2019, Number 32
<< Back Next >>
Inv Ed Med 2019; 8 (32)
Analysis of the Postgraduate Courses of High Specialty in Medicine in Mexico, respect to the international context
Valencia SJS, Vázquez PM, Leyva GFA, Gómez CFJF, Gómez AGM
Language: Spanish
References: 37
Page: 112-120
PDF size: 577.26 Kb.
ABSTRACT
Introduction: The training of professionals in the field of
medicine is immersed in teaching-learning-assessment
processes that depend on the curricular pedagogical
model adopted and the epistemological approach of the
teacher.
Objective: Present the current status of the programs of
the Postgraduate Courses of High Specialty in Medicine,
UNAM, with respect to the international context, and make
a comparative analysis.
Method: Narrative review (Search of scientific literature
published in Spanish and English, in databases Medline,
Embase and Eric, using the keywords higher medical
education, professional competences, learning in medicine
and performance evaluation) of curriculum design
by competencies. The search strategies were carried
out in MEDLINE, EMBASE, and compared with what was
developed in the Graduate Courses of High Specialty in
Medicine,
Resuls: The competency models endorsed by the American
Accreditation Council for Graduate Medical Education,
The Royal College of Physicians and Surgeons of
Canada, The Australian Medical Council, the Ministry of
Health of China and all the regulatory bodies in the world,
report a direct association in the improvement, general
performance, patient safety area and improvement in the
number of reports of patient safety events, by improving
the skills of physicians.
Discussion: At the international level, an integrating vision
has been developed for the development of effective
competences; however, there are still challenges to
be solved. It is necessary to develop a consensus on
generic and specific competences for health systems,
which contributes to improving the quality of medical
training worldwide
Conclusion: It is necessary to rethink the programs of
the Postgraduate Courses of High Specialty in Medicine
according to our needs for health care and the international
context.
REFERENCES
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.