Pantoja PM, Barrera MJ, Insfrán SM

Language: Spanish
References: 15
Page: 15-22
PDF size: 77.27 Kb.

ABSTRACT

Objective: To design and validate an instrument that approaches evaluation of the clinical aptitude of first-year residents in anesthesiology in transanesthesic period. Design: Cross-sectional study. Material and Methods: Six actual clinical cases were selected with which 161 reagents were processed that explored clinical abilities in first- year anesthesiology residents for transanesthesic period. It was validated by six expert anesthesiologists by four rounds and agreement in five or six of six of experts was obtained. The instrument was applied to residents of first, second, and third years of anesthesiology and to a group of pediatrics residents to discriminate experiences in the specialty. According to the obtained scores, residents were classified as very high, high, fair, low, very low and explained by chance. Results: Consistency of 0.91 with Kuder-Richardson was obtained. There was no sta-tistically significant difference in global score between anesthesiology groups with Kruskal-Wallis test. There was statistically significant difference when all groups of residents of anesthesiology were compared with group of pediatric residents. Level of clinical aptitude in residents of anesthesiology was in low and fair in the four groups, and those of pediatrics, very low. No resident obtained score by chance. Conclusions: Level of clinical aptitude in 3 years of residency is fair and low; thus, we inferred that the educative processes does not deepen into development of complex abilities that lead to a refined clinical practice.

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