Leyva-González FA, Viniegra-Velázquez L, Espinosa-Huerta E, Robles-Páramo JA

Language: Spanish
References: 17
Page: 449-457
PDF size: 74.31 Kb.

ABSTRACT

Introduction. Critical reading holds an important role in methodical criticism of clinical aptitude, which contributes to its perfection, which would be indispensable in the study and consideration in the continuing formation of the medical resident. Objective. To investigate the degree of development of critical reading of information of clinical investigation, in Medical residents, of five specialties in the country. Material and methods. A cross-sectional study took place, in 3060 Medical residents of five residences (internal medicine n = 474, pediatric n = 358, familiar medicine n = 1,651, ER/doctor surgical n = 269 and anaesthesiology n = 308). In order to measure the degree of development of critical reading, an instrument with eight article summaries was elaborated of clinical investigation, selected according to the propose classification of types of studies by the University of McMaster, with subjects that could be of interest for the studied residences; constituted by 150 ítemes that explores three indicators (to interpret, to judge and to propose); validated by five experts with educational experience, clinical-epidemiologist and in publication of works; a test pilot was made and the internal trustworthiness with the test of Kuder-Richardson was considered (KR-20), obtaining a 0.90 coefficient. The capture of data and the qualification of the instrument were made with the blinded technique. The analysis was made with parametric statistic. Results. The residences that reached greater points, were internal medicine and pediatric (X 50.23 ± 15.02 and X 48.84 ± 15.76, respectively, of a theoretical qualification maxima of 150). Also, it was not observed in the points reached in the critical reading by the resident doctors, an ascending tendency per year of residence (of R1 to R4). Conclusions. In critical reading, residents of internal medicine as well as pediatrics obtained the highest scores in contrast with family medicine, ER, surgical and anesthesiology which obtained lower scores. Also, it seems to be that until this moment, the development of this aptitude does not keep correspondence as it is passed per year of residence.

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