Abstract

GOMEZ ZAYAS, Omar; SEGREDO PEREZ, Alina María  and  HERNANDEZ GARCIA, Luis. Evaluation of clinical abilities in students included in the new program of medical formation. Educ Med Super [online]. 2011, vol.25, n.4, pp.486-495. ISSN 0864-2141.

Introduction: abilities and habits are complex levels of mastery of an activity by a person; the former are created in the form of systematized actions and the latter are the result of a complex process of automation of operations. Objective: to evaluate the development of clinical abilities by the students in the teaching practice of subject Clinic IV during rotation at "Dr Miguel Enríquez" hospital in the 2008-2009 academic year. Methods: the universe was composed by 393 students who studied the subject Clinic IV at "Angel Alberto Galañena Llevat" teaching polyclinics within the New Program of Medical Formation. The sample was 84 students who were selected by the simple randomized method. The information collection was based on an observational guide applied to analysis units. Results: The highest percentage of students was qualified as regular in 4 out of the 6 tested clinical abilities: clinical reasoning, 73.8 %; questioning, 63.1 %; physical examination, 53.6 % and oral presentation, 51.2 %. The selection of the integral therapeutic behaviour was evaluated as being wrong in 52.4 % of students. Conclusions: the students developed clinical abilities derived from the subject Clinic IV during rotation at the hospital; however, difficulties were found in the questioning of patients, the physical exam of the nervous system, the differential diagnosis and the selection of the integral therapeutical behaviour to be followed.

Keywords : evaluation; abilities; habits; education at work; medical education.

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