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2015, Number 6

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Rev Fac Med UNAM 2015; 58 (6)

Deliberate practice in medical education

Barrientos-Jiménez M, Durán-Pérez VD, León-Cardona AG, García-Tellez SE

Language: Spanish
References: 36
Page: 48-55
PDF size: 257.85 Kb.


ABSTRACT

The physician is a health expert, focused on diagnosis, treatment and prevention of diseases. One of the most accepted models explaining the achievement of the expertise is the deliberate practice understood as a theoretical framework based on specific and precise objectives in order to acquire, develop and increase cognitive and motor skills, in addition to the improvement of the quality of care and patient safety. The required elements to perform adequately the deliberate practice are: 1) clear objectives, 2) motivation, 3) feedback, and 4) repetition.
The competency-based education states that education should be focused on the student, and the deliberate practice contributes to the fulfillment of this purpose. Therefore various teaching strategies have been designed including curricular changes, Entrustable Professional Activities (EPA) and simulators and methods of clinical teaching, in order to increase the quality of undergraduate, post-graduate and continuing education, training competent physicians with the necessary skills to improve the quality of care and patient safety in the exercise of their profession.


REFERENCES

  1. Ericsson KA. Expert Performance and Deliberate Practice: An updated expert. [Citado 10 Dic 2014]. Disponible en: http://psy.fsu.edu/faculty/ericsson/ericsson.exp.perf.html

  2. Ericsson KA, Krampe R, Tesch-Römer C. The role of deliberate practice in the acquisition of expert performance. Psychological Review. 1993;100(3):363-406.

  3. Ericsson KA, Prietula MJ, Cokely ET. The Making of an Expert. Harvard Business Review. 2007;1-8.

  4. Bloom B. Developing Talent in Young People. New York: Ballantine Books; 1985.

  5. Ericsson KA. The Cambridge Handbook of Expertise and Expert Performance. Cambridge: Cambridge University Press; 2006.

  6. Sánchez-Mendiola M, Martínez-Franco A. Informática Biomédica. México: Elsevier; 2014. Capítulo 28, Desarrollo de la pericia: de novato a experto; p. 341-52.

  7. Ericsson KA. Deliberate practice and the acquisition and maintenance of expert performance in medicine and related domains. Acad Med. 2004;79(10):S70-81.

  8. Adelson B. When novices surpass experts: the difficulty of a task may increase with expertise. J Exp Psycho. 1984;10(3):483-95.

  9. Dávila-Serapio F, et al. Aprendizaje de habilidades básicas de cirugía laparoscópica en estudiantes de pregrado de la Escuela Médico Militar. Rev Mex Cir Endoscop. 2008;9(1):27-34.

  10. Ericsson KA. Deliberate practice and acquisition of expert performance: a general overview. Acad Emerg Med. 2008;15(11):988-94.

  11. Valera-Ruiz M., Vives-Valera T, Hamui-Sutton A, Fortoul Van Der Goes T. Educación basada en competencias: un profesor tradicional frente a una nueva orientación educativa. México: Editorial Panamericana; 2011.

  12. Gifford KA, Fall LH. Doctor coach: a deliberate practice approach to teaching and learning clinical skills. Acad Med. 2014;89(2):272-6.

  13. Carraccio CL, Englander R. From Flexner to competencies: reflections on a decade and the journey ahead. Acad Med. 2013;88(8):1067-73.

  14. Peña A. The Dreyfus model of clinical problem-solving skills acquisition: a critical perspective. Citation: Medical Education Online [Internet]. 2010 Jun 14 [Citado 10 Dic 2014];15:4846. Disponible en: http://med-ed-online.net/ index.php/meo/article/view/4846/pdf_3 DOI: 10.3402/ meo.v15i0.4846

  15. Carraccio CL, Benson BJ, Nixon J, Derstine PL. From the educational bench to the clinical bedside: translating the Dreyfus developmental model to the learning of clinical skills. Acad Med. 2008;83(8):761-7.

  16. Ten Cate O. Competency-Based Education, Entrustable Professional Activities, and the Power of Language. J Grad- MedEduc. 2013;5(1):6-7.

  17. Woolfolk A. Psicología Educativa. 11ª ed. México: Pearson Educación; 2010. Capítulo 11. Motivación para el aprendizaje y la enseñanza; p. 375-416.

  18. Dreyfus SE. The Five-Stage Model of Adult Skill Acquisition. Bulletin of Science, Technology & Society. 2004;24(3):177-81.

  19. Mc Robbie C, Tobin K. A social constructivist perspective on learning environments. Int J Sci Educ. 1997;19:193- 208.

  20. Durán L. La motivación, factor determinante del éxito. Breves Universidad/Comunidad Escolar. 2002;626:28-33.

  21. Ende J. Feedback in clinical medical education. JAMA. 1983;250:777-81.

  22. Branch WT, Paranjape A. Feedback and reflection: Teaching methods for clinical settings. Acad Med. 2002;77: 1185-8.

  23. Bhattarai M. ABCDEFG IS - the principle of constructive feedback. Journal of the Nepal Medical Association. 2007;46(167):151-6.

  24. Hewson MG, Little ML. Giving feedback in medical education: verification of recommended techniques. J Gen Intern Med. 1998;13(2):111-6.

  25. Ramani S, Krackov SK. Twelve tips for giving feedback effectively in the clinical environment. Med Teach. 2012; 34(10):787-91.

  26. Van de Ridder JM, Stokking KM, McGaghie WC, Ten Cate OTJ. What is feedback in clinical education? Medical education. 2008;42(2):189-7.

  27. McGaghie WC. Research Opportunities in Simulationbased Medical Education Using Deliberate Practice. Acad Emerg Med. 2008;15:995-1001.

  28. Epstein RM, Hundert EM. Defining and Assessing Professional Competence. JAMA. 2002;287(2):226-35.

  29. Ruiz-Moral R. Educación Médica: manual práctico para clínicos. México: Editorial Panamericana; 2009. Módulo 2.1 Ejercer de “modelo”: supervisor, tutor, mentor o coach; p. 23-26.

  30. Reyes-Cabrera P. Integrando la Práctica Deliberada en Sistemas de Simulación para Educación Médica. IV Latin American Congress on Biomedical Engineering (CLAIB) 2007, Bioengineering Solutions for Latin America Health (IFMBE Proceedings). 2008;18:913-6.

  31. Neufeld VR, Norman GR. Assessing Clinical Competence. Nueva York: Springer Publishing Company; 1985. Defining Competence: A Methodological Review; p. 15-37.

  32. Cantillon P, Wood D. ABC of Learning and Teaching in Medicine. Cambridge: John Wiley & Sons; 2011.

  33. Chacko KM, Aagard E, Irby D. Teaching models for outpatient medicine. The Clinical Teacher. 2007;4:82-6.

  34. Ruiz-Moral R. Educación Médica: manual práctico para clínicos. México: Editorial Panamericana; 2009.

  35. Dent JA. Bedside Teaching. En: Dent JA, Harden RM, Eds. A Practical Guide for Medical Teachers. 2nd Ed. Philadelphia, PA: Elsevier Churchill Livingstone; 2005, p. 77-85.

  36. Hamui-Sutton A, Lavalle-Montalvo C, Díaz Villanueva A, et al. Las actividades docentes de los profesores clínicos del PUEM desde la perspectiva de sus residentes. Rev Fac Med UNAM. 2013;56(5):26-42.




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