title: [Clinical aptitude of residents that attend patients with the cervical intraepithelial neoplasia].
abstract: OBJECTIVE
  To build, validate and apply an instrument to evaluate the clinical aptitude in intraepitelial cervical neoplasia (ICN) in residents.
  
  
  METHODS
  The instrument included four clinical real cases, validated by experts and included 106 items using true, false and don't know answers. A pilot test and the 21 Kuder-Richardson formula were used to estimate consistency. It was applied to residents, in an observational, transversal, comparative and open study, including 11 second year residents, 13 third year residents and 12 fourth year residents.
  
  
  RESULTS
  Consistency of 0.88 was obtained; 22% were located in the middle level, 39% were located in the low level and 39% in the very low level. There were no residents in the high or very high level or by chance answer level. The Kruskal-Wallis test showed significant differences among the three groups and with the U test of Mann Whitney there were no differences between groups.
  
  
  CONCLUSIONS
  The year of residence did not show differences in the development of clinical aptitude in ICN. Most of the residents were located in the inferior level of clinical aptitude. This study makes evident the need to reframe our educative processes in a qualitative different manner.
authors.affiliation: División de Educación en Salud, Unidad Médica de Alta Especialidad, Hospital de Ginecoobstetricia 3, Centro Médico Nacional La Raza, Instituto Mexicano del Seguro Social, Distrito Federal, Mexico. santiago.lemus@imss.gob.mx
authors.forename: Santiago Roberto
authors.initials: SR
authors.lastname: Lemus-Rocha
authors.forename: Miguel Angel
authors.initials: MA
authors.lastname: Andrade-Padilla
authors.forename: Doris Beatriz
authors.initials: DB
authors.lastname: Rivera-Ibarra
authors.forename: María Antonia
authors.initials: MA
authors.lastname: Basavilvazo-Rodríguez
authors.forename: Juan Carlos
authors.initials: JC
authors.lastname: Hinojosa-Cruz
authors.forename: María Guadalupe
authors.initials: MG
authors.lastname: Veloz-Martínez
mesh_terms: D002983:Clinical Competence; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007396:Internship and Residency / Q000592:standards*; D011795:Surveys and Questionnaires; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis / Q000628:therapy; D002578:Uterine Cervical Dysplasia / Q000175:diagnosis / Q000628:therapy