Propuesta regional de competencias esenciales y estrategias formativas para la Medicina Familiar y Comunitaria del siglo XXI

Authors

  • Maira Alejandra León Solarte , Especialista en Medicina Familiar. Docente titular de posgrado y pregrado Universidad Pedagógica y Tecnológica de Colombia; Sociedad Colombiana de Medicina Familiar https://orcid.org/0000-0002-3106-6358
  • Karin Kopitowski Especialista en Medicina Familiar, Servicio de Medicina Familiar y Comunitaria Hospital Italiano de Buenos Aires, Federación Argentina de Medicina Familiar
  • Thomas Federico Meoño Martin Especialista en Medicina Familiar, Caja Costarricense de Seguro Social

Keywords:

Medicina familiar y comunitaria, Competencia profesional, Capacitación profesional, Atención primaria de salud, Evaluación médica

Abstract

Introducción: La Medicina Familiar y Comunitaria (MFyC) es reconocida como pilar de sistemas de salud sostenibles y centrados en Atención Primaria. Sin embargo, la creciente complejidad de los desafíos sanitarios en Iberoamérica demanda un perfil profesional actualizado que articule competencias técnicas, éticas, comunitarias y digitales. Objetivo: Presentar una propuesta regional de competencias esenciales para el ejercicio de la MFyC en el siglo XXI, junto con estrategias pedagógicas articuladas y la incorporación de Actividades Profesionales Confiables (APROC) como herramienta evaluativa. Métodos: Se empleó una metodología mixta y participativa: (1) consenso Delphi regional con referentes de la especialidad; (2) asistencia estructural mediante herramientas de inteligencia artificial generativa para homogeneizar y depurar el corpus de competencias; (3) análisis comparativo crítico con el perfil profesional de la VIII Cumbre de Guatemala (2022); y (4) diseño de estrategias pedagógicas basadas en marcos internacionales y evidencias previas. Resultados: Se definieron nueve roles profesionales —Clínico, Facilitador del vínculo, Gestor, Educador, Investigador, Ético, Actor comunitario, Defensor de derechos y Profesional en salud digital—, cada uno con competencias claras, orientadas a la acción. Se propusieron cinco ejes pedagógicos (currículo participativo, metodologías activas, evaluación auténtica, formación en servicio y educación continua) y un marco inicial de APROC comunes y optativas para la región. Conclusión: Esta propuesta integral ofrece una guía operativa para diseñar, evaluar y actualizar programas de formación en MFyC, fortaleciendo el primer nivel de atención y promoviendo la equidad social y justicia sanitaria en Iberoamérica.

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Author Biographies

Karin Kopitowski, Especialista en Medicina Familiar, Servicio de Medicina Familiar y Comunitaria Hospital Italiano de Buenos Aires, Federación Argentina de Medicina Familiar

Family Medicine Specialist from the University of Buenos Aires (UBA) and holds a Master’s degree in Clinical Effectiveness from UBA and the Harvard School of Public Health. She currently serves as the Director of the Academic Unit of Health Sciences at the University Institute of the Hospital Italiano de Buenos Aires (IUHIBA) and is the Honorary Head of the Family and Community Medicine Service at the Hospital Italiano de Buenos Aires.

With an extensive background in research and ethics, she coordinates the Research Protocol Ethics Committee at the Hospital Italiano and directs the Research Department at IUHIBA. She is a faculty member for undergraduate and postgraduate programs at UBA and IUHIBA and is the lead author of the renowned textbook "Medicina Familiar y Práctica Ambulatoria." Her areas of expertise include shared decision-making, quaternary prevention, and clinical effectiveness in primary care.

Thomas Federico Meoño Martin, Especialista en Medicina Familiar, Caja Costarricense de Seguro Social

He is a physician specialized in Family and Community Medicine. He serves as Chief Executive Officer (CEO) of WONCA Iberoamericana–CIMF and has also been referred to as the CIMF’s Executive Coordinator. In addition, he works as a family physician at the Caja Costarricense de Seguro Social (CCSS). His work focuses on strengthening Family Medicine and Primary Health Care across the Ibero-American region through leadership, training, and regional collaboration initiatives.

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Published

2026-07-22

How to Cite

1.
León Solarte MA, Kopitowski K, Meoño Martin TF. Propuesta regional de competencias esenciales y estrategias formativas para la Medicina Familiar y Comunitaria del siglo XXI. Rev Bras Med Fam Comunidade [Internet]. 2026 Jul. 22 [cited 2026 Jul. 26];21(48). Available from: https://rbmfc.org.br/rbmfc/article/view/5451

Issue

Vol. 21 No. 48: Supl. 1 (2026) - IX Cumbre Iberoamericana de Medicina Familiar 2025 | Preview version

Section

Cumbre Iberoamericana de Medicina Familiar de Uruguay

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Copyright (c) 2026 Maira Alejandra León Solarte, Karin Kopitowski, Thomas Federico Meoño Martin

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