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Implementation of the OSCE as a teaching experience in nursing education. Mixed study 实施欧安组织作为护理教育的教学经验。混合的研究
Q2 Social Sciences Pub Date : 2025-11-17 DOI: 10.1016/j.edumed.2025.101126
Leyre Rodríguez Leal , Leticia López Pedraza , Marina Gómez de Quero Córdoba , Raquel González Hervías , Victor Fernandez-Alonso , Beatriz Álvarez Embarba , Marta Mas , Raúl Merchán , Juan Francisco Velarde , Marta Fernández Idiago

Introduction

The OSCE consists of one or a series of stations designed to evaluate performance competence in clinical, technical or non-technical skills, individually or as a team. The Objective Structured Clinical Examination (OSCE) is a validated method for assessing clinical competence.

Methodology

This study analysed the OSCE performance of 85 fourth-year nursing students at a university in Madrid. Working in pairs, the students completed five 10-min stations on multiple trauma, paediatric emergencies, diabetes consultation, post-surgical care, therapeutic relationship, and the nursing process. Their testimonies were also assessed qualitatively, identifying four main categories.

Results

In terms of the quantitative study, the average score was 0.36 out of 0.5 (SD = 0.08), with diabetes education scoring the lowest and post-surgical care scoring the highest. Despite initial nervousness, the students were satisfied and valued the simulation experience. As for the qualitative study, four main qualitative categories were found: nervousness/uncertainty, organisation of the teaching experience, skills development, and evaluator perception.

Conclusion

These results support OSCE's effectiveness in nursing assessment, highlighting areas for improving student skills and station design.
欧安组织由一个或一系列站点组成,旨在单独或作为一个团队评估临床,技术或非技术技能的表现能力。客观结构化临床检查(OSCE)是评估临床能力的有效方法。本研究分析了马德里一所大学85名四年级护理专业学生在欧安组织的表现。学生们结对完成了5个10分钟的课程,内容涉及多重创伤、儿科急诊、糖尿病咨询、术后护理、治疗关系和护理过程。还对他们的证词进行了定性评估,确定了四个主要类别。结果在定量研究方面,平均得分为0.36分(SD = 0.08),其中糖尿病教育得分最低,术后护理得分最高。尽管一开始很紧张,但学生们很满意,也很重视这次模拟体验。在定性研究方面,发现了四个主要的定性类别:紧张/不确定性、教学经验的组织、技能发展和评估者感知。结论本研究结果支持欧安组织在护理评估方面的有效性,突出了学生技能和科室设计的改进领域。
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引用次数: 0
Feria de simulación en primeros auxilios: una nueva modalidad docente para la formación de profesionales de un área sanitaria 急救模拟博览会:医疗保健专业人员培训的新教学模式
Q2 Social Sciences Pub Date : 2025-11-10 DOI: 10.1016/j.edumed.2025.101121
Laura González Calvete , Arancha Martín Suárez , Iván Marcos González , Amalia Franco Vidal , Francisco Tamargo de Miguel , Paula Recena Pérez , Rocío Rodríguez Herrero , Arturo Martínez Martínez , César Roza Alonso , Marta González Pajares , Lorena Alarcón Antúnez , Andrea García Sampedro , Jose Carlos Fernández Fernández , Aránzazu Urruchi Campo , Marta Costa Romero

Introduction

Simulation and gamification are tools used to enhance skill development and consolidate or acquire new knowledge in a safe environment. The objective of this study was to explore the effectiveness of a eminently practical methodology based on mini training pills as a training tool in a healthcare setting for teaching first aid-related actions

Material and methods

An active, participatory activity was designed during the workday (9:00 a.m.–3:00 p.m.) for all healthcare professionals in Health Area V (Asturias). This activity consisted of a circuit or “scavenger hunt” through different workshops or “stations” located at the Cabueñes University Hospital. All workshops were related to urgent primary care, using a methodology based on simulation and/or gamification and a short format (15–20 minutes).

Results

The participation rate was high, both quantitatively (n = 502) and qualitatively, with multiple professional categories attending (who also showed high satisfaction), defining this activity as a “dynamic, innovative, simple and fun experience to learn”.

Conclusions

This fundamentally practical methodology, through training “mini-pills”, allows for the rapid and effective acquisition/recycling of knowledge on a specific subject, which facilitates appropriate action in possible real-life situations.
在一个安全的环境中,模拟和游戏化是用来提高技能发展和巩固或获得新知识的工具。本研究的目的是探索一种非常实用的方法的有效性,该方法基于迷你训练药丸作为医疗保健环境中急救相关行动教学的培训工具。材料和方法在工作日(上午9:00至下午3:00)为卫生V区(阿斯图里亚斯)的所有卫生保健专业人员设计了一项积极的参与性活动。这项活动包括通过设在Cabueñes大学医院的不同讲习班或“站”进行巡回或“寻宝”活动。所有讲习班都与紧急初级保健有关,采用基于模拟和/或游戏化的方法和短格式(15-20分钟)。结果参与人数(n = 502)和参与人数(n = 502)都很高,有多个专业类别的人参加(他们也表现出很高的满意度),将该活动定义为“动态,创新,简单,有趣的学习体验”。这种基本实用的方法,通过训练“小药丸”,可以快速有效地获取/回收特定主题的知识,这有助于在可能的现实生活情况下采取适当的行动。
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引用次数: 0
Design, development, and validation of a low-cost laparoscopic simulator for surgical training 用于外科训练的低成本腹腔镜模拟器的设计、开发和验证
Q2 Social Sciences Pub Date : 2025-11-08 DOI: 10.1016/j.edumed.2025.101127
Botswana Hinojosa Pérez , Sergio Trujillo López , María Elena Reguera Torres , Aziel Alejandro Peralta Ramírez , Eliezer Emmanuel Preciado Gocobachi , Carlos Eduardo Astorga Haro , Jared Rolando Laborin Domínguez , Martin Pérez Nava

Introduction

Laparoscopic surgery has transformed surgical practice by reducing complications and recovery times. However, training remains limited due to restricted access to high-fidelity simulators, especially in resource-limited settings. Low-cost simulators have emerged as a feasible alternative to develop essential technical skills. The aim of this study was to design, develop, and validate a low-cost laparoscopic simulator for surgical training.

Methods

A quasi-experimental study was conducted with 24 general surgery residents. The simulator, built from medium-density fiberboard (MDF) and equipped with ports and a digital camera, was validated by a panel of 10 experts and assessed through the GOALS scale during a peg transfer task. Descriptive statistics and the Kruskal–Wallis test were applied to compare performance according to year of residency.

Results

Experts reported high content and face validity (Aiken's V ≥ 0.75), highlighting its pedagogical relevance and functionality. Among residents, significant differences were found in performance across training levels (H = 8.70; p = 0.034), particularly between first- and fourth-year residents. The simulator showed discriminative capacity and educational usefulness.

Discussion

The validated simulator represents an accessible and reproducible tool that facilitates training in minimally invasive surgery. Its low cost and effectiveness make it a strategic resource for institutions with budget limitations, supporting progressive and safe skill acquisition while enhancing surgical competence and patient safety.
腹腔镜手术通过减少并发症和恢复时间改变了手术实践。然而,由于高保真模拟器的使用受到限制,特别是在资源有限的情况下,培训仍然有限。低成本模拟器已成为发展基本技术技能的可行替代方案。本研究的目的是设计、开发和验证用于外科训练的低成本腹腔镜模拟器。方法对24名普通外科住院医师进行准实验研究。该模拟器由中密度纤维板(MDF)制成,配备了端口和数码相机,由10名专家组成的小组进行了验证,并在peg转移任务期间通过GOALS量表进行了评估。采用描述性统计和Kruskal-Wallis检验比较不同住院年份的表现。结果专家报告了高内容和面效度(Aiken's V ≥ 0.75),突出了其教学相关性和功能性。在住院医生中,不同培训水平的表现存在显著差异(H = 8.70;p = 0.034),特别是在第一年和第四年住院医生之间。该模拟器显示了识别能力和教育用途。经过验证的模拟器代表了一种可访问和可重复的工具,促进了微创手术的培训。它的低成本和有效性使其成为预算有限的机构的战略资源,支持渐进和安全的技能获取,同时提高手术能力和患者安全。
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引用次数: 0
Ansiedad y empatía en los alumnos de Medicina 医科学生的焦虑和同理心
Q2 Social Sciences Pub Date : 2025-11-07 DOI: 10.1016/j.edumed.2025.101123
Alba Figueras , Jordi Delás
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引用次数: 0
Formación en investigación durante la residencia: Reflexiones sobre una oportunidad 常驻研究培训:对机会的思考
Q2 Social Sciences Pub Date : 2025-11-01 DOI: 10.1016/j.edumed.2025.101144
Ismael Buño , Constancio Medrano
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引用次数: 0
Comparison of student satisfaction between virtual and face-to-face classes in dental students at a Peruvian University, 2024 2024年秘鲁一所大学牙科专业学生满意度的比较
Q2 Social Sciences Pub Date : 2025-11-01 DOI: 10.1016/j.edumed.2025.101110
Evelin Yudit Apaza-Vila, Betzy Emelyn Ordoñez-Roiro, Shirley Estefany Caceres-Chilingano, Jesely Haritz Torres-Ramirez, Cesar D. Rojas-Senador, Daniel Kevin Pérez-Alvarez

Introduction

The COVID-19 pandemic brought about a significant transformation in higher education, particularly in fields such as dentistry, where practical training is essential. This study aimed to compare dental students' satisfaction with virtual and face-to-face classes.

Material and methods

Considering variables such as age, sex, and academic year, a validated questionnaire was administered to 177 third-, fourth-, and fifth-year students from the School of Dentistry at Universidad Peruana Cayetano Heredia in 2024. Statistical analysis included T-tests, ANOVA, Spearman correlation, and hierarchical multiple linear regression.

Results

Results showed similar satisfaction levels across both modalities, with a general mean of 61.46 on a 0–100 scale. Face-to-face classes received a slightly higher average score (71.93) compared to virtual classes (66.86), with no statistically significant differences by age, sex, or academic year. A low positive correlation was found between both modalities (rho = 0.247; p < 0.001).

Conclusion

No significant associations were identified in the regression models. These findings highlight the importance of implementing integrated pedagogical strategies that enhance the educational experience and ensure the quality of learning in both in-person and virtual settings.
2019冠状病毒病大流行给高等教育带来了重大变革,特别是在牙科等实践培训至关重要的领域。本研究旨在比较牙科学生对虚拟课程和面对面课程的满意度。材料和方法考虑年龄、性别和学年等变量,于2024年对来自秘鲁卡耶塔诺埃雷迪亚大学牙科学院的177名三、四、五年级学生进行了一份有效的问卷调查。统计分析包括t检验、方差分析、Spearman相关和分层多元线性回归。结果结果显示两种方式的满意度水平相似,在0-100的范围内,平均满意度为61.46。面对面课程的平均得分(71.93)略高于虚拟课程(66.86),在年龄、性别和学年方面没有统计学上的显著差异。两种方式之间存在低正相关(rho = 0.247;p <; 0.001)。结论回归模型未发现显著相关性。这些发现强调了实施综合教学策略的重要性,这些策略可以增强教育体验,并确保面对面和虚拟环境中的学习质量。
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引用次数: 0
Aprendizaje estratégico de bioestadística en enfermería mediante talleres 通过讲习班进行护理领域生物统计学的战略学习
Q2 Social Sciences Pub Date : 2025-10-31 DOI: 10.1016/j.edumed.2025.101114
Kléber Dionicio Orellana Suárez, Julio César Pino Tarragó, Dunia Lisbet Domínguez Gálvez, Na Gyun Yoon García

Introduction

Teaching Biostatistics in health education faces challenges related to abstract content, low student motivation, and limited clinical applicability. This study proposes a pedagogical intervention through methodological workshops to enhance strategic learning in the Biostatistics course of the Nursing program at Universidad Estatal del Sur de Manabí (UNESUM), Ecuador.

Material and methods

A mixed-methods design was used: qualitative-descriptive with elements of action research, and pre-experimental quantitative with pretest–posttest comparison. The study involved 28 students and 2 instructors during the PII 2024 academic term. Data collection included Likert-scale questionnaires, semi-structured interviews, and focus groups assessing confidence, autonomy, and applicability.

Results

Findings showed significant improvements in students' confidence, autonomy, and perception of statistical applicability in clinical practice. Statistically relevant differences were found between pretest and posttest results (p < 0.05), confirming the effectiveness of the intervention.

Conclusion

Methodological workshops are a replicable and effective strategy to strengthen Biostatistics instruction in nursing education, fostering strategic learning that connects cognitive and metacognitive skills with professional practice.
生物统计学在健康教育中的教学面临着内容抽象、学生积极性低、临床适用性有限等挑战。本研究提出了通过方法学研讨会的教学干预,以加强厄瓜多尔国立大学Manabí (UNESUM)护理项目生物统计学课程的战略学习。材料与方法采用混合方法设计:定性-描述性与行动研究相结合,实验前定量与前-后比较相结合。该研究在PII 2024学年期间涉及28名学生和2名教师。数据收集包括李克特量表问卷、半结构化访谈和焦点小组评估信心、自主性和适用性。结果学生在临床实践中的自信心、自主性和对统计学适用性的认知均有显著提高。前测与后测结果差异有统计学意义(p <; 0.05),证实了干预的有效性。结论方法学研讨会是加强护理教学中生物统计学教学的一种可复制的有效策略,可促进认知和元认知技能与专业实践相结合的战略性学习。
{"title":"Aprendizaje estratégico de bioestadística en enfermería mediante talleres","authors":"Kléber Dionicio Orellana Suárez,&nbsp;Julio César Pino Tarragó,&nbsp;Dunia Lisbet Domínguez Gálvez,&nbsp;Na Gyun Yoon García","doi":"10.1016/j.edumed.2025.101114","DOIUrl":"10.1016/j.edumed.2025.101114","url":null,"abstract":"<div><h3>Introduction</h3><div>Teaching Biostatistics in health education faces challenges related to abstract content, low student motivation, and limited clinical applicability. This study proposes a pedagogical intervention through methodological workshops to enhance strategic learning in the Biostatistics course of the Nursing program at Universidad Estatal del Sur de Manabí (UNESUM), Ecuador.</div></div><div><h3>Material and methods</h3><div>A mixed-methods design was used: qualitative-descriptive with elements of action research, and pre-experimental quantitative with pretest–posttest comparison. The study involved 28 students and 2 instructors during the PII 2024 academic term. Data collection included Likert-scale questionnaires, semi-structured interviews, and focus groups assessing confidence, autonomy, and applicability.</div></div><div><h3>Results</h3><div>Findings showed significant improvements in students' confidence, autonomy, and perception of statistical applicability in clinical practice. Statistically relevant differences were found between pretest and posttest results (<em>p</em> &lt; 0.05), confirming the effectiveness of the intervention.</div></div><div><h3>Conclusion</h3><div>Methodological workshops are a replicable and effective strategy to strengthen Biostatistics instruction in nursing education, fostering strategic learning that connects cognitive and metacognitive skills with professional practice.</div></div>","PeriodicalId":35317,"journal":{"name":"Educacion Medica","volume":"27 1","pages":"Article 101114"},"PeriodicalIF":0.0,"publicationDate":"2025-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145415673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Formación médica y desafíos del dengue: una atención primaria 医疗培训与登革热的挑战:初级保健
Q2 Social Sciences Pub Date : 2025-10-29 DOI: 10.1016/j.edumed.2025.101118
Aldo Medina Gamero
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引用次数: 0
Análisis de un método de aprendizaje basado en problemas aplicado en ciencias básicas con un enfoque integrador en la formación médica 在医学教育中采用综合方法分析基础科学中的基于问题的学习方法
Q2 Social Sciences Pub Date : 2025-10-29 DOI: 10.1016/j.edumed.2025.101115
Antonio Ordóñez Fernández, Elena Aguado-Domínguez, Esther Quintana-Gallego, Irene Méndez Santos, Antonio León-Justel, Carmen Campos-Silva

Introduction

In medical education, active learning methodologies such as Problem-Based Learning (PBL) have proven to be effective strategies to foster student engagement and meaningful learning. PBL, centered on the collaborative resolution of complex and contextualized problems, not only facilitates knowledge acquisition but also promotes the development of key skills and competencies, such as critical thinking, that are essential in the training of future physicians.
However, the implementation of PBL has been more common in clinical subjects than in basic sciences, such as biochemistry, biology, anatomy, histology, and physiology, where its use remains limited. These disciplines, although fundamental, are often perceived as disconnected from clinical practice, which can hinder students' ability to link theoretical knowledge with real-world application.

Methods

This article explores the challenges and opportunities of applying PBL in the context of basic sciences through an interdisciplinary experience developed during the first year of the Medical University Degree program. This work presents the design, implementation, and faculty and student evaluation of a PBL based initiative centered on exercise physiology as an integrative theme across multiple basic science subjects.

Results

As perceived by faculty and students, incorporating real-world contextualized problems enhances meaningful understanding and integration of theoretical concepts of basic sciences and their connection to medical practice. In addition, multiple skills and competencies essential for the professional career are developed.

Conclusion

Overall, these findings support the feasibility, continuity, and expansion of this methodology within the academic curriculum.
在医学教育中,主动学习方法,如基于问题的学习(PBL)已被证明是促进学生参与和有意义学习的有效策略。PBL以协作解决复杂和情境化问题为中心,不仅促进知识获取,而且促进关键技能和能力的发展,如批判性思维,这对未来医生的培训至关重要。然而,PBL的实施在临床学科中比在基础科学(如生物化学、生物学、解剖学、组织学和生理学)中更为普遍,其应用仍然有限。这些学科虽然是基础学科,但往往被认为与临床实践脱节,这可能会阻碍学生将理论知识与现实应用联系起来的能力。方法本文通过医科大学学位课程第一年的跨学科经验,探讨了在基础科学背景下应用PBL的挑战和机遇。这项工作展示了基于PBL的计划的设计、实施和教师和学生的评估,该计划以运动生理学为中心,作为跨多个基础科学学科的综合主题。结果教师和学生认为,将现实世界情境化的问题结合起来,可以增强对基础科学理论概念的有意义的理解和整合,以及它们与医学实践的联系。此外,还培养了职业生涯所需的多种技能和能力。总体而言,这些发现支持了该方法在学术课程中的可行性、连续性和扩展性。
{"title":"Análisis de un método de aprendizaje basado en problemas aplicado en ciencias básicas con un enfoque integrador en la formación médica","authors":"Antonio Ordóñez Fernández,&nbsp;Elena Aguado-Domínguez,&nbsp;Esther Quintana-Gallego,&nbsp;Irene Méndez Santos,&nbsp;Antonio León-Justel,&nbsp;Carmen Campos-Silva","doi":"10.1016/j.edumed.2025.101115","DOIUrl":"10.1016/j.edumed.2025.101115","url":null,"abstract":"<div><h3>Introduction</h3><div>In medical education, active learning methodologies such as Problem-Based Learning (PBL) have proven to be effective strategies to foster student engagement and meaningful learning. PBL, centered on the collaborative resolution of complex and contextualized problems, not only facilitates knowledge acquisition but also promotes the development of key skills and competencies, such as critical thinking, that are essential in the training of future physicians.</div><div>However, the implementation of PBL has been more common in clinical subjects than in basic sciences, such as biochemistry, biology, anatomy, histology, and physiology, where its use remains limited. These disciplines, although fundamental, are often perceived as disconnected from clinical practice, which can hinder students' ability to link theoretical knowledge with real-world application.</div></div><div><h3>Methods</h3><div>This article explores the challenges and opportunities of applying PBL in the context of basic sciences through an interdisciplinary experience developed during the first year of the Medical University Degree program. This work presents the design, implementation, and faculty and student evaluation of a PBL based initiative centered on exercise physiology as an integrative theme across multiple basic science subjects.</div></div><div><h3>Results</h3><div>As perceived by faculty and students, incorporating real-world contextualized problems enhances meaningful understanding and integration of theoretical concepts of basic sciences and their connection to medical practice. In addition, multiple skills and competencies essential for the professional career are developed.</div></div><div><h3>Conclusion</h3><div>Overall, these findings support the feasibility, continuity, and expansion of this methodology within the academic curriculum.</div></div>","PeriodicalId":35317,"journal":{"name":"Educacion Medica","volume":"27 1","pages":"Article 101115"},"PeriodicalIF":0.0,"publicationDate":"2025-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145415676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring the geriatrics curriculum in Peruvian medical schools: An analysis of course characteristics and topics covered 探索秘鲁医学院的老年病学课程:对课程特点和主题的分析
Q2 Social Sciences Pub Date : 2025-10-29 DOI: 10.1016/j.edumed.2025.101109
José F. Parodi , Fabian A. Chavez-Ecos , Rodrigo Chavez-Ecos , Wagner Rios-Garcia , Martin Montenegro-Guerra , Javier A. Flores-Cohaila , Fernando M. Runzer-Colmenares

Introduction

This study aimed to analyze the current status of the geriatrics curricula in Peruvian faculties, identifying gaps and challenges for improving medical education in this specialty.

Material and methods

This observational study evaluated the geriatric course syllabi of undergraduate medical programs of Peruvian-licensed universities authorized by the National University Higher Education (SUNEDU). Data on course characteristics, including whether the course was stand-alone or attached to another course, were collected and evaluated. Competencies were evaluated using the 5M framework.

Results

Of the 44 universities selected, 27 offered a geriatrics course, the majority being private institutions. This course was mostly taken in the fifth year, and in 70.37% (n = 19 universities), it was considered a single course. None of the courses fully complied with the 5M framework, demonstrating deficiencies in teaching. Additionally, the study detected a shortage of geriatricians and a lack of standardization in training among institutions.

Conclusions

There continue to be critical opportunities for bettering the geriatric curricula of Peruvian medical schools and undergraduate medical programs must be optimized to respond to the needs of older people as one of the main users of medical services. It is crucial to address these deficiencies by aligning university curricula with the epidemiological and demographic reality, equity and efficiency in providing services, and international recommendations on competencies in geriatrics and gerontology.
本研究旨在分析秘鲁院系老年医学课程的现状,确定改进该专业医学教育的差距和挑战。材料和方法本观察性研究评估了由国立大学高等教育(SUNEDU)授权的秘鲁许可大学的老年医学本科课程大纲。收集和评估课程特征的数据,包括课程是独立的还是附属于另一门课程。使用5M框架评估能力。结果在44所入选大学中,有27所开设老年病学课程,其中大部分为私立院校。这门课大部分是在第五年开设的,70.37% (n = 19所大学)将其视为一门课程。没有一门课程完全符合5M框架,教学存在不足。此外,该研究还发现了老年医生的短缺和机构间培训缺乏标准化。结论:秘鲁医学院的老年医学课程仍然存在改进的关键机会,必须优化本科医学课程,以满足老年人作为医疗服务的主要用户之一的需求。解决这些缺陷至关重要,办法是使大学课程与流行病学和人口现实、提供服务的公平和效率以及关于老年病学和老年学能力的国际建议保持一致。
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引用次数: 0
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Educacion Medica
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