ABSTRACT
INTRODUCTION: Problem-based learning has been a key component of the teaching method employed at the Faculty of Medicine at the University of Castilla La Mancha (UCLM) in Albacete, Spain since its creation. The aim of this study was to evaluate perceptions of training among residents who graduated from the first three years of the UCLM Degree in Medicine. METHODS: Using the Jefferson Medical College postgraduate rating form, residents rated their performance in four areas of clinical competency (medical knowledge, data gathering skills, clinical judgment, and professional attitudes) at the beginning of residency training in comparison with colleagues from other faculties. The construct validity of responses was evaluated using Cronbach's alpha and exploratory factor analysis. RESULTS: Over half the respondents (57.8%) considered that they had received better training than peers from other medical schools, and 98.5% felt that their general performance in the four competencies analyzed was similar or superior to that of their colleagues. Factor analysis revealed two major factors: "the physician as scientist" and "the physician as manager and communicator". CONCLUSIONS: Our study shows that graduates from the UCLM Faculty of Medicine perceive their training, which is largely based on problem-based learning, as satisfactory.
Subject(s)
Attitude of Health Personnel , Clinical Competence/standards , Education, Medical, Graduate/standards , Problem-Based Learning/standards , Students, Medical/psychology , Adult , Data Interpretation, Statistical , Education, Medical, Graduate/methods , Education, Medical, Graduate/organization & administration , Factor Analysis, Statistical , Female , Humans , Male , Models, Educational , Problem-Based Learning/methods , Problem-Based Learning/organization & administration , Program Evaluation/methods , Program Evaluation/standards , Self-Assessment , Spain , Statistics, Nonparametric , Young AdultABSTRACT
Objetivo. Exponer el caso de una gestante que presentó un hematoma espontáneo de cordón umbilical, así como revisión de la literatura. Sujetos y métodos Primigesta, sin antecedentes de interés, con control gestacional normal, que ingresó por fase latente de parto. La MNE fue no satisfactoria, realizándose una cesárea de urgencia. Resultados. Nacimiento de una mujer de 3.050g, Apgar 1/3, que ingresó en la UCI y fue dada de alta con diagnóstico de encefalopatía hipóxico-isquémica. Conclusiones. La presencia de un patrón de monitorización fetal no satisfactorio debe alertar hacia la patología de cordón umbilical, debiéndose revisar este histológicamente (AU)
Objective. To present the case of a pregnant woman with a spontaneous umbilical cord hematoma and to provide a review of the literature. Subjects and methods. A primigravida, with no antecedents of interest and uneventful pregnancy, was admitted to our hospital in the latent phase of labor. Cardiotocography was unsatisfactory, and an urgent cesarean section was performed. Results. A 3050g girl was born, with an Apgar score of 1/3, and was admitted to the intensive care unit. The neonate was discharged with a diagnosis of hypoxic-ischemic encephalopathy. Conclusions. Umbilical cord abnormalities should be suspected when the results of fetal monitoring are unsatisfactory. Histological analysis of the umbilical cord should be performed (AU)
