<?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>2077-2874</journal-id>
<journal-title><![CDATA[EDUMECENTRO]]></journal-title>
<abbrev-journal-title><![CDATA[EDUMECENTRO]]></abbrev-journal-title>
<issn>2077-2874</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2077-28742022000100058</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Competencias en cirugía: su inminente evolución en la formación médica]]></article-title>
<article-title xml:lang="en"><![CDATA[Competencies in surgery: its imminent evolution in medical training]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fleites Pérez]]></surname>
<given-names><![CDATA[Rafael]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Perdomo Blanco]]></surname>
<given-names><![CDATA[Liset]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Morales]]></surname>
<given-names><![CDATA[Lyane]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Villa Clara Hospital Clínico Quirúrgico Universitario &#8220;Arnaldo Milián Castro&#8221; ]]></institution>
<addr-line><![CDATA[Villa Clara ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Central &#8220;Marta Abreu&#8221; de las Villas  ]]></institution>
<addr-line><![CDATA[Villa Clara ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de Ciencias Médicas de Villa Clara Hospital Pediátrico &#8220;José Luis Miranda&#8221; ]]></institution>
<addr-line><![CDATA[Villa Clara ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2022</year>
</pub-date>
<volume>14</volume>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S2077-28742022000100058&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S2077-28742022000100058&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S2077-28742022000100058&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  la revolución en la formación médica se incorporó a un poderoso movimiento de cambio en los sistemas educativos de la medicina y la cirugía, la cual venía ocurriendo desde los albores del siglo XX con la publicación de Flexner. Está potenciada actualmente con los avances investigativos de las bases moleculares de la enfermedad, la imagenología, instrumentación, la nanotecnología, artefactos robóticos y teledirigidos.  Objetivo:  analizar la necesidad de actualizar la formación médica en la especialidad de Cirugía aplicando los avances científico-técnicos que constituyen referentes a nivel mundial.  Métodos:  se realizó una revisión bibliográfica sobre el desarrollo de competencias en la formación del cirujano para lo cual se consultaron varios textos. Se utilizaron como palabras clave: cirugía, cirujanos, competencias clínicas, competencias quirúrgicas, educación médica, proceso de evaluación. Luego de su lectura se seleccionaron 25 para su análisis y conformación del informe: 16 de autoría internacional y 9 cubanos; con un 76 % de actualización y predominio de las publicaciones seriadas.  Desarrollo:  el informe se desarrolló a partir de los subtemas: Prevalencia del modelo tutelar introducido por William Steward Halsted en la formación de especialistas en Cirugía, Pertinencia de la formación del especialista en Cirugía por competencias, Evaluación del aprendizaje basado en competencias, Algunas definiciones del término competencia y Sobre las competencias quirúrgicas en el proceso de formación del cirujano, en los que se asumen posiciones y diversidad de criterios entre los numerosos autores seleccionados.  Conclusiones:  el proceso enseñanza aprendizaje del cirujano necesita que la integración de las habilidades y destrezas sea programada y basada en competencias quirúrgicas, sin obviar las competencias clínicas; todo ello apoyado en modelos nuevos de aprendizaje y evaluación.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  the revolution in medical training was incorporated into a powerful changing movement for the educational systems of medicine and surgery, which had been occurring since the dawn of the 20th century with the publication of Flexner. It is currently enhanced by research advances in the molecular basis of disease, imaging, instrumentation, nanotechnology, robotic and remote-controlled devices.  Objective:  to analyze the need to update medical training in the specialty of Surgery by applying the scientific-technical advances that are world references.  Methods:  a bibliographic review was carried out on the development of competencies in the training of the surgeon, for which several texts were consulted. The following keywords were used: surgery, surgeons, clinical skills, surgical skills, medical education, evaluation process. After reading them, 25 were selected for analysis and preparation of the report: 16 of international authorship and 9 Cubans; with 76% updating and predominance of serial publications.  Development:  the report was developed from the subtopics: Prevalence of the tutelary model introduced by William Steward Halsted in the training of specialists in Surgery, Relevance of the training of the specialist in Surgery by competencies, Evaluation of competency-based learning, Some definitions of the term competence and On surgical competences in the surgeon's training process, in which positions and diversity of criteria are assumed among the numerous selected authors.  Conclusions:  the teaching-learning process of the surgeon requires that the integration of abilities and skills be programmed and based on surgical skills, without forgetting clinical skills; all supported by new models of learning and evaluation.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[cirugía general]]></kwd>
<kwd lng="es"><![CDATA[educación basada en competencias]]></kwd>
<kwd lng="es"><![CDATA[educación médica]]></kwd>
<kwd lng="en"><![CDATA[general surgery]]></kwd>
<kwd lng="en"><![CDATA[competency-based education]]></kwd>
<kwd lng="en"><![CDATA[education, medical]]></kwd>
</kwd-group>
</article-meta>
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