Acreditación y resultados de la educación médica en México / Accreditation and results from medical education in Mexico

OBJETIVO: Saber si los programas de educación médica reconocidos por su calidad tienen mejores resultados en el Examen Nacional de Aspirantes a Residencias Médicas. MATERIAL Y MÉTODOS: Se analizan los resultados del Consejo Mexicano para la Acreditación de la Educación Médica (programas acreditados, programas no acreditados y programas sin acreditación) y los de los Comités Interinstitucionales para la Evaluación de la Educación Superior (programas con y sin nivel 1) según el Examen Nacional de Aspirantes a Residencias Médicas (2016). RESULTADOS: Tanto en el número de programas con promedio general aprobatorio, como en la probabilidad de ser seleccionado y en el promedio general del examen, los programas con reconocimiento tienen mejores resultados. Sin embargo, en el 37% de los programas hay contraposición entre reconocimiento y resultados. CONCLUSIONES: En general, los programas con reconocimiento tienen mejores resultados. Hay que justipreciar la importancia de estos para el otorgamiento de los reconocimientos a la calidad

OBJECTIVE: To determine whether the medical education programs recognised for their quality achieve better results in the National Medical Residency Examination. MATERIAL AND METHODS: An analysis was performed on the results from the Mexican Council for Accrediting Medical Education (accredited programs, non-accredited programs and programs with no accreditation), as well as from the Inter-institutional Committee on Evaluating Higher Education (Level 1 or No Level 1 Programs) according to the National Medical Residency Examination for Candidates (2016). RESULTS: Recognised programs achieve better results as regards the possibility to be admitted, as well as the mean scores. However, there is an evident difference between the results and the recognition in 37% of the programs. CONCLUSIONS: In general, the recognised programs get better results. Thus, their importance has to be appraised in order to recognise quality

[Professional competencies of nursing, medical, and dental interns performing social service in Mexico]. / Competencias profesionales de los pasantes de enfermería, medicina y odontología en servicio social en México.

OBJECTIVE: determine the degree to which nursing, medical, and dental interns performing social service in Mexico have the professional competencies required to practice the profession. METHODS: the results of the general examinations for completion of the undergraduate degree, administered between 2006 and 2008 to students in the nursing, medical, and dentistry programs by the National Center for Higher Education Assessment, were reviewed. RESULTS: of the 39 824 graduates in the three programs who were tested during the period in question, 12 845 did not exhibit the minimum professional competencies. In nursing, out of the total students tested in the three-year period, 3 765 (30.2%) performed inadequately; in medicine, the figure was 6 704 (32.7%), and in dentistry, 2 376 (34.1%). Notwithstanding, backed by the respective regulations, all them were practicing, or had practiced, as professionals, serving as members of the health team in health institutions (approximately 11% of the Ministry of Health workforce in those professions). CONCLUSIONS: interns are the bedrock of health care for the rural population, but approximately one-third of them lack the basic competencies to practice their profession. It is imperative that they demonstrate professional competence before beginning their social service and that they be closely supervised, both academically and professionally, during their internship.

Competencias profesionales de los pasantes de enfermería, medicina y odontología en servicio social en México / Professional competencies of nursing, medical, and dental interns performing social service in Mexico

OBJETIVO: Identificar hasta dónde los pasantes de enfermería, medicina y odontología que están realizando su servicio social en México poseen las competencias profesionales requeridas para ejercer la profesión. MÉTODOS: Se revisaron los resultados de los exámenes generales para el egreso de la licenciatura, aplicados por el Centro Nacional para la Evaluación de la Educación Superior a los egresados de las carreras de enfermería, medicina y odontología entre 2006 y 2008. RESULTADOS: De 39 824 egresados examinados de las tres carreras en el periodo considerado, 12 845 no contaban con las competencias profesionales mínimas. En enfermería, del total de examinandos en los tres años, 3 765 (30,2 por ciento) mostraron desempeño no suficiente; en medicina, 6 704 (32,7 por ciento), y en odontología, 2 376 (34,1 por ciento). A pesar de esto, todos ellos ejercían, o habían ejercido, como profesionistas, con el respaldo de la normatividad correspondiente y formando parte del personal de salud de las instituciones de salud (aproximadamente 11 por ciento de la fuerza de trabajo en esas profesiones, en la Secretaría de Salud). CONCLUSIONES: Los pasantes son la base de la atención de salud de la población rural, pero aproximadamente una tercera parte de ellos no tienen las competencias profesionales mínimas. Es imperativo que demuestren sus competencias profesionales antes de iniciar el servicio social, y que cuenten con una supervisión académica y profesional estrecha durante el término de la pasantía.

OBJECTIVE: Determine the degree to which nursing, medical, and dental interns performing social service in Mexico have the professional competencies required to practice the profession. METHODS: The results of the general examinations for completion of the undergraduate degree, administered between 2006 and 2008 to students in the nursing, medical, and dentistry programs by the National Center for Higher Education Assessment, were reviewed. RESULTS: Of the 39 824 graduates in the three programs who were tested during the period in question, 12 845 did not exhibit the minimum professional competencies. In nursing, out of the total students tested in the three-year period, 3 765 (30.2 percent) performed inadequately; in medicine, the figure was 6 704 (32.7 percent), and in dentistry, 2 376 (34.1 percent). Notwithstanding, backed by the respective regulations, all them were practicing, or had practiced, as professionals, serving as members of the health team in health institutions (approximately 11 percent of the Ministry of Health workforce in those professions). CONCLUSIONS: Interns are the bedrock of health care for the rural population, but approximately one-third of them lack the basic competencies to practice their profession. It is imperative that they demonstrate professional competence before beginning their social service and that they be closely supervised, both academically and professionally, during their internship.