Introduction:
Based on our previous findings demonstrating superior performance in the Objective Structured Clinical Examination (OSCE) within the Universidad Francisco de Vitoria Pilot Clinical Internship Program (PCIP) compared to their counterparts in the conventional program, this longitudinal study extends the evaluation to real-world clinical competence. While previous research showed improvements in practical skills in controlled exam settings, the current study addresses the need to validate these improvements in authentic clinical environments with real patients and external evaluators. The PCIP model, characterized by extended clinical rotations, self-directed learning, and structured mentoring, requires a comprehensive assessment in a real clinical environment of its impact on the development of clinical competencies.

Methodology:
A comparative study between PCIP students and those in the traditional curriculum, was conducted over four academic years, involving 93 medical students from the 4th to the 6th year in both educational models. Their clinical competencies were evaluated through patient satisfaction surveys, clinical review assessments, and Mini-CEX evaluations, comparing the results between the innovative program and the traditional curriculum.

Results:
The results indicated that, in the presence of patients and external evaluators, students in the innovative program demonstrated superior competence in all areas, particularly in managing more complex cases.

Conclusion:
The findings suggest that the pilot program enhances clinical competencies more effectively than the traditional curriculum. The higher patient satisfaction and better performance in clinical reviews and Mini-CEX assessments indicate that the innovative approaches of the pilot program may better prepare students for real-world clinical practice. These results highlight the importance of continuous evaluation and adaptation of medical education programs to meet the evolving needs of healthcare.

Keywords: Medical education, clinical internship program, undergraduate internship, pilot program, clinical Competence, Real-World Settings.