La docencia clínica en ciencias de la rehabilitación: percepciones de educadores clínicos sobre su efectividad y competencias docentes.
Resumen
Introducción: La docencia clínica y su efectividad constituye un componente esencial en la formación de profesionales de la rehabilitación, ya que integra la práctica en contextos reales con el desarrollo de competencias profesionales y pedagógicas. Por lo que la efectividad y las competencias docentes de los educadores clínicos es relevante a considerar para el desarrollo integral del estudiante. Objetivo: analizar la efectividad de la docencia clínica asociado al reporte de las habilidades y competencias docentes consideradas relevantes por educadores clínicos de carreras de ciencias de la rehabilitación. Metodología: diseño mixto con enfoque explicativo secuencial. En la primera fase, participaron 45 profesionales en total, correspondientes a las áreas de kinesiología, terapia ocupacional y fonoaudiología, quienes respondieron el Clinical Teaching Effectiveness Questionnaire adaptado. En la segunda fase, un subgrupo fue seleccionado para entrevistas semiestructuradas en modalidad de grupos focales. Resultados: Los docentes clínicos reportaron altos niveles de efectividad en planificación de experiencias de aprendizaje (93,3 %), adaptación a estilos de aprendizaje (86,7 %) y retroalimentación constructiva (100 %). Se identificaron debilidades en la participación de los estudiantes en la planificación (42,2 % de acuerdo con no esperar su colaboración), en la atención a estudiantes con rendimiento excepcional y en la rigidez de instrumentos evaluativos institucionales. Los hallazgos cualitativos subrayaron la importancia de la adaptabilidad pedagógica, la inteligencia emocional y la comunicación asertiva. Conclusión: La docencia clínica se percibe efectiva en su dimensión formativa, aunque requiere fortalecer la preparación pedagógica de los docentes clínicos y otorgar mayor autonomía en procesos de evaluación.
Descargas
Métricas
-
Resumen81
-
pdf56
-
pdf 56
Citas
Nolla Domenjó M. Aprendizaje y prácticas clínicas. Educación Médica. 2019, 20(2), 100–4. https://doi.org/10.1016/j.edumed.2018.12.019
Rojas MR, Navarro DR. Percepción de tutores clínicos pertenecientes a centros de salud familiar en Chile sobre las barreras para la docencia clínica en atención primaria. Revista Española de Educación Médica. 2025, 6(2). https://doi.org/10.6018/edumed.645591
Negesso A, Rikitu G, Sime G, Gebregzabher E, Tekele S, Misganaw A. Preceptors training need assessment for medical laboratory professional clinical education programs in Ethiopia. PLoS One. 2022, 17(10), e0275533. https://doi.org/10.1371/journal.pone.0275533
Srinivasan M, Li S, Meyers F, Pratt D, Collins J, Braddock C. “Teaching as a Competency”: Competencies for Medical Educators. Academic Medicine. 2011, 86(10), 1211–20. https://doi.org/10.1097/ACM.0b013e31822c5b9a
Phillips H, Jator E, Latchem S, Catalano T. Clinical Educators’ Teaching Approaches and Attributes in Laboratory Medicine. Lab Med. 2023, 54(5), e134–40. https://doi.org/10.1093/labmed/lmad001
Manthey M. Foundations of Interprofessional Communication and Collaboration. Creat Nurs. 2012, 18(2), 64–7. https://doi.org/10.1891/1078-4535.18.2.64
Rogers J, Lautar C, Dunn L. Allied Health Students’ Perceptions of Effective Clinical Instruction. Health Care Manag (Frederick). 2010, 29(1), 63–7. https://doi.org/10.1097/HCM.0b013e3181cca311
Zhang H, Yoong S, Dong Y, Goh S, Lim S, Chan Y. Using a 3-Phase Peer Feedback to Enhance Nursing Students’ Reflective Abilities, Clinical Competencies, Feedback Practices, and Sense of Empowerment. Nurse Educ. 2023, 48(1), E11–6. https://doi.org/10.1097/NNE.0000000000001294
Cauraugh J, Martin M, Komer M. Modeling surgical expertise for motor skill acquisition. The American Journal of Surgery. 1999, 177(4), 331–6. https://doi.org/10.1016/S0002-9610(99)00057-4
Nordquist J, Chan M, Maniate J, Cook D, Kelly C, McDougall A. Examining the clinical learning environment through the architectural avenue. Med Teach. 2019, 41(4), 403–7. https://doi.org/10.1080/0142159X.2019.1566603
Tang Z, Shikama Y, Otani K. Comparison of student self-assessment and teacher assessment of medical interview performance during bedside learning. Fukushima J Med Sci. 2023, 69(1). https://doi.org/10.5387/fms.2023-03
Stalmeijer R, Dolmans D, Wolfhagen I, Peters W, Van Coppenolle L, Scherpbier A. Combined student ratings and self-assessment provide useful feedback for clinical teachers. Advances in Health Sciences Education. 2010, 15(3), 315–28. https://doi.org/10.1007/s10459-009-9199-6
Hernández M, Albarrán-Pérez D. Docencia clínica en APS: una vocación que exige más que buena voluntad. Revista Española de Educación Médica. 2025, 6(2). https://doi.org/10.6018/edumed.656871
Ingwersen K, Lyons N, Hitch D. Perceptions of fieldwork in occupational therapy. Clin Teach. 2017, 14(1), 55–9. https://doi.org/10.1111/tct.12518
Reilly B. Inconvenient truths about effective clinical teaching. The Lancet. 2007, 370(9588), 705–11. https://doi.org/10.1016/S0140-6736(07)61347-6
Gibson S, Palermo C. Optimizing the Role of Clinical Educators in Health Professional Education. In: Clinical Education for the Health Professions. Springer Nature Singapore; 2023, 985–98. https://doi.org/10.1007/978-981-15-3344-0_125
Creswell J, Creswell D. Research Design: Qualitative, Quantitative, and Mixed Methods Approaches. 5th ed. Vol. 1. SAGE Publications; 2018.
Wormley M, Romney W, Greer A. Development of the Clinical Teaching Effectiveness Questionnaire in the United States. J Educ Eval Health Prof. 2017, 14(14). https://doi.org/10.3352/jeehp.2017.14.14
Moustakas CE. Phenomenological research methods. Phenomenological research methods. Thousand Oaks, CA, US: Sage Publications, Inc; 1994. 192, xiv, 192–xiv p.
Murphy S. Remember how it feels to be a student? Clin Teach. 2014, 11(5), 336–9. https://doi.org/10.1111/tct.12163
Costello M, Cantillon P, Geoghegan R, Byrne D, Lowery A, Walsh S. Experience‐based learning: how a crisis solution informed fundamental change in a clinical education curriculum. Clin Teach. 2022, 19(1), 42–7. https://doi.org/10.1111/tct.13441
Stupans I, Owen S. Clinical Educators in the Learning and Teaching Space—a model for their Work Based Learning. Int J Health Promot Educ. 2010, 48(1), 28–32. https://doi.org/10.1080/14635240.2010.10708177
Sanders R, Thorne J. A day in the life of a maternity unit: immersive simulation for final year midwifery students. Br J Midwifery. 2024, 32(10), 570–3. https://doi.org/10.12968/bjom.2024.0067
Anderson M, Campbell SH, Nye C, Diaz D, Boyd T. Simulation in Advanced Practice Education: Let’s Dialogue!!. Clin Simul Nurs. 2019, 26, 81–5. https://doi.org/10.1016/j.ecns.2018.10.011
Talwalkar JS, Cyrus KD, Fortin AH. Twelve tips for running an effective session with standardized patients. Med Teach. 2020, 42(6), 622–7. https://doi.org/10.1080/0142159X.2019.1607969
Polyzois I, McLouglin J, Kelly A, Claffey N. Clinical teaching in restorative dentistry and the variation between students’ and supervisors’ perceptions of its effectiveness. European Journal of Dental Education. 2010, 14(2), 92–8. https://doi.org/10.1111/j.1600-0579.2009.00597.x
Murphy M, Seneviratne R, Mcaleer S, Remers O, Davis M. Student selected components: do students learn what teachers think they teach?. Med Teach. 2008, 3(10), 175–9. https://doi.org/10.1080/01421590802337138
Sellberg M, Halvarsson A, Nygren-Bonnier M, Palmgren PJ, Möller R. Relationships matter: a qualitative study of physiotherapy students’ experiences of their first clinical placement. Physical Therapy Reviews. 2022, 27(6), 477–85. https://doi.org/10.1080/10833196.2022.2106671
Bernal J, Cresalia N, Fuller J, Gin B, Laves E, Lupton K, et al. Comprehensive Assessment of Clinical Learning Environments to Drive Improvement: Lessons Learned from a Pilot Program. Teach Learn Med. 2023, 35(5), 565–76. https://doi.org/10.1080/10401334.2022.2110497
Edwards E, Phillips A, McEvoy M, Johnston K. Characteristics and outcomes of communities of practice in allied health educators: rapid review. J Interprof Care. 2025, 39(3), 510–8. https://doi.org/10.1080/13561820.2025.2452957
Lekalakala-Mokgele E, Caka E. Facilitative and obstructive factors in the clinical learning environment: Experiences of pupil enrolled nurses. Curationis. 2015, 38(1). https://doi.org/10.4102/curationis.v38i1.1263
Gupta PB, McRae AE, Franke JL, Saba JA, Soroosh GP, Solomon BS, et al. The Distinguished Teaching Society at the Johns Hopkins University School of Medicine: A Student-Led Initiative to Recognize Clinical Educators. Academic Medicine. 2021, 96(8), 1160–3. https://doi.org/10.1097/ACM.0000000000003873
Smith J, Lane I. Making the most of five minutes: The clinical teaching moment. J Vet Med Educ. 2015, 42(3), 271-80. https://doi.org/10.3138/jvme.0115-004R
Myers K, Bilyeu C, Covington K, Sharp A. Clinical Teaching Competencies in Physical Therapist Education: A Modified Delphi Study. Phys Ther. 2022, 102(7). https://doi.org/10.1093/ptj/pzac063
Tavares W, Eppich W, Cheng A, Miller S, Teunissen PW, Watling CJ, et al. Learning Conversations: An Analysis of the Theoretical Roots and Their Manifestations of Feedback and Debriefing in Medical Education. Academic Medicine. 2020, 95(7), 1020–5. https://doi.org/10.1097/ACM.0000000000002932
Epstein RM. How Students Learn From Community-Based Preceptors. Arch Fam Med. 1998, 7(2), 149–54. https://doi.org/10.1001/archfami.7.2.149
Jenq CC, Ou LS, Tseng HM, Chao YP, Lin JR, Monrouxe L V. Evaluating Clinical Educators’ Competence in an East Asian Context: Who Values What?. Front Med (Lausanne). 2022, 9. https://doi.org/10.3389/fmed.2022.896822
Becker M, Shields RK, Sass KJ. Psychometric Analysis of an Integrated Clinical Education Tool for Physical Therapists. Journal of Physical Therapy Education. 2024, 38(4), 277–84. https://doi.org/10.1097/JTE.0000000000000341
Atrash H, Katz-Leurer M, Shahar G. The effect of self-assessment on student competence in physiotherapy clinical training: a randomized controlled trial. BMC Med Educ. 2023, 23(1), 780. https://doi.org/10.1186/s12909-023-04737-9
Yoho R, Vardaxis V, Millonig K. Relationship Between Academic Performance and Student Self-Assessment of Clinical Performance in the College of Podiatric Medicine and Surgery. J Am Podiatr Med Assoc. 2016, 106(3),214–7. https://doi.org/10.7547/14-166
Bockrath R, Rodriguez G, O’Brien CL, Dolan BM. Students as Teachers: Development and Implementation of a Workplace-Based Assessment. Med Sci Educ. 2024, 34(3), 537–41. https://doi.org/10.1007/s40670-024-02022-y
Casa-Levine C, Nappo-Dattoma L. Effects of Self-Assessment on Clinical Competence in Dental Hygiene Education. J Dent Hyg. 2022, 96(2), 43–9. https://doi.org/10.1186/s12909-025-07453-8
Chimea T La, Kanji Z, Schmitz S. Assessment of clinical competence in competency-based education. Can J Dent Hyg. 2020, 54(2), 83–91. Aviable: https://pmc.ncbi.nlm.nih.gov/articles/PMC7668267/
Armson H, Perrier L, Roder S, Shommu N, Wakefield J, Shaw E. Assessing Unperceived Learning Needs in Continuing Medical Education for Primary Care Physicians: A Scoping Review. Journal of Continuing Education in the Health Professions. 2020, 40(4), 257–67. https://doi.org/10.1097/CEH.0000000000000300
Galport N, Azzam T. Evaluator Training Needs and Competencies. American Journal of Evaluation. 2017, 38(1),80–100. https://doi.org/10.1177/1098214016643183
Boerboom TBB, Jaarsma D, Dolmans DHJM, Scherpbier AJJA, Mastenbroek NJJM, Van Beukelen P. Peer group reflection helps clinical teachers to critically reflect on their teaching. Med Teach. 2011, 33(11), e615–23. https://doi.org/10.3109/0142159X.2011.610840
Joyce J, Cantillon P, Geoghegan R. Peer feedback in graduate training: A phenomenological investigation of possibilities. Med Teach. 2022, 44(12), 1362–7. https://doi.org/10.1080/0142159X.2022.2094229
Derechos de autor 2025 Servicio de Publicaciones de la Universidad de Murcia

Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-SinDerivadas 4.0.
Las obras que se publican en esta revista están sujetas a los siguientes términos:
1. El Servicio de Publicaciones de la Universidad de Murcia (la editorial) conserva los derechos patrimoniales (copyright) de las obras publicadas y favorece y permite la reutilización de las mismas bajo la licencia de uso indicada en el punto 2.
© Servicio de Publicaciones, Universidad de Murcia
2. Las obras se publican bajo una licencia Creative Commons Reconocimiento-NoComercial-SinObraDerivada 4.0.
![]()
3. Condiciones de auto-archivo. Se permite y se anima a los autores a difundir electrónicamente las versiones preprint (versión antes de ser evaluada y enviada a la revista) y/o post-print (versión evaluada y aceptada para su publicación) de sus obras antes de su publicación, ya que favorece su circulación y difusión más temprana y con ello un posible aumento en su citación y alcance entre la comunidad académica.













