title: [Educational model to develop trustworthy professional activities].
abstract: BACKGROUND
  The reorganization of the national health system (SNS), enforces reflection and transformation on medical education in clinical contexts. The study presents an educational model to develop entrusted professionals activities (MEDAPROC) to train human resources in health with reliable knowledge, skills and attitudes to work in the shifting scenario of the SNS.
  
  
  METHODS
  The paper discusses international and national documents on skills in medicine. Based on the analysis of 8 domains, 50 skills and 13 entrusted professional activities (RPA) proposed by the Association of the American Medical College (AAMC) we propose a curriculum design, with the example of the undergraduate program of Gynecology and Obstetrics, with the intention to advance to internship and residency in a continuum that marks milestones and clinical practices.
  
  
  RESULTS
  The pedagogical design of MEDAPROC was developed within three areas: 1) proposal of the AAMC; 2) curricular content of programs in pre and postgraduate education 3) organization of the daily agenda with academic mechanisms to develop the competencies, cover program items and develop clinical practice in deliberate learning activities, as well as milestones.
  
  
  CONCLUSIONS
  The MEDAPROC offers versatility, student mobility and curricular flexibility in a system planed by academic units in diverse clinical settings.
authors.affiliation: Coordinación de Investigación Educativa, División de Estudios de Posgrado, Facultad de Medicina, Universidad Nacional Autónoma de México, Distrito Federal, México. lizhamui@gmail.com.
authors.forename: Alicia
authors.initials: A
authors.lastname: Hamui-Sutton
authors.forename: Margarita
authors.initials: M
authors.lastname: Varela-Ruiz
authors.forename: Armando
authors.initials: A
authors.lastname: Ortiz-Montalvo
authors.forename: Uri
authors.initials: U
authors.lastname: Torruco-García
mesh_terms: D003162:Competency-Based Education / Q000379:methods* / Q000458:organization & administration; D003479:Curriculum; D004504:Education, Medical, Undergraduate / Q000379:methods* / Q000458:organization & administration; D006176:Gynecology / Q000193:education*; D006801:Humans; D007396:Internship and Residency / Q000379:methods* / Q000458:organization & administration; D008800:Mexico; D017145:Models, Educational; D009313:National Health Programs; D009774:Obstetrics / Q000193:education*; D016730:Program Development
keywords: Competency-based education; Faculty; Medical education