Cortés-Flores R, Barrera-Monita J, Cobos-Aguilar H

Language: Spanish
References: 13
Page: 150-155
PDF size: 64.23 Kb.

ABSTRACT

Objective. To design and validate an instrument to evaluate the clinical judgment to solve complicated clinical conditions comparing gynecology and obstetrics residents versus medical staff members and to explore if the clinical ability improves with years of experience. Material and methods. We conducted an observational, transverse and comparative trial to evaluate the clinical judgment to solve complicated clinical conditions. This instrument was composed by 115 questions that explored five indicators with three choices for answer it: true, false, or do not know. This survey was applied to the residents and staff members group at the hospital of Obstetrics and Gynecology, IMSS, Monterrey, N.L. Residents and staff groups were also divided by years of training or years of experience. The results of this survey were compared by the Mann-Whitney U, Kruskal-Wallis or χ2 test. Results. The medians of both groups were unfortunately low, but there was a significant difference in favor of the staff group. The comparison between residents subgroups and staff subgroups was non-significant.
The higher median corresponded to the fourth grade resident. Conclusion. We concluded that although the staff groups had higher level than the residents group, both of them are in the low level of the test. We consider that these results reflect a rutinary clinical practice. It is required to promote educational strategies to induce a more critic and reflexive approach in the daily practice.

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