2020, Number 4
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Rev Nefrol Dial Traspl 2020; 40 (4)
Effect of a Medical Formation Curriculum on the Development of Clinical Competencies to Identify and Manage CKD
Cabrera-Pivaral CE, Ramos-Peña D, Gaona-Bojorquez G, Espinoza-González JA, Herrera-Ornelas SA, Méndez-Magaña A, Hernández-Muñoz AE
Language: English
References: 25
Page: 311-319
PDF size: 308.68 Kb.
ABSTRACT
Introduction: Chronic kidney
disease is a worldwide epidemic and
represents one of the most important
challenges for the health personal;
because of this, the importance
of generating competent human
resources is crucial to the correct
treatment and prevention of this
disease.
Objective: To measure
the effect of a medical formation
curriculum on the development of
clinical competencies to identify
and manage chronic kidney disease.
Methods: A quasi-experimental study
was carried out at the Guadalajara
LAMAR University Campus Vallarta
in the first scholar semester of 2019
(2019A cycle). With a sample of
133 medical students, which 18
were from second semester (G1), 31
from fourth semester (G2), and 84
medical interns (G3); additionally,
we included 22 college students with
no medical formation to form the
fixed group (G0). The Instrument
used was a Spanish-language scale
that evaluated the knowledge on
chronic kidney disease, whose total
sum allows the identification of the
clinical competencies. The analysis
was made by means of non-parametric
inferential statistics (p-
Value of
≤0.05).
Results: The clinical competency was
higher in those who were exposed
to the medical formation program:
G1 attained 38.8% of competence,
G2 achieved 35.5%, and G3 had
61.91% of competence expectations.
Meanwhile, G0 achieved only 18.1%
of competence.
Conclusion: The
evaluation of the curriculum, during
the 2019A cycle, showed a gradual
growth of professional competences in
chronological form, which gets higher
when the theoretical knowledge is
combined with the clinical practice.
REFERENCES
Morales-Buenrostro LE, Ramos-Gordillo JM. Etapastempranas de la ERC: detección y manejo. En: Laenfermedad renal crónica en México. México, D.F.:Editores Intersistemas, 2016, pp. 27-38.
Pérez-Oliva Díaz JF, Almaguer López M, HerreraValdés R, Martínez Machín M, Martínez Morales M.Comportamiento de la enfermedad renal crónica enla atención primaria de salud. Cuba, 2017. Rev HabanCienc Méd. 2018;17(6):1009-21.
Torres-Toledano M, Granados-García V, López-OcañaLR. Global burden of disease of chronic kidney diseasein Mexico. Rev Med Inst Mex Seguro Soc. 2017;55(Suppl.2):118-23.
Ahlawat R, Tiwari P, D’Cruz S. Prevalence ofdepression and its associated factors among patients ofchronic kidney disease in a public tertiary care hospitalin India: A cross-sectional study. Saudi J Kidney DisTranspl. 2018;29(5):1165-73. doi: 10.4103/1319-2442.243972.
Harris DC, Davies SJ, Finkelstein FO, Jha V, DonnerJ-A, Abraham G, et al. Increasing access to integratedESKD care as part of universal health coverage.Kidney Int. 2019;95(4):S1-S33. doi: 10.1016/j.kint.2018.12.005.
Barrientos-Jiménez M, Durán-Pérez VD, León-Cardona AG, García-Tellez SE. La práctica deliberadaen la educación médica. Rev Fac Med. (Méx.)2015;58(6):48-55.
Frank JR, Snell LS, Cate OT, Holmboe ES, Carraccio C,Swing SR, et al. Competency-based medical education:theory to practice. Med Teach. 2010;32(8):638-45. doi:10.3109/0142159X.2010.501190.
Batalden P, Leach D, Swing S, Dreyfus H, DreyfusS. General competencies and accreditation ingraduate medical education. Health Aff (Millwood).2002;21(5):103-11. doi: 10.1377/hlthaff.21.5.103.
Carraccio CL, Benson BJ, Nixon LJ, Derstine PL.From the educational bench to the clinical bedside:translating the Dreyfus developmental model to thelearning of clinical skills. Acad Med. 2008;83(8):761-7.doi: 10.1097/ACM.0b013e31817eb632.
Garvey TM, McCarron NM. A nursing perspectiveof caring for patients with end-stage renal disease inhospitals. Saudi J Kidney Dis Transpl. 2018;29(4):755-65. doi: 10.4103/1319-2442.239644.
Robaina J, Fayad A, Forlano C, Leguizamón L, DeRosa M, Vavich R, et al. Detección de factores deriesgo e indicadores tempranos de enfermedad renalcrónica en población adulta en una campaña de saludrenal. Rev Nefrol Dial Traspl. 2013;33(4):196-214.
Campbell DT, Stanley JC. Diseñoscuasiexperimentales. En: Diseños experimentales ycuasiexperimentales en la investigación social. BuenosAires: Amorrortu, 1995, pp. 70-122.
Hernández-Sampieri R, Fernández-Collado C,Baptista-Lucio P. Concepción o elección del diseñode investigación. En: Metodología de la investigación.México, D.F.: McGraw-Hill, 2010. p. 136.
México. Reglamento de la ley general de salud enmateria de investigación para la salud [Internet].México, D.F.: Diario Oficial de la Federación de losEstados Unidos Mexicanos, 1982. Disponible en: consulta: 19/12/2019.
Universidad Guadalajara LAMAR. Licenciatura enMedicina: plan de estudios [Internet]. Guadalajara:Universidad Guadalajara LAMAR, 2018. Disponible en: consulta: 10/02/2020.
Cabrera-Pivaral CE, Chávez SA, González-ReyesHF, Cortés-Sanabria L. Valoración global de laaptitud clínica de médicos familiares en el manejo dela diabetes mellitus con nefropatía inicial. Rev InvestClín. 2005;57(5):685-90.
Cortés-Sanabria L, Cabrera-Pivaral CE, Cueto-Manzano AM, Rojas-Campos E, Barragán G,Hernández-Anaya M, et al. Improving care of patientswith diabetes and CKD: a pilot study for a clusterrandomizedtrial. Am J Kidney Dis. 2008;51(5):777-88.doi: 10.1053/j.ajkd.2007.12.039.
Dreyfus SE, Dreyfus HL. A five-stage model of themental activities involved in directed skill acquisition.Berkeley: University of California, OperationsResearch Center, 1980. 21 p.
Cueto-Manzano AM, Martínez-Ramírez HR,Cortés-Sanabria L. Comparison of primary healthcaremodels in the management of chronic kidneydisease. Kidney Int Suppl. 2013;3(2):210-4. doi:10.1038/kisup.2013.16.
Saad CY, Fogel J, Rubinstein S. Awareness andknowledge among internal medicine resident traineesfor dose adjustment of analgesics and neuropsychotropicmedications in CKD. South Med J. 2018;111(3):155-62. doi: 10.14423/SMJ.0000000000000781.
Cabrera-Pivaral CE, Crócker-Sagástume RC,Carmona-Ruvalcaba J, López-de-la-Mora DA,Sánchez-Toscano YG, Zavala-González MA. Efecto deun plan de estudios de Medicina sobre las competenciaspara la promoción de la salud y la participación social.Educ Méd. 2019;20(Supl. 2):129-35. doi: 10.1016/j.edumed.2018.06.002.
Moreno-Segura A, Frías Navarro VO, Casas PatiñoD, Rodríguez Torres A. Aptitud clínica del médicofamiliar en los principales motivos de consulta y temasprioritarios de la atención primaria. Arch Inv Mat Inf.2016;8(3):77-84.
Surana S, Kumar N, Vasudeva A, Shaikh G, JhaveriKD, Shah H, et al. Awareness and knowledge amonginternal medicine house-staff for dose adjustment ofcommonly used medications in patients with CKD.BMC Nephrol. 2017;18:26. doi: 10.1186/s12882-017-0443-7.
Casas D, Rodríguez A, Tapia E, Camacho E,Rodríguez R. Aptitud clínica en médicos familiaresapegados a guías de práctica clínica. Rev Med Investig.2014;2(2):100-6. doi: 10.1016/S2214-3106(15)30005-4.
Viniegra VL. El concepto de postura: más allá dela medición de actitudes. En: La investigación en laeducación. Papel de la teoría y de la observación. México,D.F.: Instituto Mexicano del Seguro Social, 2004, pp.201-26.