[Clinical-pathology correlation aptitude of pneumopathology in undergraduate medical students].
OBJECTIVE
1) To develop and validate an instrument to evaluate the clinical pathology correlation aptitude in pneumopathology (CPCAP). 2) Compare two groups of students: those who had already taken the respiratory pathology course and students that hadn't.


METHODS
An instrument with real anatomopathology respiratory cases was developed. The measurement instrument was validated through expert rounds. It included 116 items of the "true", "false", or "don't know" type, with an agreement of 80 % or more in the answerers between the judges. The internal consistency was determined with Spearman Brown proficiency, reaching a value of 0.78. The sample studied was all the groups of each hospital of an organic pathology undergraduate universitary course. Two sampled were taken, students who had already been through respiratory pathology (Group A), and students who hadn't (Group B).


RESULTS
The sample studied was of 485 applicants, from 64 different universitary groups. These were divided in two groups, with 245 (A) and 240 (B) students each. Its global medians were 51 and 36 for groups A and B respectively (p < 0.001). In the 55 % of the subgroups when compared individually taking into account each one of the hospital where they study the test results were significantly better in group A.


CONCLUSIONS
In a general way, students in group A show a major development into CPCAP than students in B. However, development is not enough to reach the expected by the educative program. The results suggest that the teachers put greater effort in the correlation between anatomopathological changes and the clinical and paraclinical manifestations of the patients.
Rodríguez-Velasco
Alicia
A
Departamento de Patología, Hospital de Pediatría, Centro Médico Nacional Siglo XXI, IMSS. alirove0101@yahoo.com
González
Roberto
R
D000328:Adult; D004504:Education, Medical, Undergraduate / Q000592:standards; D004521:Educational Measurement; D005260:Female; D006801:Humans; D008297:Male; D008800:Mexico; D010338:Pathology, Clinical / Q000193:education* / Q000592:standards; D015272:Pulmonary Medicine / Q000193:education* / Q000592:standards; D012140:Respiratory Tract Diseases / Q000175:diagnosis / Q000473:pathology / Q000503:physiopathology; D012577:Schools, Medical; D013337:Students, Medical / Q000523:psychology*