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>Journals >Revista Médica del Instituto Mexicano del Seguro Social >Year 2015, Issue 1

Sepúlveda-Vildósola AC, Gaspar-López N, Reyes-Lagunes LI, Gonzalez-Cabello HJ
Reliability and validity of an instrument to evaluate integral clinical competence in medical residents
Rev Med Inst Mex Seguro Soc 2015; 53 (1)

Language: Español
References: 27
Page: 30-39
PDF: 79.09 Kb.

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Background: The evaluation of clinical competence in medical residents is a complex procedure. Teachers need reliable and valid instruments to evaluate objectively the, clinical competence. The aim of this study was to determine the reliability and validity of an instrument designed to evaluate the clinical competence of medical residents.
Methods: We designed an instrument taking into consideration every part of the clinical method, and three different levels of competence were determined for each one. The instrument was examined with regards to the clarity, pertinence and suffi ciency of each clinical indicator by fi ve expert pediatricians. The instrument was finally constituted by 11 indicators. Each resident was evaluated independently by three pediatricians.
Results: A total of 651 measurements were done in 234 residents. The instrument distinguished between extreme groups, had a value of Cronbach´s alpha of 0.778 and the factorial analysis set apart two factors: clinical competence and complementary competences. No statistical differences were found between evaluators neither in global evaluation or in each indicator.
Conclusion: The instrument here proposed is valid and reliable. It may be used in formative evaluation of medical residents in clinical specialization programs.

Key words: Evaluation, Clinical competence, Medical residents.


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>Journals >Revista Médica del Instituto Mexicano del Seguro Social >Year 2015, Issue 1

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