Rivera-Ibarra D B, Aguilar-Mejía E, Viniegra-Velázquez L
Jefatura de Educación Médica, Unidad de Medicina Física y Rehabilitación, IMSS, México, D.F.
Rev Invest Clin. 1998 Jul-Aug;50(4):341-6.
To explore if the year of training in the specialty of physical medicine and rehabilitation (PMR) increases the clinical aptitudes of trainees in this area.
All the PMR trainees in two units of PMR of the Mexican Social Security Institute in Mexico City were evaluated (17 in their 1st year, 22 in their 2nd and 8 in their 3rd year of training). Their clinical aptitude was measured using a questionnaire of 296 items which explored 10 areas of knowledge. Non parametric statistics were used to evaluate the differences between scores by year of training.
There were no significant differences between years of training in the areas specifically pertinent to the PMR specialty. The only difference was a higher rate of iatrogenic commission in the 1st year residents as compared with those in their 3rd year suggesting a better use of diagnostic and therapeutic resources of the latter. There was a poor performance in nearly all residents as 45 of the 47 scored in the low or very low range of knowledge.
The clinical aptitude of the PMR residents was poor in general. Our findings should be taken as a starting point to seek strategies to improve the training in the PMR specialty.
探讨物理医学与康复（PMR）专业的培训年份是否会提高该领域受训人员的临床能力。
对墨西哥城墨西哥社会保障研究所两个PMR科室的所有PMR受训人员进行评估（17名处于培训第1年，22名处于第2年，8名处于第3年）。使用一份包含296个项目的问卷来测量他们的临床能力，该问卷涵盖10个知识领域。采用非参数统计方法评估不同培训年份得分之间的差异。
在与PMR专业特别相关的领域，不同培训年份之间没有显著差异。唯一的差异是，第1年住院医师的医源性失误发生率高于第3年住院医师，这表明后者对诊断和治疗资源的利用更好。几乎所有住院医师的表现都较差，47名住院医师中有45名的知识得分处于低或非常低的范围。
总体而言，PMR住院医师的临床能力较差。我们的研究结果应作为寻求改善PMR专业培训策略的起点。
