[Clinical competence in systemic arterial hypertension of undergraduate students at 2 schools of medicine].
OBJECTIVE
A) To develop and validate a questionnaire for exploring clinical competence of medical students in Hypertensive Vascular Disease. B) To know and compare clinical competence among medical students of two medical schools, who are about to be caring for hypertensive patients.


METHODS
Cross-sectional study.


METHODS
The questionnaire was developed with actual clinical cases and 150 items for exploring clinical abilities; experts, medical attendants in the Mexican Social Security Institute validated it. The questionnaire had to be answered by students from two medical universities about to graduate.


RESULTS
We obtained a Kuder Richardson coefficient of 0.89. There were significant differences between students when we compared total scores, especially in three of the nine indicators explored. In the group 1, 94% of its students has clinical competence qualifying as low and very low, and; 87% of group 2 has clinical competence qualifying as intermediate or low. When we explored the items corresponding to treatment there is no significant difference and almost all the students are in clinical competence low and very low or as if they hadn't studied medicine.


CONCLUSIONS
We consider that the questionnaire was valid and reliable. The clinical competence of the students included from universities that were included in this study, is deficient in resolving the clinical cases presented in the questionnaire. Therefore, it is probably that they will not give adequate clinical care to patients with hypertension, so it is important to improve the clinical competence of the future general practitioners, at least during their year of social service.
Ramírez-Bautista
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Hospital General de Zona No. 32, Instituto Mexicano del Seguro Social.
Espinosa Alarcón
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P
D002983:Clinical Competence; D003430:Cross-Sectional Studies; D004501:Education, Medical; D004521:Educational Measurement; D006801:Humans; D006973:Hypertension / Q000628:therapy*; D012307:Risk Factors; D011795:Surveys and Questionnaires