Hi. I'm Francisco. I currently treat people with cancer, but for much of my career I have been drawn to a question that sits one level upstream: why does effective treatment reach some patients and not others?
That question has followed me from a remote clinic in Mexico’s poorest state to a national oncology referral center, shaping my focus on drug access, resource allocation, and health systems that can deliver high-value care under real constraints.
I refuse to accept inferior care as an unavoidable consequence of scarcity.
Hola, soy Francisco. Soy médico y actualmente trato a pacientes con cáncer, pero durante gran parte de mi carrera me ha interesado una pregunta que va más allá: ¿por qué un tratamiento eficaz llega a algunos pacientes y a otros no?
Esta interrogante me ha seguido desde una clínica en las montañas del estado más pobre de México hasta un hospital nacional de referencia. Define mi trabajo en torno al acceso a medicamentos, la distribución de los recursos y los sistemas de salud capaces de dar atención de alto valor a pesar de las limitaciones.
Me niego a aceptar una atención médica inferior como una consecuencia inevitable de la escasez.
Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán. Tlalpan, Ciudad de México.
I help coordinate academic training and supervise junior residents at a national referral center. My work spans multidisciplinary cancer care, complex clinical decisions, and the day-to-day planning of services and resources.
Hospital Regional de Alta Especialidad del Bajío. León, Guanajuato.
I trained in Internal Medicine at a tertiary academic hospital and provided frontline care during the COVID-19 pandemic.
Universidad de Guanajuato. León, Guanajuato.
I supervised and mentored medical students throughout their hospital rotations. I coordinated their integration into clinical teams and helped ensure the quality of their training.
Compañeros en Salud · Partners In Health Mexico. Capitán Luis A. Vidal, Chiapas.
I served as a local liaison on a Harvard T.H. Chan School of Public Health study evaluating shared medical appointments in a rural setting, providing field translation, interview transcription, and contextual interpretation of the data.
UAEMéx. Toluca, Estado de México.
I worked directly with mouse models, assisting neurochemistry graduate students by evaluating memory and behavior through maze paradigms.
Compañeros en Salud · Partners In Health Mexico. Capitán Luis A. Vidal, Chiapas.
I led the clinical and operational work of a rural clinic in the mountains of Chiapas. I delivered more than 3,100 consultations, ran community health campaigns, and supervised local staff while maintaining high-quality, evidence-based care under severe resource constraints.
Figure 1. Toronto, Canada.
I translated and localized clinical content and digital interfaces for Spanish-speaking users at an international digital health startup.
Tecnológico de Monterrey. Monterrey, Nuevo León.
I designed innovative lab sessions and assessments for medical students, while facilitating the transition to hybrid and virtual learning.
Universidad Nacional Autónoma de México. Ciudad de México.
Board-certified Internal Medicine specialist. My graduate thesis investigated the impact of the COVID-19 pandemic on germ cell tumor care at a tertiary referral center.
Tecnológico de Monterrey. Monterrey, Nuevo León.
I earned my medical degree on a merit-based scholarship, trained in high-volume hospitals across the country’s major cities, and completed an international medical rotation. I regularly volunteered in community health outreach.
Guadarrama-Conzuelo F, Barragán Ortega J, Leon-Rodriguez E, Demichelis R, Chavarri Guerra Y. Oncology drug shortages and disruptions to cancer treatment delivery in Mexico: A national oncologist survey. J Clin Oncol. 2026;44(16_suppl):1599. doi:10.1200/JCO.2026.44.16_suppl.1599.
Guadarrama F, Ulloa-Aguirre A, Chavarri-Guerra Y. Breast cancer and health inequalities: Another never ending story? Rev Invest Clin. 2025;77(4):100014. doi:10.1016/j.ric.2025.100014.
Gutiérrez Castillo A, Gutiérrez Castillo J, Guadarrama F. Euthanasia and physician-assisted suicide: a systematic review of medical students' attitudes in the last 10 years. Journal of Medical Ethics and History of Medicine. 2020. doi:10.18502/jmehm.v13i22.4864.
Rodríguez Cuevas FG, Guadarrama F. Integración de servicios de salud mental al nivel primario de atención: una propuesta basada en un modelo escalonado implementado en áreas rurales de Chiapas. Hablemos de Salud. FUNSALUD. México, 2019.
Martínez Navarro LJ, Guadarrama F, Ortiz-Ledesma CI. Hipertensión durante la hospitalización. Manual de Medicina Interna Hospitalaria. Zarpra Ediciones. 2021. ISBN: 9786078795086.
Bermúdez Maldonado L, Guadarrama F. Debilidad en el paciente hospitalizado. Manual de Medicina Interna Hospitalaria. Zarpra Ediciones. 2021. ISBN: 9786078795086.
