Consulta los contenidos del último número publicado de la Revista de la Fundación Educación Médica:
FEM: Revista de la Fundación Educación Médica
vol. 19 num. 1 lang. es
Introduction. Health professionals deal with painful situations and heavy work-load every day. In addition to scientific and technical knowledge and skills, an attitude of empathy is required in order to address these realities adequately. Showing empathy is difficult without possessing certain abilities associated with self-awareness, self-knowledge and the management of emotions. These skills, however, are not taught in centres of academic learning, and our way of solving this issue -over-involvement or excessive distance- is in the long run deleterious. Development. An incident occurring in the course of professional practice is used as the basis for structured reflection, from both its clinical aspects and its implications' perspective, in terms of the physician's emotional intelligence. In addition to updating our knowledge of rhabdomyolysis, this process of structured reflection made it possible to identify areas of potential improvement in the personal attitudes of health-care professionals. On the one hand, it was an opportunity for deepening self-knowledge, questioning our own beliefs, and reviewing the values which underlie them. On the other hand, it revealed the importance of working mindfully to avoid burn-out and to better understand our patients. Conclusion. Reflection upon our own experience allows us to learn from it, and supplies us with a powerful tool to improve our patients' care and our professional communication skills.
Aim. To facilitate autonomous and reflective learning to nursing students through the analysis of artistic creations (cinema, literature and visual arts). Subjects and methods. In the academic year 2008-2009 a technical and didactic tab was designed for each selected artistic work allowing the analysis and reflection on the health-disease processes. These tab guides were used in one core and two optional matters to be analyzed as a complement to the course content. In addition, a web page showing chips cinema, literature and visual arts was designed. Results. This experiment involved 340 students enrolled in the course Community Nursing II, 70 students of the subject Family care at home and 30 enrolled for the course Artistic creation as a learning support in community nursing. The works that were most frequently used were: Take my eyes, Inside I'm dancing, Shadowlands (cinema); Paula, Journal of a good neighbour, The solitude of prime numbers (literature); Stalking death, Morphine, The scream (visual arts). Conclusions. Analyzing a work of art led the students to greater understanding of phenomena discussed in class as separate items but that in reality are produced as a single whole This was proven in the academic performance of students and enriched discussions in the classroom.
Introduction. About the style term there are different definitions and a lot of questionnaires to determine them; moreover, rankings are heterogeneous and meaning of different styles is not coincident. Subjects and methods. In order to clarify some points, this paper presents a new tool (CESEA) and compares the results obtained with those provided by the CHAEA, one of the questionnaires most used in the Spanish-speaking world. Results. The results show differences mainly in regard with the active style. In general, the scores for the different styles are more homogenous and high in the new questionnaire. Conclusions. Given the reliability values found and the greater homogeneity of the same CESEA utilization is recommended to determine the learning styles of medical students in order to improve the less developed.
Introduction. The main objective of this innovation has been to fight against the students' tendency to passivity and to encourage them to build their own personal and relevant knowledge. The strategies to achieve this are to promote learning through the practice of transversal competences and to control it by encouraging reflective self-evaluation. Subjects and methods. The students were asked to write multiple choice questions and the arguments to justify the answers. After the experience, the students completed a questionnaire in which they expressed their views on various aspects of the project. Results. The analysis of the academic scores of those students who took part in the project, showed an objective and statistically significant improvement in performance. Conclusion. Formulation of multiple choice questions by the students is a particularly useful tool for content learning, as well as for the development of transversal and specific competences. On the other hand, it is absolutely necessary to promote student self-assessment in order to reach the educational objectives.
Aim. To characterized curricular components apply for nephrology medical training in Latin-America. Subjects and methods. Descriptive study including nine countries. It was request to current Nephrology Training Programs. We analized different curricular variables, taking as epistemological hallmark the competence-based medical education and dimensions from Accreditation Council for Graduate Medical Education (ACGME) from USA as reference. Results. Programs from nine countries (Argentina, Bolivia, Costa Rica, Chile, Ecuador, Guatemala, Mexico, Peru and Uruguay) look to improve the specialist profile and cover sanitary demands. The positions suit the centers capacity and applicants are selected in open competition. The programs include internal medicine training causing disparity in duty hours. Some of them don't explicit graduate profile. The predominant model is 'postgraduate course with residency' with heterogeneous structures and organization. Contents are pertinent and there is equivalence within competences to develop that generally match with ACGME except for 'interpersonal and communication skills' and 'system-based practice' with less impact. All programs destiny 75% of duty hours for clinical practice-based learning with progressive responsibilities under guidance and supervision including academic activities. Evaluations are integrated to the program with adequate tools for competence assessment. Conclusions. Postgraduate level and duration should be unified, defining clearly competences of program's graduate and establishing primary health care activities into the curriculum.
Aim. It is a phenomenological, qualitative and exploratory study with the aim of nursing students at the University of Valladolid (Spain) to reflect on the pros and cons after using problem based learning methodology during an academic semester. Subjects and methods. Intentional sampling methods were consisted of 47 groups of 4-6 students with a total of 256 students. Data was collected through focus groups whose opinions were recorded in writing by performing a content analysis through the technique of categorization. Results and conclusions. On the one hand, perceived advantages include: high motivation, improved teamwork, deeper learning and changing roles of students being responsible for their own learning and teachers, being mentors who guided and guided them. On the other hand, the disadvantages are: an initial rejection of change, difficulty in coordinating the group, increased workload and more time spent for learning.
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 achieve the acquisition of these competencies, it has been necessary to implement Entrustable Professional Activities (EPAs), term coined by Ten Cate and Scheele, its purpose has been to link the concept of competencies with the practice. EPAs are clinical activities that learners must carry out for master them without supervision. The Milestone Project created by the ACGME was founded in order to enrich the competencies, where each specialty should define their own and decide the level of performance expected of students in each postgraduate year of the specialty. To apply the EPAs it is necessary that its design is consistent with the objectives of the curriculum and requirements of the profile of the graduate. Several educational institutions in different countries have implemented this innovative model of teaching, including: Canada, United States of America, United Kingdom, Australia, New Zealand and the Netherlands. The purpose of this article is to spread new proposals for medical education that link the competencies with the daily basis practice in medicine to allow clinicians to achieve empowerment of these new tools and can apply them efficiently to the teaching of students, being one of these tools the EPAs.