[Clinical competence measurement in Mexican resident physicians for diagnosis and treatment of Chagas disease]

Gac Med Mex. 2016 Jul-Aug;152(4):516-20.
[Article in Spanish]

Abstract

Objective: Evaluate clinical competence of a mexican resident physicians sample for diagnosis and treatment of Chagas disease.

Material and methods: Cross-sectional and analytic study in 122 resident physicians of epidemiology, family medicine and internal medicine specialty, assigned to a third level medical unit from Guadalajara, Jalisco, Mexico, taking a sample for convenience. An instrument was designed and validated for to evaluate clinical competence in five dimensions: risk factors identification, clinical data identification, diagnostic test interpretation, diagnostic integration and therapeutic resources utilization; that classified competence level in four strata: random defined, low, medium and high, with 89% of reliability accord to Kunder-Richardson test. Descriptive and no parametric inferential statistics were obtained.

Results: A total of 122 physicians, 55.7% males (n = 68) and 44.3% females (n = 54). Random defined clinical competence 4.9% (n = 6), low 49.2% (n = 60), medium 44.3% (n = 54) and high 1.6% (n = 2). Median significantly higher in epidemiologists (p = 0.03).

Conclusions: Improve clinical competence level of resident physicians for diagnosis and treatment of Chagas disease is necessary. Intervention studies are required.

Publication types

  • Validation Study

MeSH terms

  • Adult
  • Chagas Disease / diagnosis
  • Chagas Disease / therapy*
  • Clinical Competence*
  • Cross-Sectional Studies
  • Female
  • Humans
  • Internship and Residency / standards*
  • Male
  • Mexico
  • Physicians / standards
  • Reproducibility of Results
  • Young Adult