medigraphic.com
SPANISH

Atención Familiar

ISSN 1405-8871 (Print)
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2015, Number 1

<< Back Next >>

Aten Fam 2015; 22 (1)

Identification and Classification of Professional Competencies in Family Medicine

Gómez-Clavelina F, Hernández-Torres I, Grijalva MG
Full text How to cite this article

Language: Spanish
References: 24
Page: 19-25
PDF size: 275.49 Kb.


Key words:

Family Medicine, Clinical Competence, Family Practice, Professional competence.

ABSTRACT

Objective: identify the professional competencies of the Family Medicine specialist in Mexico. Methods: qualitative, and descriptive study, and occupational analysis; with prior informed consent. It was applied the Developing a Curriculum (Dacum), Team Kawakita Jiro (tkj) and Critical Incident (ci) techniques in a sample of 152 specialists in Family Medicine. Using the technique of analysis of content some concepts and ideas were identified and organized by categories and domains of competence. The results were compared with similar studies in the United States, United Kingdom, Spain, and Canada. Results: from the 1 840 records collected from the three techniques, it was obtained 3 831 concepts; from these and using the Dacum technique, it was iden- tified 57 different categories in relation to knowledge, skills and attitudes; the tkj technique recognized 879 concepts of essential elements to provide family medical care; and the ci technique identified 21 categories of essential elements for solving problems in the practice of Family Medicine. All identified categories were merged by similarity of content according to the three techniques and 42 different categories were concluded, which were considered as competences. Finally, they were grouped into 12 competence domains. Conclusions: the framework of competences of this study will allow bringing into the program of the “Family Medicine Course of Specialization” certified by the National Autonomous University of Mexico (unam), the necessary elements to train specialists in this discipline towards the achievement of their professional skills.


REFERENCES

  1. Brailovsky CA. Educación médica, evaluación de las competencias. En: ops/oms, eds. Aportes para un cambio curricular en Argentina. Buenos Aires: UniversityPress; 2001. 103-20.

  2. Epstein RM, Hundert EM. Professional Competence. jama. 2002; 287(2):226–35.

  3. Norman G. Defining Competence: A Methodological Review. En: Neufeld VR, Norman GR, editores. Assessing Clinical Competence. New York: Springer Publishing Company; 1985. 15-37.

  4. Abreu HLF, Cid GAN, Herrera CG, Lara VJVM, Laviada DR, Rodríguez ACSA. Perfil por competencias del médico general mexicano. México: Asociación Mexicana de Facultades y Escuelas de Medicina (amfem), Elsevier Masson Doyma; 2008. 1–39.

  5. Swing SR. The acgme outcome project: retrospective and prospective. Med. Teach. [Internet]. 2007 Sep [citado 2013 Sep 16];29(7):648-54. Disponible en: http://www.ncbi.nlm.nih.gov/ pubmed/18236251

  6. Ten Cate O, Snell L, Carraccio C. Medical competence: the interplay between individual ability and the health care environment. Med. Teach [Internet]. 2010 Ene [citado 2013 Sep 30];32(8):669-75. Disponible en: http://www.ncbi.nlm.nih.gov/ pubmed/20662579

  7. Gobierno de la República, Estados Unidos Mexicanos. Plan Nacional de Desarrollo 2013-2018. Estrategia 2.3.4. Líneas de acción 3 y 4. México: 2013.

  8. Junta de Gobierno de la unam, Plan de Desarrollo de la unam 2011-2015. Universidad Nacional Autónoma de México; 2011.

  9. Facultad de Medicina, Universidad Nacional Autónoma de México, Plan de Desarrollo de la Facultad de Medicina 2012-2016. unam; 2011.

  10. The European Society of General Practice/Family Medicine. The european definition of general practice-family medicine. wonca Europe 2011 edition [Internet]. [citado 2014 May 7]] Disponible en: http://bit.ly/1iYl1qk

  11. Boelen C, Haq C, Hunt V, Rivo, Shahady E. Family doctors in health systems. En: wonca, editor. Improving Health Sistems: The contribution of family medicine. A guidebook. wonca; 2002. 37-73.

  12. Center on Educationand Training for Employment. College of Education and Human Ecology. The Ohio State University. Dacum & scid Training Information [Internet]. [citado 2013 Oct 19] Disponible en: http://www.dacumohiostate.com/

  13. Martín-Moreno C. Metodología de investigación en estudios de usuarios. Rev. Gen. Inf. y Doc. 2007;17(2):129-49.

  14. Martin-Bella HB. Universal Methods of Design. Beverly MA, usa: Publishers R; 2012. 235-9.

  15. Irigoin M, Vargas F. Competencia laboral. Manual de conceptos, métodos y aplicaciones en el sector salud. Montevideo, Uruguay: Organización Panamericana de la Salud, Programa de desarrollo de recursos humanos. Oficina Internacional del Trabajo. cinterfor; 2002. 79-126.

  16. Working Group on the Certification Process. Defining competence for the purposes of certification by the College of Family Physicians of Canada: The evaluation objectives in family medicine. The college of Family Physicians of Canada (cfpc) [Internet]. 2010 [citado 2014 May 7] Disponible en: http://bit. ly/RrAt2q

  17. Delzell JE, Ringdahl EN, Kruse RL. The acgme core competencies: a national survey of family medicine program directors. Fam Med. 2005;37(8):576–80.

  18. Martrat ER. Las competencias profesionales adquiridas en medicina familiar y comunitaria. Una mirada desde tutores y residentes. Educ méd. 2004; 7(4):125–31.

  19. Federation of the Royal Colleges of Physicians. The Physician of Tomorrow Curriculum for Core Medical Training and Acute Care Common Stem. Federation of Royal Colleges of Physicians uk [Internet]. 2007 [citado 2014 May 7] Disponible en: http://bit.ly/1fV2JGg

  20. López NF. El análisis de contenido como método de investigación xxi. Rev Educ. 2002;4(2002):167–79.

  21. Kieffer ELF, Pilar DM, Sánchez MM. Datos en medicina: su adquisición, almacenamiento y uso. Taxonomía de la información y el conocimiento. En: Sánchez MM, Martínez FAI. Informática biomédica. 2a ed. México: Elsevier-Masson-Doyma; Universidad Nacional Autónoma de México; 2014. 29-37.

  22. Picardo JO, Escobar BC, Pacheco CV. Diccionario Enciclopédico de Ciencias de la Educación. San Salvador: Centro de Investigación Educativa, Colegio García Flamenco; 2005.

  23. Fletcher S. Análisis de competencias laborales. Herramientas y técnicas para analizar trabajos, funciones y puestos. México: Panorama Editorial; 2000. 23-8.

  24. Stern DT. Measuring Medical Professionalism. usa: Oxford University Press: 2006. 3-38.




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Aten Fam. 2015;22