Educational model to develop trustworthy professional activities
Main Article Content
Keywords
Medical education, Competency-based education, Faculty
Abstract
Background: The reorganization of the national health system (SNS), enforces reflection and transformation on medical education in clinical contexts. The study presents an educational model to develop entrusted professionals activities (MEDAPROC) to train human resources in health with reliable knowledge, skills and attitudes to work in the shifting scenario of the SNS.
Methods: The paper discusses international and national documents on skills in medicine. Based on the analysis of 8 domains, 50 skills and 13 entrusted professional activities (APROC) proposed by the Association of the American Medical College (AAMC) we propose a curriculum design, with the example of the undergraduate program of Gynecology and Obstetrics, with the intention to advance to internship and residency in a continuum that marks milestones and clinical practices.
Results: The pedagogical design of MEDAPROC was developed within three areas: 1) proposal of the AAMC; 2) curricular content of programs in pre and postgraduate education 3) organization of the daily agenda with academic mechanisms to develop the competencies, cover program items and develop clinical practice in deliberate learning activities, as well as milestones.
Conclusion: The MEDAPROC offers versatility, student mobility and curricular flexibility in a system planed by academic units in diverse clinical settings.
References
Echevarría-Zuno S. La seguridad social en la transformación del sistema de salud. Gaceta Médica de México 2012; 148: 525-532
Dewey J. How we think. Boston, New York: Heath and Co; 1933
Bonderup-Dohn N. On the epistemological presuppositions of reflective activities. Educational Theory 2011; 61(6): 671-708.
Mamede S, Schmidt H. The structure of reflective practice in medicine. Medical education 2004; 38: 1302-1308
Schön D. The Reflective Practitioner. How professionals think in action. New York: Basic Books; 1983
Cate O, Snell L, Carrancio C. Medical Competence: The interplay between individual ability and the health care environment. Medical Teacher 2010; 32:387-396
ACGME. Disponible en: http://www.acgme.org/acgmeweb/Portals/0/PDFs/commonguide/IVA5_EducationalProgram_ACGMECompetencies_Introduction_Explanation.pdf
Association of the American Medical College (AAMC) (2014), Core Entrustable Professional Activities for Entering Residency. Faculty and Learners guide, Washington DC, AAMC. Disponible en: https://www.aamc.org/
Milstones Project. Disponible en: http://www.milestonesproject.com/
CanMEDS. Disponible en: http://www.royalcollege.ca/portal/page/portal/rc/canmeds/framework
Pacto de Bolonia y la metodología del proyecto Tuning para América Latina. Disponible en: http://tuning.unideusto.org/tuningal/
Una introducción a Tuning Educational Structures in Europe. La contribución de las universidades al proceso de Bolonia. Sócrates – Tempus
AMFEM. Disponible en: http://www.amfem.edu.mx/intranet/descargas/competencias.pdf
Plan de Estudios 2010 de la FM de la UNAM. Disponible en: http://www.facmed.unam.mx/marco/index.php?dir_ver=16
Programa de GyO del octavo semestre del Plan 2010. Disponible en: http://fournier.facmed.unam.mx/deptos/seciss/images/docs/8%20gineco.pdf
Plan Único de Especializaciones Médicas de la División de Estudios de Posgrado correspondiente a GyO revisado en 2009. Disponible en: http://www.sidep.fmposgrado.unam.mx:8080/fmposgrado/programas/ginecologia.pdf
Durante-Montiel I, Lozano-Sánchez J, Martínez-González A, Morales-López, Sánchez-Mendiola M. Evaluación de competencias en ciencias de la salud. México: Editorial Médica Panamericana; 2012.
Norman G, Norcini J, Bordage G. Competency-based education: Milestones or Milestones. Journal of Graduate Medical Education 2014; 6(1): 1-6
Milestones by reporting date. Disponible en: http://www.acgme.org/acgmeweb/Portals/0/PDFs/Milestones/MilestonesByReportingDate.pdf