<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2007-5057</journal-id>
<journal-title><![CDATA[Investigación en educación médica]]></journal-title>
<abbrev-journal-title><![CDATA[Investigación educ. médica]]></abbrev-journal-title>
<issn>2007-5057</issn>
<publisher>
<publisher-name><![CDATA[Universidad Nacional Autónoma de México, Facultad de Medicina]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2007-50572021000200068</article-id>
<article-id pub-id-type="doi">10.22201/fm.20075057e.2021.38.21341</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[La evaluación de la competencia clínica a través de un Web-ECOE: una experiencia de aplicación]]></article-title>
<article-title xml:lang="en"><![CDATA[The evaluation of clinical competence through a Web-OSCE: an application experience]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rivero-López]]></surname>
<given-names><![CDATA[Carlos Alonso]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vega-Rodríguez]]></surname>
<given-names><![CDATA[Magali Fabiola]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Yap-Campos]]></surname>
<given-names><![CDATA[Kweilan]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jiménez-Galván]]></surname>
<given-names><![CDATA[Irma]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ponce-Rosas]]></surname>
<given-names><![CDATA[Raúl Efrén]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez-González]]></surname>
<given-names><![CDATA[Adrián]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,UNAM Facultad de Medicina División de Estudios de Posgrado]]></institution>
<addr-line><![CDATA[Cd. Mx. ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,UNAM Facultad de Medicina Dirección de Evaluación Educativa]]></institution>
<addr-line><![CDATA[Cd. Mx. ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,UNAM Facultad de Medicina Departamento de Salud Pública e Informática Biomédica]]></institution>
<addr-line><![CDATA[Cd. Mx. ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2021</year>
</pub-date>
<volume>10</volume>
<numero>38</numero>
<fpage>68</fpage>
<lpage>75</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2007-50572021000200068&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2007-50572021000200068&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2007-50572021000200068&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción La pandemia ocasionada por el SARS-Cov-2 ha modificado la enseñanza de la medicina. El Examen Clínico Objetivo Estructurado (ECOE), es una de las estrategias que cuenta con mayor evidencia de validez para evaluar la competencia clínica, sin embargo, en México no hay experiencia en aplicarla a distancia (Web-ECOE).  Objetivo Evaluar el grado de competencia clínica de los médicos residentes de primer año de la especialidad de medicina familiar a través de un Web-ECOE comparando la procedencia de ingreso (ENARM vs ECA) y acorde con los resultados poder implementar esta evaluación a distancia.  Método  Estudio observacional comparativo. La población estuvo compuesta de 20 médicos residentes, se conformaron dos grupos, 10 provenientes del ENARM y 10 del ECA, de diversas Instituciones de Salud reconocidas por la Subdivisión de Medicina Familiar de la UNAM. El instrumento utilizado fue un Web-ECOE de 4 estaciones.  Resultados Los residentes de primer año de medicina familiar muestran en general un grado aceptable de competencia clínica en cuatro enfermedades frecuentes de la consulta médica en el primer nivel de atención. Las puntuaciones mayores fueron para las estaciones de diabetes mellitus e hipertensión arterial y las de menor puntuación depresión y obesidad. Los residentes del programa ENARM obtuvieron mejores puntuaciones que los residentes del programa ECA.  Conclusiones  Los residentes provenientes del ENARM tuvieron mejores puntuaciones en las competencias clínicas que los residentes del ECA. Realizar un Web-ECOE permitió evaluar la competencia clínica de los residentes. Se recomienda continuar con el uso del Web-ECOE en los programas de posgrado para evaluar la competencia clínica en forma más integral.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction  The pandemic caused by SARS-Cov-2 has modified the teaching of medicine. The Structured Objective Clinical Examination (OSCE) is one of the strategies that has the greatest validity evidence to assess clinical competence, however, in Mexico there is no experience in applying it remotely (Web-OSCE).  Objective  To evaluate the degree of clinical competence of first-year resident physicians of the family medicine specialty through a Web-OSCE, comparing the origin of admission (ENARM vs ECA) and, according to the results, to be able to implement this remote evaluation.  Method Observational and comparative study. The population consisted of 20 resident physicians, two groups were formed, 10 from the ENARM and 10 from the ECA, from various Health Institutions recognized by the Family Medicine Branch of the UNAM. The instrument used was a 4-station Web-ECOE.  Results  First-year family medicine residents generally show an acceptable degree of clinical competence in four common diseases of the first-level medical practice. The highest scores were for the diabetes mellitus and arterial hypertension stations and those with the lowest scores were the depression and obesity. Residents of the ENARM program scored better than residents of the ECA program.  Conclusions  The residents from the ENARM had better scores in clinical competencies than the residents from the ECA. Carrying out a Web-OSCE made it possible to assess the clinical competence of the residents. It is recommended to continue with the use of the Web-OSCE in graduate programs to assess clinical competence in a more comprehensive way.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[ECOE]]></kwd>
<kwd lng="es"><![CDATA[Web-ECOE]]></kwd>
<kwd lng="es"><![CDATA[competencias]]></kwd>
<kwd lng="es"><![CDATA[evaluación del aprendizaje]]></kwd>
<kwd lng="en"><![CDATA[OSCE]]></kwd>
<kwd lng="en"><![CDATA[Web-OSCE]]></kwd>
<kwd lng="en"><![CDATA[competences]]></kwd>
<kwd lng="en"><![CDATA[learning assessment]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hall]]></surname>
<given-names><![CDATA[AK]]></given-names>
</name>
<name>
<surname><![CDATA[Nousiainen]]></surname>
<given-names><![CDATA[MT]]></given-names>
</name>
<name>
<surname><![CDATA[Campisi]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Dagnone]]></surname>
<given-names><![CDATA[JD]]></given-names>
</name>
<name>
<surname><![CDATA[Frank]]></surname>
<given-names><![CDATA[JR]]></given-names>
</name>
<name>
<surname><![CDATA[Kroeker]]></surname>
<given-names><![CDATA[KI]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Training disrupted: Practical tips for supporting competency-based medical education during the COVID-19 pandemic]]></article-title>
<source><![CDATA[Med Teach]]></source>
<year>2020</year>
<volume>42</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>756-61</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chandra]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Laoteppitaks]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Mingioni]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Papanagnou]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Zooming&#8208;out COVID&#8208;19: Virtual clinical experiences in an emergency medicine clerkship]]></article-title>
<source><![CDATA[Med Educ]]></source>
<year>2020</year>
<volume>54</volume>
<numero>12</numero>
<issue>12</issue>
<page-range>1182-3</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hopwood]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Myers]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Sturrock]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Twelve tips for conducting a virtual OSCE]]></article-title>
<source><![CDATA[Med Teach]]></source>
<year>2020</year>
<page-range>1-4</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Palmer]]></surname>
<given-names><![CDATA[RT]]></given-names>
</name>
<name>
<surname><![CDATA[Biagioli]]></surname>
<given-names><![CDATA[FE]]></given-names>
</name>
<name>
<surname><![CDATA[Mujcic]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Schneider]]></surname>
<given-names><![CDATA[BN]]></given-names>
</name>
<name>
<surname><![CDATA[Spires]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Dodson]]></surname>
<given-names><![CDATA[LG]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The feasibility and acceptability of administering a telemedicine objective structured clinical exam as a solution for providing equivalent education to remote and rural learners]]></article-title>
<source><![CDATA[Rural Remote Health]]></source>
<year>2015</year>
<volume>15</volume>
<numero>4</numero>
<issue>4</issue>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hannon]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Lappe]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Griffin]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Roussel]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Colbert&#8208;Getz]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[An objective structured clinical examination: From examination room to Zoom breakout room]]></article-title>
<source><![CDATA[Med Educ]]></source>
<year>2020</year>
<volume>54</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>861</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Harden]]></surname>
<given-names><![CDATA[RM]]></given-names>
</name>
<name>
<surname><![CDATA[Lilley]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Patricio]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<source><![CDATA[The definitive guide to the OSCE: the Objective Structured Clinical Examination as a performance assessment]]></source>
<year>2016</year>
<page-range>363</page-range><publisher-loc><![CDATA[Edinburgh; New York ]]></publisher-loc>
<publisher-name><![CDATA[Elsevier]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Martínez-González]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Lifshitz-Guinzberg]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Trejo-Mejía]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[Torruco-García]]></surname>
<given-names><![CDATA[U]]></given-names>
</name>
<name>
<surname><![CDATA[Fortoul-van der Goes]]></surname>
<given-names><![CDATA[TI]]></given-names>
</name>
<name>
<surname><![CDATA[Flores-Hernández]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Evaluación diagnóstica y formativa de competencias en estudiantes de medicina a su ingreso al internado médico de pregrado]]></article-title>
<source><![CDATA[Gac Med Mex]]></source>
<year>2017</year>
<volume>153</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>6-15</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Martínez-González]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Trejo-Mejía]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[¿Cómo realizar un ECOE?]]></article-title>
<source><![CDATA[Inv Ed Med]]></source>
<year>2018</year>
<volume>7</volume>
<numero>28</numero>
<issue>28</issue>
<page-range>98-107</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Trejo]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Blee]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Peña]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Elaboración de estaciones para el examen clínico objetivo estructurado (ECOE)]]></article-title>
<source><![CDATA[Inv Ed Med]]></source>
<year>2014</year>
<volume>3</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>56-9</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Martínez-González]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Sánchez Mendiola]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Olivares-Olivares]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Grimaldo-Avilés]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Trejo-Mejía]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Martínez-Franco]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Alpuche-Hernández]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Furman]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Colaboración de tres escuelas de medicina de México en un examen clínico objetivo estructurado (ECOE)]]></article-title>
<source><![CDATA[Inv Ed Med]]></source>
<year>2020</year>
<volume>9</volume>
<numero>36</numero>
<issue>36</issue>
<page-range>58-9</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Wimmers]]></surname>
<given-names><![CDATA[PF]]></given-names>
</name>
<name>
<surname><![CDATA[Schauer]]></surname>
<given-names><![CDATA[GF]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Validating OSCE Performance: The Impact of General Intelligence]]></article-title>
<source><![CDATA[Health Prof Educ]]></source>
<year>2017</year>
<volume>3</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>79-84</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ramos]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Martínez-Mayoral]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Sánchez-Ferrer]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Morales]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Sempere]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Belinchón]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Análisis de la prueba de evaluación clínica objetiva estructurada (ECOE) de sexto curso en la Facultad de Medicina de la Universidad Miguel Hernández de Elche]]></article-title>
<source><![CDATA[Educ Med]]></source>
<year>2019</year>
<volume>20</volume>
<numero>S1</numero>
<issue>S1</issue>
<page-range>29-36</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Domínguez-González]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Guzmán-Valdivia]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cómo afrontar con éxito el examen clínico objetivo estructurado (ECOE)]]></article-title>
<source><![CDATA[Educ Med]]></source>
<year>2018</year>
<volume>19</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>369-74</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Regehr]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Freeman]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Robb]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Missiha]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Heisey]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[OSCE performance evaluations made by standardized patients: comparing checklist and global rating scores]]></article-title>
<source><![CDATA[Acad Med]]></source>
<year>1999</year>
<volume>74</volume>
<numero>10</numero>
<issue>10</issue>
<page-range>S135-7</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Baig]]></surname>
<given-names><![CDATA[LA]]></given-names>
</name>
<name>
<surname><![CDATA[Violato]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Temporal stability of objective structured clinical exams: a longitudinal study employing item response theory]]></article-title>
<source><![CDATA[BMC Med Educ]]></source>
<year>2012</year>
<volume>12</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>121</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Grand&#8217;Maison]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Lescop]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Rainsberry]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Brailovsky]]></surname>
<given-names><![CDATA[CA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Large-scale use of an objective, structured clinical examination for licensing family physicians]]></article-title>
<source><![CDATA[CMAJ Can Med Assoc J Assoc Medicale Can]]></source>
<year>1992</year>
<volume>146</volume>
<numero>10</numero>
<issue>10</issue>
<page-range>1735-40</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Toledo García]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[Fernández Ortega]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Trejo Mejía]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[Grijalva]]></surname>
<given-names><![CDATA[MG]]></given-names>
</name>
<name>
<surname><![CDATA[Gómez Clavelina]]></surname>
<given-names><![CDATA[FJ]]></given-names>
</name>
<name>
<surname><![CDATA[Ponce Rosas]]></surname>
<given-names><![CDATA[ER]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Evaluación de la competencia clínica en el posgrado de medicina familiar mediante el Examen Clínico Objetivo Estructurado]]></article-title>
<source><![CDATA[Aten Primaria]]></source>
<year>2002</year>
<volume>30</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>435-41</page-range></nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="">
<source><![CDATA[Resultados ENSANUT 2018]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pastrana]]></surname>
<given-names><![CDATA[DJ]]></given-names>
</name>
<name>
<surname><![CDATA[Campos]]></surname>
<given-names><![CDATA[EA]]></given-names>
</name>
<name>
<surname><![CDATA[González]]></surname>
<given-names><![CDATA[HA]]></given-names>
</name>
<name>
<surname><![CDATA[García]]></surname>
<given-names><![CDATA[BI]]></given-names>
</name>
<name>
<surname><![CDATA[Alegre]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[V-80. Resultados de Prueba de ECOE transversal a R2 de Especialidades Médicas de la Clínica Universidad de Navarra]]></article-title>
<source><![CDATA[Rev Clin Esp]]></source>
<year>2014</year>
<volume>214</volume>
<page-range>1185</page-range></nlm-citation>
</ref>
<ref id="B20">
<label>20</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kronfly Rubiano]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Ricarte Díez]]></surname>
<given-names><![CDATA[JI]]></given-names>
</name>
<name>
<surname><![CDATA[Juncosa Font]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Martínez Carretero]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Evaluación de la competencia clínica de las facultades de medicina de Cataluña, 1994-2006: evolución de los formatos de examen hasta la evaluación clínica objetiva y estructurada (ECOE)]]></article-title>
<source><![CDATA[Med Clínica]]></source>
<year>2007</year>
<volume>129</volume>
<numero>20</numero>
<issue>20</issue>
<page-range>777-84</page-range></nlm-citation>
</ref>
<ref id="B21">
<label>21</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ticse]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[El Examen Clínico Objetivo Estructurado (ECOE) en la evaluación de competencias de comunicación y profesionalismo en los programas de especialización en Medicina]]></article-title>
<source><![CDATA[Rev Med Hered]]></source>
<year>2017</year>
<volume>28</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>192-9</page-range></nlm-citation>
</ref>
<ref id="B22">
<label>22</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[William]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<source><![CDATA[El rol de la evaluación formativa en los entornos de aprendizaje eficaz. La naturaleza del aprendizaje: Usando la investigación para inspirar la práctica]]></source>
<year>2016</year>
<edition>1</edition>
<page-range>108-34</page-range><publisher-loc><![CDATA[Panana ]]></publisher-loc>
<publisher-name><![CDATA[UNICEF]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B23">
<label>23</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Wood]]></surname>
<given-names><![CDATA[DF]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Formative assessment]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Swanwick]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<source><![CDATA[Understanding Medical Education]]></source>
<year>2013</year>
<page-range>317-28</page-range><publisher-loc><![CDATA[Chichester, UK ]]></publisher-loc>
<publisher-name><![CDATA[John Wiley &amp; Sons, Ltd]]></publisher-name>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
