title: [Clinical aptitude in occupational medicine residents].
abstract: OBJECTIVE
  To determine clinical aptitude (AC) in occupational medicine residents.
  
  
  METHODS
  An instrument based on real clinical cases was built and validated to assess AC, which was composed by surveillance indicators of the workers health (SIWH) and occupational-medical evaluation indicators (0ME) In the study participated 22 undergraduate students (UE), 40 residents of first year (R1) and 36 of second year (R2). The instrument was validated by experts.
  
  
  RESULTS
  Internal consistency of the instrument was 0.93 by Kuder-Richardson. Regarding global AC, 96 % of UE were situated in a random level and 4 % in a very low level. 15 % of R1 was situated in a random level, 50 % in a very low level, 30 % low level and 5 % in medium level; whereas R2 3 % was positioned in a random level, 28 % in a very low level, 50 % in low level and 19 % in medium level. A significant difference was found between R1 and R2 in occupational-medical evaluation (p < 0.009), but not in SIWH. Two centers showed statistical difference in both indicators.
authors.affiliation: Unidad de Investigación en Salud en el Trabajo, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Distrito Federal, México. raul.sanchezr@imss.gob.mx
authors.forename: Francisco Raúl
authors.initials: FR
authors.lastname: Sánchez-Román
authors.forename: Jacqueline
authors.initials: J
authors.lastname: Durcudoy-Montandón
authors.forename: Cuauhtémoc Arturo
authors.initials: CA
authors.lastname: Juárez-Pérez
authors.forename: Martha Elena
authors.initials: ME
authors.lastname: del Angel-Alfaro
authors.forename: Eduardo
authors.initials: E
authors.lastname: Robles-Pérez
authors.forename: Luis
authors.initials: L
authors.lastname: Haro-García
mesh_terms: D000328:Adult; D002983:Clinical Competence; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007396:Internship and Residency; D008297:Male; D009787:Occupational Medicine; D055815:Young Adult