The trend in medical education and in general, among health professionals, is based, on the current changes of health systems aimed to improve relevance equity, and cost effectiveness of health care. With respect to human health resources, there is lack of agreement among the competence level, performance and the needs of both the system using them and the target population. Therefore, it is important and necessary to consider both the community and health services as partners in the task of defining these changes and in the provision of health services to meet the above mentioned criteria. / The main purpose of this partnership is to encourage efforts to promote, oversee, and apply the actions in each one of the instances in order to improve training of human resource, strengthen local health systems, and empower the communities. Human resource competence and performance, the capacity to provide services, and the degree of community participation and commitement to health, are key elements in improving service quality. / The philosophy of current curricula reform at the Valle University stresses the partnership relationship between academic institutions, services centers, and the community, in the training of health professionals. The proposed investigation focuses on the community-based training aspect of student performance assessment and its relation to the health care system and academia. Specifically, the study will focus on designing valid and reliable instruments for community assessment of student performance, using both qualitative and quantitative aspects of data collection and analysis to assess "patient satisfaction" as an indicator of quality of care. / The results of this study demonstrate that the proposed assessment activity will allow the educational and health services institutions to have relevant and dynamic information as feedback for planning and adjustment of their programs. At the same time, it will allow the community to participate in an effective way in aspects related to their health care. The results of this study will be used as a basis for producing guidelines for involving communities (users) in the health care students evaluation process.

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The Late Classic Period at Kaminaljuyú is one of the most poorly understood periods of occupation, possibly because the artifacts and architecture lack the ornate decoration found in earlier periods. One of the largest and best preserved areas of the site is located in the Parque Arqueológico de Kaminaljuyú in Zone 7 of Guatemala City. A major focal point of architecture atKaminaljuyú is the Acropolis, which has been the focus of various excavations, particularly the work of Gustavo Espinoza from 1958 to 1962. Despite this research, much of the important documentation and artifacts recovered from these excavations have been lost. In 2003, Brigham Young University and colleagues from the Universidad Del Valle in Guatemala City conducted excavations near the Acropolis and Palangana in order to collect additional artifacts and create a chronology of the structures found at the park. The team also focused on studying architecture and remapping the area, hoping to recover information vital to interpreting the construction and function of the buildings found there, with a particular focus on the relationship between the occupants of Kaminaljuyú and the people living at Teotihuacán. Using ceramics collected from the Brigham Young University/ Universidad Del Valle excavations, this thesis will focus on the Late Classic period of Kaminaljuyú in order to determine the function of the Acropolis during this period. A discussion of the status of the ancient inhabitants of the Acropolis will also be included. This thesis will provide the reader with a description of Late Classic ceramics and building phases. These findings will be explained in terms of the function of the Acropolis and the status of its residents during that period. The ultimate goal of this work is to illustrate that the Acropolis was used as a residential zone during the Late Classic Period. I will also argue that the people who lived near the Acropolis probably achieved an elevated status compared to residents of other parts of Kaminaljuyú, but lacked many of the luxury goods commonly associated with elites in Mesoamerica.