Search

Background: The educational model adopted by the Universidad Nacional Autónoma de México (UNAM) Faculty of Medicine is constructivist; it is a model based on competence development. It aims to provide learning environments that incorporate real activities (it helps the students to develop social negotiation skills, as part of their integral learning; it encourages them to take a critical and reflexive approach; and it is also a student-centered model). However, many challenges arise when this model is implemented in the context of hospital environments. Therefore, our aim was to analyse the hospital as an hermeneutical community and as a power relations scenario, contrary to the constructivist model. Methods: In the analysis of a conflict between a chief of a medical department and an undergraduated medical intern, we use Miranda Fricker's categories discriminatory epistemic injustice, and testimonial injustice, as well as Foucault's power relationships and knowledge. Results: The program implementation is placed in the context of power relations and different disciplinary methods that could affect the training process of the students, whose educational background belongs to the constructivist model. This in part is due to the existence of informal normative structures that are hidden in the process of medical knowledge construction at the hospital scenario. Conclusion: Practices of epistemic discriminatory injustice in the hospital environment increase vulnerability conditions for medical students in their education process. [ABSTRACT FROM AUTHOR]

In this paper, we analyze Juan de la Fuente's life and work. De la Fuente was a medical doctor with medical studies in Sigüenza and Sevilla, minor Spanish universities at that time. Born in Mallorca, he came to New Spain in 1563 and later, he was the first professor in the new Faculty of Medicine in the Royal and Pontificial University of Mexico. His life could be considered as an example of a brilliant professional career developed by a Spanish Medical Doctor coming to the New World, in his case to Mexico. Being a doctor in the main Mexican hospitals, and caring for numerous and select patients. Also was selected as visitador and protomédico, important responsabilities in the regulation of medical practice and quality of medicaments. As a cultivated man, he was a typical case of a humanist. He not only was interested in medicine, but also in natural history, dialectics and philosophy, with a good knowledge of Latin, classical literature and so on. He won the first Medicine Cathedra in 1578 and continued in this place until his death. [ABSTRACT FROM AUTHOR]