Kidney transplant: Aptitude for anesthetic management. Comparison of two strategies

Objective. To evaluate the potential for development of clinical aptitude with a promotional strategy including participation in comparison with a passive learning strategy for the anesthetic handling of renal transplant. Material and methods. Experimental and comparative design, with measurements before and after the two educational strategies, one traditional, or passive (n=11) and the other participatory (n=11). Simple random probabilistic sampling of second and third year anesthesiology residents to be assigned to one of the two training groups. The information and duration of the similar strategies were similar (20 h.). The evaluation instrument used in this study has been validated. Statistical methods employed were the Mann-Whitney U test, the Wilcoxon rank sum test, and Perez-Padilla and Viniegra. Results. We found a Kuder-Richardson consistency of 0.76. Number of correct answers expected by chance was 23. Mean control group score was 52 (32-62) before and 52 (48-66) after training experience, and in the experimental group it was 57 (44-86) before and 75 (64-95) after. The mean level of clinical aptitude for the control group after training was 3 (27%) and for the experimental group 5 (45%). Conclusions. We considered that the potential for the development of the clinical aptitude was greater in the group where the participatory strategy was employed, having a statistically significant difference in this group.