Professionalization of medical education: Axes and strategies for excellence
Main Article Content
Keywords
Education, Medical, Professionalism, Professional Competence
Abstract
Abstract
The professionalization of medical education is an essential, strategic renewal movement, driven by the need to graduate competent, ethical physicians who meet the demands of healthcare systems. This paradigm is structured around 3 interdependent axes: medical professionalism development (student), competency-based education (CBE) (institution), and medical faculty professionalization. The most advanced curricular model recommended is Entrustable Professional Activities (EPA), which translates generic competencies into observable and evaluable clinical tasks, such as obtaining a complete patient history. Successful implementation requires supporting infrastructure, including e-portfolio and learning management systems (LMS) for longitudinal tracking. The crucial challenge lies in transforming the teacher from a "clinical expert" to a "clinical-pedagogical expert", which necessitates restructuring the academic career with incentives, promotions, and compensation that value pedagogical training equally with clinical practice. Overcoming the institutional, faculty, and economic resistances generated by this reform depends on leadership capacity to manage change through the empowerment of leaders and modular micro-training.
References
1. Asociación Médica Mundial. Declaración de la AMM sobre la educación médica. Ferney-Voltaire, Francia: World Medical Association; 2006. Disponible en: https://www.wma.net/es/policies-post/declaracion-de-la-amm-sobre-la-educacion-medica/
2. Alarcón RG. Educación médica, un desafío permanente. Cuad Med Soc. 2024;64(2):5-6. doi: 10.56116/cms.v64.n.2.2024.1982
3. Pérez González J. Profesionalismo e identidad médica. Educ Med. 2023;24(2):100806. doi: 10.1016/j.edumed.2023.100806
4. Ramos-Zaga F. Transforming medical education in the 21st century: The role of competency-based medical education. Rev Fac Med Hum. 2024;24(1):169-78. Disponible en: https://revistas.urp.edu.pe/index.php/RFMH/article/view/5950
5. Vivas DA, Reinoso N, Jaimes DA. Profesionalismo médico como competencia, una visión desde la narrativa: Estado del arte. Educ Med. 2021;22(6):517-20. doi: 10.1016/j.edumed.2021.01.010
6. Olivares-Paizan G, Walter Sánchez V, Cuello Ho R. Estrategia metodológica para el desarrollo de la profesionalización de los docentes de la educación médica. Mendive Rev Educ. 2021;19(4):1168-84. Disponible en: https://mendive.upr.edu.cu/index.php/MendiveUPR/article/view/2653
7. González-Flores P, Luna de la Luz V. La transformación de la educación médica en el último siglo: Innovaciones curriculares y didácticas (Parte 1). Invest Educ Med. 2019;8(30):95-109. doi: 10.22201/facmed.20075057e.2019.30.18165
8. De la Portilla Maya SR. Profesionalización de la educación médica para la formación de un médico competente, ético, pertinente y de alta calidad. Arch Med. 2017;17(2):221-4. doi: 10.30554/archmed.17.2.2484.2017
9. Pérez García R, Pérez García M. Promoción del profesionalismo médico en la formación de los estudiantes de medicina. Salud UIS. 2023;55:e23073. doi: 10.18273/saluduis.55.e:23073
10. Arbea L, Díaz-González JA, Centeno C, et al. Diseño e implantación de un proyecto docente para la formación de la identidad médica en estudiantes de medicina. Educ Med. 2020;21(3):207-11. doi: 10.1016/j.edumed.2019.07.002
11. Bonal Ruiz R, Vergel J, Sotomayor Escalona R. De la formación basada en competencias a las actividades profesionales encomendables. Rev Hab Cienc Méd. 2022;21(1):e4444. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1729-519X2022000100013
12. Paredes Mena K, Salazar Menéndez J, Simancas Ordóñez L. Modelo del docente: Profesionalización y mejora del desempeño pedagógico y tecnológico. Eur Public Soc Innov Rev. 2024;9:1-16. doi: 10.31637/epsir-2024-1845
13. Frank JR, Snell L, Sherbino J, eds. CanMEDS 2015 Physician competency framework. Ottawa: Royal College of Physicians and Surgeons of Canada; 2015.
14. Swing SR. The ACGME outcome project: Retrospective and prospective. Med Teach. 2007;29(7):648-54. doi: 10.1080/01421590701392903
15. Cruess RL, Cruess SR, Steinert Y. Supporting the development of a professional identity: The next challenge for medical education. Med Educ. 2024;58(1):34-45. doi: 10.1111/medu.15243
16. Emke AR, Torre D, Aagaard EM. Competency-based education and programmatic assessment in undergraduate medical education: Describing the gateway experience of successful design and implementation. Acad Med. 2025;100(11):1268-71. doi: 10.1097/ACM.0000000000006141
17. Alharbi NS. Evaluating competency-based medical education: A systematized review of current practices. BMC Med Educ. 2024;24:612. doi: 10.1186/s12909-024-05609-6
18. Ahmad MR, Abu H, Uddin H, et al. Direct observation of procedural skills (DOPS) in enhancing clinical competencies of postgraduate medical and dental education: A scoping review. J Dent Med Sci. 2024;23(9):59-70. doi: 10.9790/0853-2309085970
19. Alvarado-Carías IE, Mejía JGM, Baide NHM, et al. Electronic medical portfolio as a tool in formative assessment: A literature review. Innovare Rev Cienc Tecnol. 2022;11(2):103-10. doi: 10.5377/innovare.v11i2.14815
20. Mantilla GC, Ariza K, Santamaría A, et al. Educación médica basada en competencias: Revisión de enfoque. Univ Med. 2021;62(2). doi: 10.11144/Javeriana.umed62-2.emed
21. Lifshitz A. ¿Reseteo de la educación médica? Med Int Méx. 2021;37(6):907-8.
22. Steinert Y. Faculty development: From rubies to oak. Med Teach. 2020;42(4):429-35. doi: 10.1080/0142159X.2019.1688769
23. Gottlieb M, Jordan J, Siegelman JN, et al. Direct observation tools in emergency medicine: A systematic review of the literature. AEM Educ Train. 2020;5(3):e10519. doi: 10.1002/aet2.10519
24. Sánchez-Corredor CD, Rubio-Romero JA. Reflexiones sobre el papel del docente en la educación en salud. Rev Colomb Obstet Ginecol. 2023;74(2):122-4. doi: 10.18597/rcog.4086
25. Vera-Carrasco O. La evaluación del proceso enseñanza aprendizaje en competencias en ciencias de la salud. Cuad Hosp Clín. 2023;64(1):73-8. Disponible en: http://www.scielo.org.bo/scielo.php?script=sci_arttext&pid=S1652-67762023000100010
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