title: [What and how to evaluate clinical-surgical competence. The resident and staff surgeon perspective].
abstract: BACKGROUND
  Evaluation is a means for significant and rigorous improvement of the educational process. Therefore, competence evaluation should allow assessing the complex activity of medical care, as well as improving the training process. This is the case in the evaluation process of clinical-surgical competences.
  
  
  METHODS
  A cross-sectional study was designed to measure knowledge about the evaluation of clinical-surgical competences for the General Surgery residency program at the Faculty of Medicine, Universidad Autónoma de Chihuahua (UACH). A 55-item questionnaire divided into six sections was used (perception, planning, practice, function, instruments and strategies, and overall evaluation), with a six level Likert scale, performing a descriptive, correlation and comparative analysis, with a significance level of 0.001.
  
  
  RESULTS
  In both groups perception of evaluation was considered as a further qualification. As regards tools, the best known was the written examination. As regards function, evaluation was considered as a further administrative requirement. In the correlation analysis, evaluation was perceived as qualification and was significantly associated with measurement, assessment and accreditation. In the comparative analysis between residents and staff surgeons, a significant difference was found as regards the perception of the evaluation as a measurement of knowledge (Student t test: p=0.04).
  
  
  CONCLUSIONS
  The results provide information about the concept we have about the evaluation of clinical-surgical competences, considering it as a measure of learning achievement for a socially required certification. There is confusion as regards the perception of evaluation, its function, goals and scopes as benefit for those evaluated.
authors.affiliation: Servicio de Cirugía General, Hospital General de Chihuahua Dr. Salvador Zubirán Anchondo, Chihuahua, México. Electronic address: ccervantes@uach.mx.
authors.forename: Carlos Roberto
authors.initials: CR
authors.lastname: Cervantes-Sánchez
authors.affiliation: Servicio de Cirugía General, Hospital General de Chihuahua Dr. Salvador Zubirán Anchondo, Chihuahua, México.
authors.forename: Paola
authors.initials: P
authors.lastname: Chávez-Vizcarra
authors.affiliation: Departamento de Investigación Educativa, Facultad de Medicina, Universidad Autónoma de Chihuahua (UACH), Chihuahua, México.
authors.forename: María Cristina
authors.initials: MC
authors.lastname: Barragán-Ávila
authors.affiliation: Departamento de Investigación Educativa, Facultad de Medicina, Universidad Autónoma de Chihuahua (UACH), Chihuahua, México.
authors.forename: Haydee
authors.initials: H
authors.lastname: Parra-Acosta
authors.affiliation: Departamento de Investigación Educativa, Facultad de Medicina, Universidad Autónoma de Chihuahua (UACH), Chihuahua, México.
authors.forename: Renzo Eduardo
authors.initials: RE
authors.lastname: Herrera-Mendoza
mesh_terms: D002983:Clinical Competence; D003430:Cross-Sectional Studies; D004521:Educational Measurement; D013502:General Surgery / Q000193:education*; D006801:Humans; D007396:Internship and Residency; D008505:Medical Staff, Hospital; D011795:Surveys and Questionnaires
keywords: Aprendizaje; Cirugía; Competence; Competencia; Evaluación; Evaluation; Learning; Surgery