Pinet PLM, Fraga SJM, Julio Prieto S, Enrique Asensio L

Language: Spanish
References: 8
Page: 5-11
PDF size: 98.46 Kb.

ABSTRACT

Objective: Evaluate the effect of prehospital clinical experience on registry exam results from Mexico City´s paramedic registry. Methods: Retrospective study using registry data, included gender, age, education, training institution, place of employment, nature of employment, years of experience and exam results. Only data from basic emergency medical technicians was used. Results: The exam passing rate was 21%. 70% of candidates were male, 83% graduated at most from high school and only 12% had a university degree. The Mexican Red Cross trained 44%, 59% work for private institutions and 81% indicated they volunteered. Regression results showed age (β=-.09, z=-1.33, p=.078), high school (β=.75, z=1.35, p=.087) and university (β=2.08, z=1.88, p=.03) education were the only statistically significant variables useful in explaining exam results. The model had an overall poor fit in explaining the effect of clinical experience and training on registry results. Conclusions: Evaluations on prehospital clinical quality must consider the context and circumstances under which prehospital medicine is practiced. In Mexico, training programs are not standardized and access to continuing education is limited, affecting opportunities to retain and enhance clinical and theoretical skills. The educational standard must be raised to improve clinical and academic performance.

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