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Some aspects of the educative system at the Mexican Institute of Social Security are described. It is base on the perception of a problematic situation that constitutes a challenge. An educational process to enhance the quality of medical education is proposed, with the adoption of a participative model of self-constructive learning. This proposal is based on theoretical references on both philosophical and sociological knowledge perspective of an individual related to the institutional behavior, to end with a psychological view from which some learning theories are explored. An educational model is built with the inclusion of institutional elements, like the new evaluation system for residents; centers for educational investigation and a teacher training process. Three axes of the educational process are proposed: tutorial teaching, development of complex abilities of thought and critical reading. The evaluation system includes guides for measuring the operational process established and the professional responsibilities of the different participants. [ABSTRACT FROM AUTHOR]

Background: Quality of life is an individual perception of life position, under the particular cultural and value system context, and considering goals, expectations, rules and concerns. Objective: To evaluate quality of life of resident doctors at Hospital General de Occidente, Health Department, at Zapopan, Jalisco, Mexico. Patients and methods: Every resident doctor registered to first year of surgical medical main subject, between March 2004 and March 2005, answered the Quality of Life Profile for Chronic Patients questionnaire in three periods: at them entry, six months later and 12 months later. Results: Most residents reported good quality of life at the beginning questionnaire (93%), which diminished in second measurement (63%), and rises again in third measurement, but without return to firs results. In statistical analysis with paired t Student samples, every quality of life health related scale has statistical significance within first and second measurements. Conclusions: Resident doctors health related quality of life falls during first six months and rises again 12 months later but without reaching base results. [ABSTRACT FROM AUTHOR]