Kasten-Monges Marina de Jesús, Cabrera-Pivaral Carlos Enrique, Lozano-Kasten Felipe, Aguilar-Velasco Hugo Marcelo, Hidalgo-Ottolenghi Ricardo, Zavala-González Marco Antonio
Universidad de Guadalajara, Centro Universitario de Ciencias de la Salud, Departamento de Salud Pública, Guadalajara, Jal., México.
Gac Med Mex. 2016 Jul-Aug;152(4):516-20.
Evaluate clinical competence of a mexican resident physicians sample for diagnosis and treatment of Chagas disease.
Cross-sectional and analytic study in 122 resident physicians of epidemiology, family medicine and internal medicine specialty, assigned to a third level medical unit from Guadalajara, Jalisco, Mexico, taking a sample for convenience. An instrument was designed and validated for to evaluate clinical competence in five dimensions: risk factors identification, clinical data identification, diagnostic test interpretation, diagnostic integration and therapeutic resources utilization; that classified competence level in four strata: random defined, low, medium and high, with 89% of reliability accord to Kunder-Richardson test. Descriptive and no parametric inferential statistics were obtained.
A total of 122 physicians, 55.7% males (n = 68) and 44.3% females (n = 54). Random defined clinical competence 4.9% (n = 6), low 49.2% (n = 60), medium 44.3% (n = 54) and high 1.6% (n = 2). Median significantly higher in epidemiologists (p = 0.03).
Improve clinical competence level of resident physicians for diagnosis and treatment of Chagas disease is necessary. Intervention studies are required.
评估一组墨西哥住院医师诊断和治疗恰加斯病的临床能力。
对来自墨西哥哈利斯科州瓜达拉哈拉市一家三级医疗单位的122名流行病学、家庭医学和内科专业的住院医师进行横断面分析研究，采用方便抽样。设计并验证了一种工具，用于评估五个维度的临床能力：危险因素识别、临床数据识别、诊断测试解读、诊断整合和治疗资源利用；该工具将能力水平分为四个层次：随机定义、低、中、高，根据库德-理查森检验，可靠性为89%。获得了描述性和非参数推断性统计数据。
共有122名医生，男性占55.7%（n = 68），女性占44.3%（n = 54）。随机定义的临床能力占4.9%（n = 6），低水平占49.2%（n = 60），中等水平占44.3%（n = 54），高水平占1.6%（n = 2）。流行病学家的中位数显著更高（p = 0.03）。
提高住院医师诊断和治疗恰加斯病的临床能力水平是必要的。需要进行干预研究。
