<?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>0026-1742</journal-id>
<journal-title><![CDATA[Revista de la Facultad de Medicina (México)]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Fac. Med. (Méx.)]]></abbrev-journal-title>
<issn>0026-1742</issn>
<publisher>
<publisher-name><![CDATA[Universidad Nacional Autónoma de México, Facultad de Medicina]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0026-17422025000500043</article-id>
<article-id pub-id-type="doi">10.22201/fm.24484865e.2025.68.5.07</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Medición, medicina y pensamiento crítico: hacia una práctica médica con conciencia del entorno]]></article-title>
<article-title xml:lang="en"><![CDATA[Measurement, Medicine, and Critical Thinking: Toward an Environmentally Conscious Medical Practice]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lozano]]></surname>
<given-names><![CDATA[Rafael]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional Autónoma de México Facultad de Medicina ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2025</year>
</pub-date>
<volume>68</volume>
<numero>5</numero>
<fpage>43</fpage>
<lpage>52</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0026-17422025000500043&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0026-17422025000500043&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0026-17422025000500043&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La medición ocupa un lugar central en la práctica médica contemporánea, pero su presencia ha sido normalizada al punto de invisibilizar sus supuestos epistemológicos, éticos y sociales. A continuación se presenta una reflexión sobre la medición en medicina, articulándola con el pensamiento crítico y la conciencia del entorno. Se introduce la diferencia entre contar y calcular, y el papel de la incertidumbre como componente inherente a todo proceso de medición. A partir de algunos ejemplos, se destaca la necesidad de formar profesionales capaces de interpretar cifras en su contexto, evitando tanto el fetichismo de los datos como la ingenuidad tecnocrática. El pensamiento crítico representa una práctica ética que permite problematizar lo que se mide, cómo se mide y qué se omite al hacerlo y no como una competencia aislada de la medición. Finalmente, se argumenta que la medicina del siglo XXI requiere una transformación hacia una práctica clínica con conciencia del entorno, que integre los saberes biomédicos con los sociales, ambientales y culturales, y que forme profesionales de la salud capaces de comprender al paciente como parte de un ecosistema vital en constante tensión. Se concluye con recomendaciones pedagógicas orientadas a renovar la formación médica desde esta perspectiva.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Measurement occupies a central place in contemporary medical practice, but its presence has been normalized, rendering its epistemological, ethical, and social assumptions invisible. The following presents a reflection on measurement in medicine, articulating it with critical thinking and environmental awareness. The distinction between counting and calculating is introduced, as is the role of uncertainty as an inherent component of every measurement process. Using a few examples, the need to train professionals capable of interpreting figures in their context is highlighted, avoiding both data fetishism and technocratic naivety. Critical thinking represents an ethical practice that allows us to problematize what is measured, how it is measured, and what is omitted when doing so, rather than as a skill isolated from measurement. Finally, it is argued that 21st-century medicine requires a transformation toward an environmentally conscious clinical practice that integrates biomedical knowledge with social, environmental, and cultural knowledge and trains health professionals capable of understanding the patient as part of a vital ecosystem in constant tension. It concludes with pedagogical recommendations aimed at renewing medical training from this perspective.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Medición en medicina]]></kwd>
<kwd lng="es"><![CDATA[pensamiento crítico]]></kwd>
<kwd lng="es"><![CDATA[conciencia del entorno]]></kwd>
<kwd lng="es"><![CDATA[incertidumbre en salud]]></kwd>
<kwd lng="es"><![CDATA[práctica médica interdisciplinaria]]></kwd>
<kwd lng="en"><![CDATA[Measurement in medicine]]></kwd>
<kwd lng="en"><![CDATA[critical thinking]]></kwd>
<kwd lng="en"><![CDATA[environmental awareness]]></kwd>
<kwd lng="en"><![CDATA[health uncertainty]]></kwd>
<kwd lng="en"><![CDATA[interdisciplinary medical practice]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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