title: A Latin American, Portuguese and Spanish consensus on a core communication curriculum for undergraduate medical education.
abstract: BACKGROUND
  To present learning outcomes in clinical communication for a Core Curriculum for medical undergraduate students in Latin America, Portugal and Spain (LAPS-CCC) and to establish an expert network to support a transnational implementation.
  
  
  METHODS
  Through an iterative process, an international group of 15 experts developed an initial set of learning outcomes following a review and discussion of relevant international and local literature. A two-round Delphi survey involving 46 experts from 8 countries was performed. Quantative and qualitative analisis permited the definition of the final consensus.
  
  
  RESULTS
  The initial proposal included 157 learning outcomes. The Delphi process generated 734 comments and involved the modification, deletion and addition of some outcomes. At the end of the process, a consensus was reached on 136 learning outcomes grouped under 6 competency domains with a high overall acceptance (95.1 %).
  
  
  CONCLUSIONS
  The learning outcomes of this proposal provide a guide to introduce, support and develop communication curriculae for undergraduate medical studies in the countries involved or in other Spanish- or Portuguese-speaking countries.
authors.affiliation: Escuela de Medicina, Universidad Francisco de Vitoria, Facultad de Medicina, Edificio E, Ctra Pozuelo-Majadahonda, Km 1,800, Pozuelo de Alarcón, Madrid, 28223, Spain. c.garcia.prof@ufv.es.
authors.forename: Cristina
authors.initials: C
authors.lastname: García de Leonardo
authors.affiliation: Escuela de Medicina, Universidad Francisco de Vitoria, Facultad de Medicina, Edificio E, Ctra Pozuelo-Majadahonda, Km 1,800, Pozuelo de Alarcón, Madrid, 28223, Spain.
authors.forename: Roger
authors.initials: R
authors.lastname: Ruiz-Moral
authors.affiliation: Escuela de Medicina, Universidad Francisco de Vitoria, Facultad de Medicina, Edificio E, Ctra Pozuelo-Majadahonda, Km 1,800, Pozuelo de Alarcón, Madrid, 28223, Spain.
authors.forename: Fernando
authors.initials: F
authors.lastname: Caballero
authors.affiliation: Universidade de Lisboa, Faculdade de Farmácia, Lisbon, Portugal.
authors.forename: Afonso
authors.initials: A
authors.lastname: Cavaco
authors.affiliation: P. Universidad Católica de Chile, Facultad de Medicina, Santiago de Chile, Chile.
authors.forename: Philippa
authors.initials: P
authors.lastname: Moore
authors.affiliation: Universidad Maimonides, Facultad de Medicina, Buenos Aires, Argentina.
authors.forename: Lila Paula
authors.initials: LP
authors.lastname: Dupuy
authors.affiliation: Universidade Estadual Paulista, Faculdadede Medicina, Botucatu, Brazil.
authors.forename: Antonio
authors.initials: A
authors.lastname: Pithon-Cyrino
authors.affiliation: Universidad Nacional Autónoma de México, Facultad de Medicina, Ciudad de México, México.
authors.forename: Ma Teresa
authors.initials: MT
authors.lastname: Cortés
authors.affiliation: Universidad de Chile, Facultad de Medicina, Santiago de Chile, Chile.
authors.forename: Marilen
authors.initials: M
authors.lastname: Gorostegui
authors.affiliation: Universidade do Porto, Faculdade de Medicina, Porto, Portugal.
authors.forename: Elizabete
authors.initials: E
authors.lastname: Loureiro
authors.affiliation: Universidad Autónoma de Barcelona, Facultad de Medicina, Barcelona, Spain.
authors.forename: Josep Ma Bosch
authors.initials: JM
authors.lastname: Fontcuberta
authors.affiliation: Universidad de Antioquia, Facultad de Medicina, Medellín, Colombia.
authors.forename: Luis
authors.initials: L
authors.lastname: Casasbuenas Duarte
authors.affiliation: Universidade Federal de Santa Catarina, Faculdadede Medicina, Florianópolis, Brazil.
authors.forename: Lara
authors.initials: L
authors.lastname: Kretzer
authors.affiliation: Universidad Internacional de Cataluña, Barcelona, Spain.
authors.forename: Emilia
authors.initials: E
authors.lastname: Arrighi
authors.affiliation: Foro Español de Pacientes (Spanish Patient Forum), Barcelona, Spain.
authors.forename: Albert
authors.initials: A
authors.lastname: Jovell
mesh_terms: D002983:Clinical Competence / Q000592:standards; D003142:Communication; D003479:Curriculum / Q000592:standards; D003697:Delphi Technique; D004504:Education, Medical, Undergraduate / Q000592:standards*; D006801:Humans; D007843:Latin America; D011174:Portugal; D013030:Spain; D011795:Surveys and Questionnaires
keywords: Consensus method; Delphi technique; Health communication; Interpersonal skills; Learning outcomes; Medical curriculum; Medical education; Physician patient communication