¿Reinventar la formación de médicos especialistas? Principios y retos.

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Title: ¿Reinventar la formación de médicos especialistas? Principios y retos.
Alternate Title: Reinventing specialty training of physicians? Principles and challenges.
Authors: Morán-Barrios, J.1 jermoso2312@hotmail.com, de Gauna-Bahillo, P. Ruiz2
Source: Nefrologia. 2010, Vol. 30 Issue 6, p604-612. 9p. 2 Charts.
Subjects: CONTINUING medical education, OUTCOME-based education, GLOBALIZATION, MEDICAL care, MEDICAL education
Geographic Terms: SPAIN
Abstract (English): In a world undergoing constant change, in the era of globalisation, the training of medical professionals should be under constant review so that it can be tailored to meet the needs of this society in transition. This is all the more true at times of economic uncertainty, such as the current conditions, which have a direct impact on health services. Professionals need new Competencies for new times. Over the last decade initiatives have emerged in various Anglo- Saxon countries which have defined a framework of basic Competencies that all medical specialists should demonstrate in their professional practice. In addition to this, we must respond to the creation of the European Higher Education Area which has implications for specialised training. In Spain, training for medical specialists was in need of an overhaul and the recently passed law (Real Decreto 183/2008) will allow us to move forward and implement, in medical education, initiatives and innovations required in our medical centres, to respond to the new society and bring us in line with international professional education and practice. The way forward is a Competencybased model for medical education with assessment of these Competencies using simple instruments, validated and accepted by all the stakeholders. The institutions involved (hospitals, medical centres and other health care services) should trial different approaches within the general framework established by the current legislation and be conscious of the duty they have to society as accredited training organisations. Accordingly, they should consolidate their teaching and learning structures and the various different educational roles (Director of Studies, Tutors, and other teaching positions), showing the leadership necessary to allow proper implementation of their training programmes. For this, the Spanish Autonomous Regions must develop their own legislation regulating Medical Specialty Training. So, medical professionals should receive training, based on ethical values, behaviours and attitudes that considers humanistic, scientific and technical factors, developing an understanding of the scientific method; ability to put it into practice; skills to manage complexity and uncertainty; a command of scientific, technical and IT terminology to facilitate independent learning; and a capacity for initiative and teamwork, as well as skills for dealing with people and for making an effective, democratic contribution both within health organisations and in the wider society. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): En un mundo globalizado y en permanente cambio, la formación de profesionales de la medicina exige una reflexión continua para dar respuesta a esa sociedad en continua transición, máxime cuando se viven momentos económicos tan delicados como el actual que influyen directamente en el mundo sanitario. Los profesionales precisan nuevas competencias para nuevos tiempos. En la última década han surgido iniciativas en distintos países del mundo anglosajón que han definido el marco de competencias básicas necesarias que todo médico y especialista debe demostrar en su práctica profesional. Junto a ello nos encontramos ante el Espacio Europeo de Educación Superior que también influye en nuestra formación especializada. La formación sanitaria especializada en España precisaba un nuevo impulso y el reciente marco regulatorio (Real Decreto 183/2008) nos permitirá avanzar y desarrollar aquellas iniciativas e innovaciones que en educación médica son imprescindibles implantar en los centros sanitarios, para responder a una nueva sociedad y adecuarnos al contexto educativo y de práctica profesional internacional. La formación médica basada en competencias y su evaluación con instrumentos, sencillos, validados y aceptados por todos los agentes implicados en la formación, es el camino a seguir. Las instituciones (centros y servicios asistenciales) deberán desarrollar sus propias experiencias dentro del marco general que proporciona la legislación vigente, y estas instituciones deben ser conscientes del compromiso adquirido con la sociedad a través de la acreditación docente, debiendo, por tanto, consolidar su organización docente y las distintas figuras de los agentes formadores (jefes de estudio, tutores y otras figuras docentes), ejerciendo el necesario liderazgo para el completo desarrollo de los programas formativos. Para ello, es preciso que las Comunidades Autónomas desarrollen sus propias normativas en formación sanitaria especializada. Finalmente, los profesionales de la medicina deben tener una formación basada en: valores éticos, hábitos y actitudes, que abarque aspectos humanísticos, científicos y tecnológicos; un conocimiento y una práctica del método científico, unidos a la gestión de la complejidad y de la incertidumbre; un manejo correcto del lenguaje científico, tecnológico e informático que facilite el aprendizaje autónomo; una capacidad de iniciativa y trabajo en equipo, así como el desarrollo de habilidades para los asuntos personales y para una eficaz participación democrática en la sociedad y en las instituciones sanitarias. [ABSTRACT FROM AUTHOR]
Copyright of Nefrologia is the property of Revista Nefrologia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: ¿Reinventar la formación de médicos especialistas? Principios y retos.
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  Data: Reinventing specialty training of physicians? Principles and challenges.
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  Data: <searchLink fieldCode="AR" term="%22Morán-Barrios%2C+J%2E%22">Morán-Barrios, J.</searchLink><relatesTo>1</relatesTo><i> jermoso2312@hotmail.com</i><br /><searchLink fieldCode="AR" term="%22de+Gauna-Bahillo%2C+P%2E+Ruiz%22">de Gauna-Bahillo, P. Ruiz</searchLink><relatesTo>2</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Nefrologia%22">Nefrologia</searchLink>. 2010, Vol. 30 Issue 6, p604-612. 9p. 2 Charts.
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  Data: In a world undergoing constant change, in the era of globalisation, the training of medical professionals should be under constant review so that it can be tailored to meet the needs of this society in transition. This is all the more true at times of economic uncertainty, such as the current conditions, which have a direct impact on health services. Professionals need new Competencies for new times. Over the last decade initiatives have emerged in various Anglo- Saxon countries which have defined a framework of basic Competencies that all medical specialists should demonstrate in their professional practice. In addition to this, we must respond to the creation of the European Higher Education Area which has implications for specialised training. In Spain, training for medical specialists was in need of an overhaul and the recently passed law (Real Decreto 183/2008) will allow us to move forward and implement, in medical education, initiatives and innovations required in our medical centres, to respond to the new society and bring us in line with international professional education and practice. The way forward is a Competencybased model for medical education with assessment of these Competencies using simple instruments, validated and accepted by all the stakeholders. The institutions involved (hospitals, medical centres and other health care services) should trial different approaches within the general framework established by the current legislation and be conscious of the duty they have to society as accredited training organisations. Accordingly, they should consolidate their teaching and learning structures and the various different educational roles (Director of Studies, Tutors, and other teaching positions), showing the leadership necessary to allow proper implementation of their training programmes. For this, the Spanish Autonomous Regions must develop their own legislation regulating Medical Specialty Training. So, medical professionals should receive training, based on ethical values, behaviours and attitudes that considers humanistic, scientific and technical factors, developing an understanding of the scientific method; ability to put it into practice; skills to manage complexity and uncertainty; a command of scientific, technical and IT terminology to facilitate independent learning; and a capacity for initiative and teamwork, as well as skills for dealing with people and for making an effective, democratic contribution both within health organisations and in the wider society. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: En un mundo globalizado y en permanente cambio, la formación de profesionales de la medicina exige una reflexión continua para dar respuesta a esa sociedad en continua transición, máxime cuando se viven momentos económicos tan delicados como el actual que influyen directamente en el mundo sanitario. Los profesionales precisan nuevas competencias para nuevos tiempos. En la última década han surgido iniciativas en distintos países del mundo anglosajón que han definido el marco de competencias básicas necesarias que todo médico y especialista debe demostrar en su práctica profesional. Junto a ello nos encontramos ante el Espacio Europeo de Educación Superior que también influye en nuestra formación especializada. La formación sanitaria especializada en España precisaba un nuevo impulso y el reciente marco regulatorio (Real Decreto 183/2008) nos permitirá avanzar y desarrollar aquellas iniciativas e innovaciones que en educación médica son imprescindibles implantar en los centros sanitarios, para responder a una nueva sociedad y adecuarnos al contexto educativo y de práctica profesional internacional. La formación médica basada en competencias y su evaluación con instrumentos, sencillos, validados y aceptados por todos los agentes implicados en la formación, es el camino a seguir. Las instituciones (centros y servicios asistenciales) deberán desarrollar sus propias experiencias dentro del marco general que proporciona la legislación vigente, y estas instituciones deben ser conscientes del compromiso adquirido con la sociedad a través de la acreditación docente, debiendo, por tanto, consolidar su organización docente y las distintas figuras de los agentes formadores (jefes de estudio, tutores y otras figuras docentes), ejerciendo el necesario liderazgo para el completo desarrollo de los programas formativos. Para ello, es preciso que las Comunidades Autónomas desarrollen sus propias normativas en formación sanitaria especializada. Finalmente, los profesionales de la medicina deben tener una formación basada en: valores éticos, hábitos y actitudes, que abarque aspectos humanísticos, científicos y tecnológicos; un conocimiento y una práctica del método científico, unidos a la gestión de la complejidad y de la incertidumbre; un manejo correcto del lenguaje científico, tecnológico e informático que facilite el aprendizaje autónomo; una capacidad de iniciativa y trabajo en equipo, así como el desarrollo de habilidades para los asuntos personales y para una eficaz participación democrática en la sociedad y en las instituciones sanitarias. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Nefrologia is the property of Revista Nefrologia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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