Evaluación por competencias de un modelo novedoso de gestión de calidad en médicos internos de pregrado.

Assessment by competencies of an innovative quality management model in Undergraduate Medical Interns
Haydeé Parra-Acostaa, Jesús Guadalupe Benavides-Oliverab, Julio César López-Gonzálezc, Raúl Manuel Favela-Camposd, Carolina Guevara-Lópeze, Alma Delia Vázquez-Aguirree

a Coordinación de Investigación Educativa, Facultad de Medicina, Universidad Autónoma de Chihuahua, Chihuahua, Chih., México
b Dirección de la Facultad de Medicina, Universidad Autónoma de Chihuahua, Chihuahua, Chih., México
c Secretaría de Investigación y Posgrado, Facultad de Medicina, Universidad Autónoma de Chihuahua, Chihuahua, Chih., México
d Coordinación de Vinculación Educativa, Facultad de Medicina, Universidad Autónoma de Chihuahua, Chihuahua, Chih., México
e Facultad de Medicina, Universidad Autónoma de Chihuahua, Chihuahua, Chih., México

Recepción 23 de septiembre de 2013; aceptación 14 de enero de 2014

Palabras Clave

Desempeño humanista; competencias; tutorías clínicas y evaluación del Examen Clínico Objetivo Estructurado; México.

Keywords

Humanist performance; competences; clinical tutors; assessment of objective structured clinical evaluation; Mexico.

Abstract

Introduction: The global health problems require competent doctors who promote health in a humanitarian way and with ethical commitment. To contribute to this social demand, we have implemented a quality management model (QMM) oriented to the integral formation of physician competencies.

Objective: To assess the implications of this model evaluated through the objective structured clinical evaluation (OSCE).

Method: A descriptive-transverse correlational study with the application of OSCE to 46 undergraduate medical interns (UMI) to assess humanist performance by competencies with stan-dardized patients (SPs) through four levels of performance: receptive, resolving, autonomous and strategic. A questionnaire was applied to measure the relationship between training projects of the quality management model and the competences of UMI. The results were analyzed with a significance level of p<0.01 and with a 1-10 scale in performance.

Results: The UMI achieved an autonomous performance level (8-9) in the competences of: communication, socio cultural interrelationships and diagnosis and management of diseases. However the UMI showed a receptive level (5-6) and resolving (6-7 in the competence of culture in health and troubleshooting, they require support from the clinical tutor. Significant relationship was observed between the preparation of the tutor and the display a friendly, respectful, cordial attitude of the MIP to explore their patient (0.28).

Conclusions: The QMM through evaluation OSCE favors the development humanist competences: socio-cultural, communication and diagnosis and management of diseases.