Abstract

LOPEZ-BARCENA, Joaquín et al. Comprehensive evaluation of the competences in the training of physicians in Mexico: an interinstitutional study. FEM (Ed. impresa) [online]. 2015, vol.18, n.1, pp.55-61. ISSN 2014-9840.  https://dx.doi.org/10.4321/S2014-98322015000100009.

Introduction. The medical education in México does not have any national tests which could comprehensively evaluate and hence identify the educational strengths and weaknesses. Aims. To estimate the feasibility of inter institutional collaboration to evaluate the medical knowledge, and to evaluate comprehensively the medical knowledge, skills and attitudes. Subjects and methods. Eight faculties of medicine defined the competences needed at the end of the year before starting the internship. An online exam was given, it was composed of 105 multiple choice questions plus a objective structured clinical exam (OSCE) covering 18 areas. Subjects evaluated: Surgery, Gynecology, Internal Medicine, Community Medicine and Pediatrics. Sample: students who were about to start the internship. This sample was made according to the registration of each institution. The results were analyzed as a whole; the knowledge in each area and the institution. Results. 199 students, from eight faculties, participated in both evaluations, 99 men and 100 women aged 21. The global performance by area was: Surgery 60.22%, Gynecology 61.60%, Internal Medicine 57.97%, Pediatrics 52.25%, Public Health 49.68%. The total average was 56.40%. Results by institution: mean result between 35.91 and 51.06%. Conclusions. The participation to evaluate comprehensively the medical knowledge is feasible inter institutionally. The platform used made possible to administer simultaneously on line exams. The OSCE is feasible and useful to evaluate competences and skills. It is recommendable that all the schools use it. Strengths were identified in gynecology, and surgery as well as weaknesses in pediatrics and mainly in public health and community medicine. These results could be considered as useful references to adjust the syllabus. It is required to increase the size of the sample.

Keywords : Competences; Medical education; Medicine; OSCE.

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