Educacion Medica最新文献

{"title":"Programa de simulación clínica de la Facultad de Medicina de la Universidad Francisco de Vitoria. Segunda parte: reflexiones para la acción tras 8 años de experiencia","authors":"Sophia Denizon Arranz,&nbsp;Emilio Cervera Barba,&nbsp;Patricia Chica Martínez,&nbsp;Alonso Mateos Rodríguez,&nbsp;Salvador Espinosa Ramírez,&nbsp;Diego Palacios Castañeda,&nbsp;Fernando Caballero Martínez","doi":"10.1016/j.edumed.2025.101071","DOIUrl":"10.1016/j.edumed.2025.101071","url":null,"abstract":"<div><div>The clinical simulation program in the Medicine Degree has evolved to enhance teaching and student preparation in a safe environment. Instructor training, curriculum integration, and learning assessment have been key to its development. Additionally, resources have been refined, and coordination among faculty members has been strengthened to ensure more effective teaching. Currently, simulation is a fundamental pillar in medical education, supporting the transition to clinical practice and improving educational quality. The program is in continuous review and improvement, considering feedback from students, instructors, and faculty, as well as advancements in research and new teaching tools applicable to this methodology.</div></div>","PeriodicalId":35317,"journal":{"name":"Educacion Medica","volume":"27 1","pages":"Article 101071"},"PeriodicalIF":0.0,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144721430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Systematic theoretical study on the application of reflective practice in enhancing medical students’ learning experience","authors":"Anastasiya Spaska","doi":"10.1016/j.edumed.2025.101088","DOIUrl":"10.1016/j.edumed.2025.101088","url":null,"abstract":"<div><h3>Introduction</h3><div>This study systematically examines current approaches to implementing reflective practice in medical education, with the aim of optimising the professional training of future physicians.</div></div><div><h3>Materials and methods</h3><div>The research focuses on the transformative impact of digital technologies, particularly the integration of specialised platforms and artificial intelligence (AI), in creating a personalised and continuous learning environment. Emphasis is placed on the development of emotional intelligence and a conscious approach to learning, which underpin critical thinking and clinical decision-making. Empirical data were drawn from the use of reflective diaries, group discussions, and complex clinical case analyses. These methods were found to deepen students' understanding of medical practice. The study proposes the establishment of a unified digital ecosystem combining tools for group reflection, individual support, and AI-based analysis.</div></div><div><h3>Results</h3><div>AI integration into the interpretation of reflective records enables identification of individual developmental trajectories and supports tailored feedback for clinical reasoning improvement. Longitudinal reflective courses embedded in the core curriculum contribute to sustained professional growth by fostering intellectual humility, emotional intelligence, and professional empathy. Moreover, structured reflection enhances students' resilience in the face of clinical challenges and promotes mindfulness as a core professional skill. The combination of digital and interpersonal reflective practices thus supports the multidimensional development of future doctors, preparing them for emotionally demanding and ethically complex healthcare environments.</div></div><div><h3>Conclusions</h3><div>The most effective strategy combines traditional reflective learning with digital innovation. Electronic portfolios, automated reflection analysis, virtual case simulations, and interactive platforms supported by AI offer a multidimensional and adaptive educational environment that promotes personalised professional development.</div></div>","PeriodicalId":35317,"journal":{"name":"Educacion Medica","volume":"26 6","pages":"Article 101088"},"PeriodicalIF":0.0,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144721209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diferencias de género en la satisfacción académica de estudiantes de Medicina en Argentina","authors":"Alberto Guevara Tirado","doi":"10.1016/j.edumed.2025.101089","DOIUrl":"10.1016/j.edumed.2025.101089","url":null,"abstract":"<div><h3>Introduction</h3><div>In medicine, students' expectations and motivations may vary by gender, influencing their perception of academic satisfaction, but these aspects have been little studied in Argentina. The objective was to identify factors associated with academic satisfaction in medical students by gender.</div></div><div><h3>Materials and method</h3><div>Study using secondary data from the National Survey of Medical Students. The population included 2,301 first and fifth year students (1,820 women and 481 men). The dependent variable was academic satisfaction. The independent variables included personal motivations, sociodemographic characteristics, educational factors, analyzed using the CHAID model (Chi-squared Automatic Interaction Detector). The analysis also included descriptive tests and calculation of metrics such as sensitivity, specificity and Odds Ratio.</div></div><div><h3>Results</h3><div>The CHAID model identified that, among women aged ≤<!--> <!-->22 who valued fulfilling their dreams and working with different people, satisfaction reached 87.60% (node 8). Among men, the node sequence involving the importance of fulfilling dreams and improving society showed a satisfaction level of 86.90% (node 3). The model analysis yielded solid performance metrics: sensitivity of 87.60% and specificity of 73.10% in women (node 8); and sensitivity of 60.60% and specificity of 68.50% in men (node 3). The odds ratio was 2.61 for women and 3.35 for men, suggesting a stronger association between these conditions and higher levels of academic satisfaction, without implying a causal relationship.</div></div><div><h3>Conclusions</h3><div>Young female medical students showed higher levels of academic satisfaction under specific motivational conditions, although this satisfaction appeared to decrease as they progressed through their studies. Among male students, the observed associations between motivational factors and satisfaction were less consistent.</div></div>","PeriodicalId":35317,"journal":{"name":"Educacion Medica","volume":"26 5","pages":"Article 101089"},"PeriodicalIF":0.0,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144703239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clasificación del rendimiento académico según uso problemático de Internet en estudiantes latinoamericanos de Medicina Humana mediante árbol CHAID","authors":"Raul Real Delor ,&nbsp;Alberto Guevara Tirado","doi":"10.1016/j.edumed.2025.101087","DOIUrl":"10.1016/j.edumed.2025.101087","url":null,"abstract":"<div><h3>Introduction</h3><div>Problematic internet use can impact the academic performance of medical students, but few studies in Latin America have explored this relationship using data mining. The objective was to classify academic performance according to problematic internet use in Latin American medical students.</div></div><div><h3>Material and methods</h3><div>A cross-sectional analysis was conducted using the CHAID decision tree algorithm among medical students from Peru, Paraguay, and Cuba (<em>n</em> = 176). The model's predictive ability was assessed through a classification matrix, calculating sensitivity, specificity, positive and negative predictive values (PPV, NPV), likelihood ratios, and odds ratio (OR). Student's <em>t</em>-tests were used to compare academic self-assessment scores between students with and without problematic internet use, complemented by effect size calculations (Cohen's <em>d</em>).</div></div><div><h3>Results</h3><div>The CHAID algorithm identified the frequency with which students perceived their academic performance to be affected by internet use as the main variable associated with performance (<em>p</em> &lt; 0.001). The model correctly classified 79.80% of students with low performance and 59.60% with good performance, with an overall accuracy of 73.30%. Sensitivity was 79.80%, specificity 59.60%, PPV = 80.50%, and OR = 5.85 (95% CI: 2.66–12.87). Additionally, students not affected by problematic internet use reported significantly higher perceived academic performance scores (<em>p</em> &lt; 0.001), with moderate to large effect sizes.</div></div><div><h3>Conclusions</h3><div>The CHAID tree identified a strong association between the perception of academic performance being affected by problematic internet use and poor academic outcomes in medical students.</div></div>","PeriodicalId":35317,"journal":{"name":"Educacion Medica","volume":"26 5","pages":"Article 101087"},"PeriodicalIF":0.0,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144704506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of dental student OSCE evaluations by standardized patients and attending dentists","authors":"Aurora Saiz Rodríguez,&nbsp;Ana Antoranz,&nbsp;Gema Cidoncha,&nbsp;María Jesús Pardo Monedero,&nbsp;Virginia Sánchez,&nbsp;Marta Muñoz-Corcuera","doi":"10.1016/j.edumed.2025.101086","DOIUrl":"10.1016/j.edumed.2025.101086","url":null,"abstract":"<div><h3>Introduction</h3><div>The Objective Structured Clinical Examination (OSCE) is an assessment format developed by Harden to evaluate the clinical competencies of medical students. Our university has been using this assessment in dentistry for the past 8 years, incorporating Standarized patients (SPs) into its stations. Proper training of SPs is essential to ensure objectivity. To date, no study has determined the validity of the student evaluations provided by SPs. The aim of this study was to assess the level of agreement between professors and SPs when evaluating the periodontics station of the OSCE during the 2022/2023 academic year in dental students.</div></div><div><h3>Material and methods</h3><div>The SPs evaluated the students' responses after completing the periodontics station using an 18-question rubric. Meanwhile, the assigned professors from a hidden control room assessed the students using the same checklist. Data were analyzed using descriptive statistics and significance tests. Quantitative variables were tested for normality using the Shapiro–Wilk test and Interobserver agreement for categorical variables with Cohen's kappa coefficient. A significance level of 0.05 was adopted.</div></div><div><h3>Results</h3><div>A total of 210 students were evaluated. The correlation between the assessments of the SPs and professors was poor for most of the items, with good correlation for diagnosis; statement relating the condition to stress and anxiety; and informed consent.</div></div><div><h3>Conclusions</h3><div>SP evaluations of dental students’ OSCEs do not correlate well with those of their professors despite efforts to educate these SPs.</div></div>","PeriodicalId":35317,"journal":{"name":"Educacion Medica","volume":"26 5","pages":"Article 101086"},"PeriodicalIF":0.0,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144696643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impacto de la realidad virtual en el fortalecimiento de destrezas psicomotoras en estudiantes de Instrumentación Quirúrgica en Pereira, Colombia","authors":"German Oved Acevedo-Osorio ,&nbsp;Pedro Luis Cortes-Benítez ,&nbsp;Angelica María Blanco-Vanegas ,&nbsp;Leidy Lorena Montero-Caicedo","doi":"10.1016/j.edumed.2025.101083","DOIUrl":"10.1016/j.edumed.2025.101083","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Introducción&lt;/h3&gt;&lt;div&gt;las destrezas psicomotoras son esenciales en la formación de estudiantes de Instrumentación Quirúrgica, ya que influyen directamente en la seguridad del paciente y en la eficiencia del equipo quirúrgico. La realidad virtual (RV) ha emergido como una herramienta educativa innovadora, ofreciendo un entorno seguro y controlado para fortalecer estas habilidades. Sin embargo, su impacto en contextos locales como Pereira no ha sido suficientemente explorado. Este estudio tiene como objetivo evaluar el impacto del uso de la RV en el fortalecimiento de las destrezas psicomotoras de estudiantes de Instrumentación Quirúrgica en Pereira, Colombia.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Metodología&lt;/h3&gt;&lt;div&gt;se realizó un estudio cuasiexperimental con 50 estudiantes, divididos en un grupo experimental (&lt;em&gt;n&lt;/em&gt; = 25) y un grupo control (&lt;em&gt;n&lt;/em&gt; = 25). El grupo experimental participó en 10 sesiones de entrenamiento con simuladores de RV, mientras que el grupo control continuó con prácticas tradicionales. Las destrezas psicomotoras se evaluaron antes y después de la intervención mediante la prueba OSATS. Los datos fueron analizados utilizando pruebas estadísticas como el &lt;em&gt;t-test&lt;/em&gt; y ANOVA.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Resultados&lt;/h3&gt;&lt;div&gt;el grupo experimental mostró mejoras significativas en precisión, tiempo de ejecución, economía de movimientos, calidad técnica y seguridad, en comparación con el grupo control. Las diferencias observadas fueron estadísticamente significativas (&lt;em&gt;p&lt;/em&gt; &lt; 0,001) y reflejan la efectividad de la RV para optimizar el desempeño técnico de los estudiantes.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusión&lt;/h3&gt;&lt;div&gt;el uso de simuladores de RV es una estrategia eficaz para fortalecer las destrezas psicomotoras en estudiantes de Instrumentación Quirúrgica. Estos hallazgos respaldan la incorporación de la RV como herramienta complementaria en programas educativos.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Introduction&lt;/h3&gt;&lt;div&gt;Psychomotor skills are essential in the training of surgical instrumentation students as they directly influence patient safety and the efficiency of the surgical team. Virtual reality (VR) has emerged as an innovative educational tool, offering a safe and controlled environment to strengthen these skills. However, its impact in local contexts such as Pereira, Colombia, has not been sufficiently explored. This study aims to evaluate the impact of using virtual reality in strengthening the psychomotor skills of surgical instrumentation students in Pereira, Colombia.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;A quasi-experimental study was conducted with 50 students divided into an experimental group (&lt;em&gt;n&lt;/em&gt; = 25) and a control group (&lt;em&gt;n&lt;/em&gt; = 25). The experimental group participated in 10 training sessions with VR simulators, while the control group continued with traditional practices. Psychomotor skills were assessed before and after the intervention using the OSATS test. Data were analyzed using statistical tests such as t-test and","PeriodicalId":35317,"journal":{"name":"Educacion Medica","volume":"26 5","pages":"Article 101083"},"PeriodicalIF":0.0,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144623410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Por una formación médica que también cuide a sus tutores","authors":"Fernando Caballero Martínez,&nbsp;Emilio Cervera Barba","doi":"10.1016/j.edumed.2025.101082","DOIUrl":"10.1016/j.edumed.2025.101082","url":null,"abstract":"","PeriodicalId":35317,"journal":{"name":"Educacion Medica","volume":"26 5","pages":"Article 101082"},"PeriodicalIF":0.0,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144623411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Valoración del uso de casos clínicos orales como herramienta evaluativa en el desarrollo de la competencia diagnóstica en situaciones de salud en estudiantes de Semiología Médica II","authors":"Nathalia Salazar-Falla ,&nbsp;Paula María Tello Cabrales","doi":"10.1016/j.edumed.2025.101078","DOIUrl":"10.1016/j.edumed.2025.101078","url":null,"abstract":"<div><h3>Introduction</h3><div>The assessment of diagnostic competence in health situations is essential in medical education, but traditional strategies often limit the development of critical thinking. This study analyzes the use of oral clinical cases as an assessment tool to enhance this competence in students of Medical Semiotics II.</div></div><div><h3>Methods</h3><div>A mixed-methods study with an intrinsic and interpretative case study design was conducted with 80 fifth-semester medical students at Universidad Icesi. Data were collected through semi-structured interviews, focus groups, evaluation rubrics, and non-participant observation. Data analysis was categorical, allowing key patterns to be identified from various sources.</div></div><div><h3>Results</h3><div>The strategy promoted skills such as metacognition and clinical reasoning. Students positively valued immediate feedback, while faculty members highlighted its practical applicability. Logistical challenges and the need to establish standardized evaluation criteria were identified.</div></div><div><h3>Conclusion</h3><div>Oral clinical cases are an effective strategy for formative assessment in medical education, fostering diagnostic competencies in real-life scenarios and strengthening skills such as clinical reasoning and reflection. Immediate feedback was identified as a key element in recognizing strengths and areas for improvement. However, standardizing evaluation criteria and enhancing faculty training are necessary to optimize the impact of this strategy on medical education.</div></div>","PeriodicalId":35317,"journal":{"name":"Educacion Medica","volume":"26 5","pages":"Article 101078"},"PeriodicalIF":0.0,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144579356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tendencia, colaboración e impacto en la producción científica sobre el aprendizaje basado en simulación durante la formación médica","authors":"John Barja-Ore ,&nbsp;Jhonny Jesús Chafloque Chavesta ,&nbsp;Zaida Zagaceta-Guevara ,&nbsp;Brandon E. Guillen-Calle","doi":"10.1016/j.edumed.2025.101080","DOIUrl":"10.1016/j.edumed.2025.101080","url":null,"abstract":"<div><h3>Introduction</h3><div>Simulation-based learning (SBL) has become a key tool in medical education by providing safe, realistic, and immersive experiences that strengthen students' clinical competencies. Despite its benefits, it faces challenges such as high costs and limitations in realism. This study analyzes the trends, collaboration, and impact of scientific production on SBL in medical education.</div></div><div><h3>Materials and methods</h3><div>A descriptive bibliometric study was conducted using the Scopus database. Original articles published between 2019 and 2024 were selected. Indicators of productivity, impact, and collaboration were analyzed using SciVal, Excel, and the Bibliometrix package in RStudio.</div></div><div><h3>Results</h3><div>A total of 791 publications were identified. The most productive institutions were the University of Copenhagen, Harvard University, and the University of California at San Francisco. Canada showed the highest field-weighted citation impact. Scientific output increased progressively, particularly in Q1 and Q2 journals. The most frequent terms were “simulation training,” “clinical competence,” and “medical education,” with emerging terms such as “virtual reality.” The United States led international collaboration, followed by active networks in Europe and Brazil. The most prominent authors were Konge and Andersen, with recurrent publications in <em>BMC Medical Education</em> and <em>Simulation in Healthcare</em>.</div></div><div><h3>Conclusion</h3><div>Scientific production on SBL in medical education shows a growing trend, with high international collaboration and the incorporation of emerging technologies, establishing it as a fundamental pedagogical strategy in modern medical training.</div></div>","PeriodicalId":35317,"journal":{"name":"Educacion Medica","volume":"26 5","pages":"Article 101080"},"PeriodicalIF":0.0,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144549578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perfeccionando los métodos activos en la educación médica","authors":"Elena Vicenta Hernández Navarro ,&nbsp;Jorge Luis Losada Guerra","doi":"10.1016/j.edumed.2025.101081","DOIUrl":"10.1016/j.edumed.2025.101081","url":null,"abstract":"","PeriodicalId":35317,"journal":{"name":"Educacion Medica","volume":"26 5","pages":"Article 101081"},"PeriodicalIF":0.0,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144549579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}