title: [A pragmatic vision of medical education].
abstract: Some aspects of the educative system at the Mexican Institute of Social Security are described. It is based on the perception of a problematic situation that constitutes a challenge. An educational process to enhance the quality of medical education is proposed, with the adoption of a participative model of self-constructive learning. This proposal is based on theoretical references in a both philosophical and sociological knowledge perspective of an individual related to institutional behavior, to end with a psychological view from which some learning theories are explored. An educational model is built with the inclusion of institutional elements, like the new evaluation system for residents; centers for educational investigation and a teacher training process. Three axes of the educational process are proposed: tutorial teaching, development of complex abilities of thought and critical reading. The evaluation system includes guides for measuring the operational process established and the professional responsibilities of the different participants.
authors.affiliation: División de Educación en Salud, Hospital de Especialidades, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, México. cumplido12@hotmail.com
authors.forename: Gustavo
authors.initials: G
authors.lastname: Cumplido-Hernández
mesh_terms: D004501:Education, Medical / Q000592:standards*