[Performance of medical schools in Mexico: results from the Examen Nacional para Aspirantes a Residencias Médicas]

Salud Publica Mex. 2019 Jul-Ago;61(4):495-503. doi: 10.21149/10042. Epub 2019 Jul 17.
[Article in Spanish]

Abstract

Objective: To assess the performance of medical schools (FEM) by analyzing the results of their applicants in the Examen Nacional para Aspirantes a Residencias Médicas (ENARM).

Materials and methods: Five performance criteria, two official and three created on purpose, were calculated from the ENARM-2016 and -2017 official databases to assess FEM performance.

Results: In 2016 and 2017, applicants registered from 112 and 115 FEM, respectively. Depending on the performance criteria, the FEM in the first place obtained 5 to 20 points more than the one placed second, and 23 to 98 points more than the FEM in the last place. Approximately 25% applicants were classified as "knowledge-deficient," and about 80% of these originated from less than one third of the FEM.

Conclusions: The ENARM results provide information on the performance of the FEM. Approximately one of every four applicants obtained scores lower than the approval threshold of any specialty.

Objective: Evaluar el desempeño de las facultades y escuelas de medicina (FEM) utilizando como subrogado los resultados del Examen Nacional para Aspirantes a Residencias Médicas (ENARM).

Materials and methods: Se analizaron las bases de datos oficiales del ENARM 2016 y 2017, empleando cinco criterios de desempeño (CD) por cada FEM: dos oficiales y tres creados exprofeso.

Results: En 2016 y 2017 se registraron sustentantes de 112 y 115 FEM, respectivamente. Dependiendo del CD, la FEM que quedó clasificada en el primer lugar obtuvo entre 5 y 20 puntos más que la del segundo lugar, y entre 23 y 98 puntos más que la FEM ubicada en el último lugar. Aproximadamente 25% de los sustentantes fueron calificados como “deficientes en conocimientos” y aproximadamente 80% de éstos provenían de menos de un tercio de las FEM.

Conclusions: El ENARM arroja información sobre el desempeño de las FEM. Aproximadamente uno de cada cuatro sustentantes obtuvo puntajes menores al aprobatorio en cualquier especialidad.

Keywords: Mexico; academic performance; educational measurement; quality of health care; schools, medical; specialization.

Publication types

  • Evaluation Study

MeSH terms

  • Academic Performance / standards*
  • Academic Performance / statistics & numerical data
  • Adult
  • Databases, Factual
  • Family Practice / education
  • Female
  • General Practice / education
  • Humans
  • Internship and Residency*
  • Linear Models
  • Male
  • Mexico
  • Quality of Health Care
  • Schools, Medical / standards*
  • Schools, Medical / statistics & numerical data
  • Sex Factors