Rivera-Campos José Manuel, Leyva-González Félix Arturo, Leyva-Salas César Arturo
Hospital General de Zona No. 11 "Lic. Ignacio García Téllez", Xalapa, Delegación Regional Veracruz Norte del IMSS.
Rev Invest Clin. 2005 Nov-Dec;57(6):784-93.
To compare the profit of a participation promotive educational strategy versus traditional teaching on development of the undergraduate medical boarding's clinical aptitude.
A quasiexperimental design was made. An instrument was built and validated in order to explore clinical aptitude. It contains three actual clinical cases about iron, folic acid or cobalamin deficiency, and a questionnaire with 164 items to explore eight clinical aptitude indicators; experts attending and teaching physicians validated it. A Kuder-Richardson coefficient of 0.80 was gotten when we estimated the internal reliability. The instrument was applied simultaneously to 55 undergraduate medical boarding from two hospitals of the Instituto Mexicano del Seguro Social the starting year of undergraduate boarding (initial measuring) and at finish once again (end measuring). The experimental group (GE, n = 29) was exposed to a participation promotive educational strategy, and control group (GC, n = 26) to a traditional one.
The overall scores of initial measuring in the GE and GC were low: 57 y 42 respectively (maximum: 164); at end measuring an increase in overall scores was observed: in the GE 68 (p < 0.02) and GC 47 (NS).
The participation promotive educational strategy is better than traditional teaching for developing the undergraduate medical boarding's clinical aptitude. It must be considerated to propitiate changes to develop a more reflexive and critical education.
比较参与促进型教育策略与传统教学在本科医学生临床能力培养方面的成效。
采用准实验设计。构建并验证了一种用于探索临床能力的工具。该工具包含三个关于铁、叶酸或钴胺素缺乏的实际临床案例,以及一份包含164个项目的问卷,用于探索八个临床能力指标;参与的专家和带教医生对其进行了验证。在评估内部信度时,库德-理查森系数为0.80。该工具在墨西哥社会保障局两家医院的55名本科医学生入学第一年(初始测量)和结束时再次进行了同时应用(期末测量)。实验组(GE,n = 29)采用参与促进型教育策略,对照组(GC,n = 26)采用传统教学策略。
GE组和GC组初始测量的总体得分较低,分别为57分和42分(满分:164分);在期末测量时,总体得分有所提高:GE组为68分(p < 0.02),GC组为47分(无统计学意义)。
参与促进型教育策略在培养本科医学生临床能力方面优于传统教学。必须考虑推动变革以开展更具反思性和批判性的教育。