medigraphic.com
SPANISH

Investigación en Educación Médica

ISSN 2007-5057 (Print)
Investigación en Educación Médica
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2023, Number 46

<< Back Next >>

Inv Ed Med 2023; 12 (46)

Medical education transformation during the COVID-19 pandemic in a national hospital

Flores BJI, Bonilla QL, Rivera BF, Buendía EA, Azar MFJ, Trevethan CSA, López MM, Jiménez GVG, López GLE, Sierra FCR
Full text How to cite this article

Language: Spanish
References: 35
Page: 31-39
PDF size: 538.02 Kb.


Key words:

Organizational change, organizational learning, ICT, medical education, COVID-19.

ABSTRACT

Introduction: The COVID-19 pandemic has generated important transformations in society. In higher education, especially in those institutions and tertiary care centers with training programs for medical specialists, the confinement measures generated significant challenges for the continuity of their internal processes and, particularly, in the teaching-teaching processes, and new strategies to preserve medical education were created.
Objective: To analyze the perception of graduate students about educational transformations based on the organizational changes that were implemented for virtual education during the COVID-19 pandemic in a tertiary care hospital.
Method: Study with a mixed, quantitative and qualitative design, which included 100 medical specialists in training from the National Institute of Cardiology “Ignacio Chávez”. A survey with 151 items was developed, which was applied to the total sample. In addition, 10 in-depth semi-structured interviews with 13 questions were conducted. Qualitative data was analyzed through the MAXQDA version 18 program and quantitative data was analyzed using the R version 3.6.0 program.
Results: A type of radical-adaptive change is shown, which materialized with the emergence of new practices and forms of organization linked to information and communication technologies (ICT) in the teaching-learning processes.
Conclusions: Due to the pandemic, the implementation of strategies linked to the use of ICT allowed the continuity of the training processes in the specialists. In addition, a type of learning will be presented that allows enriching educational processes, both pedagogical and organizational.


REFERENCES

  1. Nicola M, Alsafi Z, Sohrabi C, Kerwan A, Al-Jabir A, IosifidisC, et al. The socio-economic implications of the coronaviruspandemic (COVID-19): A review. Int J Surg. 2020Jun;78:185-93. doi: 10.1016/j.ijsu.2020.04.018

  2. Millán Núñez-Cortés J. COVID-19 due to SARS-Cov2 hasalso affected Medical Education. Educ Médica. 2020 Jul1;21(4):261-4. https://doi.org/10.1016/j.edumed.2020.06.001

  3. Anglada MIG, Fernández JM, Fernández CG, Fenollera PS,Rodrigo AIH, Pérez FG. Essential competences in resident training.What has the COVID-19 pandemic teached us?. EducaciónMédica. 2022;23:100734. doi: 10.1016/j.edumed.2022.100734

  4. Manríque-Gutiérrez G, Motte-García E, Naveja-Romero J,Sánchez Mendiola M, Gutiérrez-Cirlos C. Cambios y estrategiasde la educación médica en respuesta a la pandemia por COVID-19. Investigación en Educación Médica. 2021;10(39):79-95. https://doi.org/10.22201/fm.20075057e.2021.39.21360

  5. Sabharwal S, Ficke JR, LaPorte DM. How We Do It: ModifiedResidency Programming and Adoption of Remote DidacticCurriculum During the COVID-19 Pandemic. J SurgEduc. 2020;77(5):1033-6. DOI: 10.1016/j.jsurg.2020.05.026

  6. Sacristán JA, Millán J. El médico frente a la COVID-19:lecciones de una pandemia. Educ Médica [Internet]. Disponibleen: https://www.elsevier.es/es-revista-educacionmedica-

  7. 71-articulo-el-medico-frente-covid-19-lecciones-S15751813203007477. Vásquez-Sullca RR. Educación remota en médicos residentesen tiempos de COVID-19. Educ Médica [Internet].2020;21(4):282. Disponible en: https://www.sciencedirect.com/science/article/pii/S1575181320300905

  8. Weick KE, Quinn RE. Organizational change and development.Annu Rev Psychol [Internet]. 1999;50(1):361-86.http://dx.doi.org/10.1146/annurev.psych.50.1.361

  9. Nonaka Ikujiro. La empresa creadora de conocimiento. [Internet]1991 Dic [Consultado: 5 de octubre de 2022];23-49.Disponible en: https://materialesdecatedras.files.wordpress.com/2016/03/nonaka_la-empresa-creadora-de-conocimiento.pdf

  10. Garzón Castrillón MA, Fisher AL. Modelo teórico de aprendizajeorganizacional. Rev cient Pensam Gest [Internet].2008;(24):195-224. Disponible en: https://www.redalyc.org/articulo.oa?id=64602408

  11. Gobierno de México. Lineamiento de reconversión hospitalaria.Versión 5 de abril 2020. [Consultado: 26 de diciembre2022]. Disponible en: https://coronavirus.gob.mx/wp-content/uploads/2020/04/Documentos-Lineamientos-Reconversion-Hospitalaria.pdf

  12. Rose S. Medical Student Education in the Time of COVID-19.JAMA - J Am Med Assoc. 2020;323(21):2131-2. doi: 10.1016/j.edumed.2020.05.006

  13. COVID-19: Recommendations for Management of ElectiveSurgical Procedures ACS [Internet]. [Consultado: 26de diciembre de 2022]. Disponible en: https://www.facs.org/for-medical-professionals/covid-19/clinical-guidance/elective-surgery/

  14. Weissman G, Arrighi JA, Botkin NF, Damp JB, Keating FK,Menon V, et al. The Impact of COVID-19 on CardiovascularTraining Programs: Challenges, Responsibilities, andOpportunities. J Am Coll Cardiol. 2020 Aug;76(7):867-70.doi: 10.1016/j.jacc.2020.06.026

  15. COVID-19 situation update worldwide [Internet]. [Consultado:15 de diciembre de 2022]. Disponible en: https://www.ecdc.europa.eu/en/geographical-distribution-2019-ncovcase

  16. Li L, Xv Q, Yan J. COVID-19: the need for continuousmedical education and training. Lancet Respir Med [Internet].2020 Apr 1 [Consultado: 15 de diciembre de 2022];8(4):e23. Disponible en: http://www.thelancet.com/article/S2213260020301259/fulltext

  17. White EM, Shaughnessy MP, Esposito AC, Slade MD, KorahM, Yoo PS. Surgical Education in the Time of COVID:Understanding the Early Response of Surgical TrainingPrograms to the Novel Coronavirus Pandemic. J Surg Educ[Internet]. 2020;78(2):412-21. Disponible en: https://doi.org/10.1016/j.jsurg.2020.07.0

  18. Kanneganti A, Sia C-H, Ashokka B, Ooi SBS. Continuing medicaleducation during a pandemic: an academic institution’sexperience. Postgrad Med J. 2020 Jul;96(1137):384-6. DOI:10.1136/postgradmedj-2020-137840

  19. Argyris C, Schön DA. Organizational learning: A theoryof action perspective. Rev Esp Invest Sociol [Internet]. 1997;(77/78):345. http://dx.doi.org/10.2307/40183951

  20. Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, CondeJG. Research electronic data capture (REDCap)--a metadata-driven methodology and workflow process for providingtranslational research informatics support. J Biomed Inform[Internet]. 2009 [Consultado: 7 de octubre de 2022];42(2):377-81. DOI: 10.1016/j.jbi.2008.08.010

  21. Harris PA, Taylor R, Minor BL, Elliott V, Fernandez M,O’Neal L, et al. The REDCap consortium: Building an internationalcommunity of software platform partners. JBiomed Inform [Internet]. 2019 [Consultado: 7 de octubrede 2022];95(103208):103208. DOI: 10.1016/j.jbi.2019.103208

  22. Glaser, B. Basics of grounded theory analysis. California:Sociology Press; 1992. p. 128.

  23. Van de Ven AH, Poole MS. Explaining development andchange in organizations. Acad Manage Rev [Internet]. 1995;20(3):510. Disponible en: http://www.jstor.org/stable/258786

  24. Núñez-Cortés JM. With or without pandemic, the patientalways in the focus of medical education. Educación Médica.2021;22:1. doi: 10.1016/j.edumed.2021.04.001

  25. Yin, R. Case Study Research: Design and Methods. SageNewbury Park; 1994. p. 166.

  26. Giraldo Ospina GA, Gómez Gómez MM, Giraldo OspinaCF. COVID-19 and use of social media in medical education.Educación Médica. 2021;22:273-7. doi: 10.1016/j.edumed.2021.05.007

  27. Kast F, Rosenzweing J. Administración en las organizaciones:Enfoque de sistemas y de contingencias. McGraw-Hill;1988. p. 336.

  28. Akaki Blancas JL, López Bárcena J. Formación de médicosespecialistas en México. Educ médica [Internet]. 2018 [citado7oct.2022];19:36-42. doi: 10.1016/j.edumed.2018.03.007

  29. Sánchez-Duque JA. Educación médica en tiempo de pandemia:el caso de la enfermedad por coronavirus 2019(COVID-19). Educ Médica [Internet]. 2020;21(4):259-60.Disponible en: https://www.elsevier.es/es-revista-educacion-medica-71-articulo-educacion-medica-tiempo-pandemia-el-S157518132030071

  30. Shehata MH, Abouzeid E, Wasfy NF, Abdelaziz A, WellsRL, Ahmed SA. Medical Education Adaptations Post COVID-19: An Egyptian Reflection. J Med Educ Curric Dev.2020;7. doi: 10.1177/238212052095181

  31. Eva KW, Anderson MB. Medical Education Adaptations:Really Good Stuff for educational transition during a pandemic.Medical education. England; 2020;54:494. doi: 10.1111/medu.14172

  32. Wang C, Xie A, Wang W, Wu H. Association between medicalstudents’ prior experiences and perceptions of formalonline education developed in response to COVID-19: Across-sectional study in China. BMJ Open. 2020;10(10):1-10.doi: 10.1136/bmjopen-2020-04188

  33. Robinson JD, Persky AM. Developing Self-Directed Learners.Am J Pharm Educ. 2020 Mar;84(3):847512. doi: 10.5688/ajpe847512

  34. Hilburg R, Patel N, Ambruso S, Biewald MA, Farouk SS.Medical Education During the Coronavirus Disease-2019Pandemic: Learning from a Distance. Adv Chronic KidneyDis. [Internet].2020 Sep;27 [Consultado: 6 de octubre de2022] (5):412-7. doi: 10.1053/j.ackd.2020.05.017

  35. Méndez Véjar C, Parodi Fuentes C, Pimentel C, VillagránGutiérrez I. Percepción del aprendizaje en línea adaptadoen contexto de COVID-19 en estudiantes de Nutrición.RIEM [Internet]. 11oct. 2021 [Consultado: 6 de octubre de2022];10(40):37-1. Disponible en: http://www.riem.facmed.unam.mx/index.php/riem/article/view/731




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Inv Ed Med. 2023;12