Evaluación Programática, el fin del “todo o nada” en la educación médica

Abstract. Programmatic evaluation occupies an increasingly central place in contemporarymedical education, especially in institutions that have adopted competency-based training models.While not yet a universal standard, it has established itself as one of the most influential anddiscussed approache...

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Detalles Bibliográficos
Autor: García-Estañ López, Joaquín
Tipo de recurso: artículo
Fecha de publicación:2026
País:España
Institución:Universidad de Murcia
Repositorio:DIGITUM. Depósito Digital Institucional de la Universidad de Murcia
OAI Identifier:oai:digitum.um.es:10201/205521
Acceso en línea:https://doi.org/10.6018/edumed.702031
http://hdl.handle.net/10201/205521
Access Level:acceso abierto
Palabra clave:Evaluación
Retroalimentación
Competencies
Assessmen
Feedback
Competencias
No relacionado con ningún objetivo de desarrollo sostenible
Descripción
Sumario:Abstract. Programmatic evaluation occupies an increasingly central place in contemporarymedical education, especially in institutions that have adopted competency-based training models.While not yet a universal standard, it has established itself as one of the most influential anddiscussed approaches in the field of clinical assessment. Over the past two decades, medicaleducation has shifted from content-centered curricula to integrated professional competencyframeworks. International organizations such as the Accreditation Council for Graduate MedicalEducation (ACGME), the CanMEDS of the Royal College of Physicians and Surgeons of Canada,and the General Medical Council (GMC) have promoted frameworks that describe physicians notonly as clinical experts but also as communicators, collaborators, professionals, and lifelonglearners. This shift has necessitated a profound rethinking of assessment systems. In this context,programmatic evaluation stands out as the most coherent methodological response tocompetency-based education. Its role is not simply to be "another technique," but rather astructural framework that organizes all assessments within a training program. In many medical schools and residency programs, assessment is no longer conceived as a set of isolated exams, but rather as a longitudinal system for collecting and integrating evidence. Its influence is also felt inthe educational culture. Frequent feedback, individualized monitoring, and collegial deliberationon student progress are gaining ground as quality standards. Furthermore, the scientific literaturein medical education recognizes Programmatic Assessment as a model with high conceptualvalidity for evaluating complex competencies in real-world clinical settings.