Confiabilidad y validez de un instrumento de evaluación de la competencia clínica integral de médicos residentes
Background: The evaluation of clinical competence in medical residents is a complex procedure. Teachers need reliable and valid instruments to evaluate objectively the, clinical competence. The aim of this study was to determine the reliability and validity of an instrument designed to evaluate the...
| Autores: | , , , |
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| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2015 |
| País: | México |
| Institución: | Universidad Nacional Autónoma de México |
| Repositorio: | Redalyc-UNAM |
| OAI Identifier: | oai:redalyc.org:457744935005 |
| Acceso en línea: | https://www.redalyc.org/articulo.oa?id=457744935005 |
| Access Level: | acceso abierto |
| Palabra clave: | Medicina Evaluación Evaluation Residentes Medical residents Competencia clínica |
| Sumario: | Background: The evaluation of clinical competence in medical residents is a complex procedure. Teachers need reliable and valid instruments to evaluate objectively the, clinical competence. The aim of this study was to determine the reliability and validity of an instrument designed to evaluate the clinical competence of medical residents. Methods: We designed an instrument taking into consideration every part of the clinical method, and three different levels of competence were deter mined for each one. The instrument was examined with regards to the clarity, pertinence and suf fi ciency of each clinical indicator by fi ve expert pediatricians. The instrument was fi nally constituted by 11 indicators. Each resident was evaluated independently by three pediatricians. Results: A total of 651 measurements were done in 234 residents. The instrument distinguished between extreme groups, had a value of Cronbach ́s alpha of 0.778 and the factorial analysis set apart two factors: clinical competence and complementary competences. No sta tistical differences were found between evaluators neither in global eval uation or in each indicator. Conclusion: The instrument here proposed is valid and reliable. It may be used in formative evaluation of medical residents in clinical special ization programs. |
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