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	<front>
		<journal-meta>
			<journal-id journal-id-type="publisher-id">rcog</journal-id>
			<journal-title-group>
				<journal-title>Revista Colombiana de Obstetricia y Ginecología</journal-title>
				<abbrev-journal-title abbrev-type="publisher">Rev Colomb Obstet Ginecol</abbrev-journal-title>
			</journal-title-group>
			<issn pub-type="epub">2463-0225</issn>
			<issn pub-type="ppub">0034-7434</issn>
			<publisher>
				<publisher-name>Federación Colombiana de Obstetricia y Ginecología; Revista Colombiana de Obstetricia y Ginecología</publisher-name>
			</publisher>
		</journal-meta>
		<article-meta>
			<article-id pub-id-type="publisher-id">00001</article-id>
			<article-id pub-id-type="doi">10.18597/rcog.4332</article-id>
			<article-categories>
				<subj-group subj-group-type="heading">
					<subject>Editorial</subject>
				</subj-group>
			</article-categories>
			<title-group>
				<article-title>How to best address the challenges of mental health in medical education?</article-title>
				<trans-title-group xml:lang="es">
					<trans-title>¿Cómo enfrentar de la mejor manera los desafíos de la salud mental en la educación médica?</trans-title>
				</trans-title-group>
			</title-group>
			<contrib-group>
				<contrib contrib-type="author">
					<contrib-id contrib-id-type="orcid">0000-0002-1004-6331</contrib-id>
					<name>
						<surname>Rubio-Romero</surname>
						<given-names>Jorge Andrés</given-names>
					</name>
					<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
				</contrib>
				<contrib contrib-type="author">
					<contrib-id contrib-id-type="orcid">0000-0003-2939-3648</contrib-id>
					<name>
						<surname>Gaitán-Duarte</surname>
						<given-names>Hernando</given-names>
					</name>
					<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
				</contrib>
			</contrib-group>
			<aff id="aff1">
				<label>1</label>
				<institution content-type="original">Editor asociado, Revista Colombiana de Obstetricia y Ginecología, Federación Colombiana de Obstetricia y Ginecología (FECOLSOG). Bogotá, Colombia.</institution>
				<institution content-type="normalized">Federación Colombiana de Obstetricia y Ginecología</institution>
				<addr-line>
					<named-content content-type="city">Bogotá</named-content>
				</addr-line>
				<country country="CO">Colombia</country>
			</aff>
			<aff id="aff2">
				<label>2</label>
				<institution content-type="original">Editor jefe, Revista Colombiana de Obstetricia y Ginecología, Federación Colombiana de Obstetricia y Ginecología (FECOLSOG). Bogotá, Colombia.</institution>
				<institution content-type="normalized">Federación Colombiana de Obstetricia y Ginecología</institution>
				<addr-line>
					<named-content content-type="city">Bogotá</named-content>
				</addr-line>
				<country country="CO">Colombia</country>
			</aff>
			<author-notes>
				<corresp id="c1">
					<label>*</label><bold>Correspondence:</bold> Revista Colombiana de Obstetricia y Ginecología, Federación Colombiana de Obstetricia y Ginecología (FECOLSOG), Cra. 15 # 98-42, Bogotá (Colombia). <email>rcog@fecolsog.org</email>
				</corresp>
				<fn fn-type="conflict" id="fn2">
					<label>Conflicts of interst:</label>
					<p> The authors are Editors at Colombian Journal of Obstetrics and Gynecology (RCOG).</p>
				</fn>
			</author-notes>
			<!--<pub-date date-type="pub" publication-format="electronic">
				<day>08</day>
				<month>10</month>
				<year>2024</year>
			</pub-date>
			<pub-date date-type="collection" publication-format="electronic">
				<month>06</month>
				<year>2024</year>
			</pub-date>-->
			<pub-date pub-type="epub-ppub">
				<year>2024</year>
			</pub-date>
			<volume>75</volume>
			<issue>2</issue>
			<elocation-id>4332</elocation-id>
			<history>
				<date date-type="received">
					<day>03</day>
					<month>10</month>
					<year>2024</year>
				</date>
				<date date-type="accepted">
					<day>07</day>
					<month>10</month>
					<year>2024</year>
				</date>
			</history>
			<permissions>
				<license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by-nc-nd/4.0/" xml:lang="en">
					<license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution License</license-p>
				</license>
			</permissions>
			<counts>
				<fig-count count="0"/>
				<table-count count="0"/>
				<equation-count count="0"/>
				<ref-count count="13"/>
				<page-count count="5"/>
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		</article-meta>
	</front>
	<body>
		<p>Situations affecting the mental health of undergraduate and graduate health sciences students are a global concern, not just a local one <xref ref-type="bibr" rid="B1"><sup>1</sup></xref><sup>-</sup><xref ref-type="bibr" rid="B3"><sup>3</sup></xref>. When unfortunate outcomes at the individual and societal level arise due to mental health issues in educational or workplace contexts, they are widely reported by mass media <xref ref-type="bibr" rid="B4"><sup>4</sup></xref>, and nowadays, further amplified by social networks. This often triggers a search for those responsible and assigning blame. However, after some time, the initial outrage and concern subside, pushing these issues behind the scene. Only rarely do institutional transformations occur to prevent similar outcomes in the future. This often happens because problems are not tackled with a holistic approach, one that addresses the real root causes rather than focusing solely on individual factors <xref ref-type="bibr" rid="B5"><sup>5</sup></xref>.</p>
		<p>The prevalence of mental illness and its unfortunate consequences, which have repeatedly impacted health sciences students <xref ref-type="bibr" rid="B6"><sup>6</sup></xref>, calls for a deep, calm, and just reflection on the magnitude of this issue in our educational environments, its root causes, and the triggering failures <xref ref-type="bibr" rid="B7"><sup>7</sup></xref> to design strategies either from the perspective of the pedagogical model perspective <sup>(</sup><xref ref-type="bibr" rid="B8"><sup>8</sup></xref>, from the standpoint of occupational or organizational psychology <sup>(</sup><xref ref-type="bibr" rid="B9"><sup>9</sup></xref>, or through the lens of ethics in education <xref ref-type="bibr" rid="B10"><sup>10</sup></xref>, to prevent future adverse outcomes.</p>
		<p>A crucial point of discussion is how to achieve a balance between the need to prepare individuals for high-stress situations - which health professionals face daily - and the necessary training to acquire the competencies that ensure adequate performance in such situations. At the same time, we must foster selfesteem and resilience in the face of adverse outcomes, an unavoidable reality in the daily work of healthcare providers. Additionally, tools are needed to identify individuals prone to engage in physical or psychological abuse and to activate organizational processes aimed at improving their social performance in personal, social, and professional contexts. Abusers are present in all types of organizations, but our institutions may be more susceptible to harboring them <xref ref-type="bibr" rid="B11"><sup>11</sup></xref>. These individuals have a highly detrimental effect on those who suffer their actions, particularly in environments where errors can have significant consequences for all involved, such as healthcare settings <xref ref-type="bibr" rid="B12"><sup>12</sup></xref>. We must also acknowledge the role that traditional hierarchies and teaching through intimidation may be playing in our institutions <xref ref-type="bibr" rid="B13"><sup>13</sup></xref>.</p>
		<p>The Colombian Journal of Obstetrics and Gynecology (RCOG) highlights in its editorials important events for society in general, healthcare users, and the scientific community. Moreover, it serves as a platform for analyzing these situations, particularly in terms of the challenges posed by providing effective and safe education to health professionals across various levels of training. Therefore, the editorial team invites members of the academic community, education experts, especially in healthcare education, and all health professionals to contribute their insights and reflections on the design, adoption, and implementation of strategies that prevent situations of bullying, mobbing or harassment and preserve the mental health of trainees in high-demand personal, professional, and labor environments. The goal is to avoid circumstances that could leave psychological scars, resulting in behavioral or affective disorders in individuals who share work and training spaces in service to the community.</p>
	</body>
	<back>
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		<fn-group>
			<fn fn-type="other" id="fn1">
				<label>How to cite this article:</label>
				<p> Rubio-Romero JA, Gaitán-Duarte H. How to best address the challenges of mental health in medical education?. Rev Colomb Obstet Ginecol. 2024;75: 4332. <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.18597/rcog.4332">https://doi.org/10.18597/rcog.4332</ext-link>
				</p>
			</fn>
		</fn-group>
	</back>
	<!--<sub-article article-type="translation" id="s1" xml:lang="es">
		<front-stub>
			<article-categories>
				<subj-group subj-group-type="heading">
					<subject>Editorial</subject>
				</subj-group>
			</article-categories>
			<title-group>
				<article-title>¿Cómo enfrentar de la mejor manera los desafíos de la salud mental en la educación médica?</article-title>
			</title-group>
			<contrib-group>
				<contrib contrib-type="author">
					<contrib-id contrib-id-type="orcid">0000-0002-1004-6331</contrib-id>
					<name>
						<surname>Rubio-Romero</surname>
						<given-names>Jorge Andrés</given-names>
					</name>
					<xref ref-type="aff" rid="aff3"><sup>
 <italic>1</italic>
</sup></xref>
				</contrib>
				<contrib contrib-type="author">
					<contrib-id contrib-id-type="orcid">0000-0003-2939-3648</contrib-id>
					<name>
						<surname>Gaitán-Duarte</surname>
						<given-names>Hernando</given-names>
					</name>
					<xref ref-type="aff" rid="aff4"><sup>
 <italic>2</italic>
</sup></xref>
				</contrib>
			</contrib-group>
			<aff id="aff3">
				<label>1</label>
				<institution content-type="original">Editor asociado, Revista Colombiana de Obstetricia y Ginecología, Federación Colombiana de Obstetricia y Ginecología (FECOLSOG). Bogotá, Colombia.</institution>
			</aff>
			<aff id="aff4">
				<label>2</label>
				<institution content-type="original">Editor jefe, Revista Colombiana de Obstetricia y Ginecología, Federación Colombiana de Obstetricia y Ginecología (FECOLSOG). Bogotá, Colombia.</institution>
			</aff>
			<author-notes>
				<corresp id="c2">
					<label><sup>*</sup></label><bold>Correspondencia:</bold> Revista Colombiana de Obstetricia y Ginecología, Federación Colombiana de Obstetricia y Ginecología (FECOLSOG), Cra. 15 # 98-42, Bogotá (Colombia). <email>rcog@fecolsog.org</email>
				</corresp>
				<fn fn-type="conflict" id="fn4">
					<label>Conflicto de intereses:</label>
					<p> los autores son editores para la Revista Colombiana de Obstetricia y Ginecología.</p>
				</fn>
			</author-notes>
		</front-stub>
		<body>
			<p>Las situaciones que afectan la salud mental de los estudiantes de Ciencias de la Salud a nivel de pregrado y posgrado constituyen una preocupación no solo local, sino global<xref ref-type="bibr" rid="B1"><sup>1</sup></xref><sup>-</sup><xref ref-type="bibr" rid="B3"><sup>3</sup></xref>. Al momento en que suceden los malos desenlaces a nivel individual y social por situaciones de enfermedad mental en contextos educativos o laborales, estos son registrados por los medios masivos de comunicación<xref ref-type="bibr" rid="B4"><sup>4</sup></xref>, hoy en día amplificados, por las redes sociales. Se inicia entonces la búsqueda de culpables y de responsabilidades. Sin embargo, pasado algún tiempo cesan el furor y el nerviosismo, estos asuntos pasan a un segundo plano y, solo excepcionalmente, ocurren transformaciones institucionales, que eviten se repitan los malos resultados. Esto ocurre cuando los problemas no se abordan bajo una aproximación holística, que se acerque a las causas reales del problema por resolver y no a una aproximación individual<xref ref-type="bibr" rid="B5"><sup>5</sup></xref>.</p>
			<p>La prevalencia de enfermedad mental y sus lamentables consecuencias que han afectado de manera repetida a los estudiantes de Ciencias de la Salud<xref ref-type="bibr" rid="B6"><sup>6</sup></xref> nos obligan a una reflexión profunda, tranquila, válida y justa sobre la magnitud de este problema en nuestros entornos educativos, sus causas primarias y las fallas desencadenantes<xref ref-type="bibr" rid="B7"><sup>7</sup></xref>, para diseñar estrategias ya sea desde el punto de vista del modelo pedagógico que se aplica<xref ref-type="bibr" rid="B8"><sup>8</sup></xref>, de la psicología laboral u organizacional<xref ref-type="bibr" rid="B9"><sup>9</sup></xref>, o desde el punto de vista de la ética en la educación<xref ref-type="bibr" rid="B10"><sup>10</sup></xref>, para prevenir la aparición de nuevos malos resultados.</p>
			<p>Es importante deliberar sobre cómo lograr un equilibrio entre la necesidad de preparar al individuo para atender situaciones de máximo estrés -como las que enfrentan diariamente los trabajadores de la salud-, <italic>y</italic> del entrenamiento requerido para adquirir las competencias que garanticen que el profesional tenga un adecuado desempeño en esas situaciones, a la vez que se logra el fortalecimiento de la autoestima y la resiliencia ante la realidad de un mal desenlace en el ejercicio diario de todos los prestadores de salud. Al mismo tiempo, es necesario tener herramientas para la identificación de individuos propensos a ejercer maltrato físico o psicológico y la activación de procesos organizacionales a fin de lograr un mejor desempeño social de ellos, con las personas que los rodean, en los ámbitos personal, social y laboral. Los maltratadores están presentes en todo tipo de organizaciones, pero es posible que nuestras instituciones sean más propensas a alojarlos.<xref ref-type="bibr" rid="B11"><sup>11</sup></xref> Estos sujetos tienen un efecto altamente nocivo sobre quienes reciben sus acciones, particularmente en ambientes en los que el error puede tener consecuencias significativas para todos los actores, como es el de la atención en salud<xref ref-type="bibr" rid="B12"><sup>12</sup></xref>. Además debemos reconocer el papel que pueden estar jugando en nuestras instituciones las jerarquías tradicionales, y la enseñanza por intimidación<xref ref-type="bibr" rid="B13"><sup>13</sup></xref>.</p>
			<p>La RCOG registra en sus editoriales los eventos trascendentales para la sociedad en general, y para los usuarios de los sistemas de salud y la comunidad científica. Además, es un espacio para el análisis de estas situaciones y, en este caso, de los desafíos que enfrenta proveer, en nuestro contexto, una educación efectiva y segura a los profesionales del área de la salud en los diferentes niveles de formación. En consecuencia, el cuerpo editorial invita a los miembros de la academia, a los expertos en educación en general y, en especial, en educación en salud, así como a todos los profesionales de la salud, a enviar sus aportes y reflexiones sobre el diseño, adopción e implementación de estrategias que prevengan situaciones que deriven en matoneo o el acoso y que además preserven la salud mental del personal en formación en entornos de alta exigencia personal, profesional y laboral, a fin de evitar aquellas situaciones con el potencial de dejar secuelas psicológicas que deriven en trastornos del comportamiento o del afecto de las personas que comparten escenarios de trabajo y formación al servicio de la comunidad.</p>
		</body>
		<back>
			<fn-group>
				<fn fn-type="other" id="fn3">
					<label>Cómo citar este artículo:</label>
					<p> Rubio-Romero JÁ, Gaitán-Duarte H. ¿Cómo enfrentar de la mejor manera los desafíos de la salud mental en la educación médica?. Rev Colomb Obstet Ginecol. 2024;75: 4332. <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.18597/rcog.4332">https://doi.org/10.18597/rcog.4332</ext-link>
					</p>
				</fn>
			</fn-group>
		</back>
	</sub-article>-->
</article>