Publicado feb 16, 2024


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Juan Antonio Lugo Machado

Patricia Emiliana García Ramírez

Elizabeth Medina Valentón

José Aurelio Méndez Cázares

Abril Alejandra Pacheco Sánchez



The clinical learning environment (CLE) has long been a focus of research and improvement efforts in medical education. Aim: To evaluate the CLE of a hospital site. Materials and methods: Observational, cross-sectional, analytical, prospective study using the ACA-UNAM-MEX instrument. Variables included were age, sex, year of residency, marital status and specialty. Measures of central tendency and measures of dispersion, Fisher's exact test for differences, Kendall's tau b for correlation and bivariate logistic regression were applied to clarify predictor variables. Results: 135 responses were obtained, with an average age of 28.72 years. For 79.3% interpersonal relationships (IR) were very restrictive, for 78.5% educational programs and their implementation (PE&I) were very restrictive, for 95.6% institutional culture (IC) was very restrictive and for 91.1% service dynamics (SD) was very restrictive. There were statistically significant differences between SD and gender (p = 0.02), SD and specialty (p = 0.002), IC and specialty (p = 0.013), EP and academic year (p = 0.202). When Kendall's tau b was applied, low negative correlations were found for most variables. Bivariate logistic regression found that marital status (p = 0.010 and year of residency (p = 0.000) predicted the perception of a more restrictive environment (p ≤ 0.05). Conclusion: It appears that the ACAs assessed are in restrictive ranges.


ambientes, aprendizaje, educación médica, habilidades clínicas, ambientes de trabajoambientes, aprendizado, educação médica, habilidades clínicas, ambiente de trabalhoambientes, aprendizaje, educación médica, habilidades clínicas, ambiente de trabajo

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Cómo citar
Lugo Machado, J. A., García Ramírez, P. E., Medina Valentón, E., Méndez Cázares, J. A., & Pacheco Sánchez, A. A. (2024). Clinical Learning Environments in Medical Specialty Residences at a Third Level of Care. Universitas Medica, 65.
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