2008, Number 1
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Rev Mex Med Fis Rehab 2008; 20 (1)
Evaluation of the clinical performance in the formative process of rehabilitation residents
Flores GI, Medrano FE, Adame TJH, Cruz GYA, De la Garza QH
Language: Spanish
References: 13
Page: 6-16
PDF size: 158.10 Kb.
ABSTRACT
Introduction: Exams have been used as a decisive factor for passing or failing students based on a capacity to memorize and reach objectives in a way at separate theory from practice without fomenting criticism and reflex ion.
Methods: Transverse, descriptive observational study at the Physical Medicine and Rehabilitation 1 in Monterrey N.L from April to December 2006 on 16 residents. A study guide was created with six points: Diagnosis-treatment, neurophysiologic, information sources, physician-patient relationship, perception of the academic/work-place environment and a self- was reached. The validity of the content, design construction and level of sufficiency was carried out by 15 experts, until an 80% agreement level and a consensus of 100% was reached. Results were analyzed with non-parametric tests.
Results: A concordance and a consensus rate of 100% was reached for the validity of the content and design construction. Clinical performance was good to moderate in 87.5% of the cases. 12.5% reached a level of significant. The academic/work-place was perceived as adequate by 75% of the students and clinical rotations were considered fruitful by 88%.
Conclusions: the level of performance was considered regular to bad, sufficiency was low, the academic-work-place environment appropriate and clinical rotations fruitful.
REFERENCES
Viniegra VL, Jiménez JL, Pérez-Padilla JR. El desafío de la evaluación de la competencia clínica. Rev Invest Clin 1991; 43(1): 87-95.
Viniegra VL. La perspectiva epistemológica en: Hacia otra concepción del currículo. México, IMSS, 1999: 3-7.
Rosemberg W, Donald A. Medicina basada en evidencias: un acercamiento a la solución de problemas clínicos. Brit Med J 1995; 310: 1.122-1.126.
Norcini J, Biank L, Duffy D, Fortna G. The mini Cex: A method for assessing clinical skills. N Inter Med 2003; 138: 476-481.
Prado TJD et al. La evaluación de los MIR como un proceso de aprendizaje. Medicina de Familia (Andalucía) 2000; 1(1).
Arteaga CR, Díaz PG, Padrón NC. La enseñanza Tutelar en la formación del residente de Medicina General Integral. Rev Cubana Educ Med Super 2001; 15(3): 215-218.
Viniegra L, Jiménez JL. Nuevas aproximaciones a la medición de la competencia clínica. Rev Invest Clin 1992; 44(2): 269-275.
Instructivo para la evaluación del Aprendizaje de los médicos residentes en periodo de Adiestramiento en una especialidad. México: Servicios de Educación Médica del IMSS, 1993.
Viniegra VL. Una nueva estrategia para la educación médica de postgrado. Rev Invest Clin 1990: 42: 150-156.
Rivera ID, Aguilar ME, Viniegra VL. Evaluación de la aptitud clínica de médicos residentes de medicina física y rehabilitación. Rev Invest Clin 1998; 50(4): 341-346.
Viniegra VL. La formación de Especialistas del IMSS. Hacia un nuevo sistema de evaluación. Rev Med IMSS 2005; 43(2): 141-153.
Delgado RDA, Adame TJH. Evaluación de competencia clínica en médicos de rehabilitación, Respyn Edición Especial 2, 2003.
Martínez CJM. Los métodos de Evaluación de la competencia profesional: la evaluación clínica objetiva estructurada (ECOE). Educ Med 2005; 8(2).