[Carvalho]]></surname>
<given-names><![CDATA[Y.]]></given-names>
</name>
<name>
<surname><![CDATA[Dutra]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[Amaral]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<name>
<surname><![CDATA[Queiroz]]></surname>
<given-names><![CDATA[T.]]></given-names>
</name>
</person-group>
<source><![CDATA[Acad Psychiatry]]></source>
<year>2014</year>
<volume>38</volume>
<page-range>438-44</page-range></nlm-citation>
</ref>
<ref id="B29">
<nlm-citation citation-type="book">
<collab>Asociación mexicana de facultades y escuelas de medicina A.C.</collab>
<source><![CDATA[Perfil de competencias del médico general mexicano]]></source>
<year>2008</year>
<publisher-loc><![CDATA[México ]]></publisher-loc>
<publisher-name><![CDATA[Elsevier]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B30">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Factors associated with burnout during emergency medicine residency]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kimo-Takayesu]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[Ramoska]]></surname>
<given-names><![CDATA[E.]]></given-names>
</name>
<name>
<surname><![CDATA[Clark]]></surname>
<given-names><![CDATA[T.]]></given-names>
</name>
<name>
<surname><![CDATA[Hansoti]]></surname>
<given-names><![CDATA[B.]]></given-names>
</name>
<name>
<surname><![CDATA[Dougherty]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[Freeman]]></surname>
<given-names><![CDATA[W.]]></given-names>
</name>
</person-group>
<source><![CDATA[Acad Emerg Med]]></source>
<year>2014</year>
<volume>21</volume>
<page-range>1031-5</page-range></nlm-citation>
</ref>
<ref id="B31">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Association of perceived medical errors with resident distress and empathy: A prospective longitudinal study]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[West]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
<name>
<surname><![CDATA[Huschka]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<name>
<surname><![CDATA[Novotny]]></surname>
<given-names><![CDATA[P.]]></given-names>
</name>
<name>
<surname><![CDATA[Sloan]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[Kolars]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[Habermann]]></surname>
<given-names><![CDATA[T.]]></given-names>
</name>
</person-group>
<source><![CDATA[JAMA]]></source>
<year>2006</year>
<volume>296</volume>
<page-range>1071-8</page-range></nlm-citation>
</ref>
<ref id="B32">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Straining to describe and tackle stress in medical students]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Adams]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
</person-group>
<source><![CDATA[Med Educ]]></source>
<year>2004</year>
<volume>38</volume>
<page-range>463-4</page-range></nlm-citation>
</ref>
<ref id="B33">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Burnout y apoyo social en personal del servicio de psiquiatría de un hospital público]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Avendaño]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
<name>
<surname><![CDATA[Bustos]]></surname>
<given-names><![CDATA[P.]]></given-names>
</name>
<name>
<surname><![CDATA[Espinoza]]></surname>
<given-names><![CDATA[P.]]></given-names>
</name>
<name>
<surname><![CDATA[García]]></surname>
<given-names><![CDATA[F.]]></given-names>
</name>
<name>
<surname><![CDATA[Pierart]]></surname>
<given-names><![CDATA[T.]]></given-names>
</name>
</person-group>
<source><![CDATA[Ciencia y Enfermería]]></source>
<year>2009</year>
<volume>15</volume>
<page-range>55-68</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
