Los nuevos desafíos y oportunidades para la educación médica desde los procesos de acreditación

Authors

  • Oscar Mauricio Jerez Yañez Universidad de Chile, Facultad de Medicina, Departamento de Educación en Ciencias de la Salud, Región metropolitana, Chile https://orcid.org/0000-0003-0869-5938
  • Ignacio Rodrigo Aguilera Fortes Universidad de Chile, Facultad de Medicina, Región metropolitana, Chile https://orcid.org/0009-0006-0632-0285
  • Ignacio Tomás Campolo Universidad de Chile, Facultad de Medicina, Región metropolitana, Chile
  • Diego Alejandro Aller Acuña Universidad de Chile, Facultad de Medicina, Región metropolitana, Chile https://orcid.org/0009-0000-4657-2379
  • Martín Munita Leiva Universidad de Chile, Facultad de Medicina, Región metropolitana, Chile https://orcid.org/0009-0000-6395-6067
  • Liseth Bravo Osorio Facultad de Medicina, Universidad de Chile https://orcid.org/0009-0005-1078-2725
DOI: https://doi.org/10.6018/edumed.627211
Keywords: Accreditation, Medical Education, Quality Criteria, Chilean Universities

Abstract

Introduction: Accreditation of medical programs is fundamental to ensure quality in the training of future doctors. Recently, new accreditation criteria have been implemented in Chile in line with international standards. The objective is to evaluate the last accreditation process of medical careers in Chile using the new criteria, with this, identify patterns and lessons learned to improve medical education and align with international standards. Method: The accreditation records of Chilean universities teaching medicine, available on the National Accreditation Commission website, were collected and analyzed. The analysis included a thorough review of the new criteria and a re-evaluation of the accreditations using a three-tiered scale: basic, advanced, and excellence. An analysis of means and variance was performed for each criterion, and careers were grouped by year of accreditation using content and cluster analysis. Results: A high variance was observed among the universities in the evaluated criteria. The criteria with better average performance were graduate profile, curriculum, academic staff, and internal management. The criteria for the worst performance included the results of the educational process, infrastructure, self-regulation, link with the environment, and professional productivity. Clustering revealed three main groups of universities, differentiated by their years of accreditation and compliance with the criteria. Discussion: There are differences in the implementation and fulfillment with the new accreditation criteria and identify areas of strength and weakness. Comparison with the previous process, which spans more than 20 years, allows for the establishment of a baseline for future evaluations and the adjustment of policies to align with international standards. Conclusions: The study provides a detailed overview of the current state of medical education in Chile under the new accreditation criteria and offers recommendations for continuous improvement.

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References

Universidad de San Martín de Porres, Lima, Perú, Lizaraso Caparó F. Educación médica y educación médica contínua no es lo mismo. Horiz Méd Lima. 1 de julio de 2013 [citado 4 de julio de 2024];13(3). Disponible en: https://www.horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/53

Gal B, Sánchez J, González-Soltero R, Learte A, Lesmes M. La educación médica como necesidad para la formación de los futuros médicos. Educ Médica. 2021;22(2):111–8. https://www.elsevier.es/es-revista-educacion-medica-71-articulo-la-educacion-medica-como-necesidad-S1575181320301455

Rognoni Amrein G, Benet Bertran P, Castro Salomó A, Gomar Sancho C, Villalonga Vadell R, Zorrilla Riveiro J. La simulación clínica en la educación médica. Ventajas e inconvenientes del aprendizaje al lado del paciente y en entorno simulado. Medicina Clínica Práctica. 2024;7(4):100459. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S260392492400034X

González-Flores P, Luna de la Luz V. La transformación de la educación médica en el último siglo: innovaciones curriculares y didácticas (parte 1). Investig educ médica. 2019;8(30):95–109. https://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S2007-50572019000200095

About - The World Federation for Medical Education. 2017 [citado 7 de julio de 2024]. Disponible en: https://wfme.org/about-wfme/

Ahn D. Current trend of accreditation within medical education. J Educ Eval Health Prof. 2020;17:30. https://doi.org/10.3352%2Fjeehp.2020.17.30

WFME-BME-Standards-2020.pdf. [citado 7 de julio de 2024]. Disponible en: https://wfme.org/wp-content/uploads/2020/12/WFME-BME-Standards-2020.pdf

Continúa el avance del proceso de reconocimiento de la CNA-Chile ante la Federación Mundial para la Educación Médica (WFME). [citado 7 de julio de 2024]. Disponible en: https://www.cnachile.cl/noticias/Paginas/Contin%C3%BAa-el-avance-del-proceso-de-reconocimiento-de-la-CNA-Chile-ante-la-Federaci%C3%B3n-Mundial-para-la-Educaci%C3%B3n-M%C3%A9dica-(WFME).aspx

Cancino C V, Schmal S R. Sistema de Acreditación Universitaria en Chile: ¿Cuánto hemos avanzado? Estud Pedagógicos Valdivia. 2014;40(1):41–60. http://dx.doi.org/10.4067/S0718-07052014000100003.

Fleet N, Pedraja-Rejas L. Acreditación institucional y factores de la calidad universitaria en Chile. 2014;39. https://dialnet.unirioja.es/servlet/articulo?codigo=5506868

Comisión Nacional de Acreditación -CNA | Ayuda Mineduc. [citado 1 de agosto de 2024]. https://www.ayudamineduc.cl/ficha/comision-nacional-de-acreditacion-cna-5

Molina Domingo G, Letelier Larrondo V. El sistema de aseguramiento de la calidad de la educación superior chilena: la degradación organizacional de la institución educativa. Atenea Concepc. 2020;25(522):171–88. http://dx.doi.org/10.29393/at522-102sagm20102

Yoo HH, Kim MK, Yoon YS, Lee KM, Lee JH, Hong SJ, et al. Changes in the accreditation standards of medical schools by the Korean Institute of Medical Education and Evaluation from 2000 to 2019. J Educ Eval Health Prof. 2020;17:2. https://doi.org/10.3352/jeehp.2020.17.2

Pock AR, Durning SJ, Gilliland WR, Pangaro LN. Post-Carnegie II curricular reform: a north American survey of emerging trends & challenges. BMC Med Educ. 2019;19(1):260. https://doi.org/10.1186/s12909-019-1680-1

Peake LK, Swanwick T. Tomorrow’s Leaders, Today : leadership and management in the undergraduate curriculum. BMJ Leader 2018;2(1):10-1. https://doi.org/10.1136/leader-2018-000075

Jefferies R, Sheriff IHN, Matthews JH, Jagger O, Curtis S, Lees P, et al. Leadership and management in UK medical school curricula. JHOM. 2016;30(7):1081-104. https://doi.org/10.1108/jhom-03-2016-0042

Brouwer E, Driessen E, Mamat NH, Nadarajah VD, Somodi K, Frambach J. Educating universal professionals or global physicians? A multi-centre study of international medical programmes design. Medical Teacher 2020;42(2):221-7. https://doi.org/10.1080/0142159x.2019.1676885

Caverzagie KJ, Nousiainen MT, Ferguson PC, Ten Cate O, Ross S, Harris KA, et al. Overarching challenges to the implementation of competency-based medical education. Medical Teacher. 2017;39(6):588-93. https://doi.org/10.1080/0142159x.2017.1315075

Wartman SA. The Empirical Challenge of 21st-Century Medical Education. Academic Medicine. 2019;94(10):1412-5. https://doi.org/10.1097/acm.0000000000002866

Milles LS, Hitzblech T, Drees S, Wurl W, Arends P, Peters H. Student engagement in medical education: A mixed-method study on medical students as module co-directors in curriculum development. Medical Teacher 2019;41(10):1143-50.https://doi.org/10.1080/0142159x.2019.1623385

Hense H, Harst L, Küster D, Walther F, Schmitt J. Implementing longitudinal integrated curricula: Systematic review of barriers and facilitators. Medical Education 2021;55(5):558-73. https://doi.org/10.1111/medu.14401

Blouin D, Tekian A, Kamin C, Harris IB. The impact of accreditation on medical schools’ processes. Med Educ. 2018;52(2):182-91. https://doi.org/10.1111/medu.13461

Choa G, Arfeen Z, Chan SCC, Rashid MA. Understanding impacts of accreditation on medical teachers and students: A systematic review and meta-ethnography. Medical Teacher 2022;44(1):63-70. https://doi.org/10.1080/0142159x.2021.1965976

Howell BA, Kristal RB, Whitmire LR, Gentry M, Rabin TL, Rosenbaum J. A Systematic Review of Advocacy Curricula in Graduate Medical Education. J Gen Intern Med 2019;34(11):2592-601. https://doi.org/10.1007/s11606-019-05184-3

Sandhu D. Postgraduate medical education – Challenges and innovative solutions. Medical Teacher 2018;40(6):607-9. https://doi.org/10.1080/0142159x.2018.1461997

Blouin D, Tekian A. Accreditation of Medical Education Programs: Moving From Student Outcomes to Continuous Quality Improvement Measures. Academic Medicine 2018;93(3):377-83. https://doi.org/10.1097/acm.0000000000001835

Blouin D. Quality improvement in medical schools: vision meets culture. Medical Education 2019;53(11):1100-10. https://doi.org/10.1111/medu.13926

Published
11-10-2024
How to Cite
Jerez Yañez, O. M., Aguilera Fortes, I. R., Campolo, I. T., Aller Acuña, D. A., Munita Leiva, M., & Bravo Osorio, L. (2024). Los nuevos desafíos y oportunidades para la educación médica desde los procesos de acreditación. Spanish Journal of Medical Education, 5(4). https://doi.org/10.6018/edumed.627211

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