Leyva González F A, Viniegra Velázquez L
Unidad de Medicina Familiar No. 10, Instituto Mexicano del Seguro Social (IMSS), Xalapa, México, D.F.
Rev Invest Clin. 1999 Jan-Feb;51(1):31-8.
To explore ability for critical reading of clinical research reports in groups of residents of four specialties: internal medicine, pediatrics, general surgery and gynecology/obstetrics.
A research was carried out in medical residents of 12 hospitals of the Instituto Mexicano del Seguro Social: 143 of internal medicine, 119 of pediatrics, 74 of general surgery and 74 of gynecology/obstetrics. An instrument was built and validated in order to explore the critical reading by three domains: interpretation, judgements and proposals.
No significant effect of years of training on the critical reading of clinical research reports was observed. The overall scores were low (maximum: 120): internal medicine = 35, pediatrics = 29, general surgery = 24.5 and gynecology/obstetrics = 25. 116 students (28%) obtained scores below of the level expected by chance.
This study suggest that the training is not very fruitful in the development of the critical reading ability of clinical research reports, a low development of this ability was observed in medical residents.
探讨内科、儿科、普通外科和妇产科四个专业的住院医师群体对临床研究报告的批判性阅读能力。
对墨西哥社会保障局12家医院的医学住院医师进行了一项研究：内科143人，儿科119人，普通外科74人，妇产科74人。构建并验证了一种工具，以便从解释、判断和建议三个领域探讨批判性阅读。
未观察到培训年限对临床研究报告批判性阅读有显著影响。总体得分较低（满分120分）：内科=35分，儿科=29分，普通外科=24.5分，妇产科=25分。116名学生（28%）的得分低于随机预期水平。
本研究表明，培训在临床研究报告批判性阅读能力的培养方面成效不大，医学住院医师的这种能力发展较低。
