Evaluación por competencias de un modelo novedoso de gestión de calidad en médicos internos de pregrado

Abstract

IntroductionThe global health problems require competent doctors who promote health in a humanitarian way and with ethical commitment. To contribute to this social demand, we have implemented a quality management model (QMM) oriented to the integral formation of physician competencies. ObjectiveTo assess the implications of this model evaluated through the objective structured clinical evaluation (OSCE). MethodA descriptive-transverse correlational study with the application of OSCE to 46 undergraduate medical interns (UMI) to assess humanist performance by competencies with stan-dardized patients (SPs) through four levels of performance: receptive, resolving, autonomous and strategic. A questionnaire was applied to measure the relationship between training projects of the quality management model and the competences of UMI. The results were analyzed with a significance level of p<0.01 and with a 1-10 scale in performance. ResultsThe UMI achieved an autonomous performance level (8-9) in the competences of: communication, socio cultural interrelationships and diagnosis and management of diseases. However the UMI showed a receptive level (5-6) and resolving (6-7 in the competence of culture in health and troubleshooting, they require support from the clinical tutor. Significant relationship was observed between the preparation of the tutor and the display a friendly, respectful, cordial attitude of the MIP to explore their patient (0.28). ConclusionsThe QMM through evaluation OSCE favors the development humanist competences: socio-cultural, communication and diagnosis and management of diseases.