Jiménez Ramírez J L, Viniegra Velázquez L
División de Estudios de Posgrado de la Facultad de Medicina, UNAM, México, D.F.
Rev Invest Clin. 1996 May-Jun;48(3):179-84.
We present the development and validation of a measurement instrument intended to estimate the degree of vinculation between the theoretical and practical learning activities of medical residents in their usual working conditions in hospitals. The main reason for residents to read medical literature is to find support to their decisions when treating patients. Based on this perspective we designed a self-applied questionnaire that explores diverse circumstances in which the vinculation between theory and practice may be expressed. This instrument was validated through rounds of experts in terms of its construction and content. Its external validity was explored with two groups of internal medicine residents with a different degree of vinculation between theory and practice: one high and the other with a low vinculation. In addition, we designed a guide for the direct observation of the theoretical and practical clinical learning activities in order to estimate its concordance with the results of the questionnaire. The questionnaire was able to discriminate the group differences and showed a satisfactory concordance with the information provided by direct observation. A copy of the questionnaire is available by request to the authors. We conclude that in its present stage of development, the instrument has shown internal and external validity and may be used to explore the process training of medical residents.
我们展示了一种测量工具的开发与验证过程，该工具旨在评估住院医师在医院日常工作条件下理论学习活动与实践学习活动之间的关联程度。住院医师阅读医学文献的主要原因是为其治疗患者时的决策寻找依据。基于这一观点，我们设计了一份自填式问卷，以探究理论与实践之间可能存在关联的各种情形。该工具在结构和内容方面经过了多轮专家验证。我们通过两组理论与实践关联程度不同的内科住院医师（一组关联程度高，另一组关联程度低）来探究其外部效度。此外，我们设计了一份用于直接观察理论与实践临床学习活动的指南，以评估其与问卷调查结果的一致性。该问卷能够区分组间差异，并且与直接观察所提供的信息显示出令人满意的一致性。如有需要，可向作者索取问卷副本。我们得出结论，在其当前的开发阶段，该工具已显示出内部效度和外部效度，可用于探索住院医师的过程培训。
