Objetive: This research was carried out with the objective of evaluating in two moments the structural elements of the syllable with a competency approach and the articulation with the graduation profile of the Nursing study program of the National University Toribio Rodríguez de Mendoza de Amazonas, 2021. Method: The methodology used was a quantitative approach, documentary review technique, observational, comparative and cross-sectional design. The sample was represented by 42 syllables. The instrument was a checklist, with adequate validity (VC=4.7>de VT=1.64). For data processing, the statistical package IBM SPSS v.25 was used and for the analysis, the non-parametric statistical test of WILCOXON with 95% confidence and 0.05 margin of error. Main results: The results were that; At first, 69.00% of the syllables did not meet the requirements for review of the elements: general info...