title: [Scope of two educational strategies to develop the clinical aptitude of the family physician].
abstract: BACKGROUND
  The evaluation of the clinical aptitude is expressed in challenging clinical situations and the scope of learning is conditioned by the quality of the educational strategy. The aim of this study was to value the scope of two different educational approaches, in order to develop the clinical aptitude of 20 family physicians.
  
  
  METHODS
  Quasi experimental design, in which 20 general physicians in training process of Family Medicine were randomized: a teaching-centered strategy (TCS) was applied in 10, and a learning-centered strategy (LCS) in the remaining 10. The application of both strategies lasted 24 hours, and the same content was used on them. While applying TCS, it was employed an exposition with questions (which privileged the transmission of information). While implementing LCS, it was used discussion in small groups (which favored the point of view and the confrontation). To validate the evaluation, it was used the Kuder-Richardson formula 20, with a reliability of 0.91.
  
  
  RESULTS
  Before the intervention, TCS group had a median of 124 and LCS group, 105 (p = 0.19). After the intervention, TCS group showed a median of 126, and LCS group of 156 (p = 0.012). Both groups were compared using Mann Whitney U, and the same subjects were also compared with the matched pairs Wilcoxon test. The differences were statistically significant, which it does not differ from earlier studies.
  
  
  CONCLUSIONS
  The clinical aptitude reaches best development in the LCS when tested against TCS.
authors: Coordinación de Planeación y Enlace Institucional, Jefatura de Servicios de Prestaciones Médicas, Delegación Estado de México Poniente, Instituto Mexicano del Seguro Social, Toluca, Estado de México. maria.reyesru@imss.gob.mx.
authors: María Esther
authors: ME
authors: Reyes-Ruiz
authors: José Alberto
authors: JA
authors: García-Mangas
authors: Víctor Manuel
authors: VM
authors: Pérez-Ilagor
mesh_terms: D002983:Clinical Competence; D004503:Education, Medical, Graduate / Q000379:methods*; D005194:Family Practice / Q000193:education*; D006801:Humans; D008800:Mexico
keywords: Clinical aptitude; Educational strategies; Evaluation; Family medicine; Participation