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.     

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.     

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.

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.

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.     

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.

Formación de especialistas en Latinoamérica: Argentina

In Argentina there are 36 schools of medicine, 13 of them public, with autonomy and freedom of teaching but that conform to the requirements of accreditation from the National Committee of Evaluation and Accreditation, that guarantees the quality of education through a minimum amount of training and practice. It is divided in 3 cycles: the biomedical cycle, the clinical cycle and the rotary annual boarding school. Around 4,600 and 5,500 medical students graduate annually. The degree from public and private schools of medicine enables graduates to work professionally in all the national territory. The specialty is obtained in different ways (internship, formal or informal supervised training practice, specialization degree, training in scientific societies) being internship the best system of medical training that was started in Argentina in 1946. In the last decade there has been an important increase in the number of vacancies for the internship system which were partially covered. Medical recertification is voluntary and require doctors to retest every 5 years. Different laws and ministry resolutions establish the legal framework for training undergraduates, certifying and recertifying specialists.     

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.     

Implantación de una actividad de formación médica continuada y evaluación de su calidad en los Servicios de Urgencias de Atención Primaria (SUAP) de Cantabria

Objective

An evaluation was performed on the introduction of a training activity for professionals of the Primary Care Emergency Services (SUAP) in order to equip them with the necessary tools for the on-site resolution of urgent processes, and with the resources available in each centre.

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.     

Asociación entre la calidad de 3 tipos de rotación clínica y el enganche académico de estudiantes de Medicina

IntroductionThe association between academic quality of clinical rotations and academic engagement of medical students is not well known. This work aims to study this association in three clinical rotations (hospital, simulation, and during the pediatrics course in the context of the Covid-19 pandemic.Material and methodsCross-sectional correlation study with medical students who completed pediatric clinical rotation. Academic quality and engagement were assessed using the ROTA-Q and UWES-S 17 questionnaires, respectively. The means and standard deviations of each variable were computed, and the correlations were evaluated using the Pearson test (significant if p < 0.05).Results44 students participated. The average of the ROTA-Q scale was 4.39 ± 0.62 [1–5] and that of the UWES-S 17 scale was 4.28 ± 0.90 [1.76–6]. The Pearson coefficient between the quality of the rotations and the students’ academic engagement was 0.319 (p < 0.05). The association with academic engagement was highest in the tele-education rotation, followed by the simulation rotation, and finally, by the hospital rotation.ConclusionsThe academic quality of the pediatric rotation is positively related to students’ engagement in academic activities. The perception of academic quality, engagement levels, and the association between these variables were highest in the tele-education rotation. Actions are necessary for the continuous improvement of quality and the promotion of training mediated by tele-education and simulation.     

Validación psicométrica de la Escala de gravedad de fatiga en médicos residentes mexicanos

Resident physicians are continually exposed to fatigue, which can lead to work, academic and personal problems, so it is important to have reliable and valid instruments to measure it. One of the most used is Fatigue Severity Scale, but, there are versions with different number of items in different populations. Therefore, the purpose of this work was to translate, adapt culturally relevant and compare versions with different numbers of items, to identify the most appropriate in Mexican resident physicians. With three different groups of participants; first one for translation by seven expert judges in the language, second for psychometric validation with 100 resident physicians, and third for confirmatory factor analysis and invariance test by type of program (specialty and high specialty) with 182 resident physicians. Distribution, discrimination, reliability and factor structure of the scale were tested in an exploratory and confirmatory analysis, leaving a final scale of 6 items with good fit (X²[9] = 9,39, p = 0,40; CFI = 0,99; RMSEA = 0,02), with a reliability = 0,91 and strict factorial invariance by type of residence program.     

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.

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.