Educacion Medica最新文献

{"title":"Academic transition from high school to an undergraduate medical program using active methodologies within an integrated curriculum: Qualitative research","authors":"Alexandre Ferreia da Silva ,&nbsp;Enzo Sá Pantoja da Silva ,&nbsp;Daniel Figueiredo Alves da Silva ,&nbsp;Selma Kazumi da Trindade Noguchi ,&nbsp;Juarez Antônio Simões Quaresma","doi":"10.1016/j.edumed.2025.101055","DOIUrl":"10.1016/j.edumed.2025.101055","url":null,"abstract":"<div><h3>Introduction</h3><div>When transitioning from high school to an undergraduate medical program that uses active teaching methodologies, students often encounter clear obstacles in their first semester, such as breaking down disciplinary barriers, adapting to the dynamics of different curricular components, adjusting to an evaluation process that is different from what they are used to, as well as a lack of understanding of the program's pedagogical proposal. This study aims to understand the challenges faced by medical undergraduate students in their first semester, specifically in relation to the use of active teaching methodologies within an integrated curriculum.</div></div><div><h3>Material and methods</h3><div>A qualitative study was conducted through interviews with 15 students from a private medical school who started in the first semester of 2018. The data were categorized and subjected to discourse analysis.</div></div><div><h3>Results</h3><div>The interviewees reported difficulties in understanding the educational proposal. Although they viewed the experience of adapting to the course's methodology positively, they found it challenging. They reported that there was insufficient explanation about the evaluation processes and proposed that clearer educational objectives be established for the students.</div></div><div><h3>Conclusion</h3><div>The need for a more comprehensive explanation of the pedagogical project and its teaching strategies, the importance of valuing practical training in health services, and the clarification of evaluation processes and educational objectives were highlighted by the interviewed students as key pillars for a successful transition from high school to medical education.</div></div>","PeriodicalId":35317,"journal":{"name":"Educacion Medica","volume":"26 4","pages":"Article 101055"},"PeriodicalIF":0.0,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143937224","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":"Abordando la soledad en la formación de profesionales sanitarios y en la práctica clínica","authors":"María Antonia Parra-Rizo ,&nbsp;Igor Cigarroa ,&nbsp;Catarina Pereira ,&nbsp;Sergio Hernández-Sánchez ,&nbsp;Jesús González-Moreno","doi":"10.1016/j.edumed.2025.101050","DOIUrl":"10.1016/j.edumed.2025.101050","url":null,"abstract":"<div><div>Population aging poses a challenge for public health, where loneliness emerges as a critical factor with a significant impact on the physical, mental, and social health of older adults. It is associated with depression, cognitive decline, chronic diseases, and increased mortality, affecting clinical decision-making and treatment adherence. Despite its relevance, health sciences training programs, particularly in medicine and nursing, do not adequately address this issue, creating a gap in professional education. It is essential for healthcare professionals to acquire skills to identify and manage loneliness, including empathy, ethical decision-making, and effective communication with older patients. However, current training prioritizes technical aspects without integrating the emotional and social factors that influence patient well-being. An innovative educational strategy is proposed to incorporate loneliness as a social determinant of health within health sciences curricula. This training would include workshops on communication with older adults, clinical simulations focused on loneliness, and an interdisciplinary approach involving social work, psychology, and medicine. This strategy would promote more comprehensive care, improving the quality of life and well-being of older adults.</div></div>","PeriodicalId":35317,"journal":{"name":"Educacion Medica","volume":"26 4","pages":"Article 101050"},"PeriodicalIF":0.0,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143916885","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":"Gamificación en la educación continua odontológica: una herramienta con potencial y la necesidad de más evidencia","authors":"Manuel Millán-Hernández ,&nbsp;Jose Luis Becerra-Beltran ,&nbsp;Aldo Urendez-Flores","doi":"10.1016/j.edumed.2025.101052","DOIUrl":"10.1016/j.edumed.2025.101052","url":null,"abstract":"","PeriodicalId":35317,"journal":{"name":"Educacion Medica","volume":"26 4","pages":"Article 101052"},"PeriodicalIF":0.0,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143900124","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":"Procrastinación académica en estudiantes de Medicina: ¿un desafío en su formación?","authors":"Mónica Regalado Chamorro ,&nbsp;Barbara Ponce Ponce ,&nbsp;Aldo Medina Gamero ,&nbsp;Giuliana Abucci Infantes","doi":"10.1016/j.edumed.2025.101053","DOIUrl":"10.1016/j.edumed.2025.101053","url":null,"abstract":"","PeriodicalId":35317,"journal":{"name":"Educacion Medica","volume":"26 4","pages":"Article 101053"},"PeriodicalIF":0.0,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143894950","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":"Modelado predictivo de actitudes y comportamientos ético-profesionales en médicos latinoamericanos mediante redes neuronales","authors":"Alberto Guevara Tirado ,&nbsp;Raul Emilio Real Delor","doi":"10.1016/j.edumed.2025.101054","DOIUrl":"10.1016/j.edumed.2025.101054","url":null,"abstract":"<div><h3>Introduction</h3><div>Medical professionalism is key to ensuring quality of care and collaboration within the healthcare team. However, negative attitudes can undermine trust and affect teamwork. Artificial intelligence, through neural networks, offers an innovative approach to predicting and analyzing these behaviors, potentially strengthening professional ethics in Latin American physicians. The objective was to generate a predictive model of ethical and professional attitudes and behaviors among Latin American physicians through the use of neural networks.</div></div><div><h3>Materials and method</h3><div>A cross-sectional study was conducted using a survey of 424 physicians from Paraguay, Peru, and Cuba. The dependent variables were ignoring the opinions of other colleagues or healthcare professionals, and criticizing fellow physicians or other healthcare professionals in front of patients. The independent variables included age, gender, specialty, and indicators adapted from the questionnaire developed by Kwon HJ et al. A multilayer perceptron neural network was implemented.</div></div><div><h3>Results</h3><div>The model achieved an overall accuracy of 71.20% in training and 69.40% in testing. The area under the curve (AUC) values <!--> <!-->were close to 0.75 for the categories “Ignoring the opinions of colleagues” and “Criticizing colleagues in front of patients”, reflecting good model performance. The most influential variables included ethical and professional behaviors, such as discrimination toward colleagues, provision of incorrect information, and fulfillment of job responsibilities.</div></div><div><h3>Conclusions</h3><div>The multilayer perceptron neural network was efficient for analyzing ethical and professional attitudes and behaviors in medical practice.</div></div>","PeriodicalId":35317,"journal":{"name":"Educacion Medica","volume":"26 4","pages":"Article 101054"},"PeriodicalIF":0.0,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143900123","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":"Ondas de densidad semántica para el análisis de la argumentación clínica multimodal en la formación de profesionales de la salud","authors":"Giovanni Garcia-Castro ,&nbsp;Francisco Javier Ruiz-Ortega","doi":"10.1016/j.edumed.2025.101045","DOIUrl":"10.1016/j.edumed.2025.101045","url":null,"abstract":"<div><h3>Introduction</h3><div>Clinical argumentation is a fundamental competence in medical education, fostering critical reasoning, problem-solving, and decision-making in complex scenarios. However, educational strategies often prioritize practical and instrumental approaches, neglecting the integration of advanced cognitive competencies. This study examines how semantic density, as conceptualized in the Legitimation Code Theory, and the use of multimodal resources contribute to developing argumentative skills in health sciences.</div></div><div><h3>Methods</h3><div>Using a qualitative-comprehensive approach, a case study was conducted with five faculty members from the Adult Medicine department at the Technological University of Pereira. Data collection included class recordings, semantic analyses, questionnaires, and rubrics to evaluate teaching and argumentative strategies. A Specific Translation Device was employed to analyze semantic density, and data were processed using NVivo software<strong>.</strong></div></div><div><h3>Results</h3><div>The analysis revealed that semantic density is enhanced through the intentional use of multimodal resources such as gestures, graphics, and visual language, enabling the integration of complex concepts. The analysis of semantic waves demonstrated a progression in conceptual complexity and argumentative stability, highlighting the positive results of the training process on teachers' and students' ability to construct dense and coherent discourses.</div></div><div><h3>Conclusion</h3><div>The combination of Legitimation Code Theory with a multimodal approach provides an effective framework for evaluating and fostering clinical argumentation in medical education. This methodology strengthens students' cognitive, critical, and argumentative skills, equipping them to address the ethical, social, and clinical challenges of professional practice.</div></div>","PeriodicalId":35317,"journal":{"name":"Educacion Medica","volume":"26 4","pages":"Article 101045"},"PeriodicalIF":0.0,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143824687","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":"Clinical researchers: The relationship between the final degree project and future prospects for developing research tasks in the clinical setting","authors":"Julia L. Gutierrez-Arroyo ,&nbsp;Alba Loras ,&nbsp;Elvira Carbonell ,&nbsp;Pia Gallego ,&nbsp;Maria Victoria Ibañez ,&nbsp;Maria Angeles Marques-Torrejon ,&nbsp;Conrado Martinez-Cadenas","doi":"10.1016/j.edumed.2025.101046","DOIUrl":"10.1016/j.edumed.2025.101046","url":null,"abstract":"<div><h3>Introduction</h3><div>Clinical research is vital for improving individuals' quality of life, yet many medical students find it complex and challenging. Therefore, it is essential to introduce research training programs early in undergraduate medical education to help students develop basic research skills. One example is the final degree project (FDP), which can be either experimental/research-based or a systematic review/clinical protocol. This study investigates medical students' perceptions of research FDPs based on effort and difficulty, as well as the associations between FDP-type election and the graduates' future interest in research.</div></div><div><h3>Methods</h3><div>A cross-sectional analytical study was conducted with 87 medical graduates from Jaume I University of Castellon. Data were collected through surveys, and both descriptive and inferential analyses were performed.</div></div><div><h3>Results</h3><div>A significant relationship was found between research in the graduates' routine and the intention to pursue a doctoral thesis, as well as between the graduates' choice of FDP topic as medical students (experimental or research-based vs. systematic review or clinical protocol) and future engagement in a doctoral thesis. As this is an observational study, we cannot establish causality in this relationship. No significant associations were found between routine research and hospital size, gender, or career motivation, except for a potential significance in the relationship between FDP topic choice and medical specialty.</div></div><div><h3>Conclusions</h3><div>Our main findings suggest that medical graduates' perceptions of the complexity of research FDPs depend on their prior research experience. Therefore, it is crucial to provide more training in this area during undergraduate programs to prevent a lack of training from becoming a barrier to pursuing a research career.</div></div>","PeriodicalId":35317,"journal":{"name":"Educacion Medica","volume":"26 4","pages":"Article 101046"},"PeriodicalIF":0.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143821426","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":"Identidad profesional diada docente-discente: Implicancias en el proceso de enseñanza-aprendizaje de matronería","authors":"Janet Altamirano-Droguett ,&nbsp;Francisca Araya-Acuña ,&nbsp;Katherine Jorquera-Carrasco ,&nbsp;Amanda Peña-Peña","doi":"10.1016/j.edumed.2025.101043","DOIUrl":"10.1016/j.edumed.2025.101043","url":null,"abstract":"<div><h3>Introduction</h3><div>Professional identity in midwifery begins in initial training with the support of the teaching staff, who must not only acquire pedagogical tools, but also consolidate their own version of themselves. This work aims to recognize the professional identity of the teacher-student dyad and its implications in the teaching-learning process through the analysis of narratives for continuous improvement in the training of this discipline.</div></div><div><h3>Method</h3><div>The research was qualitative interpretative by means of semi-structured interviews with 17 teachers and 16 students of the university degree of Obstetrics and Childcare of the Universidad de Antofagasta, Chile. The testimonies were analyzed through grounded theory.</div></div><div><h3>Results</h3><div>The interviewees recognized that the combination of theory and practice is fundamental to acquire professional competencies through active strategies. Teacher modeling was identified as a main factor influencing not only academic performance during clinical practice, but also professional identity. The interviewees stated that they did not feel part of the university degree.</div></div><div><h3>Conclusion</h3><div>The findings showed the need to improve social ties in order to acquire a sense of belonging to the profession. Likewise, it is imperative to offer training programs on socioemotional skills, which ensure reflective processes for the construction and reconstruction of identity in the educational dyad. It is also imminent to innovate teaching and evaluation methodologies, and to strengthen research for an improvement in the training of this discipline, which will be reflected in the quality of patient care.</div></div>","PeriodicalId":35317,"journal":{"name":"Educacion Medica","volume":"26 4","pages":"Article 101043"},"PeriodicalIF":0.0,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143785236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceptions of students, professors, and simulated patients with a periodontology OSCE station in dentistry","authors":"Gema Cidoncha,&nbsp;Marta Muñoz-Corcuera,&nbsp;Virginia Sánchez,&nbsp;María Jesús Pardo Monedero,&nbsp;Ana Antoranz,&nbsp;Aurora Saiz Rodríguez","doi":"10.1016/j.edumed.2025.101047","DOIUrl":"10.1016/j.edumed.2025.101047","url":null,"abstract":"<div><h3>Background</h3><div>The OSCE, or objective structured clinical examination, is a practical assessment used worldwide to evaluate students' competencies in health science degrees. It consists of stations, where different clinical situations can be replicated. Sometimes, the settings can introduce actors who perform the role of standardised patients. This study is aimed to determine the perception of students, teachers, and actresses involved in a periodontology OSCE station with a standardised patient.</div></div><div><h3>Methods</h3><div>In April 2023, 112 fifth-year dentistry students, 6 teachers, and 21 actresses participated in the study. The teachers responsible for the station design created three online questionnaires, distributed to all participants. The questionnaires consisted of a perception survey about the periodontology OSCE station in order to find out teachers, students and actresses` opinions about the station. The questions were divided by general demographics data (age, gender, and qualifications), 5 specific questions about the periodontology station and one open-ended question to express any consideration not mentioned previously.</div></div><div><h3>Results</h3><div>The results showed that most students handled the patient situation well (58.03%), found it realistic (83.92%), and appreciated the presence of a standardised patient (57.14%). Similarly, the teachers were satisfied (66.66%) or very satisfied (33.33%) with the exam, while the standardised patients generally felt satisfied (71.42%) or very satisfied (19.04%) with their role. Some patients experienced difficulties with evaluating and interpreting the checklist (57.14%).</div></div><div><h3>Discussion</h3><div>Overall, the organisation, explanations, and information provided for the stations were deemed accurate and satisfactory.</div></div>","PeriodicalId":35317,"journal":{"name":"Educacion Medica","volume":"26 4","pages":"Article 101047"},"PeriodicalIF":0.0,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143785756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Conocimientos, actitudes y prácticas sobre el cambio climático y el dengue en estudiantes de Medicina de la Universidad Continental, Huancayo, 2024","authors":"Luis Arellan-Bravo ,&nbsp;Angie Romina Contreras Tovar ,&nbsp;Valeria Evita Zevallos-Guerra ,&nbsp;Gianella D. Vera-Gonzales ,&nbsp;Grees D. Quispe Ochoa ,&nbsp;Alfonso Gutiérrez-Aguado","doi":"10.1016/j.edumed.2025.101048","DOIUrl":"10.1016/j.edumed.2025.101048","url":null,"abstract":"<div><h3>Introduction</h3><div>Climate change and dengue fever pose interconnected challenges to global public health. In Peru, the incidence of dengue has been increasing since 1990, reaching a historical peak in 2024. Despite the availability of treatment, it is essential to strengthen primary care by integrating knowledge and preventive attitudes into university education. This study analyzes the level of knowledge, attitudes, and preventive practices related to dengue and climate change among medical students.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted between May and June 2024, surveying 172 randomly selected medical students from a total of 300. A validated questionnaire was used to collect sociodemographic information, as well as data on knowledge, attitudes, and preventive practices. Participants who scored above 80% of the total score were considered to have an adequate level in each evaluated category.</div></div><div><h3>Results</h3><div>Among the respondents, 58% were women, with an average age of 20.45 years. A total of 64.53% demonstrated an adequate level of knowledge about dengue, while 99.42% had sufficient knowledge about climate change. Although 65.70% exhibited favorable attitudes toward prevention, only 29.07% engaged in adequate preventive practices. A significant association was found between a good level of knowledge about dengue and the adoption of preventive practices (<em>p</em> &lt; 0.05).</div></div><div><h3>Conclusions</h3><div>Medical students have a good knowledge and attitude related to dengue and climate change but apply few preventive measures. It is essential to improve their training with workshops and practical activities. Policies in Peru have prioritized vector control, information campaigns and vaccination, but there are still challenges in terms of resources and sustainability. A multisectoral approach is required that includes sanitation and climate adaptation, aligning medical training with these challenges.</div></div>","PeriodicalId":35317,"journal":{"name":"Educacion Medica","volume":"26 4","pages":"Article 101048"},"PeriodicalIF":0.0,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143785834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}