ABSTRACT
BACKGROUND: To present learning outcomes in clinical communication for a Core Curriculum for medical undergraduate students in Latin America, Portugal and Spain (LAPS-CCC) and to establish an expert network to support a transnational implementation. METHODS: Through an iterative process, an international group of 15 experts developed an initial set of learning outcomes following a review and discussion of relevant international and local literature. A two-round Delphi survey involving 46 experts from 8 countries was performed. Quantative and qualitative analisis permited the definition of the final consensus. RESULTS: The initial proposal included 157 learning outcomes. The Delphi process generated 734 comments and involved the modification, deletion and addition of some outcomes. At the end of the process, a consensus was reached on 136 learning outcomes grouped under 6 competency domains with a high overall acceptance (95.1 %). CONCLUSIONS: The learning outcomes of this proposal provide a guide to introduce, support and develop communication curriculae for undergraduate medical studies in the countries involved or in other Spanish- or Portuguese-speaking countries.
Subject(s)
Communication , Education, Medical, Undergraduate/standards , Clinical Competence/standards , Curriculum/standards , Delphi Technique , Humans , Latin America , Portugal , Spain , Surveys and QuestionnairesABSTRACT
El objetivo del trabajo es determinar el modelo médico hegemónico (MMH) o modelo biopsicosocial (MBPS) subyacente en cada capítulo de anamnesis de los libros de Semiología empleados para la enseñanza de grado en la Universidad de Buenos Aires en la Carrera de Medicina desde 1910 a la fecha. Se trata de un trabajo observacional descriptivo longitudinal retrospectivo que implicó la revisión de los capítulos sobre anamnesis donde se tomaron como variables de análisis la extensión absoluta y relativa del capítulo en relación al total de la obra y por otro lado, la indagación sobre aspectos psicosociales y la inclusión de la familia en calidad de recurso de salud de los pacientes. Con esas dos últimas variables se determinó la adherencia a uno u otro modelo. De una totalidad de 8 obras, solo una de ellas (la única cuya primera edición fue en el S. XXI) fue escrita bajo el MBPS, otra obra cuya...
To determine the hegemonic medical model (HMM) or biopsychosocial model (BPSM) underlying in each chapter of Anamnesisof Semiology books used for teaching in undergraduate at the Universityof Buenos Aires from 1910 to date. This is a retrospective, longitudinal observational study that involved the review of the chapters on Anamnesiswhere the variables of analysis taken were the absolute and relative lengthof the chapter in relation to the total work and on the other hand, the inquiry into psychosocial aspects and family inclusion as a health resourcefor patients. With these two last variables adherence to either model was determined. Out of 8 pieces, only one (the only one whose 'rst edition wasin the XXI century) was written under the MBPS, another work whose...
