[Clinical aptitude of residents that attend patients with the cervical intraepithelial neoplasia].
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.
Lemus-Rocha
Santiago Roberto
SR
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
Andrade-Padilla
Miguel Angel
MA
Rivera-Ibarra
Doris Beatriz
DB
Basavilvazo-Rodríguez
María Antonia
MA
Hinojosa-Cruz
Juan Carlos
JC
Veloz-Martínez
María Guadalupe
MG
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