Introduction

The relation between the schools of medicine that depend on the universities and the hospitals where undergraduate students carry out their clinical practice link educational institutions with the healthcare centers that are part of the National System of Health.

Objective

Analyze the joints and tensions in relations between the clinical education positioned subjects following the changes introduced by the Curriculum 2010 of the Faculty of Medicine at the Universidad Nacional Autonoma de Mexico.

Method

Interpretive qualitative study where the sample recovers the experience narrated by students and teachers relative to the academic management and the interinstitutional relation between the Faculty of Medicine at the Universidad Nacional Autonoma de Mexico and the hospitals. Thirty-nine focus groups participated with 321 people (180 students and 141 teachers) between October 2013 and March 2014.

Results

Three relevant issues present in academic management interinstitutional relations were identified: 1) implementation of the Curriculum 2010, structured in intensive courses by specialty; 2) new criteria for the recruitment of academic staff and the recount of working hours of teachers per subject in the clinic; and 3) changes in the power relations between the pedagogical subject.

Conclusions

The implementation of the Curriculum 2010 structured in intensive courses by specialty, the new criteria for the hiring of the teaching staff and the redistribution of working hours of the teachers per subject in the clinic altered the dynamics of the relations between the pedagogic subjects, as well as their distribution of power.