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Aim: To compare the final clinical aptitude of MI in various hospital settings.
Method: Medical Interns (MI) in natural groups who completed their undergraduate internship (UI) in five different hospitals. Seventy (70) MI were studied in a sample obtained in a census. A valid and consistent (KR: 0.77) final instrument was applied at the end of the UI and included 30 clinical cases (CC) and five indicators: risk factors (RF), diagnosis (DX), paraclinicals (PCL), treatment (Tx) and prognosis (PRN), encompassing internal medicine (IM), pediatrics (PED), family medicine (FM), emergency medicine (EM), general surgery (GS) and obstetrics-gynecology (OG). There were 75 items per module, totaling 450. We requested data on the MI grade average and university of origin. Incomplete or inadequately completed surveys were excluded. Non-parametric statistics: to compare every module ́s medians and that of every rotation (Kruskal-Wallis). Hospitals were compared (Mann-Whitney U test). The average university grade was correlated with the overall median (Spearman). Answers were determined randomly. Results: There was no correlation between the university grade averages and the overall medians. A low ClAp was detected in the hospital settings (Median: 177/450). There were significant differences in favor of G 1 and G 5 in almost all modules and indicators vs. G 4 . The highest medians were obtained in EM (50/75) and FM (43/75) while the lowest were in O-G (5/75). Results were NS in RF and PCL. The highest values were observed in PRN (48%), followed by DX (41%) and TX (33%). Comparisons between universities were NS in IM, GS, RF, PCL and PRN. Results were low in acute appendicitis, labor, preeclampsia and pyelonephritis. Comments: ClAp was found to be lacking. A stricter following of the MI ́s development is warranted.
|Translated title of the contribution||Final clinical aptitude among internship hospitals settings in Nuevo León|
|Number of pages||11|
|Journal||Investigación en Educación Médica|
|Publication status||Published - Oct 2019|
Héctor Cobos Aguilar (Speaker), Patricia Pérez-Cortés (Speaker), Jaziel Israel Mendoza-Villalba (Speaker), Salvador Gómez García (Speaker), Jorge Alberto Hernández-Portales (Speaker), Luis Alberto Jacobo-Saucedo (Speaker), Jorge Alberto Álvarez-Longoria (Speaker) & Guillermo Hernán Martínez-Delgado (Speaker)22 Oct 2018 → 26 Oct 2018
Activity: Talk or presentation types › Oral presentationFile