El aprendizaje de estudiantes de Medicina durante su internado en tres hospitales en Nayarit, México Learning acquired by medical students during their internship in three hospitals in Nayarit, Mexico

dc.creator	Martha Edith Cancino Marentes
dc.creator	Rogelio Alberto Fernández Argüelles
dc.creator	María Antonieta Arbesú Michelena
dc.date	2011-09-01T00:00:00Z
dc.date.accessioned	2015-08-12T11:21:48Z
dc.date.available	2015-08-12T11:21:48Z
dc.identifier	0864-2141
dc.identifier	1561-2902
dc.identifier	https://doaj.org/article/8df694821596474f83c78c4f46afebd0
dc.identifier.uri	http://evidence.thinkportal.org/handle/123456789/29163
dc.description	Con el objetivo de comparar el aprendizaje de habilidades clínicas en estudiantes de la Universidad Autónoma de Nayarit que desarrollaron su internado de pregrado en tres instituciones hospitalarias del Sistema Nacional de Salud, se realizaron pruebas objetivas al inicio y fin del periodo y cuestionario con preguntas abiertas y semicerradas. Se efectuaron análisis no paramétricos para comparación de grupos y análisis discriminante para identificar las variables más útiles para diferenciar las instituciones en relación al ambiente. Se obtuvo diferencia en al menos una de las comparaciones entre instituciones; la mayoría de los estudiantes en las tres instituciones percibió que sus tutores tuvieron de regular a mala disposición para la enseñanza o para permitirles participar en las actividades académicas y fue el jefe de enseñanza el encargado de coordinar las sesiones académicas. El análisis discriminante demostró que las variables más influyentes en la discriminación resultaron el papel del coordinador y la calidad de las actividades académicas, las horas de sueño y el tamaño de los grupos de internos asignados a las guardias. En las tres instituciones existió un incremento significativo del aprendizaje de habilidades clínicas entre el inicio y el fin del internado, con un nivel mayor en el aprendizaje en la sede del IMSS.<br>A comparative study of the learning of clinical skills was carried out in Universidad Autónoma de Nayarit in Mexico. The participating students, who developed their undergraduate internship in three different hospitals of the national health care system of that country, answered a questionnaire including open and semi-close questions. The non-parametric analysis compared the groups whereas the discriminating analysis identified the most useful variables, differentiated the institutions with respect to the environment and revealed the opinions of the medical students about the undergraduate internship period. Some differences were noted at least in one of the comparisons among the institutions; the majority of students from the three institutions perceived that their tutors´willingness to teach them or to allow them participate in the academic activities was not good in general, so it is the head of education who is in charge of coordinating the academic sessions. The most influential variables in the discriminatory analysis were the role of the coordinator and the quality of the academic activities, the sleeping hours and the size of the groups of interns assigned to the medical calls. Significant rise of the clinical skill learning was observed in the three institutions when comparing the results from the beginning to the end of the internship period, being the level of learning higher in the Instituto Mexicano del Seguro Social (IMSS).
dc.language	Spanish
dc.publisher	Editorial Ciencias Médicas
dc.relation	http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-21412011000300003
dc.relation	https://doaj.org/toc/0864-2141
dc.relation	https://doaj.org/toc/1561-2902
dc.source	Educación Médica Superior , Vol 25, Iss 3, Pp 242-254 (2011)
dc.subject	Evaluación curricular
dc.subject	educación médica
dc.subject	internado de pregrado
dc.subject	habilidades clínicas
dc.subject	Curricular evaluation
dc.subject	medical education
dc.subject	pregraduate internship
dc.subject	Medicine (General)
dc.subject	R5-920
dc.subject	Medicine
dc.subject	R
dc.subject	DOAJ:Medicine (General)
dc.subject	DOAJ:Health Sciences
dc.subject	Special aspects of education
dc.subject	LC8-6691
dc.subject	Education
dc.subject	L
dc.subject	DOAJ:Education
dc.subject	DOAJ:Social Sciences
dc.subject	Medicine (General)
dc.subject	R5-920
dc.subject	Medicine
dc.subject	R
dc.subject	DOAJ:Medicine (General)
dc.subject	DOAJ:Health Sciences
dc.subject	Special aspects of education
dc.subject	LC8-6691
dc.subject	Education
dc.subject	L
dc.subject	DOAJ:Education
dc.subject	DOAJ:Social Sciences
dc.subject	Medicine (General)
dc.subject	R5-920
dc.subject	Medicine
dc.subject	R
dc.subject	Special aspects of education
dc.subject	LC8-6691
dc.subject	Education
dc.subject	L
dc.subject	Medicine (General)
dc.subject	R5-920
dc.subject	Medicine
dc.subject	R
dc.subject	Special aspects of education
dc.subject	LC8-6691
dc.subject	Education
dc.subject	L
dc.subject	Medicine (General)
dc.subject	R5-920
dc.subject	Medicine
dc.subject	R
dc.subject	Special aspects of education
dc.subject	LC8-6691
dc.subject	Education
dc.subject	L
dc.title	El aprendizaje de estudiantes de Medicina durante su internado en tres hospitales en Nayarit, México Learning acquired by medical students during their internship in three hospitals in Nayarit, Mexico
dc.type	article