Academic management of clinical courses: Relations and tensions between the university and the hospital

Abstract

Introduction: The relation between the schools of medicine that depend on the universities and the hospitals where under graduate students carry out their clinical practice link educational institutions with the health care centers that arepart of the National System of Health.

Objective: Analyze the joints and tensions inrelations between the clinical education positioned subjects following the changes introduced by the Curriculum 2010 of the Faculty of Medicine at the Universidad Nacional Autonoma de Mexico.

Method: Interpretive quality ative study where the sample recovers the experience narrated by students and teachers relative to the academic management and the interinstitutional relation between the Faculty of Medicine at the Universidad Nacional Autonoma de Mexico and the hospitals. Thirty-nine focus groups participated with 321 people (180 students and 141 teachers) between October 2013 and March 2014.

Results: Three relevant issues presentin academic management interinstitutional relations were identified: 1) implementation of the Curriculum 2010, structured in intensive courses by specialty; 2) new criteria for the recruitment of academic staff and the recount of working hours of teachers per subject in the clinic; and 3) changes in the power relations between the pedagogical subject.

Conclusions: The implementation of the Curriculum 2010 structured in intensive courses by specialty, the new criteria for the hiring of the teaching staff and the redistribution of working hours of the teachers per subjectin the clinic altered the dynamics of the relations between the pedagogic subjects, as well as their distribution of power.