<?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>S2007-50572026000100018</article-id>
<article-id pub-id-type="doi">10.22201/fm.20075057e.2026.57.24683</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Aptitud clínica: Dos estrategias educativas para su desarrollo en residentes de medicina familiar. Diseño cuasiexperimental]]></article-title>
<article-title xml:lang="en"><![CDATA[Clinical aptitude: two educational strategies for its development in family medicine residents. Quasi-experimental design]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Leyva González]]></surname>
<given-names><![CDATA[Félix Arturo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gómez Arteaga]]></surname>
<given-names><![CDATA[Gress Marissell]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lifshitz Guinzberg]]></surname>
<given-names><![CDATA[Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gómez Clavelina]]></surname>
<given-names><![CDATA[Francisco Javier F.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Degollado Bardales]]></surname>
<given-names><![CDATA[Lilia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aguirre García]]></surname>
<given-names><![CDATA[María del Carmen]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vega Mendoza]]></surname>
<given-names><![CDATA[Santa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guerrero Hernández]]></surname>
<given-names><![CDATA[Rosa Elvia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ceja Aladro]]></surname>
<given-names><![CDATA[Alicia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez Ángeles]]></surname>
<given-names><![CDATA[Jesús]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Beltrán Lagunes]]></surname>
<given-names><![CDATA[Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Domínguez]]></surname>
<given-names><![CDATA[Ricardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández Hernández]]></surname>
<given-names><![CDATA[Miguel Ángel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Salinas]]></surname>
<given-names><![CDATA[Consuelo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Leyva Salas]]></surname>
<given-names><![CDATA[Rosalba Isabel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gómez Arteaga]]></surname>
<given-names><![CDATA[Martha Angélica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Leyva Salas]]></surname>
<given-names><![CDATA[Félix Arturo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Contreras Angulo]]></surname>
<given-names><![CDATA[David Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Angulo Bernal]]></surname>
<given-names><![CDATA[Nancy Beatriz]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carrillo Crespo]]></surname>
<given-names><![CDATA[Wendoly Venecia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Secretaría de Salud de Veracruz  ]]></institution>
<addr-line><![CDATA[ Veracruz]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,IMSS Hidalgo Coordinación de Planeación y Enlace Institucional ]]></institution>
<addr-line><![CDATA[Pachuca de Soto Hidalgo]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Nacional Autónoma de México Facultad de Medicina ]]></institution>
<addr-line><![CDATA[Cd. Mx. ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad Nacional Autónoma de México Facultad de Medicina División de Estudios de Posgrado]]></institution>
<addr-line><![CDATA[Cd. Mx. ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidad Panamericana Facultad de Ciencias de la Salud Escuela de Medicina]]></institution>
<addr-line><![CDATA[Cd. Mx. ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Unidad de Medicina Familiar # 20 Curso de Especialización en Medicina Familiar]]></institution>
<addr-line><![CDATA[Cd. Mx. ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af7">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Unidad de Medicina Familiar # 20 Curso de Especialización en Medicina Familiar]]></institution>
<addr-line><![CDATA[Cd. Mx. ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af8">
<institution><![CDATA[,IMSS Hidalgo Hospital General de Zona con Medicina Familiar 1 Curso de Especialización en Medicina Familiar]]></institution>
<addr-line><![CDATA[Pachuca de Soto Hidalgo]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af9">
<institution><![CDATA[,IMSS Hidalgo Hospital General de Zona con Medicina Familiar 1 Curso de Especialización en Medicina Familiar]]></institution>
<addr-line><![CDATA[Pachuca de Soto Hidalgo]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="A10">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Coordinación Auxiliar Médica de Investigación en Salud ]]></institution>
<addr-line><![CDATA[Pachuca de Soto Hidalgo]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="A11">
<institution><![CDATA[,Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado Clínica de Medicina Familiar &#8220;Gustavo A. Madero&#8221; Jefatura de Enseñanza]]></institution>
<addr-line><![CDATA[Cd. Mx. ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="A12">
<institution><![CDATA[,Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado Clínica de Medicina Familiar &#8220;Gustavo A. Madero&#8221; Curso de Especialización en Medicina Familiar]]></institution>
<addr-line><![CDATA[Cd. Mx. ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="A13">
<institution><![CDATA[,Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado Clínica de Medicina Familiar &#8220;Ignacio Chávez&#8221; Curso de Especialización en Medicina Familiar]]></institution>
<addr-line><![CDATA[Cd. Mx. ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="A14">
<institution><![CDATA[,Centro de Salud &#8220;José Castro Villagrana" Secretaría de Salud Curso de Especialización en Medicina Familiar]]></institution>
<addr-line><![CDATA[Cd. Mx. ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="A15">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Unidad de Medicina Familiar No. 61 ]]></institution>
<addr-line><![CDATA[ Veracruz, Ver.]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="A16">
<institution><![CDATA[,IMSS Hidalgo Coordinación de Información y Análisis Estratégico ]]></institution>
<addr-line><![CDATA[Pachuca de Soto Hidalgo]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="A17">
<institution><![CDATA[,Universidad de Ciencias Médicas Hospital &#8220;Hermanos Ameijeiras&#8221; ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="A18">
<institution><![CDATA[,Universidad Iberoamericana  ]]></institution>
<addr-line><![CDATA[Cd. Mx. ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="A19">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Unidad de Medicina Familiar # 1 ]]></institution>
<addr-line><![CDATA[Cd. Mx. ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="A20">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Coordinación Auxiliar Médica de Investigación en Salud ]]></institution>
<addr-line><![CDATA[Pachuca de Soto Hidalgo]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2026</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2026</year>
</pub-date>
<volume>15</volume>
<numero>57</numero>
<fpage>18</fpage>
<lpage>37</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2007-50572026000100018&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2007-50572026000100018&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2007-50572026000100018&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: Esta indagación en nuestro medio, representa el primer trabajo multicéntrico en medicina familiar.  Objetivo: Determinar los efectos de dos estrategias educativas: Participativa versus tradicional, con respecto al desarrollo de la aptitud clínica en residentes de medicina familiar de cuatro sedes académicas.  Método: Diseño cuasiexperimental, multicéntrico. Se estudió toda la matrícula. Se construyó un instrumento que evaluó la variable &#8220;aptitud clínica&#8221; mediante ocho indicadores y 182 ítems; la validez conceptual/de contenido y confiabilidad se valoró por cinco expertos con experiencia docente e investigación educativa. Estrategia educativa participativa: cada sesión se desarrolló en tres fases con guías de discusión estructuradas. Estrategia educativa tradicional: cada sesión se realizó en dos fases. Frecuencia de sesiones: una vez por semana (dos horas). Duración total: 20 sesiones. El instrumento de medida se aplicó en la 1ª y 20ª sesión.  Resultados:  Por año de residencia, en la calificación global de los indicadores, se estimaron diferencias estadísticas entre la medición inicial-final, resultando significativas en UMF20 y HGZMF1. Por indicador, se observaron diferencias estadísticamente significativas en la UMF20 y HGZMF1.  Conclusiones:  Una estrategia educativa participativa versus estrategia tradicional, tiene mayores efectos en el desarrollo de la aptitud clínica en residentes de medicina familiar en sedes experimentales.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: This inquiry in our setting represents the first multicenter work in family medicine.  Objective: To determine the effects of two educational strategies: Participatory versus traditional, with respect to the development of clinical aptitude in family medicine residents from four academic centers.  Method:  Quasi-experimental, multicenter design. The entire enrollment was studied. An instrument was constructed that assessed the variable "clinical aptitude" by means of eight indicators and 182 items; conceptual/content validity and reliability were evaluated by five experts with teaching and educational research experience. Participatory educational strategy: each session was developed in three phases with structured discussion guides. Traditional educational strategy: each session was conducted in two phases. Frequency of sessions: once a week (two hours). Total duration: 20 sessions. The measurement instrument was applied in the 1st and 20th session.  Results:  By year of residency, in the overall rating of the indicators, statistical differences were estimated between the initial-final measurement, resulting significant in UMF20 and HGZMF1. By indicator, statistically significant differences were observed in UMF20 and HGZMF1.  Conclusions:  A participatory versus traditional educational strategy has greater effects on the development of clinical aptitude in family medicine residents at experimental sites.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Aptitud clínica]]></kwd>
<kwd lng="es"><![CDATA[Médicos residentes]]></kwd>
<kwd lng="es"><![CDATA[Estrategia educativa]]></kwd>
<kwd lng="en"><![CDATA[Clinical aptitude]]></kwd>
<kwd lng="en"><![CDATA[Resident physician]]></kwd>
<kwd lng="en"><![CDATA[Educational strategy]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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<article-title xml:lang=""><![CDATA[Aptitudes y educación médica en tiempos oscuros. Parte II]]></article-title>
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<person-group person-group-type="author">
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