2007, Number 1
<< Back Next >>
Cir Cir 2007; 75 (1)
Surgical/medical competences, self-perception among a group of students recently graduated
Villegas-Álvarez F, Polaco-Castillo AJ, González-Zamora JF, García-Pineda AM, Madrid-Zavala MR
Language: Spanish
References: 17
Page: 43-47
PDF size: 59.60 Kb.
ABSTRACT
Background: Medical professional proficiency comprises a set of skills, knowledge, and attitudes necessary to efficiently accomplish the practice of medicine. We undertook this study to identify the surgical/medical competencies (SMC) acquired by a group of students after graduating from the Faculty of Medicine, National Autonomous University of Mexico.
Methods: This was a cross-sectional, comparative, observational, and prospective study. Students from the class (1999-2003) who accepted to participate were included in the study. Thirty SMC were evaluated as well as demographic and academic background data from the graduates. Data were analyzed using Mann-Whitney, Kruskal-Wallis and χ
2 tests.
Results: Of 341 interviewees, 310 subjects participated in the study; 61% of all participants were females. Mean age at graduation was 25 years; 66 % of all participants concluded their medical training in 6 years; 30 % of the interviewees had a ≤ 8.0-point grade average score; 62 % concluded their 6th school year in a Mexican Institute of Social Security (IMSS) and/or in a Ministry of Health (SSa) facility. Subjects reported having little or no command over 21/30 listed SMCs. Female participants rated themselves as less proficient than their male counterparts (p ≤ 0.05). The presence of three other concomitant factors among several participants negatively influenced their self-perception of whether or not they possessed certain skills.
Conclusions: A group of recently graduated physicians subjectively perceived themselves as possessing partial or no command over the SMCs included in the Surgery Department syllabus. These results must be completed through an objective assessment.
REFERENCES
Epstein RM, Hundert EM. Defining and assessing professional competence. JAMA 2002;287:226-235.
Grupo de Innovación y Excelencia Docente de la Universidad de Barcelona. Competencias a adquirir por los estudiantes durante el pregrado en la Facultad de Medicina de la Universidad de Barcelona;2002. Disponible en www.ub.es/medicina/castella/compcast.pdf
García BM. Medical education in light of the World Health Organization Health for All Strategy and the European Union. Med Educ 1995;29:3-12.
Torre-Cisneros J, Camacho A, López-Miranda J, Sánchez-Guijo P, Pérez-Jiménez F. El proceso docente de adquisición de habilidades clínicas en la Universidad de Córdova: una auto evaluación de los alumnos. Educ Med 2003;6:117-122.
Manso MJM, ¿Qué enseñar en ciencias de la salud? (1ª. parte). Técnicas para definir competencias y perfiles profesionales. Educ Med 2000;3:65-72.
Manso MJM. ¿Qué enseñar en ciencias de la salud? (2ª. parte). Técnicas para definir competencias y perfiles profesionales. Educ Med 2000;3:73-78.
Finocchio LJ, Bailif PJ, Grant RW, O’Neil EH. Professional competencies in the changing health care system. Physicians’ views on the importance and adequacy of formal training in medical school. Acad Med 1995;70:1023-1028.
International standards in medical education. Assessment and accreditation of medical schools’ education programs. A WFME position paper. The execution council, the world federation for medical education. Med Educ 1988;33:49-58.
Bligh J, Prideux D, Parcell G. PRISMS: New educational strategies for medical education. Med Educ 2001;35:520-521.
Smith SR, Pollase R. AMEE Guide No 14: Outcome-based education: Part 2. Planning, implementing and evaluating a competency-based curriculum. Med Teach 1999;21:15-22.
Miller GE. The assessment of clinical skills/competence/performance. Acad Med 1990;65:s63-67.
Leiden LI, Crosby RS, Foller H. Assessing learning-style inventories and how well they predict academic performance. Acad Med 1990;65: 395-401.
Blay PC. Evaluación clínica objetiva y estructurada: ECOE. Educ Med 1998;1:13-16.
Wass V, Jones R, van der Vleuten C. Standardized to real patients to test clinical competence? The long case revisited. Med Educ 2001;35: 321-325.
Pérez RR, Otero CM. Evaluación de la competencia en médicos intensivistas. Hospital Militar Central “Dr. Luis Díaz Soto”. Educ Med 2003 Suppl;17:123-128.
Baena PG. Calidad total en la educación superior. 2ª ed. México: Marc Ediciones; 1994.
Leach DC. Competent is a habit. JAMA 2002;287:243-244