Experiencia metacompleja para la construcción de un modelo de diagnóstico médico por estudiantes

Abstract

Introduction. The aim of this study based on projects was develop a strategy for diagnosis. Axis was 'diarrhea', a major cause of morbidity and mortality in Mexico, because medical education from 'transmission' paradigm can't construct the competence. Subjects and methods. We worked with 16 medicine students at a university in southern Mexico and development was based on the model of metacomplex experience 'Dialogue makes us write new theory'. The obtained product was a diagnostic process to identify the symptoms mechanism and causes more likely of diarrhea. Progress was evaluated according to a rubric and accreditation to get 80% of criteria met. Results. Half of the students completed the experience. They learned to identify patterns of behavior without useful for diagnosis, to assess the relevance of the contents of textbooks and the need to seek information in virtual libraries. After construct their concepts, made transparent through flow charts and comparative tables, they could handle clinical guidelines and systematic reviews as well as the Mexican official standards. Conclusion. Through the process of building the metacomplex body, students positively weighted active role and could develop critical thinking. © 2012 Educación Médica.