Diez claves pedagógicas para promover buenas prácticas en la formación médica basada en competencias en el grado y en la especialización

During the past decade, the competency-based training has become a familiar term in Medical Education. The authors of this article argue that, although there have been outstanding changes in some universities and medical centers, in many others the only thing that has been changed is the name of concepts, but keeping on doing the same without producing any changes in the competence profile of students and residents. Also, there are institutions that do not even consider some kind of movement. Nevertheless, the current social situation requires to think of a competency-based education and to establish competency profiles to address the health needs. Therefore, the transition from a traditional training to a competency-based training must be broadened and strengthened in educational and health institutions. The authors argue that the shift from traditional training to a competency-based one has to be led for the directors, staff, and teachers/tutors, and that the decisions they make need to be founded on a pedagogical framework. They also specify this framework in 10 pedagogical keys which they set out throughout this reflection. Finally, they conclude that the well-established curricula and training programs based in these pedagogical keys, guarantee not only the development of the competency-based profile of students and residents committed to a more humane and fair world, but also the development of a good training practice in Medical Education.