El funcionamiento del equipo de autoevaluación como garantía de la calidad en la carrera de Medicina / The functioning of the self-assessment team as a guarantee of quality in the Medicine career

RESUMEN La mejora continua de la calidad en la carrera de Medicina constituye no solo un reto, sino un compromiso para las actuales y futuras generaciones. En este sentido, la autoevaluación resulta trascendental. Para ello, es preciso contar con un equipo que lidere el proceso de forma efectiva. El presente artículo tiene como propósito reflexionar acerca de la estructura, funcionamiento, roles y responsabilidades del equipo de autoevaluación. Las valoraciones realizadas permiten precisar elementos en cuanto a su composición, y cualidades que deben distinguir a sus integrantes y al coordinador. Se presentan y ejemplifican funciones a desarrollar en el orden de la planificación y organización, de la ejecución y del control del proceso. Por otra parte, se señalan condiciones o requisitos que deben ser atendidos para el cumplimiento exitoso de las funciones enunciadas. Se enfatiza en la necesidad de la observancia de los aspectos señalados, para contribuir a la mejora continua de la calidad en la carrera de Medicina.

ABSTRACT The continuous improvement of quality in the Medicine career constitutes not only a challenge, but also a commitment for current and future generations. In this sense, self-evaluation is crucial. For this, it is necessary to have a team that leads the process effectively. The purpose of this article is to reflect on the structure, operation, roles and responsibilities of the self-assessment team. The evaluations made allow to specify elements regarding its composition, and qualities that should distinguish its members and the coordinator. Functions to be developed are presented and exemplified in the order of planning and organization, execution and control of the process. On the other hand, conditions or requirements are indicated that must be met for the successful fulfillment of the stated functions. Emphasis is placed on the need to observe the aforementioned aspects, to contribute to the continuous improvement of quality in the Medicine career.

Loop-mediated Isothermal Amplification LAMP, Simple Alternative Technique of Molecular Diagnosis Process in Medicals Analysis: A Review

The Medical diagnostic process requires more various methods to cover all sorts of clinical demands. Those methods depend on the types of samples and the requested analysis. The Medical diagnostic is considered as a process until making a clinical decision about a physiopathology or infection through medicals analysis. Nucleic acid amplification methods continue to play a role in these medicals analysis processes, but, many gold conventional standard Methods are time-consumers, less sensitive, technically challenging. It is that reason why recently, after the development of the PCR technique; the real-time PCR became a frequently requested tool to diagnose the virus, bacteria, fungal and parasites infections in different pathologies, especially in developed countries. However, its availability remains a big problem in resource-limited countries like Africa continent. It is because of the issue due to cost, technology, human resource constraints and the remote areas with limited access to laboratory facilities which stays also a major problem. Nucleic acids amplification methods remain to be expensive, not accessible for all laboratories. In addition to this, they are easily inhibited and contaminated by the other biochemical reagents time-consumer, for this reason, other methods of nucleic acid amplification under isothermal conditions have emerged each with its particularities. Despite their successes, molecular biology should have a method that combines many of the advantages and accessible everywhere. So, in 2000, the LAMP method was developed and offered many advantages such as speed, specificity, high sensitivity and the cost of very low equipment. In this review, we present the different studies to confirm the advantages of LAMP that we consider as an alternative to PCR in molecular diagnostics with a wide range of use on clinical samples and in scientific research and also, the method to save the Africans patients from the high cost and time consuming of other amplification methods.

To Explore the Doctor-Patient Relationship During the Process of Clinical Practice Teaching in Children's Department of Stomatology / 中华医学教育探索杂志

Relationship between the doctors and patients is the most important and basic interpersonal relationship in the medical practice and it is also the ability for interns to be strengthened.During the process of clinical practice teaching in children's department of stomatology,we demand that demonstration teachers deal with the relationship between the teaching and patients.Interns should skillfully grasp the psychological behavior of children,learn the skills of communicating and disposaling interpersonal relationship,and cultivate the consciousness of satisfactory medical ethics,laws and legislation.