Teaching Practices in The Training of Specialists in Traumatology and Orthopedics: Voices of Residents and Graduates

Main Article Content

Francisco Javier Sandoval-Henríquez
https://orcid.org/0000-0001-5974-6227
Percy Emanuel Mejia-Elvir
https://orcid.org/0000-0003-3681-3030
Carolina Verónica Vergara-Tapia
https://orcid.org/0009-0004-8804-4020
Emilio Esteban Barra-Dinamarca
https://orcid.org/0000-0002-8278-2266

Abstract

Medical specialization programs must safeguard quality training processes capable of responding to the clinical demands of the community and the requirements of national quality assurance systems. The objective of the study was to analyze the pedagogical practices implemented in a specialization program from the perspective of residents and graduates, also considering consistency with its regulatory documents. A single instrumental case study was developed that included semi-structured interviews with five residents and four graduates belonging to a specialization program in traumatology and orthopedics in Chile. The findings show that the training process is characterized by a student-centered approach, highlighting supervised clinical practice, progressive autonomy in decision-making, the link between teaching and research, and a dialogical relationship between teachers and residents. Consistency was found between testimonies and regulatory documents. The study provides qualitative evidence on effective pedagogical practices in medical specialization, relevant for reflection and strengthening of similar programs. Practical implications are provided for academic management, teaching, and continuous improvement at this level of training.

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Section

Experiences

How to Cite

Sandoval-Henríquez, F. J., Mejia-Elvir, P. E., Vergara-Tapia , C. V. ., & Barra-Dinamarca, E. E. (2026). Teaching Practices in The Training of Specialists in Traumatology and Orthopedics: Voices of Residents and Graduates. Andean Journal of Education, 9(1), 6074. https://doi.org/10.32719/26312816.6074

References

Agencia Nacional de Investigación y Desarrollo de Chile (2021). Lineamientos para la evaluación ética de la investigación en ciencias sociales y humanidades. Ministerio de Ciencia, Tecnología, Conocimiento e Innovación de Chile. https://tinyurl.com/ysjwnusk

Bangalee, A., & Bangalee, V. (2022). Riding the Waves: Challenges to Medical Specialty Training during the COVID-19 Pandemic in South Africa. African Journal of Health Professions Education, 14(2), 44-46. https://tinyurl.com/zs64c5xk

Bowen, G. (2009). Document Analysis as a Qualitative Research Method. Qualitative Research Journal, 9(2),

27-40. https://doi.org/10.3316/QRJ0902027

Brauer, S., Kettunen, J., Levy, A., Merenmies, J., & Kulmala, P. (2023). The Educational Paradigm Shift: A Phenomenographic Study of Medical Teachers’ Experiences of Practices. BMC Medical Education, 23. https://doi.org/10.1186/s12909-023-04013-w

Choi, S., Ooi, S., & Carpenter, E. (2022). A Cross-Sectional Study of Undergraduate Teaching of Trauma and Orthopaedics in the UK and the Relationship between Medical Schools and Interest in Trauma and Orthopaedics as a Career. Journal of Medical Education and Curricular Development, 9. https://doi.org/10.1177/23821205211072764

Constantinou, C., & Wijnen-Meijer, M. (2022). Student Evaluations of Teaching and the Development of a Comprehensive Measure of Teaching Effectiveness for Medical Schools. BMC Medical Education, 22. https://doi.org/10.1186/s12909-022-03148-6

Ferrucho, A., & Cepeda, M. (2021). Factores que intervienen en el aprendizaje de ortopedia y traumatología en estudiantes de Instrumentación Quirúrgica en una institución de educación superior en la ciudad de Bogotá. Educación Médica, 22(5), 323-329. https://doi.org/10.1016/j.edumed.2018.12.009

Gibbs, G. (2019). Analyzing Qualitative Data. SAGE. https://tinyurl.com/2sdcb5h7

Gill, S. (2020). Qualitative Sampling Methods. Journal of Human Lactation, 36(4), 579-581. https://doi.org/10.1177/0890334420949218

González, A., Pérez, C., Hechenleitner, M., Vaccarezza, G., & Toirkens, J. (2019). Satisfacción académica y prácticas pedagógicas percibidas por estudiantes de salud de Chile. Revista de la Fundación Educación Médica, 22(3), 103-107. https://dx.doi.org/10.33588/fem.223.992

Hernández-Sampieri, R., & Mendoza, C (2018). Metodología de la investigación: Las rutas cuantitativa, cualitativa y mixta. McGraw-Hill. https://tinyurl.com/y73wjjh4

Kearney, G., Gormley, G., Johnston, J., Hart, N., & Corman, M. (2024). “We Lie about What We Do. We Lie to Our Students about What They’re Going to Do”: Unstandardizing Standardized Ways of Knowing in Health Professions Education. SSM-Qualitative Research in Health, 5. https://doi.org/10.1016/j.ssmqr.2023.100368

Laari, T., Apiribu, F., Gazari, T., Akor, M., Mensah, A., Atanuriba, G., Kuunibe, J., & Amooba, P. (2021). Strategies Adopted by Novice Nurse Educators to Facilitate Their Transition From Practice to Academia: A Qualitative Study in Ghana. SAGE Open Nursing, 7. https://doi.org/10.1177/23779608211035209

Lee, X., Kleinsteuber, K., Torrente, M., Soto, P., Larrondo, P., Quijada, D., & Hanne, C. (2022). Las buenas prácticas docentes en las especialidades médicas: Una experiencia desde la Facultad de Medicina de la Universidad de Chile. Revista de Educación en Ciencias de la Salud, 19(2), 95-99. https://tinyurl.com/mr3n2frk

Lim, W. (2024). A Typology of Validity: Content, Face, Convergent, Discriminant, Nomological and Predictive Validity. Journal of Trade Science, 12(3), 155-179.

https://doi.org/10.1108/JTS-03-2024-0016

Mantilla, G., Ariza, K., Santamaría, A., & Moreno, S. (2021). Educación médica basada en competencias: Revisión de enfoque. Universitas Medica, 62(2). https://doi.org/10.11144/Javeriana.umed62-2.emed

Martínez, J., Hernández, E., Acero, Á., & Cortés, A. (2022). Factores influyentes en el desarrollo de competencias en ortopedia y traumatología durante el internado médico. Revista Cubana de Ortopedia y Traumatología, 36(2). https://tinyurl.com/4ytyxwbf

McLeod, P., Steinert, Y., Chalk, C., Cruess, R., Cruess, S., Meterissian, S., Razack, S., & Snell, L. (2009). Which Pedagogical Principles Should Clinical Teachers Know? Teachers and Education Experts Disagree, Disagreement on Important Pedagogical Principles. Medical Teacher, 31(4), e117-e124. https://doi.org/10.1080/

01421590802335900

Ministerio de Educación de Chile (2024). Duración real y sobreduración de los programas de educación superior: Generación de titulados 2019-2023. Ministerio de Educación de Chile. https://tinyurl.com/43987j9e

Ministerio de Salud de Chile (2019). Decreto 36: Modifica el decreto supremo n.° 8, de 2013, de los ministerios de Salud y Educación, que aprueba el reglamento de certificación de las especialidades de los prestadores individuales de salud y de las entidades que las otorgan. 13 de diciembre. Diario Oficial de Chile. https://tinyurl.com/28eay2ja

Ogolodom, M., Brownson, E., Onwuka, T., Ezugwu, E., Obasi, A., Balogun, E., Bakre, A., Mbaba, A., Chiegwu, H., & Ron, M. (2024). Transition from Clinical Practitioner to Academic Educator: The Experiences of Radiography Lecturers in Nigeria. Health Leadership and Quality of Life, 4. https://doi.org/10.56294/saludcyt20241117

Ottenhoff-De Jonge, M., Van der Hoeven, I., Gesundheit, N., Van der Rijst, R., & Kramer, A. (2021). Medical Educators’ Beliefs about Teaching, Learning, and Knowledge: Development of a New Framework. BMC Medical Education, 21. https://doi.org/10.1186/s12909-021-02587-x

Patton, M. (2015). Qualitative Research & Evaluation Methods. SAGE. https://tinyurl.com/5ay6e675

Pérez, C., Vaccarezza, G., Aguilar, C., Coloma, K., Salgado, H., Baquedano, M., Chavarría, C., & Bastías, N. (2016). Cuestionario de prácticas pedagógicas: análisis de su estructura factorial y consistencia interna en docentes de carreras de la salud. Revista Médica de Chile, 144(6), 795-805. http://dx.doi.org/10.4067/S0034-98872016000600015

Pérez, C., Vaccarezza, G., Toirkens, J., Salgado, H., Bastías, N., Schiling, M., Espinoza, M., & Matus, O. (2020). ¿Qué hacen los académicos de ciencias de la salud para definir los propósitos de su docencia de pregrado? Revista de la Fundación Educación Médica, 23(4), 173-178. https://dx.doi.org/10.33588/fem.234.1066

Stake, R. (2013). Estudios de casos cualitativos. En N. Denzin e Y. Lincoln. (coords.), Las estrategias de investigación cualitativa. Vol. III (pp. 154-197). Gedisa. https://tinyurl.com/3425meet

Superintendencia de Salud de Chile (2023). Caracterización de las especialidades médicas en Chile en 2022. Superintendencia de Salud de Chile. https://tinyurl.com/27nesbn5

Tardif, M. (2014). Los saberes del docente y su desarrollo profesional. Narcea. https://tinyurl.com/yc7tk74r

Thompson, A., & Taylor, D. (2020). Finding Ways to Support Radiographers as Teachers. Journal of Medical Radiation Sciences, 67(3), 199-207. https://doi.org/10.1002/jmrs.399

Vera, L., & Calderón, A. (2017). Caracterización de las prácticas educativas en la enseñanza de la medicina. Revista de la Facultad de Medicina, 65(1), 89-97. https://doi.org/10.15446/revfacmed.v65n1.47103

Zabala, A. (2010). La práctica educativa: Cómo enseñar. Graó. https://tinyurl.com/4tx3dmke