2018, Number 28
Situational diagnosis for the exercise of evidence based medicine in pediatric residents of a school hospital
Medina ML, Medina MG
Full text
Language: Spanish
References: 17
Page: 64-74
PDF size: 550.69 Kb.
ABSTRACT
Introduction: Evidence Based Medicine (MBE) is a key element in the training and acquisition of skills in residents of specialties.
Objective: To describe a situational diagnosis for the exercise of MBE in pediatric residents of a school hospital.
Method: Descriptive, observational study. Participants: resident physicians and resident nurses of Pediatrics. MBE questionnaire was applied at the beginning of the course.
Results: Twenty-six residents participated; 22 were resident physicians and 4 resident nurses. Technological strengths: 88.4% indicated having computers with internet and 84.6% reported having internet. Technological barriers: 46.1% reported limited access to digital libraries. Cultural / Personal Strengths: 57.6% indicated job responsibilities allow you 2 hours per week to read articles. 53.8% reported consulting scientific evidence of relevant cases. Cultural / Personal Barriers: 65.3% indicated very rarely or never have an exclusive search schedule. 61.5% indicated that they did not know how to better identify scientific evidence. 57.6% preferred to apply knowledge acquired in clinical practice than referred by scientific articles. 46.1% did not consult scientific literature because they did not know the search strategy. Strengths inherent to the institution: 50% indicated having an academic session to analyze scientific literature. The 57.6 indicated that the institution allows him to attend scientific seminars. Barriers inherent to the institution: 42.3% indicated that most articles recommend drugs that are not in the institution.
Conclusions: The situational diagnosis to exercise MBE in residents of our hospital indicated favorable conditions for its implementation. Having to correct barriers found, through unlimited access to digital libraries, availability of exclusive hours to electronic search, increase of MBE workshops, teaching English. All tools that will allow access, training and strengthen the human resource in training, granting them security when assessing the scientific evidence.
REFERENCES
Valdés Linares MT, González Valdés S, Díaz Cabeza I, Verdayes Vives A, Díaz Lobo LM. La enseñanza del inglés en las ciencias médicas: su repercusión social. Rev Ciencias Méd Pinar del Río [Internet]. 2010 [citado 20 de julio de 2017];14(3):26-31. Disponible en: http://scielo.sld.cu/scielo. php?script=sci_arttext&pid=S1561-31942010000300006.