title: [Level of clinical competence in seven cohorts of medical students at the end of the internship].
abstract: BACKGROUND
  Objective structured clinical examination is the instrument with more validated evidence to assess the degree of clinical competence of medical students.
  
  
  OBJECTIVE
  To assess the degree of clinical competence of medical students at the end of their internship; to assess the reliability of the instruments with G theory.
  
  
  METHODS
  This was an observational, longitudinal, and comparative study. The target population was composed of 5,399 interns of seven generations that finished their internship at the Faculty of Medicine of UNAM, between 2009 and 2015. The instrument used was 18 OSCE stations, three in each subject of the internship.
  
  
  RESULTS
  The undergraduate medical interns show a sufficient degree of clinical competence to be general practitioners. The laboratory interpretation and physical examination had the highest scores. The interpretation of imaging studies was the component with the lowest score. The Family Medicine disciplinal area had the highest average score in the OSCE; in contrast, Pediatrics obtained the lowest score on average. The reliability was measured with Generalizability Theory and ranged between 0.81 and 0.93.
  
  
  CONCLUSIONS
  The clinical competence of undergraduate medical interns is considered sufficient. The results also show the subjects that require educational interventions to improve clinical competence of students.
authors: Secretaría de Educación Médica, Ciudad de México, México.|Departamento de Salud Pública, Ciudad de México, México.
authors: Adrián
authors: A
authors: Martínez-González
authors: Secretaría de Educación Médica, Ciudad de México, México.
authors: Melchor
authors: M
authors: Sánchez-Mendiola
authors: Instituto de Matemáticas Aplicadas y Sistemas, UNAM, Ciudad de México, México.
authors: Ignacio
authors: I
authors: Méndez-Ramírez
authors: Secretaría de Educación Médica, Ciudad de México, México.|Departamento de Medicina Familiar, Facultad de Medicina, UNAM, Ciudad de México, México.
authors: Juan Andrés
authors: JA
authors: Trejo-Mejía
mesh_terms: D002983:Clinical Competence / Q000592:standards*; D015331:Cohort Studies; D004521:Educational Measurement / Q000592:standards; D006801:Humans; D007396:Internship and Residency / Q000592:standards* / Q000706:statistics & numerical data; D008137:Longitudinal Studies; D008800:Mexico; D015203:Reproducibility of Results; D013337:Students, Medical / Q000706:statistics & numerical data