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Present status of Medical Physics practice in Mexico: An occupational analysis
Affiliation:1. Unidad de Especialidades Médicas de Oncología, Servicios de Salud de Zacatecas. Av.Barones #3, Ejidal, 98613, Guadalupe, Zacatecas, Mexico;2. Departamento de Neuroimagen, Instituto Nacional de Neurología y Neurocirugía. Av. Insurgentes Sur #3877, La Fama, 14269, Tlalpan, Mexico City, Mexico;3. Departamento de Radioterapia, The American British Cowdray Medical Center. Sur 136 #116, Las Americas, 01120, Alvaro Obregon, Mexico City, Mexico;4. Unidad de Radioneurocirugía, Instituto Nacional de Neurología y Neurocirugía. Av. Insurgentes Sur #3877, La Fama, 14269, Tlalpan, Mexico City, Mexico;5. Departamento de Medicina Nuclear, Centro Oncológico Privado. Calle 21 #588, Maya, 97134 Merida, Yucatan, Mexico;6. Departamento de Radioncología, Hospital Agustín O’Horán. Av. Itzaes s/n y Av. Centro Jacinto Canek, 97000 Merida, Yucatan, Mexico;7. Department of Radiology, University of Chicago. 5841 South Maryland Avenue, MC2026 Chicago, IL, USA;8. Escuela Superior de Física y Matemáticas, Instituto Politécnico Nacional. Av. Instituto Politécnico Nacional s/n Edificio 9, San Pedro Zacatenco, 07738, Gustavo A. Madero, Mexico City, Mexico;1. Paul Scherrer Institut, Villigen, CH-5232, Switzerland;2. University of Latvia, 19 Raina Blvd., Riga, LV 1586, Latvia;1. University Federico II, Post Graduate School in Medical Physics, Department of Advanced Biomedical Sciences, Napoli, Italy;2. National Research Council (CNR), Institute of Biostructures and Bioimaging, Napoli, Italy;3. University Federico II, Department of Advanced Biomedical Sciences, Napoli, Italy;4. University Hospital Federico II, Unit of Medical Physics and Radioprotection, Napoli, Italy;5. University Federico II, Department of Neurosciences, Reproductive Sciences and Dentistry, Napoli, Italy;6. University Federico II, Eye Clinic Department of Public Health, Napoli, Italy;1. Department of Radiotherapy, University Hospital Essen, Hufelandstraße 55, 45147 Essen, Germany;2. Department of Radiology, Charité – Universitätsmedizin Berlin, Augustenburger Platz 1, 13353 Berlin, Germany;3. Department of Physics, University of Osijek, Trg Ljudevita Gaja 6, 31000 Osijek, Croatia;4. Clinic and Polyclinic for Diagnostic and Interventional Radiology, University Hospital Leipzig, Liebigstraße 20, 04103 Leipzig, Germany;1. Department of Clinical Radiology, Kagawa University Hospital, Kagawa, Japan;2. Graduate School of Medicine, Kagawa University, Kagawa, Japan;3. Department of Radiation Oncology, Kagawa University Hospital, Kagawa, Japan;1. National and Kapodistrian University of Athens, Medical School, Department of Medical Physics, Greece;2. Bioiatriki, Athens, Greece
Abstract:PurposeTo present an overview of the status of Medical Physics practice in Mexico, promote the legal recognition of Medical Physics high-end training, and provide information that will potentially improve the Mexican healthcare system.MethodsFor the purpose of this research, the concept of “Medical Physics Professional/s” (MPP) is introduced to refer to any person/s executing the role of a clinical medical physicist (cMP) in whole or in part independent of academic profile, training or experience. A database of MPP in Mexico was built from official sources and personal communication with peers. Database records included the following fields: employer/s, specialty, academic profile, and annual income (when available).Results133 centers in Mexico employ MPP, 49% of which are public institutions. 360 positions involving cMP roles were identified at the National Healthcare System (occupied by 283 MPP), 77% of which corresponded to radiation therapy. Public healthcare services hold 65% of the reported positions. Only 40% of MPP hold a graduate degree in Medical Physics, 46% of whom were located in the most densely populated region of Mexico. Of all MPP, 32% were women.ConclusionsThis work allowed to clearly identify the current challenges of Medical Physics practice in Mexico, such as: insufficiency and uneven geographical distribution of qualified manpower, gender imparity, multishifting and wage gap. The products derived from this work could be used to guide the efforts to improve the Mexican healthcare system.
Keywords:Mexico  Medical physicists’ educational status  Working conditions  Healthcare facilities, manpower and services  cMP"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  k0030"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  Clinical medical physicist  MPE"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  k0040"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  Medical Physics Expert  MPP"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  k0050"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  Medical Physics Professional/s  IAEA"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  k0060"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  International Atomic Energy Agency  SSA"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  k0070"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  Secretary of Public Health (Mexico)  ISSSTE"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  k0080"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  Social security system for federal workers (Mexico)  IMSS"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  k0090"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  Social security system for workers in the private sector (Mexico)  PEMEX"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  k0100"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  Social security system for workers of the Mexican State-owned petroleum company  SEDENA"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  k0110"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  Social security for Army and Air Force members (Mexico)  SEMAR"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  k0120"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  Social security for Navy members (Mexico)  CNSNS"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  k0130"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  Nuclear Safety authority (Mexico)  COFEPRIS"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  k0140"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  Mexican State’s regulatory body for protection against sanitary risks  SHCP"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  k0150"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  Secretary of Treasury (Mexico)  INAI"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  k0160"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  Mexican State’s guaranteeing body for the rights to access public information and personal data protection  D&IR"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  k0170"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  Diagnostic and Interventional Radiology  RT"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  k0180"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  Radiation Therapy  NM"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  k0190"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  Nuclear Medicine  EFOMP"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  k0200"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  European Federation of Organisations for Medical Physics  WHO"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  k0210"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  World Health Organization  IOMP"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  k0220"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  International Organization for Medical Physics  AAPM"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  ce.keyword_i1n_wxr_cmb"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  American Association of Physicists in Medicine
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