Efecto de un programa de formación médica en el desarrollo de competencias clínicas para identificar y manejar la enfermedad renal crónica

Introduction:Chronic kidney disease is a worldwide epidemic and represents one of the most important challenges for the health personal; because of this, the importance of generating competent human resources is crucial to the correct treatment and prevention of this disease. Objective: To measure the effect of a medical formation curriculum on the development of clinical competencies to identify and manage chronic kidney disease. Methods: A quasi-experimental study was carried out at the Guadalajara LAMAR University Campus Vallarta in the first scholar semester of 2019 (2019A cycle). With a sample of 133 medical students, which 18 were from second semester (G1), 31 from fourth semester (G2), and 84 medical interns (G3); additionally, we included 22 college students with no medical formation to form the fixed group (G0). The Instrument used was a Spanish-language scale that evaluated the knowledge on chronic kidney disease, whose total sum allows the identification of the clinical competencies. The analysis was made by means of non-parametric inferential statistics (p-Value of ≤0.05). Results: The clinical competency was higher in those who were exposed to the medical formation program: G1 attained 38.8% of competence, G2 achieved 35.5%, and G3 had 61.91% of competence expectations. Meanwhile, G0 achieved only 18.1% of competence. Conclusion: The evaluation of the curriculum, during the 2019A cycle, showed a gradual growth of professional competences in chronological form, which gets higher when the theoretical knowledge is combined with the clinical practice. Introducción: La enfermedad renal crónica es una epidemia mundial y representa uno de los mayores desafíos para el personal de salud; por este motivo, es crucial generar recursos humanos competentes para el tratamiento correcto y la prevención de esta enfermedad. Objetivo: Medir el efecto de un plan de estudios de medicina sobre el desarrollo de competencias clínicas para identificar y tratar la enfermedad renal crónica. Material y métodos: Se desarrolló un estudio cuasiexperimental en la Universidad LAMAR de Guadalajara, campus Vallarta, durante el primer semestre de 2019 (ciclo 2019A). Participaron 133 estudiantes de medicina: 18 de ellos del segundo semestre (G1), 31 del cuarto semestre (G2) y 84 residentes (G3); además, se incluyó a 22 alumnos universitarios sin formación en medicina para establecer el grupo control (G0). El instrumento utilizado fue una escala en idioma español que evaluó los co