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espanolA los dinamicos y profundos cambios cientifi cos, tecnologicos, demografi cos y epidemiologicos en el area de la salud, se unen demandas de la poblacion para mejores y mas efi cientes servicios. Se da el hecho de que la educacion medica de pregrado y posgrado no garantiza las competencias de forma indefi nida, lo que hace necesarios mecanismos que aseguren una mejor calidad asistencial. El Consorcio Proyecto Global (PGC) sugiere una estrategia integral de educacion medica continua y de desarrollo profesional continuo estructurada, simplifi cada, evaluada y acreditada para contribuir a enfrentar estos desafios. Se ejecuto el proyecto en dos paises como prueba piloto (Rusia y Venezuela). Se implemento en cinco fases: construccion de relaciones institucionales, determinacion de necesidades educativas, implementacion y medicion del impacto, difusion del mensaje y expansion de experiencias, y ajuste e institucionalizacion del proyecto. Se involucro a un numero signifi cativo de medicos que trabajan en los servicios de atencion primaria de salud. Se identifi caron y probaron estandares globales de educacion medica continua y desarrollo profesional continuo, y se diseno un curriculo nuclear, comenzando con el area cardiovascular, con el objeto de mejorar los niveles de conocimiento y la practica de los medicos participantes, y evidenciarlo en cambios positivos en indicadores de los pacientes usuarios. Finalmente, se llego a la etapa de institucionalizacion y reforzamiento continuo, en la cual el PGC funciono como un proyecto piloto de intercambio internacional y como posible proveedor de educacion medica continua y desarrollo profesional continuo, con alta calidad, costos razonables y acreditacion academica. EnglishProject Globe Consortium (PGC) integrated one simplifi ed strategy in continuing medical education and continuing professional development. It was designed as an answer to the fast and intense changes in science, technology, demography, epidemiology, the increasing demands of the population, and the changing role of physicians in the current health care systems, under the awareness that the undergraduate medical education does not guarantee the required competencies indefi nitely thus implying the need of necessary mechanisms to ensure quality and professional healthcare. The project was implemented in two pilot countries (Russia and Venezuela). It was developed in fi ve phases: building up on institutional relationships, identifying local champions; identifying educational needs; implementation and impact measurement; sharing the message and experiences; maturing adjustments and institutionalization of the project. A signifi cant number of physicians working in primary health care settings were involved. Global standards of continuing medical education and continuing professional development were identifi ed and tested. A core curriculum was designed, starting with cardiovascular risk factors, to improve knowledge levels and professional practice of the physicians involved, along with signifi cant changes in patient indicators as biomarkers. Finally, the project reached the stage of institutionalization and continuous reinforcement in which the PGC represented an international networking and potential continuing medical education and continuing professional development, provider of, high quality, at reasonable costs and with academic accreditation

Experiencia estratégica internacional para el desarrollo profesional continuo y su impacto en la atención primaria de salud