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Background: To assess the evidences of validity and reliability of a set of scales on different areas of job satisfaction (general professional activity, health services management, and working conditions) in Peruvian physicians based on data from the National Survey of Satisfaction of Users in Health (ENSUSALUD). Method: We carried out a psychometric study based on secondary data analysis. Participants were selected from a two-stage probabilistic national representative sampling stratified by political region. Validity was assessed by exploratory and confirmatory factor analysis and measurement invariance analysis. Reliability was assessed by internal consistency coefficients (alpha and omega). The set of scales was composed of items related to three different areas of job satisfaction: 1) satisfaction with general professional activity, 2) satisfaction with the health services management, and 3) satisfaction with the working conditions of the health center. Results: We included 2,137 participants in the analysis. General professional activity scale with 6 items (CFI=0.946; RMSEA=0.071; SRMR=0.035) and the health services management scale with 8 items (CFI=0.972; RMSEA=0.081; SRMR=0.028) showed good measurement properties for the one-dimensional model. The scale of working conditions presented adequate measurement properties with a two-dimensional model (CFI=0.914; RMSEA=0.080; SRMR=0.055): individual conditions (8 items) and infrastructural conditions (3 items). The invariance analysis presented that comparisons can be made between sex, age, civil status, medical specialty, working in other institutions, work-related illness, chronic disease, and time working in health care center. All scales had adequate internal consistency (ω and α between 0.70 and 0.90). Conclusions: The set of scales solid factorial structure and measurement invariance, which makes it possible for group comparison. They also achieved stability in their scores as they showed adequate internal consistency coefficients. Based on our findings, these instruments are suitable for measuring job satisfaction among outpatient physicians throughout Peru, as our data is representative at the country level.

Objetivos. Evaluar la correlación y concordancia entre el Examen Nacional de Medicina de Perú (ENAM) y el Promedio Ponderado Universitario (PPU) en estudiantes egresados del pregrado de medicina en el periodo 2007 a 2009. Materiales y Métodos. Se llevó a cabo un análisis secundario de datos, empleando el registro de inscritos en las convocatorias a los procesos del Servicio Rural Urbano Marginal en Salud de Perú (SERUMS) de los años 2008 a 2010, obteniéndose las calificaciones en el ENAM y el PPU. Se efectuó un análisis descriptivo por medio de medianas y percentiles 25 y 75 (p25/p75); la correlación entre ambas calificaciones se realizó por medio del coeficiente de correlación de Spearman; asimismo, se efectuó un análisis de regresión lineal y la concordancia fue medida a través del coeficiente de correlación y concordancia de Bland y Altman. Resultados. Se incluyeron 6 117 médicos, la mediana global del PPU fue 13,4 (12,7/14,2) y del ENAM fue 11,6 (10,2/13,0); del total de egresados el 36,8% reprobó el examen. Se observó un incremento anual de la mediana del ENAM, con la consecuente disminución de la diferencia entre ambas calificaciones. La correlación entre los puntajes es directa y moderada (0,582), independiente del año, ubicación o del tipo de gestión de la universidad (pública o privada). Sin embargo, la concordancia entre ambas calificaciones es regular; con un coeficiente global de 0,272 (IC 95%: 0,260 a 0,284). Conclusiones. Independiente del año, ubicación o tipo de gestión de la universidad, existe una moderada correlación entre la calificación del ENAM y el promedio ponderado del alumno, no obstante se evidencia solo una regular concordancia entre ambos puntajes. Objectives: To evaluate the correlation and concordance between the ‘Peruvian National Exam of Medicine’ (ENAM) and the Mean Grade Point Average (GPA) in recently graduated medical students in the period 2007 to 2009. Materials and Methods: We carried out a secondary data analysis, using the records of the physicians applying to the Rural and Urban Marginal Service in Health of Peru (SERUMS) processes for the years 2008 to 2010. We extracted from these registers, the grades obtained in the ENAM and GPA. We performed a descriptive analysis using medians and 1st and 3rd quartiles (q1/q3); we calculated the correlation between both scores using the Spearman correlation coefficient, additionally, we conducted a lineal regression analysis, and the concordance was measured using the Bland and Altman coefficient. Results: A total of 6 117 physicians were included, the overall median for the GPA was 13.4 (12.7/14.2) and for the ENAM was 11.6 (10.2/13.0).Of the total assessed, 36.8% failed the TEST. We observed an increase in annual median of ENAM scores, with the consequent decrease in the difference between both grades. The correlation between ENAM and PPU is direct and moderate (0.582), independent from the year, type of university management (Public or Private) and location. However, the concordance between both ratings is regular, with a global coefficient of 0.272 (CI 95%: 0.260 to 0.284). Conclusions: Independently of the year, location or type of university management, there is a moderate correlation between the ENAM and the PPU; however, there is only a regular concordance between both grades.

Embora a Comissão Nacional de Especialização Médica (CONAREME) tenha aumentado o número de vagas para Nefrologia no Peru, não houve um aumento proporcional do número de participantes para esta especialidade, o que é preocupante em um contexto no qual são necessários mais nefrologistas no país. A Sociedade Peruana de Nefrologia (SPN) deve tomar medidas para tornar a nossa especialidade mais atraente para os médicos peruanos. Although the National Committee of Medical Residency (CONAREME) has increased the number of nephrology residency positions in Peru, the increase has not been proportional to the number of applicants. This is worrisome in an environment lacking of nephrologists, like our country. The Peruvian Society of Nephrology (SPN) should take the measures to make this specialty more attractive to Peruvian physicians.

The human resource area has been identified as a priority health research in Peru, based on a participatory and decentralized led by the National Institutes of Health (1). Additionally, it has a national agenda in the construction of which sought to identify the most relevant topics and proposed fourteen major research topics in the area of ​​health work. However, the published guidelines do not include direct way an important factor as violence in the workplace, taking into account that in the review conducted for the purpose of this proposal (categorized as health and safety of health workers) do not studies are developed in Peru (2). Moreover, when globally, disclosed that about 25% of cases of workplace violence occur in the health sector and every other health professionals is a victim of violence (3), which may come from patients or relatives of these, as well as co-workers (3.4) Language: es