Publication: Entorno formativo y desempeño académico en estudiantes de Kinesiología durante el internado clínico: una evaluación desde la percepción estudiantil
Authors
Tiemann-Hernández, Paula ; Herrera-Lillo, Antonieta ; Urrejola-Contreras, Gabriela P.
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Publisher
Universidad de Murcia. Servicio de Publicaciones
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DOI
https://doi.org/10.6018/edumed.669071
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info:eu-repo/semantics/article
Description
Abstract
Introducción: El internado clínico constituye una etapa crucial y final en la formación en ciencias de la salud; sin embargo, puede presentar dificultades vinculadas al Ambiente Educativo (AE) que impactan el rendimiento académico. Este estudio buscó correlacionar la percepción del AE con el rendimiento académico de estudiantes de Kinesiología durante sus internados clínicos. Métodos: Se realizó un estudio observacional, transversal y correlacional con la totalidad de la cohorte de estudiantes de quinto año de Kinesiología (n=20) de la Universidad Viña del Mar, Chile. La percepción del AE se midió mediante el cuestionario validado PHEEM (que evalúa autonomía, enseñanza y soporte social). El rendimiento académico se evaluó mediante las calificaciones obtenidas en la resolución de casos clínicos auténticos en las áreas musculoesquelética, cardiorrespiratoria y de neurorrehabilitación. El análisis estadístico determinó la correlación entre ambas variables. Resultados: La percepción global del AE fue positiva (Puntaje total PHEEM: 116,3/160). El rendimiento académico fue satisfactorio y aprobatorio en todas las áreas (Notas promedio: Musculoesquelética: 5,1; Cardiorrespiratoria: 5,5; Neurorrehabilitación: 5,3). Sin embargo, se encontró una correlación global débil y no significativa entre el puntaje PHEEM y el rendimiento académico (r=0,3). Solo en el área cardiorrespiratoria se identificó una correlación moderada (r=0,5). Discusión: Contrario a la hipótesis inicial y a gran parte de la literatura internacional, no se confirmó una asociación sólida entre la percepción del AE y el rendimiento académico. Los resultados sugieren que el desempeño durante el internado clínico es multifactorial y podría estar influenciado más fuertemente por otras variables no medidas en este estudio, como los niveles de estrés individual, la resiliencia o la calidad de la retroalimentación de los supervisores. Estos hallazgos resaltan la necesidad de un enfoque integral de la formación clínica que considere estos otros determinantes junto con el ambiente educativo.
Clinical internship is a crucial and final stage in health sciences training; however, it can present difficulties linked to the Educational Environment (EA) that impact academic performance. This study sought to correlate the perception of EA with the academic performance of Kinesiology students during their clinical internships. Methods: An observational, cross-sectional, and correlational study was conducted with the entire cohort of fifth-year Kinesiology students (n=20) at Viña del Mar University, Chile. The perception of EA was measured using the validated PHEEM questionnaire (which assesses autonomy, teaching, and social support). Academic performance was assessed through the grades obtained in the resolution of authentic clinical cases in the musculoskeletal, cardiorespiratory, and neurorehabilitation areas. Statistical analysis determined the correlation between both variables. Results: The overall perception of EA was positive (Total PHEEM score: 116.3/160). Academic performance was satisfactory and passed in all areas (Average grades: Musculoskeletal: 5.1; Cardiorespiratory: 5.5; Neurorehabilitation: 5.3). However, a weak and non-significant correlation was found between the PHEEM score and academic performance (r=0.3). Only in the cardiorespiratory area was a moderate correlation identified (r=0.5). Discussion: Contrary to the initial hypothesis and much of the international literature, a strong association between the perception of EA and academic performance was not confirmed. The results suggest that performance during clinical internship ismultifactorial and could be more strongly influenced by other variables not measured in this study, such as individual stress levels, resilience, or the quality of supervisory feedback. These findings highlight the need for a comprehensive approach to clinical training that considers these other determinants along with the educational environment.
Clinical internship is a crucial and final stage in health sciences training; however, it can present difficulties linked to the Educational Environment (EA) that impact academic performance. This study sought to correlate the perception of EA with the academic performance of Kinesiology students during their clinical internships. Methods: An observational, cross-sectional, and correlational study was conducted with the entire cohort of fifth-year Kinesiology students (n=20) at Viña del Mar University, Chile. The perception of EA was measured using the validated PHEEM questionnaire (which assesses autonomy, teaching, and social support). Academic performance was assessed through the grades obtained in the resolution of authentic clinical cases in the musculoskeletal, cardiorespiratory, and neurorehabilitation areas. Statistical analysis determined the correlation between both variables. Results: The overall perception of EA was positive (Total PHEEM score: 116.3/160). Academic performance was satisfactory and passed in all areas (Average grades: Musculoskeletal: 5.1; Cardiorespiratory: 5.5; Neurorehabilitation: 5.3). However, a weak and non-significant correlation was found between the PHEEM score and academic performance (r=0.3). Only in the cardiorespiratory area was a moderate correlation identified (r=0.5). Discussion: Contrary to the initial hypothesis and much of the international literature, a strong association between the perception of EA and academic performance was not confirmed. The results suggest that performance during clinical internship ismultifactorial and could be more strongly influenced by other variables not measured in this study, such as individual stress levels, resilience, or the quality of supervisory feedback. These findings highlight the need for a comprehensive approach to clinical training that considers these other determinants along with the educational environment.
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Citation
Tiemann-Hernández, P., Herrera-Lillo, A., & Urrejola-Contreras, G. P. (2025). Entorno formativo y desempeño académico en estudiantes de Kinesiología durante el internado clínico: una evaluación desde la percepción estudiantil. Revista Española De Educación Médica, 6(4).
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