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Publications
Publications (102)
Introducción: La Evaluación Docente (ED) permite a los residentes apreciar la calidad de la enseñanza recibida en su formación profesional. Los cuestionarios de opinión son una herramienta efectiva para identificar fortalezas y áreas de mejora de los docentes. La validez y la confiabilidad de estos instrumentos son fundamentales para asegurar la pr...
Las residencias médicas avalan la formación y preparación académica y humana de los futuros especialistas. Sin embargo, las agresiones en el entorno de la educación del médico parecen ser parte inherente de sus interacciones intrahospitalarias durante su entrenamiento. Si el médico en formación vive y observa los malos tratos en la relación con sus...
Background. Violence includes behaviours that medical residents in clinical settings perceive as humiliating, abusive, or hostile. The aim of the present study is to describe the prevalence and severity of different types of violence in medical residencies administrated by the National Autonomous University of Mexico.
Method. The project was conduc...
El propósito del estudio fue describir las trayectorias de los promedios de las calificaciones obtenidas por los profesores evaluados por los residentes en un período de ocho años. Se analizó evidencia estadística que demuestra la tendencia de un efecto positivo de dicha evaluación. De 2.751 profesores, 1.031 impartieron curso en tres o más ciclos...
Introduction:
The objective of this study was to describe and analyze residents' perceptions of characteristics on the expansive/restrictive continuum of their clinical learning environment.
Methods:
We conducted a quantitative, descriptive and cross-sectional study. A self-administered questionnaire was designed, programmed and applied to resid...
The objective of this article is to understand how students' subjectivities are interwoven in the interactions generated in clinical learning settings in medical residencies. The case study method has been used-the result of clinical ethnography-along with narratives to document how social actors do what they do. The results indicate that medical t...
p>La formación de recursos humanos para la salud (rhs) es una tarea conjunta de las instituciones educativas y de salud, para ello se requiere establecer los perfiles laborales, profesionales y de egreso de cada rhs. Como parte del desarrollo de la educación basada en competencias (ebc) se crearon las Entrustable Professional Activities (epa) natur...
Introducción:
La comunicación se ha definido como un elemento central y eje transversal de los currículos médicos a nivel mundial. Además, en el proceso formativo del estudiante de medicina, el efecto de los modelos de rol docente se reconoce como factor clave.
Objetivo:
Revisar conceptualmente el modelo de rol en relación con el currículo en comu...
This article was migrated. The article was marked as recommended.
In medical education, there have been three important reforms: science-based curriculum, problem-based learning, and competency-based education. Currently, the concept of Entrustable Professional Activities (EPA) goes a step beyond competencies. The aim of this paper is twofold: firs...
Background:
Educational curricula require constant improvement to respond to the needs of students, institutions and society.
Objective:
To evaluate the Plan de Estudios 2010 of the Facultad de Medicina de la Universidad Nacional Autónoma de México.
Methods:
Documentary and qualitative study of three phases. First, revision of trends of genera...
Introducción:
Cada profesor de acuerdo a su percepción y apreciación interioriza los elementos de la estructura social de la institución educativa a la que pertenece, la cual moldea el conjunto de modos de ver, sentir y actuar para construir su identidad profesional docente.
Objetivo:
Indagar las concepciones de pedagogía y medicina en la construc...
El Modelo Educativo para Desarrollar Actividades Profesionales Confiables (MEDAPROC) surge como respuesta a la implementación de la educación basada en competencias. Es un proyecto multidisciplinario fundamentado en la epistemología interpretativa, el paradigma constructivista, las transformaciones del Sistema Nacional de Salud y el contexto del ej...
Currently, the WhatsApp® messaging application has become one of the main forms of virtual communication since it allows to establish interpersonal and group relationships, and has even generated a language based on emoticons that allows transmitting ideas and feelings. The medical consultation has not been left out of this new mode of communicatio...
El Modelo Educativo para Desarrollar Actividades Profesionales Confiables (MEDAPROC) surge para apoyar la implementación de la educación basada en competencias (EBC). La integración del MEDAPROC en cada asignatura converge en un modelo tridimensional que atiende el logro de las competencias, las APROC y los contenidos de los programas académicos, a...
DESCARGUE UNA COPIA DEL CARTEL https://goo.gl/TpUo9y ANTECEDENTES En 2010 en la Facultad de Medicina (FM) de la Universidad Nacional Autónoma de México (UNAM), se implementó el Plan de Estudios 2010 (PE2010) que es un currículo mixto que mantiene la estructura de las asignaturas en el mapa curricular e incorpora el enfoque de la educación basada en...
Objective: The aim of this study was to emphasize the importance of integrating the context to the construction of the specific Entrustable Professional Activities (EPA) for Undergraduate Medical Education (UME). Design: Mixed study with three phases: 1) Exploratory, we searched context with focus groups technique. 2) Construction,
we analyzed acad...
This article was migrated. The article was not marked as recommended. Since 2011, students of the Faculty of Medicine of the National Autonomous University of Mexico with an outstanding academic record and a vocation for biomedical, socio-medical and clinical research, have the opportunity to participate in the Plan of Combined Studies in Medicine...
Introducción:
El Plan de Estudios Combinados en Medicina está diseñado para que alumnos sobresalientes que cursan la carrera de medicina estudien el doctorado simultáneamente. Las exigencias para culminar el posgrado involucran situaciones de estrés que podrían llevar al desgaste. El burnout es un síndrome con tres dimensiones: agotamiento emociona...
Desde 2012, surgió el Modelo Educativo para Desarrollar Actividades Profesionales Confiables (MEDAPROC) en la Facultad de Medicina (FM) de la Universidad Nacional Autónoma de México (UNAM), diseñado en torno a la educación basada en competencias. El MEDAPROC aterriza las competencias por medio de las actividades profesionales confiables (APROC). La...
Background
Competency-based education has been considered the most important pedagogical trend in Medicine in the last two decades. In clinical contexts, competencies are implemented through Entrustable Professional Activities (EPAs) which are observable and measurable. The aim of this paper is to describe the methodology used in the design of educ...
Healthcare is a substantive activity of health providers public establishments of health services (HPPEH). It is more than a scientific-technical fact under management perspective. It's a social-cultural phenomenon than becomes the process health/ illness/attention, fostering interactions between health care workers and subject-person. Relational c...
Introduction: Teacher and student interaction, the monitoring of clinical practices, and professionalism are the issues that the teaching performance assessment tool examines by gathering the opinions of the residents on the educational skills of teaching staff and lecturers. Objective: The aim of this study was to: (i). gathering the comments of t...
Introducción: El rol del profesor ha cambiado, al ser un guía que facilita el aprendizaje. Mediante la opinión de los médicos residentes se buscó conocer el desempeño docente y el proceso educativo en contextos clínicos.
Objetivo: El objetivo fue calificar al docente en 3 ámbitos: interacción en las actividades académico-asistenciales, supervisión...
analizar las características de los conflictos intergeneracionales en abuelas que cuidan a sus nietos.
p>Objetivo: analizar las características de los conflictos intergeneracionales en abuelas que cuidan a sus nietos. Métodos: estudio cualitativo, transversal, interpretativo. Se utilizó la técnica de entrevista semiestructurada y a profundidad en cuatro familias. Se incluyeron a cuatro abuelas y cuatro hijas con nietos entre cero y 12 años de edad....
La educación médica transcurre en un campo complejo donde confluyen las escuelas y facultades de medicina con el Sistema Nacional de Salud (SNS). Los médicos que atienden a los pacientes en las clínicas y hospitales al mismo tiempo fungen como profesores de los alumnos de pregrado y posgrado, combinando sus actividades asistenciales con las académi...
La Facultad de Medicina de la UNAM inició en 2010 la implementación de un nuevo plan de estudios cuya característica básica fue la de incorporar en las asignaturas el modelo pedagógico de las competencias. El denominado Plan 2010, está centrado en el estudiante y pone énfasis en el autoaprendizaje, lo que de facto transforma los roles que desempeña...
The implementation of competency-based education has revolutionized the way of learning and teaching medicine globally. Competencies are the responsibilities that all physicians must possess; they emerged from the Canadian Medical Education Directives for Specialists (CanMEDS) and Accreditation Council for Graduate Medical Education (ACGME). To ach...
Introduction: Today’s relevant educational models emphasize that a great part of learning be situated and reflexive; one of those is the Entrusted Professional Activities model. The study objective was to develop a model that integrates Entrusted Professional Activities with a medical school curriculum. Methods: From October 2012 a multidisciplinar...
Introducción
La relación entre las escuelas de medicina que dependen de las universidades y las sedes donde los estudiantes de pregrado realizan sus prácticas clínicas vinculan a las instituciones educativas con los centros de atención a la salud que forman parte del Sistema Nacional de Salud.
Objetivo
Se analizaron las relaciones y las tensiones...
Medical uncertainty is inherently related to the practice of the physician and generally affects his or her patient care, job satisfaction, continuing education, as well as the overall goals of the health care system. In this paper, some new types of uncertainty, which extend existing typologies, are identified and the contexts and strategies to de...
La pregunta de investigación en los estudios cualitativos condensa aspectos teóricos, temáticos, metodológicos y empíricos, y constituye el eje transversal del proceso de indagación. Este último considera cuatro grandes momentos: 1) la construcción del objeto de investigación, 2) el diseño de la investigación, 3) la producción de la información, y...
Introducción:
El Sistema Nacional de Salud (SNS) evoluciona hacia la homologación organizacional para eficientar recursos y otorgar atención de calidad a la población. Esta situación demanda un modelo educativo acorde con estos cambios.
Objetivo:
Se presentan las bases epistemológicas y pedagógicas de un Modelo Educativo para Desarrollar Actividad...
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 shifti...
Introducción. La Comisión Nacional de Arbitraje Médico y la División de Estudios Posgrado de la Facultad de Medicina de la UNAM aplicaron el “Cuestionario sobre la seguridad de los pacientes en los hospitales” de la AHRQ a médicos residentes con el objetivo de conocer el nivel de cultura de Seguridad del Paciente (SP).
Material y métodos. Se trata...
El objetivo principal de las supervisiones académicas del “Curso de especialización en Medicina Familiar para médicos generales” es asegurar el cumplimiento del programa académico (pa). Puede decirse que al supervisar se pretende lograr una mayor calidad de la enseñanza y un alto rendimiento académico de los alumnos.
Objetivo: describir la negociación sobre los aspectos económicos en parejas reconstituidas. Material y métodos: estudio de tipo cualitativo e interpretativo. Bajo el supuesto de que las parejas en segundas nupcias son más vulnerables al fracaso, ya que dan por implícito los roles de género y el papel de cada cónyuge, lo cual dificulta la comunicaci...
El objetivo principal de las supervisiones académicas del “Curso de especialización en Medicina Familiar para médicos generales” es asegurar el cumplimiento del programa académico (pa). Puede decirse que al supervisar se pretende lograr una mayor calidad de la enseñanza y un alto rendimiento académico de los alumnos.
estudio de tipo cualitativo e interpretativo. Bajo el supuesto de que las parejas en segundas nupcias son más vulnerables al fracaso, ya que dan por implícito los roles de género y el papel de cada cónyuge, lo cual dificulta la comunicación, negociación y acuerdos en la familia, se planteó la siguiente hipótesis: “la falta de negociación y acuerdos...
Culture and climate are issues that shape interactions, beliefs systems, ways of making, values and perceptions of what is happening in the organizational context in which medical residents work. The study of these areas allows you to delve into the subculture of residents and recognize what facilitates or restricts their learning.
Objectives:
The aim of the present study was to establish correlations between the dimensions of clinical learning environments (ACA) considering variables like: health institutions, hospital offices, specialty, and year of residency.
Methods:
4,189 doctors were evaluated through an online survey in 2012.
Results:
The results revealed that the...
Mixed methods (MM) combine the quantitative (quanti) and qualitative (quali) perspective in one study aiming to give depth to the analysis when the research questions are complex. More than the sum of the quanti and quali results, mixed methodology is an orientation with its own worldview, its vocabulary and its techniques, rooted in pragmatic phil...
Objective: To introduce theSIUSEX2 instrument (Satisfaction, Dissatisfaction of Health Care users through their Expectations and Experiences), applied in 19 medical units in Mexican cities in 2012. Material y Methods: The instrument was built based on a logistic model used to determine the association of patients’ satisfaction with some characteris...
Background: Technological progress is now inexorable in medical education; however, this process shows different characteristics and needs to be planned. The quality of education passes through the use of interactive strategies that stimulate significant learning. Objectives: To identify technological resources used by teachers and students of Uniq...
Introduction:
Clinical education is an essential component of medical training and takes place in relatively adequate learning environments.
Objective:
Build and validate an instrument specific for the assessment of factors influencing a clinical learning environment.
Material and methods:
A Likert-type questionnaire was designed and its conte...
Introduction: The aim is to describe the teaching activities in the clinical context from the residents' perspective. Objectives: 1) To determine how frequently clinical professors perform teaching activities in the four areas: teaching, supervision, organization and interpersonal relationships, 2) to distinguish professors' performance by specialt...
Background:
In countries such as United States and European Nations changes have been proposed regarding to duty and academic structure of specialists in training, this implies adjustments in the norms concerning the number of hours a week that residents work. The main argument which has underpinned such transformations is based on the assumption...
Introduction: Clinical education is an essential component of medical training and takes place in relatively adequate learning environments. Objective: Build and validate an instrument specific for the assessment of factors influencing a clinical learning environment. Material and methods: A Likert-type questionnaire was designed and its content wa...
conocer las prácticas de autocuidado en pacientes de unidades hospitalarias de la Secretaría de Salud al inicio de sus padecimientos.
Objetivo: conocer las prácticas de autocuidado en pacientes de unidades hospitalarias de la Secretaría de Salud al inicio de sus padecimientos. Material y métodos: investigación cualitativa y descriptiva en la cual se eligieron 22 de 57 entrevistas semiestructuradas de una investigación general sobre satisfacción de usuarios, en la que los paciente...
Introduction:
User's perception with regard to the attention they received in healthcare units is increasingly being taken into account by the health service providers in order to improve the quality of their service.
Aim:
Describe how the users perceive the health services provided by the CCINSHAE with regard to the communication with the physi...
Introduction: This paper seeks to identify the frequency with which residents from different specialties use diverse learning methods in their training and assessment. Objectives: 1) Compare the perceptions of residents from different medical specialties about the frequency with which learning methods are used in academic theory, practice and care...
What are focus groups?, when does this technique arise?, which are their theoretical foundations?, how is this technique carried out?, what is their usefulness in medical education? These are the questions that guide the present paper, whose purpose is to offer an overview of the focus groups technique. This method has demonstrated to be a useful q...
Publishing contents on medical education research is a challenge for authors and publishers of so-called scientific journals. The criteria and interests of the publishing companies do not necessarily coincide with the academic value of the articles. Authors are facing pressure to publish in indexed journals to stimulate the number of citations to t...
p> Resumen
Objetivo: identificar los estilos de comunicación que prevalecen en las familias con hijos adictos y como se traducen en conductas que contribuyen o no a mantener las adicciones de acuerdo con el significado atribuido por las familias. Material y métodos: estudio cualitativo e interpretativo de tres familias con adolescentes adictos, l...
Introduction: This is a time use study carried out to learn about the academic performance of medical students and the duration of their activities. Objective: Identify associations between academic problems and the condition of being an irregular student (re-attendants to courses due to a failure mark). Material and methods: A descriptive and comp...
This article has as purpose to show how a group of undergraduate students of the Faculty of Medicine perceived the working conditions in which they carried out their social service in the year 2009. The authors carried out a scouting study based on a on-line research in which they consulted 814 undergraduate MD; they selected a sample of262 and 52...
The aim of this work is to describe the conditions in which medical students perform their Social Service, highlighting their experiences in areas such as: information before they move and the motivation to leave home; the perception of personal and environmental lack of safety; the institutional support that they receive during their work in the c...
p> Objetivo: conocer cómo sucede la subordinación femenina y la tolerancia a la violencia basada en el género, a través del relato de vida de tres mujeres mayores de 35 años que han vivido violencia intrafamiliar, cuyas familias se encontraban en tratamiento en el servicio de terapia familiar de la Clínica de Medicina Familiar “Gustavo A. Madero” d...
Introduction: Once having completed their medical internship at the National Autonomous University of Mexico (UNAM) Faculty of Medicine, students start a mandatory community service. Social service locations are available in rural or urban locations and in different health institutions, leading to diversity of experience. Objective: This study soug...
This article has as purpose to show how a group of undergraduate students of the Faculty of Medicine perceived the working conditions in which they carried out their social service in the year 2009. The authors carried out a scouting study based on a on-line research in which they consulted 814 undergraduate MD; they selected a sample of 262 and 52...
p> Objetivo: identificar el tipo de límites en la dinámica familiar y la respuesta comunicativa frente al fracaso escolar en adolescentes. Se propone que los adolescentes son más vulnerables al riesgo de fracaso escolar según la estructura y funcionamiento del sistema familiar, si planteamos la siguiente hipótesis: “mientras más extremos sean los l...
The problem based learning (PBL) method was conceived as a teaching strategy to be applied in different areas or disciplines, thus several universities adopted it, among which was the Universidad Nacional Autónoma de México, best known as UNAM. The Faculty of Medicine of UNAM implemented this innovative teaching method of medicine for its learner-c...
El aprendizaje basado en problemas (ABP) se concibió como un método de enseñanza para ser aplicado en diferentes disciplinas, por lo que varias universidades lo adoptaron, entre ellas, la Universidad Nacional Autónoma de México (UNAM).
La Facultad de Medicina de la UNAM implantó esta innovadora metodología en la enseñanza de la medicina debido a su...
The problem based learning (PBL) method was conceived as a teaching strategy to be applied in different areas or disciplines, thus several universities adopted it, among which was the Universidad Nacional Autónoma de México, best known as UNAM. The Faculty of Medicine of UNAM implemented this innovative teaching method of medicine for its learner-c...
strong>Objetivo: definir el perfil profesional del egresado de la carrera de Medicina de la Facultad de Medicina de la Universidad Nacional Autónoma de México (fm-unam) en el contexto actual de las necesidades de la población mexicana y de las competencias teóricas, prácticas y actitudinales del futuro médico. Diseño: a través de la metodología cua...
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The aim of this study was to correlate the socio structural variables of the Simplified Index of Family Poverty with the self-perception of resources that conform social capital among patients with acute respiratory disease (ARD). We used a qualitative and quantitative methodology. The sample included 848 cases distributed in seven Rural Medicine U...
To correlate the sociostructural variables with the knowledge about pneumonia and to explore the social representations about the etiology, prevention, development and treatment in poor communities.
A survey in 848 adults from seven Rural Health Centers affiliated to IMSS-Oportunidades Program in four States, was carried out.
One-third of the sampl...
Pericarditis is usually a complication of viral or bacterial infection. In addition, it can be associated to systemic diseases such as autoimmune disorders, rheumatic fever, cancer, tuberculosis and AIDS. It can also be related to familial Mediterranean fever, an autosomic recessive inflammatory disease, characterized by fever, abdominal pain, and...
Urinary Incontinence (UI) is a cardinal geriatric syndrome that has an impact on the health and quality of life of the elderly and those living around them. The etiology is often multifactorial. Physical, cognitive, functional, and psychological factors contribute to the appearance of UI. In most patients, the clinical history and a good physical e...
One of the biggest challenges that Mexico faces is to fight against the poverty. The transition of a characteristic welfare model from the government in a closed economy, to an open economy where the functions of the State are limited, has modified the modalities of the social politics against poverty. Six indispensable conditions are identified fo...
With the multiple advances in the field of medicine and the resulting increase in life expectancy, the population pyramid is showing a tendency towards inversion; each day it becomes more feasible to surgically treat elderly patients. These patients represent a challenge not only because of the comorbidity that generally is associated with the elde...
At the beginning of this third millennium, we are witnessing the end of an era marked by the hegemony of European Christianity and the globalization of a deterritorialized and decentered Christianity. Evangelical Pentecostalism and the Catholic Charismatic Renovation Movement are examples of this type of individual salvation spiritualism in Latin A...
En este comienzo del tercer milenio, estamos asistiendo al final de una era macada por la hegemonía del cristianismo europeo y por la creciente globalización de un cristianismo desterritorializado y descentrado. Ejemplos de ello son los movimientos espirituales de salvación individual, como el pentecostalismo evangélico y el movimiento carismático...
Summary With the multiple advances in the field of medicine and the resulting increase in life expectancy, the population pyramid is showing a tendency towards inversion; each day it becomes more feasible to surgically treat elderly patients. These patients represent a challenge not only because of the comorbidity that generally is associated with...
Palabras clave neumonía vacunación inmunización cultura Key words pneumonia vaccination immunization culture RESUMEN Objetivo: correlacionar las variables socioestruc-turales y el conocimiento sobre la neumonía, con el fin de explorar las ideas más comunes (re-presentaciones sociales) sobre sus causas, pre-vención, tratamiento y desenlace en zonas...