A medical intern talks about a social service stay in the community of Durango

A medical intern talks about a social service stay in the community of Durango

Adriana Berenice García López was assigned to perform her social service in the Rural Medical Unit (UMR) No. 140 of the Mexican Social Security Institute (IMSS), from the city of Unión y Progreso, or better known as The churches From the municipality of gold

The community with 278 inhabitants is enclaved in the Sierra de Durango, and para llegar de la capital del estado toma un tiempo de quatro horas y media, de las cuales dos son un camino sinuoso, el cual solamente se trancurrir través de un véhículo All Terrain.

At the end of the five years of the academic process, students must complete one year of traineeship and after completing this period, they receive their release and then start with the Social service, which they must also do in a year. From undergraduate intern doctors (MIP), they become trainee doctors of social service (MPSS).

García López has completed the academic process of the Faculty of Health Sciences (FACSA) from Juarez University of Durango State (UJED) in December 2020 and then entered a hospital for his internship. During this year he worked in different fields such as gynecology, surgery, internal medicine, pediatrics, emergency medicine and family medicine, and it is during this period that he claims to have further development compared to the months when he was doing his social work.

February 2, 2022 has arrived as a medical intern to the community of Churches in Durangopbut also directly as the doctor responsible for the Rural Medical Unit, and although two basic nurses were under her, she was responsible for all the services provided, receiving only the stock Exchange of compensation.

“In the rural medicine unit where I was theoretically, first level care is provided, starting from a headache, perhaps colitis, migraine or more complex processes such as a person with a broken head, a splint, all that, but theoretically, why really? Well, the unit I’m in doesn’t have a lot of gear, or whatever”.

The unit is not so small, at the entrance there is the traditional path with small trees, inside there is an office, the waiting room, for bedridden patients and the hospital room. examination, but it also houses different spaces, such as the Care and Prevention Center for adolescents.

Arrival uncertainty

Arriving I did not knowa where was he going to stay or spend the night, because the speed of the the venue allocation process is a limitation get organized and when they arrive they already know where they are going to live for a year.

For example, on Tuesday she got the headquarters of the Social Service and on Friday she had to go to the sub-delegation in the capital Durango for the delivery of stationery and the contract signature, by which are established the social work agreements such as the duration, the bursary or the indemnity that they will receive and the responsibility that they will have. Later, they send him to the coordination of the IMSS with an adviser.

explained whathe Durango is divided into zones and she belongs to zone number 4 where a responsible adviser should tell them how to get there, how to get around and where they will live, however in her case she was unlucky because her adviser covers holidays.

“And when I arrive I tell him that I have the community of Las Iglesias, but on the map it shows that it is via Rodeo and that it is six o’clock; He tells me that “there is no road there, but the truth is that I don’t know because I don’t know the unit”. I told her I was going to send her to a place where even she didn’t know and she was like ‘so ask'”, and she did.

They explained to him that to get to Las Iglesias he first had to go to the capital of Durango and from there take another truck belonging to the ranchera line to Nuevo Ideal, and in Nuevo Ideal he had to wait because there is no road that goes to the mountains.

That day, the counselor told her that the only thing she could do was to send her the number of the nurse there, because in the rural medicine units, it is the nurses who are permanent and who have a contract, in general in these communities, they look for the people there so that there is no problem.

“Then I contacted the nurse and she was like, ‘Okay, come on’, you tell me when you leave Durango because that’s more or less what we do mountains in Nuevo Ideal, and if that’s how it happened. I arrived on February 2, because on February 1 they gave us an initiation course, I arrived in the mountains around 2:00 in the afternoon”.

There were no basic services or electricity; they broke the spotlight

The place where I would sleep in a year was a room next to the clinic, where there was a bed but not mattress but mattressand although they must have the basics such as a boiler, gas, cooker or grill, I didn’t get it, even the water service was also irregular, because in the periods of time there was none, it also had to buy light bulbs because they kept breaking.

“At the beginning it was very good, but at night it was when it was more complicated for me, because there was no light outside, and the safety of the small room was a grid of half my height. size, but also in my room the window had no glass”

Remember that although he did not experience an insecure situation as such, if there was any occasion that he was very afraid precisely because of the unprotected place, because in the early morning they came to touch him and after half an hour, at the end the voice of a well-known woman was heard and went to open the door for him.

In addition to the inconveniences he had to face during his stay, another problem was thein the absence of supplies, this despite the fact that only primary care was provided, such as common ailments such as colds.

But not only was in charge of the rural medicine unit, but it also had to cover the care goals established by the IMSS itself, and because this locality is very small, it had to move to neighboring towns, even with a greater delay in reaching the monthly goals, of which depends on the arrival of resources and medicines.

“To give you a resource at the rural medicine unit, 278 inhabitants is very little, so it would not work for the institute and what they do in those cases where there are units with very few of population, they put other smaller populations to gather the minimum of inhabitants that it takes

In his case, he had three; Casas Blancas Barraza and Ciénega, where I had to go every two months to provide consultation to achieve goalsand to get around he had to travel an hour between each city.

People are used to the presence of armed men

The internal doctor returned to Gómez Palacio where she lives with her parents fortnightly, and took advantage of her visit to take the food she would need because it was difficult to obtain these supplies, only if she went to Nuevo Ideal.

Another aspect that emerges from his stay in Las Iglesias is also the presence of armed men, situation which for the inhabitants is very common, however “strange actions” were observed and although for the locals it was very usual, for her they were situations that alerted her.

He lasted about four months in Las Iglesias, and it was thanks to the mobilization of internal doctors that he managed to change places to carry out his Social Service.

After the murder of Erick Andrade Ramírez on July 15 in El Salto, Pueblo Nuevo Durango, medical interns from different medical schools in the country, manifestnot demand better conditions in the places where they have to do social work, respecting the Official Mexican Standard NOM-009-SSA2-2013. Due to these movements, many internal doctors have suspended their social service and threatens with the establishment of a protectionhowever An agreement was reached between the medical students and the authorities.

It was last Monday, August 01, when Adriana Berenic García López returned to perform her social service, but now in the city of Rodeo, where she will be in egeneral hospitalwith better conditions and especially where she feels she can develop further as a doctor.


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