Abstract

HERNANDEZ CASTELLANOS, Gregorio et al. The Clinical Method: Actions Evaluation to Strengthen it from Community Medicine Subject of Medicine Career. CCM [online]. 2013, vol.17, n.4, pp. 501-510. ISSN 1560-4381.

Introduction: the doctor-patient relationship is the most sensitive and human one in the medical practice of all time and questionnaire is its main instrument, it is obvious on the lack of the use of clinical method and it influence on the students´ formation. Objective: to evaluate the clinical method application in third year students of medicine after implementation of the strategy of basic clinical link in the subject of Community Medicine of the second year of this career, considering the results obtained by these students in the practical examination in Internal Medicine subject. Methods: the effectiveness of the implementation of a strategy ( used in the subject of Community Medicine of the second year of the career) to improve the clinical method knowledge and its application  in the third year students at Mariana Grajales Coello Faculty of Medical Science of Medical University of Holguín in 2011-2012. The universe consisted of all students of the third year of the career that passed the practical examination, and the sample comprised those who obtained the better results in this examination considering the health areas in order to establish comparison among them. Results: 50% of students achieved better results in practical examination and the previous deficiencies decreased from 95% to 18.9% in the current year, while in the physical examination it decreased from 92% to 24.5%. 46.7% of teachers observed better results in students before the strategy was applied. Conclusions: the strategy improved clinical method application by the students. The teachers noted an improvement in the relationship between the different stages of implementation, although the promotion results were similar in both courses.

Keywords : clinical method; community medicine; preclinical basic cycle.

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