Department of Orthopedics, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Department of Medical Education, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
BMC Med Educ. 2023 Feb 27;23(1):133. doi: 10.1186/s12909-023-04094-7.
Today's complexities and diversity in the clinical setting have revealed the need to pay attention to strengthening critical thinking (CT) skills. The present study aimed to evaluate and compare CT skills in the residents of the Tehran University of Medical Sciences.
This is a cross-sectional study. The study's statistical population included 284 residents in orthopedic, internal medicine, and surgery groups studying in the PGY1 to PGY4 years of residency. The data collection tool was the California Critical Thinking Skills Test (CCTST) form B. The collected data were entered into SPSS-16 software and analyzed using descriptive (mean and standard deviation) and inferential (one-way ANOVA) statistics. The significant level in all tests was considered at P < 0.05.
189 out of 284 residents completed and returned the questionnaire, and the response rate was 66%. The mean CT skill score of residents (M = 13.81, SD = 3.52) was lower than the optimal level (M = 17.1 SD = 5.0). Comparing the mean CT skill scores of the residents separately for the residency year revealed a significant decrease in CT scores in the 4 years. A significant difference was found between the CT skill scores in the three groups (internal medicine, general surgery, and orthopedic surgery).
The CT skills of the residents of Tehran University of Medical Sciences were generally below the optimal level. The CT score of the residents show an increase in PGY2, but a decrease in PGY3 and PGY4. Due to the emphasis of accreditation institutions, the World Federation for Medical Education, and other international educational institutions on the importance of critical thinking, it is recommended to pay more attention to the factors related to the promotion and development of CT skills in residency programs.
当今临床环境的复杂性和多样性凸显出需要关注加强批判性思维（CT）技能。本研究旨在评估和比较德黑兰医科大学住院医师的 CT 技能。
这是一项横断面研究。研究的统计人群包括在骨科、内科和外科住院医师培训的 PGY1 至 PGY4 年学习的 284 名住院医师。数据收集工具是加利福尼亚批判性思维技能测试（CCTST）B 表。收集的数据输入 SPSS-16 软件，并使用描述性（均值和标准差）和推断性（单因素方差分析）统计进行分析。所有检验的显著水平均设为 P<0.05。
284 名住院医师中有 189 名完成并返回了问卷，应答率为 66%。住院医师的 CT 技能平均得分（M=13.81，SD=3.52）低于最佳水平（M=17.1，SD=5.0）。分别比较住院医师的 CT 技能平均得分，发现 CT 评分在 4 年内显著下降。三组（内科、普通外科和骨科）的 CT 技能得分存在显著差异。
德黑兰医科大学住院医师的 CT 技能普遍低于最佳水平。住院医师的 CT 分数在 PGY2 有所增加，但在 PGY3 和 PGY4 有所下降。由于认证机构、世界医学教育联合会和其他国际教育机构强调批判性思维的重要性，建议在住院医师培训计划中更加关注促进和发展 CT 技能的相关因素。
