Analysis of generational differences in professionalism in Latin American physicians

Introduction: Medical professionalism is a component that impacts the quality of care and patient trust. As generations of physicians evolve, differences may arise in how values related to professionalism are expressed. Objective: To identify characteristics associated with professional behavior in physicians of different age groups. Methods: A cross-sectional study based on data from 424 physicians from Paraguay, Peru, and Cuba. CHAID analysis was applied to examine variables related to professionalism. The dependent variable was age group, while the independent variables were 43 indicators and 7 dimensions related to medical professionalism. Results: In young adults, recording unexamined physical findings (61.50%) and leaving work without completing tasks (47.90%) were more prevalent. Middle-aged adults were more likely to prescribe medications in exchange for compensation (61.30%) and avoid eye contact due to the use of electronic devices (45.10%). In terms of academic ethics, middle-aged adults reported less misconduct in research and publication (45.90%), while younger adults were more vulnerable to these violations (62.40%). Regarding respect for colleagues and patients, middle-aged adults reported greater workplace stress and confidentiality violations. Conclusions: There are generational differences in medical professionalism, with younger adults making mistakes due to pressure and evading responsibility; middle-aged adults face ethical-work conflicts; and older adults have difficulty adapting to standards and teamwork.