Validación de la versión en español de un instrumento de evaluación de la comunicación centrada en el paciente en OSCE

ObjectiveThe aim of this study was to validate the Spanish version of the Communication Assessment Tool (CAT) to be used in an Objective Structured Clinical Evaluation (OSCE) to assess communication skills.MethodsData were collected from standardized patients evaluating 125 recent medical school graduates during a 12-station OSCE. A total of 1,500 completed CAT instruments were analyzed. Exploratory and confirmatory factorial analysis were performed and tested the internal consistency of the tool.ResultsWe found a single factor solution in the Spanish version of the instrument, similar to that described by the original author. Cronbach's alpha was high, ranging from 0.93 to 0.97. The overall mean percentage of ‘excellent’ ratings for the recent graduates was 38.07%.ConclusionsThe Spanish version of CAT is a feasible tool to be used in OSCE by standardized patients to assess communication skills in a standardized manner.     

Aceptación de actividades de fomento de la investigación en estudiantes de Grado en Medicina

AimTo present activities for the initiation of research in the medical degree.MethodResearch skills have been included as a compulsory subject with methodological contents (theoretical and practical) and seminars related to scientific discoveries, as well as in three optional subjects in which students perform a scientific project supervised by a tutor.ResultsThe grades of the tasks of the compulsory subject are high (3.7 ± 0.07 out of 4 points), and 43.8% of the enrolled students completed the three optional subjects. Satisfaction with the activities was high (3.46 and 3.9 out of 5 points), which suggests that they contribute to acquiring scientific skills in medical education, and that the work of the tutors is important (4.4 out of 5 points).ConclusionExposure to research tasks in the medical degree is well accepted by the students.     

Estrategia colaborativa para la integración de competencias en la formación de grado en enfermería

Objective

Analyse academic results and explore satisfaction of students and professors from the experience of integration of two subjects in second year of Degree in Nursing.

Evaluación de competencias en residentes de pediatría en el primer nivel de atención mediante la utilización del Mini-CEX

BackgroundA residency is a professional training system based on supervised clinical practice. The Mini Clinical Evaluation Exercise (Mini-CEX) is a method of assessment through direct observation that enables the design of strategies to improve professional performance.The purpose of this study is to analyze the results of implementing the Mini-CEX to assess pediatric residents during their rotation at the first level of care while exploring differences according to the training site to which they belong.MethodsWe conducted an analytical cross-sectional study that included 2nd-year pediatric residents on rotation at the first level of care in pediatric and general hospitals. Each resident underwent two Mini-CEX encounters for the assessment of 8 domains: history taking, communication skills with patients and with caregivers, physical examination, clinical judgment, clinical management, professionalism, and organization.ResultsThirty-four residents participated in the study. The total overall rating of residents from pediatric hospitals and general hospitals was 4.20 (4.07-4.34) and 4.14 (3.94-4.34), respectively. We found no statistically significant differences in the areas assessed according to the residents’ training site.ConclusionThe Mini-CEX as an assessment tool within the first level of care allowed the detection of strengths and weaknesses in residents’ training. Implementation was affected by limitations inherent to this setting. Standardization of assessors was a key element for criteria unification.     

La Tabla Periódica de la Equidad en Salud: experiencia de innovación educativa para la construcción colectiva de conocimiento

IntroductionHealth equity is a value linked to the concept of human rights and social justice, which seeks to enable people to develop their highest health potential regardless their social position. In order to articulate specific strategies aimed at health equity for health professionals, it is necessary reform teaching methodology and explore innovations that promote learning, exposing these professionals to community and global health challenges, while promoting understanding and awareness of equity, inequalities and social determinants of health. The overall objective of this paper is to disseminate an experience of educational innovation, which through the construction of collective knowledge, has resulted in a semantic framework around the concept of equity in health.MethodsThe participatory action research methodology was used, mediated by the use of ICTs, framed in the Horizon 2030 recommendations for responsible research and innovation. The data collection instrument was based on the didactic use of metaphor and consisted of a shared document called Periodic Table of Equity in Health.ResultsA sample of 15 students compiled a total of 117 terms related to health equity, grouped under human rights, cultural competence, intercultural mediation and others.ConclusionsIn a health education where the technological rational paradigm continues to prevail, proactive and creative educational innovations are necessary, which should not be articulated unrelated or indifferent to social and civic facets of the practices, especially if they are committed to improvements and transformations that affect people and society.     

Integrando el aprendizaje activo de la Microbiología en el Grado de Medicina: evolución de la implicación de los estudiantes

Objective

The aim of this article is the improvement in the quality of the teaching in General Microbiology in the Medical Degree by updating the teaching practices. These practices included inquiry-based learning (IBL) in which students are actively engaged in the learning process for improving the skills to be acquired as part of their integrated training.

La participación universitaria directa en la formación de médicos especialistas en México

Introduction

The University of Veracruz implemented the General Study Plan for Medical Specialties in 2013. The courses included in this study plan are mandatory, as they are important to improve specialised medicine skills for medical specialists of the future. Since it is not possible to deliver attendance-based courses, medical education, health services and systems and human development courses were offered online.

Relación entre la autopercepción y autoeficacia para el desarrollo de competencias en soporte vital en entornos de simulación clínica de alta fidelidad

Objective

To determine if there is a correlation between self-perception and self- efficacy in the development of learning abilities associated with the care of the critically ill patient in a Clinical Environment of High Fidelity Simulation, as part of the training for nursing students in the field of Life Support.

Acreditación y resultados de la educación médica en México

Objective

To determine whether the medical education programs recognised for their quality achieve better results in the National Medical Residency Examination.

Historias de aprendizaje del profesionalismo en la formación de los médicos de urgencias en Colombia

IntroductionProfessionalism is a multidimensional competence based on attitudinal and cognitive skills that drives to better performances in medical practice, by stablishing effective interprofessional relationships, and offering a humanized and qualified service to the patient. However, the learning process of this competence particularly relevant in emergency rooms has not been formally developed in postgraduate medical training. The study sought to know the experiences of a group of residents and specialists in Emergency Medicine about learning professionalism during their postgraduate training, knowing the notions related to this concept and inquiring about the role model in learning professionalism during their training. postgraduate.MethodsWe developed a qualitative narrative research, with a total of 7 Emergency physicians (residents and emergency physicians) including the main researcher with his own autoethnographic text. Data collection involved narrative and interactive interviews, and reflective autoethnographic texts. A thematic analysis constructed patterns from the data.ResultsFive main themes emerged around the professionalism learning experience of emergency physicians: 1) role model, 2) anti-role model, 3) unsafe environment as a barrier to learning, 4) teaching of professionalism, 5) metacognition in the learning process.ConclusionsTeacher behavior in clinical settings become a role model to follow related to physician-patient relationship, interprofessional communication and teamwork. On the other hand, neglective behavior, missuses of clinical resources, discrimination, harassment, or bullying become anti-rol model behaviors. However, those unwanted behaviors may be learned even though students intend to act otherwise. It is necessary to design intentional curriculum in emergency postgraduate schools which include stablishing institutional cultural norms that do not tolerate aggression or other unprofessional behavior towards patients or students.     

La acreditación internacional en educación médica a través de la WFME

IntroductionThis paper begins in the context of quality in medical training to conclude with the analysis of the benefits provided by international accreditations in this field.MethodsFor the development of this work the documentary research technique on the quality in medical training is used, which included the collection of information from documents published in journals and presented on web pages, through the search in different bases of international bibliographic data.ResultsThe procedure and evaluation criteria of one of the most relevant international accreditations in this area, the accreditation established by the World Federation for Medical Education (WFME), and its importance in the World University System.ConclusionsThere are many benefits that these accreditations bring to the university centers that get it, such as allowing all its graduates to apply for the Educational Commission for Foreign Medical Graduates (ECFMG) certification from the year 2024.     

Interacción multidisciplinaria programada: una estrategia de actualización en medicina de posgrado

Introduction

A multidisciplinary interaction strategy in postgraduate medicine is presented, which has as its aim the academic update and the carrying out of research activities related to paediatric lipidology.

Estudio de la competencia digital docente en Ciencias de la Salud. Su relación con algunas variables

IntroductionThe digital competences of teachers (TDC) are a key variable to integrate practices with Information and Communications Technology (ICT) in the teaching-learning process. Its development has become one of the main training problems that affect the university field in general and, specifically, the training of Health Sciences professionals. The objective of this article is to determine whether there are significant differences with respect to the level of TDC shown by the teachers of Health Sciences of the Andalusian universities (Spain) based on the variables gender, age, teaching experience, years that they have been using ICT, as well as time spent on technology in the classroom, and technological mastery.MethodsAn inferential study is carried out using contrast statistics for this purpose. A total of 300 teachers completed the DigCompEdu Check In questionnaire, which is capable of evaluating their competence level.ResultsThe results of the study indicate that there are significant differences between different groups for each variable.ConclusionFor this reason, the need to structure personalised training plans and extend the research methodology to other related studies is highlighted.     

Bases conceptuales de las actividades profesionales a confiar para la educación de profesionales de la salud en Latinoamérica

The concept of entrustable professional activities emerged as an attempt to overcome some of the criticisms to the competency-based medical education approach; it has had a broad impact in practice and health professions education research. It has been disseminated internationally with its English acronym: EPA. This approach proposes to orient assessment and teaching to specific activities in the profession, which allows the integration of several competencies, and to determine which responsibilities can be entrusted to the trainee, in a gradual and explicit manner. The model assumes the definition of levels of supervision that allow progressive autonomy for each EPA, in students or residents, once they demonstrate the required competencies. Practice, supervision and feedback in real clinical scenarios are key to the development of autonomy in EPA performance. The dissemination of the EPA approach is still limited in Latin America, but it has the potential to create a significant contribution to curriculum design and evaluation, and to assessment practices of health professionals across their careers. It provides a deep review of the assumptions under which healthcare professional practice decisions are made, at under and postgraduate levels.     

Evaluación de la asimilación cognitiva de conceptos básicos de microbiología en alumnos de Bioquímica y Farmacia☆

The aim of this study was to evaluate cognitive assimilation of basic concepts of microbiology in college students of Biochemistry and Pharmacy. Cognitive assimilation was determined applying a cognitive assessment instrument with 19 reagents obtained at the beginning and end of the course General Microbiology. The reagents are based in the recognition of logical structures of scientific discourse by the propositional model analysis. The critical value 0.79 as an indicator of previous conceptions was established. Statistical analysis was performed by test Student's t distribution for each reagent. Differences between means with p < 0.05 were considered as an indicator of cognitive assimilation. P values > 0.05 were considered refractory to cognitive assimilation. Twelve reagents indicated a cognitive assimilation corresponding to 60% for group studied, after the educational intervention. The results show that the method applied was able to assess cognitive cognitive assimilation inducing a change in this group of students.     

La encuesta retrospectiva en contraposición con la opinión puntual: ¿cuál es la mejor forma de obtener feedback de nuestros residentes al valorar la actividad en urgencias?

IntroductionOur aim is to determine which way to gather feedback form our residents Is better: an annual retrospective survey which is used nowadays, or to collect information immediately after an emergency ward, given the knowledge gained from the technics of development of customer satisfaction.MethodA survey was carried out on 75 residents from four different hospitals asking about their level of agreement with five statements related to their emergency wards, both retrospectively during the previous year and their last on-call session. A control question was also including asking their opinion about the meals provided by the hospital dining service.ResultsIn all the dimensions of the questionnaire, residents were much more critical when they made yearly retrospective assessments than when they asked about their last emergency on-call session. When the survey was repeated among 35 residents asking about another last emergency on-call session, the results remained similar.ConclusionOur results show that a retrospective survey tends to underestimate the real opinion of residents about their experience during emergency sessions. This observation is coincident with the universal recommendations on user satisfaction index and strategies to avoid memory bias.