Gómez LVM, Rosales GS, García GJL, Berrones SKI

Language: Spanish
References: 15
Page: 255-259
PDF size: 134.58 Kb.

ABSTRACT

Introduction: One of the main skills of the doctor is the ability to make judgments in relation to the clinical problems presented by patients. Therefore, it is required that future doctors develop the skills to perform well, and to solve the problems that arise in their patients in the future.
Objective: To identify the degree of development of the components of the clinical aptitude of medical students at the end of the Cardiology course.
Method: An observational, prolective, cross-sectional and comparative study was conducted on 93 students enrolled in the course of Cardiology course of 2015 in the second academic year of a particular medical school with more than 85% of class attendance during the semester evaluated. Irregular students or those who had already taken the course previously were excluded from the study. An evaluation was mad of the overall development level of clinical aptitude, as well as each of its components. For the analysis of the results, percentages were used for the analysis, as well as the Chi squared test to explore the distribution of each of the clinical aptitude components, taking a value of p ≤ .05 as statistically significant.
Results: The general overall clinical aptitude level was sufficient in more than half of the students. The component of the best evaluated clinical aptitude, was the fact of establishing proper communication with the patient and/or family, with 92.5% of students achieving a sufficient level of proficiency in this component, which corresponds to p=.0001.
Conclusions: The overall level of clinical aptitude in the subject of cardiology in undergraduate students is sufficient.

REFERENCES

1. Audétat C. Méthodes et outil pour soutenir et stimuler un raisonnement clinique efficace. CFP. 2010;56:294---6.

2. Fernández E, Montemayor P. Evaluando el diagnóstico: piedra angular del razonamiento clínico. Monterrey N.L: Sigloymedio; 2010.

3. Norman G. Building on experience. The development of clinical reasoning. N Eng J Med. 2006;355:2251---2.

4. Mercado L, Viniegra L, Leyva A. Aptitud para la lectura crítica de informes de investigación clínica en médicos residentes del IMSS en Jalisco. Revista Médic del IMSS. 2001;53:413---21.

5. Casas D, Rodríguez A, Tapia E, Camacho E, Rodríguez R. Aptitud clínica en médicos familiares apegada a guías de práctica clínica. Rev Med Inv. 2014;2:100---6.

6. Arteaga J, Fernández J. El método clínico y el método científico. MediSur. 2010;8:12---20.

7. Tun C, Aguilar E, Herrera C, Viniegra L. Efectos del currículo por competencias en medicina familiar. Rev Med IMSS. 2003;41:5---13.

8. Holmboe S. Faculty and the observation of trainees’ clinical skills: problems and opportunities. Acad Med. 2004;79:16---22.

9. Ávila C, Sandoval F, Ortega R, Vera J. Propuesta de un programa operativo por competencias profesionales. Rev Med IMSS. 2001;39:157---67.

10. Viniegra L. La formación de médicos familiares y el desarrollo de la aptitud clínica. Rev Med IMSS. 2004;42:309---20.

11. Villa A, Poblete M. Evaluación de competencias genéricas: principios, oportunidades y limitaciones. Bordón. 2011;63:147---70.

12. Souza Gallardo LM, Márquez Bobadilla AP, López Atristáin AI, Fortoul-Van Der Goes TI. Diferencias cualitativas en la toma de tensión arterial entre estudiantes de medicina de dos planes de estudio de la Facultad de Medicina de la UNAM. Inv Ed Med. 2012;1:75---81.

13. García JA, Viniegra L. La formación de médicos familiares y el desarrollo de la aptitud clínica. Rev Med IMSS. 2004;42:309---20.

14. García JA, Viniegra L, Arellano J, García J. Evaluación de la aptitud clínica en médicos de primer nivel de atención. Rev Med Inst Mex Seguro Soc. 2005;43:465---72.

15. García JA, Viniegra L. Evaluación de la aptitud clínica en residentes de medicina familiar. Rev Med IMSS. 2003;41:487---94