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[教学专科医生临床研究文本的批判性阅读能力]

[Critical reading aptitude of clinical research texts in teaching specialist doctors].

作者信息

Carranza Lira Sebastián, Varela Alejandro

机构信息

Unidad Médica de Alta Especialidad, Hospital de Ginecobstetricia Luis Castelazo Ayala, IMSS, DF México.

出版信息

Ginecol Obstet Mex. 2007 Nov;75(11):678-81.

PMID:18697442
Abstract

BACKGROUND

Learning can be divided in two types: the unconscious learning and the significant learning. The critical aptitude for reading clinical research articles is a learning experience that reflects the doctor's active participation in article reading.

OBJECTIVE

To know the degree of aptitude for critical reading of clinical research articles in specialists under training.

MATERIAL AND METHODS

To all the specialist that were under training in the different services of the Hospital, a previous validated evaluation instrument for critical reading of clinical research studies was applied. Kruskal-Wallis and Mann-Whitney's U test were used for statistical analysis.

RESULTS

After the application of the evaluation instrument, it was found that the global score had a median of 42.5 (12-89) points. In the results obtained by indicator it was found that there was a greater score for to interpret, than for to judge and for to propose. In the analysis of domain degrees according to the interpret indicator, the greater proportion was in low level. According to the indicators to judge and to propose, most of the results were in the by chance expected level.

CONCLUSION

The critical reading aptitude it's not developed in specialized physicians that are under training. The development of this aptitude will allow them to have a greater profit in their courses.

摘要

背景

学习可分为两种类型:无意识学习和有意义学习。阅读临床研究文章的批判性能力是一种学习体验,反映了医生在阅读文章时的积极参与。

目的

了解正在接受培训的专科医生对临床研究文章进行批判性阅读的能力程度。

材料与方法

对在医院不同科室接受培训的所有专科医生,应用一种先前经过验证的临床研究批判性阅读评估工具。采用Kruskal-Wallis检验和Mann-Whitney U检验进行统计分析。

结果

应用评估工具后发现,总体得分中位数为42.5(12 - 89)分。在按指标获得的结果中,发现解释方面的得分高于判断和提出方面的得分。根据解释指标对领域程度进行分析时,较大比例处于低水平。根据判断和提出指标,大多数结果处于偶然预期水平。

结论

正在接受培训的专科医生尚未形成批判性阅读能力。这种能力的发展将使他们在课程学习中获得更大收益。

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