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[This corrects the article DOI: 10.2196/43656.].
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BACKGROUND: Personalized precision medicine represents a paradigm shift and a new reality for the health care system in Spain, with training being fundamental for its full implementation and application in clinical practice. In this sense, health care professionals face educational challenges related to the acquisition of competencies to perform their professional practice optimally and efficiently in this new environment. The definition of competencies for health care professionals provides a clear guide on the level of knowledge, skills, and attitudes required to adequately carry out their professional practice. In this context, this acquisition of competencies by health care professionals can be defined as a dynamic and longitudinal process by which they use knowledge, skills, attitudes, and good judgment associated with their profession to develop it effectively in all situations corresponding to their field of practice. OBJECTIVE: This report aims to define a proposal of essential knowledge domains and common competencies for all health care professionals, which are necessary to optimally develop their professional practice within the field of personalized precision medicine as a fundamental part of the medicine of the future. METHODS: Based on a benchmark analysis and the input and expertise provided by a multidisciplinary group of experts through interviews and workshops, a new competency framework that would guarantee the optimal performance of health care professionals was defined. As a basis for the development of this report, the most relevant national and international competency frameworks and training programs were analyzed to identify aspects that are having an impact on the application of personalized precision medicine and will be considered when developing professional competencies in the future. RESULTS: This report defines a framework made up of 58 competencies structured into 5 essential domains: determinants of health, biomedical informatics, practical applications, participatory health, and bioethics, along with a cross-cutting domain that impacts the overall performance of the competencies linked to each of the above domains. Likewise, 6 professional profiles to which this proposal of a competency framework is addressed were identified according to the area where they carry out their professional activity: health care, laboratory, digital health, community health, research, and management and planning. In addition, a classification is proposed by progressive levels of training that would be advisable to acquire for each competency according to the professional profile. CONCLUSIONS: This competency framework characterizes the knowledge, skills, and attitudes required by health care professionals for the practice of personalized precision medicine. Additionally, a classification by progressive levels of training is proposed for the 6 professional profiles identified according to their professional roles.
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Humans , Curriculum , Research , Professional Competence , Students, Medical , Research DesignABSTRACT
INTRODUCCIÓN: Los futuros profesionales de Medicina y Salud Pública se enfrentarán a rápidos cambios en el conocimiento científico y tecnológico derivados del proceso de la globalización. La formación universitaria debe reconocer que la internacionalización de sus actividades es imprescindible para la trasferencia de conocimiento. Los Colegios Tordesillas de Doctorado nacieron con el propósito de crear una red sólida de cooperación académico-científica entre universidades brasileñas, portuguesas y españolas. MÉTODOS: La Universidad Miguel Hernández coordina el Colegio Doctoral Tordesillas de Salud Pública e Historia de la Ciencia compuesto por las Facultades de Medicina de las Universidades de Porto y Miguel Hernández, y de Medicina y Salud Pública de São Paulo desde julio de 2017. Su objetivo principal es dotar a los programas de posgrado de nuevos contenidos docentes y potenciar la innovación en la investigación a través de la cooperación internacional. En febrero de 2018 se celebró el primer seminario internacional para establecer alianzas en investigación y docencia. RESULTADOS: Se encontraron intereses comunes importantes de colaboración en investigación y docencia de posgrado en las siguientes áreas: en Salud Pública en estudios sobre políticas públicas, evaluación de la innovación en pruebas diagnósticas, relaciones entre los ámbitos político y científico y conflictos de intereses; en derechos de reproducción y en la creciente medicalización de la sociedad; en Historia de la Ciencia, en estudios sobre el análisis de las reformas sanitarias en países europeos y latinoamericanos en el siglo XX. DISCUSIÓN: La internacionalización universitaria es una pieza clave en la transferencia de conocimiento científico. Los Colegios Tordesillas de Doctorado ofrecen un contexto más flexible para superar obstáculos legales y administrativos para esta internacionalización
INTRODUCTION: Future public health and medical professionals will face new scientific and technological requirements resulting from the globalization process. University education must recognize that the internationalization of its activities is essential for the transfer of knowledge. The Tordesillas Doctoral Schools were born with the purpose of creating a solid network of scientific academic cooperation between Brazilian, Portuguese and Spanish universities. METHODS: The University Miguel Hernández has coordinated The Tordesillas Doctorate School of Public health and History of Science (July 2017) composed by the Faculty of Medicine, from Porto University, Miguel Hernández, and the Faculties of Medicine and Public Health of the University of São Paulo, whose aim is to provide postgraduate programs with new teaching content and enhance innovation in research trough international cooperation. In February 2018, the first International seminar of this The Tordesillas Doctorate School was held to establish partnerships in research and postdoctoral teaching. RESULTS: Important common interest for research and teaching collaboration was found: for Public Health in public policies evaluation studies, assessment of innovation in diagnostic tests, relations between the political and scientific agenda and conflict of interests, studies on health reproduction rights, and the increasing medicalization of society in all contexts. For History of Science interest was shown in analysis of sanitary reforms carried out in European and Latin American countries in the 2nd half of the 20th century. DISCUSSION: The university internationalization is as a key piece in the transfer of scientific knowledge. The Tordesillas Doctoral Schools offer a more flexible context to overcome legal and/or administrative obstacles for internationalization of university activities which might be found in each Institution
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Humans , Education, Medical/standards , Internationality , Public Health/education , International Cooperation , Knowledge , Scientific Research and Technological DevelopmentABSTRACT
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Humans , Education, Medical/trends , Learning , Students, Medical , Clinical Competence , Information TechnologyABSTRACT
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Societies, Medical/organization & administration , Societies, Medical/standards , Diffusion of Innovation , Education, Medical/methods , Education, Medical/trendsABSTRACT
This book presents a number of case studies and conclusions from a workshop, which analyzed systems used to evaluate hospital performance in countries in the WHO European Region. The workshop took place in Milan and was organized in collaboration with the Smith Kline Foundation. The book is part of WHO's project on Innovations in Hospital Management, which aims at identifying innovations to produce better health gain in the broader sense of the term, including better and more accessible care, patient satisfaction through better management, improved quality and cost control
