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      Diseño y aplicación de un programa integral en línea en Medicina durante el confinamiento por la COVID-19 Translated title: Design and implementation of a Comprehensive Online Program in medicine during Covid19 lockdown

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          Abstract

          Introducción. La crisis por la COVID-19 supuso en marzo de 2020 el cierre de las universidades del país, con interrupción total de la actividad presencial. Este estudio presenta el diseño, el desarrollo y los resultados generales de una formación totalmente en línea con un enfoque docente ‘autorregulativo’ (enfocado al aprendizaje autónomo del alumno), que una escuela de Medicina realizó durante los meses de confinamiento (último cuatrimestre del curso 2019/2020). Sujetos y métodos. Se describen las características educativas del Programa OnLine Ante COVID-19 para los cursos de primero y segundo de Medicina, estructuración, organización de la intervención, utilización de las herramientas y plataformas. Se comparan los resultados académicos del grupo de alumnos en los que se interviene con alumnos del curso anterior. Resultados. De 14 asignaturas participaron 10, y 111-158 (primer curso) y 110-139 (segundo curso) alumnos. La plataforma utilizada fue Moodle. Las sesiones síncronas fueron 49. El 83,7% de alumnos realizó autoevaluaciones. Se realizaron tres foros/asignatura. Se expusieron más de 500 dudas y hubo 107 tutorías. Los resultados de los exámenes finales (global de las asignaturas) mostraron un 17,7% más de aptos y un 11,1% menos de no aptos respecto al curso anterior. Conclusiones. El programa en su diseño (enfoque centrado en el alumno) y desarrollo (completamente en línea) se mostró viable para el desarrollo del aprendizaje ‘autorregulativo’ no presencial. El uso de herramientas en línea habituales, una estructura académica centralizada y una organización en módulos semanales son elementos que han podido contribuir a su viabilidad y aplicación inmediata. Son necesarios nuevos estudios para comprobar el alcance real de este tipo de enfoques educativos.

          Translated abstract

          Introduction. The Covid-19 crisis led to the closure of the country’s universities in March 2020, with total interruption of face-to-face activity. This study presents the design, development and general results of a totally online training with a ‘self-regulatory’ teaching approach, which a School of Medicine carried out during lockdown months (2019/20 last semester). Subjects and methods. The educational features of OnLine Program Because Covid19 (POLAC) for the 1st and 2nd medicine years are described, the structure and organization of the intervention. Use of tools and web-programs and comparison of academic results between the group of these students with students from previous year. Results. Ten out of 14 subjects participated and between 111-158 (1st) and 110-139 (2nd) students. Moodle web-program. Synchronous sessions: 49, self-evaluations carried out by 83.7% students. Forums: 3 forums / subject. Exposed doubts > 500; Tutorials: 107; Results of the final exams (global of subjects): a 17.7% of increase in the number of ‘pass’ grades and a 11.1% of decrease of ‘not pass’ grades regarding previous year. Conclusions. The design (student-centered approach) and development (completely online) of the POLAC is practicable for the development of non-face-to-face ‘self-regulatory’ learning. Using common online tools, a centralized academic structure, and an organization in weekly units are elements that may contribute to viability and immediate implementation. New studies are needed to verify the real scope of this type of instructional approaches.

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          Sensemaking in Crisis and Change: Inspiration and Insights From Weick (1988)

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            The Inevitable Reimagining of Medical Education

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              Achievement goal structures and self-regulated learning: relationships and changes in medical school.

              Practicing physicians have a societal obligation to maintain their competence. Unfortunately, the self-regulated learning skills likely required for lifelong learning are not explicitly addressed in most medical schools. The authors examined how medical students' perceptions of the learning environment relate to their self-regulated learning behaviors. They also explored how students' perceptions and behaviors correlate with performance and change across medical school. The authors collected survey data from 304 students at different phases of medical school training. The survey items assessed students' perceptions of the learning environment, as well as their metacognition, procrastination, and avoidance-of-help-seeking behaviors. The authors operationalized achievement as cumulative medical school grade point average (GPA) and, for third- and fourth-year students, collected clerkship outcomes. Students' perceptions of the learning environment were associated with their metacognition, procrastination, and help-avoidance behaviors. These behaviors were also related to academic outcomes. Specifically, avoidance of help seeking was negatively correlated with cumulative medical school GPA (r=-0.23, P<.01) as well as exam (r=-0.22, P<.05) and clinical performance (r=-0.34, P<.01) in the internal medical clerkship; these help-avoidance behaviors were also positively correlated with students' presentation at a grade adjudication committee (r=0.20, P<.05). Additionally, students' perceptions of the learning environment varied as a function of their phase of training. Medical students' perceptions of the learning environment are related, in predictable ways, to their use of self-regulated learning behaviors; these perceptions seem to change across medical school.
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                Author and article information

                Journal
                fem
                FEM: Revista de la Fundación Educación Médica
                FEM (Ed. impresa)
                Fundación Educación Médica y Viguera Editores, S.L. (Barcelona, Barcelona, Spain )
                2014-9832
                2014-9840
                2021
                : 24
                : 3
                : 143-148
                Affiliations
                [2] Córdoba Andalucía orgnameUniversidad de Córdoba orgdiv1Instituto Maimónides de Investigación Biomédica (IMIBIC) Spain
                [1] Madrid Madrid orgnameUniversidad Francisco de Vitoria orgdiv1Facultad de Medicina Spain
                Article
                S2014-98322021000300007 S2014-9832(21)02400300007
                6dcd8463-f2fc-401a-a43d-1b00ab4f523d

                This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

                History
                : 03 February 2021
                : 09 December 2020
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 13, Pages: 6
                Product

                SciELO Spain

                Categories
                Originales

                Formación no presencial,Aprendizaje autorregulativo,Confinamiento,COVID-19,Educación médica,Estudiantes de medicina,Formación en línea,Covid19,Lockdown,Medical education,Medical students,Non-face-to-face training,Online training,Self-regulatory learning

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