2019, Número 32
<< Anterior Siguiente >>
Inv Ed Med 2019; 8 (32)
Análisis de los Cursos de Posgrado de Alta Especialidad en Medicina en México, respecto al contexto internacional
Valencia SJS, Vázquez PM, Leyva GFA, Gómez CFJF, Gómez AGM
Idioma: Español
Referencias bibliográficas: 37
Paginas: 112-120
Archivo PDF: 577.26 Kb.
RESUMEN
Introducción: La formación de profesionales en el área
de la medicina, está inmersa en los procesos de enseñanza-
aprendizaje-evaluación que dependen del modelo
pedagógico curricular que se adopte, y el enfoque epistemológico
del profesor.
Objetivo: Presentar el estado actual de los programas
de los Cursos de Posgrado de Alta Especialidad en Medicina
(CPAEM) de la UNAM con respecto al contexto
internacional, y hacer un análisis comparativo.
Método: Revisión (búsqueda de literatura científica publicada
en español e inglés, en bases de datos Medline,
Embase y Eric, mediante las palabras clave educación
médica superior, competencias profesionales, aprendizaje
en medicina y evaluación del desempeño) narrativa de
un diseño curricular por competencias. Las estrategias
de búsqueda se realizaron en Medline, Embase, y se
comparó con lo desarrollado en los CPAEM.
Resultados: Los modelos de competencias avalados por
el ACGME, The Royal College of Physicians and Surgeons
of Canada, The Australian Medical Council, el Ministerio
de Salud de China y todos los organismos reguladores
en el mundo, reportan una asociación directa en el rendimiento
general, área de seguridad del paciente, mejora
en el número de reportes de eventos de seguridad del
paciente con el desarrollo de las competencias de los
médicos.
Discusión: A nivel internacional se ha trabajado sobre
una visión integradora para el desarrollo de las competencias
efectivas; sin embargo, aún existen desafíos por
desaresolver.
Es necesario desarrollar un consenso sobre las
competencias genéricas y específicas para los sistemas
de salud, que contribuya a mejorar la calidad en la formación
médica a nivel mundial
Conclusiones: Es necesario replantear los programas
de los CPAEM de acuerdo a nuestras necesidades de
atención a la salud y al contexto internacional.
REFERENCIAS (EN ESTE ARTÍCULO)
Halperin et al. Core Cardiovascular Training Statement 4. J Am Coll Cardiol. 2015;65(17):1721-906.
Rojas A. “Currículum oculto” en medicina: una reflexión docente. Rev Med Chile. 2012;140:1213-7.
Lafuente JV, Escanero JF, Manso JM, Mora S, Miranda T, et al. El diseño curricular por competencias en educación médica: impacto en la formación profesional. Educ Med. 2007;10(2):86-92.
Flores R. Evaluación pedagógica y cognición. México: Mc Graw Hill, 2001. Capítulo 4, La evaluación del aprendizaje; p, 97-114.
Rdesinski R, Chappelle KG, Elliot DL, Litzelman DK, Palmer R, Biagioli FE. Development and use of an instrument adapted to assess the clinical skills learning environment in the pre-clinical years. Med Sci Educ. 2015;25(3):285-91.
Niccum BA, Sarker A, Wolf SJ, Trowbridge MJ. Innovation and entrepreneurship programs in US medical education: a landscape review and thematic analysis. Med Educ. 2017;22:1-12.
Mullan PB, Williams J, Malani PN, Riba M, Haig A, Perry J, Kolars JC, Mangrulkar R and Williams B. Promoting medical students’ reflection on competencies to advance a global health equities curriculum. BMC Medical Education. 2014;14:91-8.
Halder A, Joshi A, Mehrotra R, Rathinam B, Shrivastava S. Setting objectives for a competency-based undergraduate obstetrics and gynecology curriculum. J Adv Med Educ Prof. 2018;6(4):147-54.
Chakraborti C, Boonyasai RT, Wright SM, Kern DE. A Systematic Review of Teamwork Training Interventions in Medical Student and Resident Education. J Gen Intern Med. 2008;23(6):846-53.
Chen HC, Wamsley MA, Azzam A, Julian K, Irby DM, O’Sullivan PS. The Health Professions Education Pathway: Preparing Students, Residents, and Fellows to Become Future Educators. Teaching and Learning in Medicine. 2017; 29(2):216-27.
Hauer KE, Boscardin C, Fulton TB, Lucey C, Oza S, Teherani A. Using a Curricular Vision to Define Entrustable Professional Activities for Medical Student Assessment. J Gen Intern Med. 2015;30(9):1344-8.
Frank Jason R. The CanMEDS 2005 physician competency framework. Ottawa: the Royal College of Physicians and Surgeons of Canada, 2005.
Palmer KT, Harling CC, Harrison J, Macdonald EB, Snashall DC. Good medical practice: guidance for occupational physicians. Occup Med. 2002;52(6):341-52.
Irvine D. Doctors in the UK: their new professionalism and its regulatory Framework. Lancet. 2001;358:1807-10
Swing SR. The ACGME outcome project: retrospective and prospective. Med Teach. 2007;29:648-54.
Frenk J, Chen L, Bhutta ZA, Cohen J, Crisp N, et al. Health professionals for a new century: transforming education to strengthen health systems in an interdependent world. Lancet. 2010;376:1923-58.
Swing SR. The ACGME outcome project: retrospective and prospective. Med Teach. 2007;29:648-54.
Swing SR, Clyman SG, Holmboe ES, et al. Advancing resident assessment in graduate medical education. J Grad Med Educ. 2009;1:278-86.
Halperin JL, Williams ES, Fuster V. COCATS 4 Introduction. J Am Coll Cardiol. 2015;65:1724-33.
Ten Cate O. Nuts and bolts of entrustable professional activities. J Grad Med Educ. 2013;5:157-8.
CanMEDS: Better standards, better physicians, better care. http://www.royalcollege.ca/rcsite/canmeds/canmeds-framework- e.
Busing N, Harris K, MacLellan AM, Moineau G, Oandasan I, et al. The Future of Postgraduate Medical Education in Canada. Acad Med. 2015;90(9):1258-63.
Frank Jason R. The CanMEDS 2005 physician competency framework. Ottawa: the Royal College of Physicians and Surgeons of Canada, 2005:1-25.
Accreditation of Specialist Medical Education and Training and Professional Development Programs: Standards and Procedures. Australian Medical Council Limited. November 2010; p. 1-20.
Z Liu, L Tian, Q Chang, B Sun, Y Zhao. A Competency Model for Clinical Physicians in China: A Cross-Sectional Survey. PLOS ONE. 2016;9:1-17. Doi:10.1371/journal.pone.0166252.
Shilton T, Howat P, James R, Lower T. Health promotion development and health promotion workforce competency in Australia. Health Promot J Austral. 2001;12(2):16-123.
Albarqouni L, Hoffmann T, Straus S, Rydland Olsen N, Young T, Ilic D, et al. Core Competencies in Evidence-Based Practice for Health Professionals Consensus Statement Based on a Systematic Review and Delphi Survey. JAMA Network Open. 2018;1(2):1-12.
Frenk J, Chen L, Bhutta ZA, et al. Health professionals for a new century: transforming education to strengthen health systems in an interdependent world. Lancet. 2010;3 76(9756):1923-58.
Institute of Medicine (US) Committee on the Health Professions Education Summit. The core competencies needed for health care professionals. In: Greiner AC, Knebel E, eds. Health Professions Education: A Bridge to Quality. Washington, DC: National Academies Press; 2003, chapter 3; p. 1-175.
Accreditation Council of Graduate Medical Education website. Program and institutional guidelines.http://www.acgme. org/What-We-Do/Accreditation/Common-Program-Requirements.
Institute of Medicine. Evidence-based medicine and the changing nature of healthcare: 2007 IOM anual meeting summary. Washington, DC: Institute of Medicine; 2008. Chapter 1, p 33-49.
Meresman S, Colomer C, Barry M, Davies JK, Lindstrom S, Loureiro I,MittelmarkM. Review of profesional competencies in health promotion: European perspectives. International Journal of Health Promotion and Education. 2004;21(2):153-9.
Susan White, ACGME. The ACGME Releases CLER National Report of Findings 2018 Second Report Provides Insight into Changing Clinical Learning Environments, Shows Improvements in Resident and Fellow Engagement in Patient Safety. https://www.acgme.org/Portals/0/PDFs/CLER/NationalCLERReport2018.
Barbara Battel-Kirk, Margaret M. Barry, Alyson Taub and Linda Lysoby. A review of the international literature on health promotion competencies: identifying frameworks and core competencies. Global Health Promotion. 2009;16 (2):12-20.
Satava RM. The Revolution in Medical Education. The Role of Simulation. J Grad Med Educ. 2009;1(2):172-5.
Iobst WF, Sherbino J, Cate OT, Richardson DL, Dath D, Swing SR, et al. Competency-based medical education in postgraduate medical education. Med Teach. 2010;32(8):651-6.
Frank JR, Snell LS, Olle Ten C, Holmboe ES, Carol C, Swing SR, et al. Competency-based medical education: theory to practice. Med Teach. 2010; 32(8):638-45.