[Clinical aptitudes of residents in emergency medicine in trauma management].
OBJECTIVE
To build, validate and apply an instrument to evaluate the clinical aptitudes of the emergency medicine residents of different degrees in the management of traumatic diseases at six different treatment locations in Mexico City.


METHODS
This was a comparative cross-sectional study that evaluates the clinical aptitudes in the management of patients with traumatic injuries by residents specializing in emergency medicine at six different locations in Mexico City. The instrument was based on four clinical areas being validated by a consensus of experts in emergency medicine and educational investigation. A consistency of 0.94 within the pilot test was obtained. A non-parametric statistical analysis was carried out.


RESULTS
Included in the study were 141 residents from six locations and three with degrees of the specialty. A minimum scoring of 3 was obtained and a maximum of 119, with 25 possible answers expected by chance. Kruskal-Wallis test did not show significant differences among the six locations. To obtain comparison between levels, in only one location were significant differences found; 61 % of the residents demonstrated low aptitudes, 20.6 % reached intermediate level, 16.3 % showed a very low level, and only 0.7 % demonstrated a high level; no resident reached a very high level.


CONCLUSIONS
The educational process in the analyzed locations appears to not promote students generating their own criterion, which negatively affects the solution to routine problems.
Urgencias Médico-Quirúrgicas, Hospital General Regional 25, Instituto Mexicano del Seguro Social. jloriac@hotmail.com
Jorge
J
Loría Castellanos
Doris Beatriz
DB
Rivera Ibarra
D000328:Adult; D003430:Cross-Sectional Studies; D004635:Emergency Medicine; D005260:Female; D006801:Humans; D007396:Internship and Residency; D008297:Male; D011361:Professional Competence; D011795:Surveys and Questionnaires; D014193:Trauma Centers; D014947:Wounds and Injuries / Q000628:therapy*