Evaluación y acreditación de especialidades de posgrado en la Universidad de Ciencias Médicas de Camagüey / Evaluation and accreditation of postgraduate specialties at the University of Medical Sciences of Camagüey

RESUMEN Fundamento: La evaluación y acreditación de especialidades de posgrado es un proceso voluntario mediante el cual una organización de salud es capaz de medir la calidad de sus servicios y el rendimiento de los mismos frente a estándares reconocidos a nivel nacional o internacional. Objetivo: Describir los resultados de la evaluación y acreditación de especialidades de posgrado en la Universidad de Ciencias Médicas de Camagüeydesde el año 2018 hasta la actualidad. Métodos: Se realizó un estudio descriptivo transversal. El universo estuvo constituido por 37 especialidades con créditos académicos actualizados, lo que las certifica como programas aptos para presentarse a un proceso de evaluación externa. Para el análisis estadístico de las variables cualitativa estudiadas, se emplearon números absolutos y por ciento para el resumen de la información. Los resultados se expresaron en texto y tablas estadísticas. Resultados: De las 37 especialidades con créditos académicos actualizadosnueve fueron acreditadas, siete de ellas con categorías superior de excelencia, dos con categoría de certificada. Conclusiones: Desde el año 2018 a la actualidad de las 37 especialidades con créditos académicos actualizados se han evaluado y acreditado nueve programas de especialidades, además existen ocho con expedientes de autoevaluación para someterse al proceso de evaluación externa virtual.

ABSTRACT Background: The evaluation and accreditation of postgraduate specialties is a voluntary process through which a health organization is able to measure the quality of its services and their performance against nationally or internationally recognized standards. Objective: Describe the results of the evaluation and accreditation of postgraduate specialties at the University of Medical Sciences of Camagüey from 2018 to the present. Methods: A descriptive cross-sectional study was carried out. The universe consisted of 37 specialties with updated academic credits, which certifies them as suitable programs to be submitted to an external evaluation process. For the statistical analysis of the qualitative variables studied, absolute numbers and percent were used for the summary of the information. The results were expressed in text and statistical tables. Results: Of the 37 specialties with updated academic credits, nine were accredited, seven of them with superior categories of excellence, two with certified categories. Conclusions: From 2018 to the present of the 37 specialties with updated academic credits, nine specialty programs have been evaluated and accredited, in addition there are eight with self-evaluation files to undergo the virtual external evaluation process.

Proceso de evaluación del desempeño del residente de Ginecología y Obstetricia en la Facultad de Ciencias Médicas "Finlay-Albarrán" / The Process of Performance Evaluation of the Gynaecology and Obstetrics Resident in Finlay Albarrán Medical School

Introducción: El proceso de evaluación en las especialidades médicas es fundamentalmente cualitativo, de verificación de evidencias del desempeño para garantizar una adecuada formación profesional. El Programa de la especialidad de Ginecología y Obstetricia en Cuba, se ha enriquecido con nuevos contenidos desde su implementación, pero el sistema de evaluación del residente ha experimentado pocas modificaciones. Objetivo: Caracterizar el proceso de evaluación del desempeño del residente de Ginecología y Obstetricia en la Facultad de Ciencias Médicas "Finlay-Albarrán" para identificar los problemas y las potencialidades que permitan programar actividades para su mejoramiento. Métodos: Se realizó análisis documental e histórico-lógico. Se efectuó revisión documental. Se hicieron entrevistas, encuestas y la observación del desempeño del profesor durante el proceso docente educativo; parametrización y triangulación metodológica. Resultados: Se identificaron problemas en las tres dimensiones estudiadas entre los que se destacan: deficiente nivel de comprobación de los conocimientos de las ciencias básicas, limitada utilización del idioma inglés en la práctica profesional, insuficiente conocimiento entorno a la evaluación del desempeño y la insuficiente participación del profesor en actividades de superación profesional relacionadas con el proceso de evaluación. Se identificó una potencialidad. Conclusiones: La caracterización del proceso de evaluación del desempeño del residente de Ginecología y Obstetricia en la Facultad de Ciencias Médicas "Finlay-Albarrán" permitió la identificación de problemas y una potencialidad. Los resultados de esta investigación conducen al diseño y desarrollo de actividades que propicien el mejoramiento del sistema de evaluación con enfoque en el desempeño(AU)

Introduction: The process of evaluation in medical specialties is mainly a qualitative one, based on the verification of performance evidences that guarantee an adequate professional training. The specialty program for Gynecology and Obstetrics in Cuba has been enriched with new contents since its implementation, but the resident's evaluation system has undergone few modifications. Objective: To characterize the process of evaluation for the Gynecology and Obstetrics resident's performance in "Finlay-Albarrán" Medical School, in order to identify the problems and potentialities that allow to program activities for its improvement. Methods: Literature and historical-logical analyses were carried out. A documentary review was made. Interviews, surveys and the observation of the teacher's performance during the educational process; parametrization and methodological triangulation. Results: Problems were identified in the three dimensions studied; for example, a poor level of knowledge verification in basic sciences, limited use of the English language in the professional practice, insufficient knowledge about performance evaluation, and insufficient participation of the teacher in professional improvement activities related with the evaluation process. A potentiality was identified.Conclusions: The characterization of the process of performance evaluation for the Gynecology and Obstetrics resident in Finlay-Albarrán Medical School allowed the identification of problems and a potentiality. The results of this research lead to the design and development of activities that encourage the improvement of the evaluation system, with a focus on performance(AU)

Polaridad de los comentarios y consistencia interna en los informes de arbitraje de artículos de investigación / Polarity of comments and internal consistency in peer review reports on scientific research articles / Polaridade dos comentários e consistência interna nos informes de arbitragem de artigos de pesquisa

El informe de arbitraje en los procesos de revisión por pares de artículos de investigación es un género clave para explicar cómo se construye colectivamente el conocimiento científico. En estos informes los evaluadores emiten, junto con una serie de comentarios, una recomendación de publicación. El análisis de la calidad del proceso de evaluación por pares se ha realizado a partir de indicadores, como las tasas de rechazo o el grado de acuerdo entre los evaluadores. Sin embargo, aún queda pendiente una evaluación cualitativa del proceso. El objetivo de este trabajo fue describir la proporción, según su polaridad (positiva, negativa y neutra), de los comentarios de 56 informes de evaluación de la Revista Onomázein y determinar si esa proporción era consistente con la recomendación de los evaluadores (Aceptado, Aceptado con enmiendas mayores o menores, y Rechazado). Del análisis de 1.472 comentarios se determinó que, independientemente de la decisión, la mayor proporción corresponde a comentarios negativos. Asimismo, podemos afirmar que los procesos analizados presentan un alto grado de consistencia. Mientras más favorable es la recomendación de los árbitros mayor es la proporción de comentarios positivos emitidos y, correspondientemente, menor es la proporción de comentarios negativos.

Peer review reports on scientific articles means a key genre to explain how scientific knowledge is collectively constructed. In these reports, reviewers write a recommendation for publication along with a series of comments. The quality analysis of the peer review process has been commonly conducted based on indicators, such as rejection rates and the agreement level among evaluators. However, a more qualitative investigation on the process still remains outstanding. This work aims at describing the polarity (positive, negative and neutral) of comments corresponding to 56 peer review reports belonging to the journal Onomázein and determining whether this proportion is consistent with the reviewers recommendation, i.e. Accepted, Accepted with major revisions, Accepted with minor revisions and Rejected). After the analysis of 1.472 comments, it was possible to determine that the highest proportion of comments is negative, independent of the decision. The analyzed processes also showed a high level of consistency. The more favorable the recommendation, the higher the proportion of positive comments, and, consequently, the less the proportion of negative comments.

O informe de arbitragem nos processos de revisão por pares de artigos de pesquisa é um gênero chave para explicar como se constrói coletivamente o conhecimento científico. Nestes informes os avaliadores emitem, junto com uma série de comentários, uma recomendação de publicação. A análise da qualidade do processo de avaliação por pares foi realizada a partir de indicadores, como as taxas de recusa ou o grau de acordo entre os avaliadores. No entanto, ainda resta pendente uma avaliação qualitativa do processo. O objetivo deste trabalho foi descrever a proporção, segundo a sua polaridade (positiva, negativa e neutra), dos comentários de 56 informes de avaliação da Revista Onomázein e determinar se essa proporção era consistente com a recomendação dos avaliadores (Aceito, Aceito com emendas maiores ou menores, e Recusado). Da análise de 1.472 comentários se determinou que, independentemente da decisão, a maior proporção corresponde a comentários negativos. Assim mesmo, podemos afirmar que os processos analisados apresentam um alto grau de consistência. Quanto mais favorável for a recomendação dos árbitros maior será a proporção de comentários positivos emitidos e, correspondentemente, menor é a proporção de comentários negativos.

[Improvement in the efficiency of a rehabilitation service using Lean Healthcare methodology]. / Mejora de la eficiencia de un servicio de rehabilitación mediante metodología Lean Healthcare.

INTRODUCTION: The aim of this study was to evaluate the reduction in costs and the increase in time devoted to the patient, by applying Lean Healthcare methodology. MATERIAL AND METHODS: A multidisciplinary team was formed, setting up three potential areas for improvement by performing a diagnostic process, including the storage and standardization of materials, and professional tasks in the therapeutic areas, by implementing three Lean tools: kanban, 5S and 2P. RESULTS: Stored material costs decreased by 43%, the cost of consumables per patient treated by 19%, and time dedicated to patient treatment increased by 7%. CONCLUSIONS: The processes were standardized and "muda" (wastefulness) was eliminated, thus reducing costs and increasing the value to the patient. All this demonstrates that it is possible to apply tools of industrial origin to the health sector, with the aim of improving the quality of care and achieve maximum efficiency.

[The use of benchmarking to manage the healthcare supply chain: effects on purchasing cost and quality]. / Aplicación del benchmarking en la gestión de la cadena de aprovisionamiento sanitaria: efectos sobre el coste y la calidad de las compras.

OBJECTIVE: Healthcare supply expenses consume a large part of the financial resources allocated to public health. The aim of this study was to analyze the use of a benchmarking process in the management of hospital purchases, as well as its effect on product cost reduction and quality improvement. METHODS: Data were collected through a survey conducted in 29 primary healthcare districts from 2010 to 2011, and through a healthcare database on the prices, quality, delivery time and supplier characteristics of 5373 products. RESULTS: The use of benchmarking processes reduced or eliminated products with a low quality and high price. These processes increased the quality of products by 10.57% and reduced their purchase price by 28.97%. CONCLUSIONS: The use of benchmarking by healthcare centers can reduce expenditure and allow more efficient management of the healthcare supply chain. It also facilitated the acquisition of products at lower prices and higher quality.

Por que um jornal? / Why a journal?

O autor descreve sua experiência editorial em revistas científicas e discute sua função e funcionamento. Ao fazê-lo coteja a função e o funcionamento dessas revistas na área da psicanálise com a própria atividade psicanalítica.

The author describes his long editorial experience in regular Scientific Journals and he discusses its function and modus operandi. Subsequently he also discusses the relationship between the psychoanalytical activity in the clinic and the function of a Psychoanalytical Journal.

El autor describe su experiencia editorial en revistas científicas en el área del psicoanálisis y discute su función y funcionamiento comparándolos con la propia actividad psicoanalítica.