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[Critical reading for medical residents in main specialties]
F A Leyva González1, L Viniegra Velázquez
1Unidad de Medicina Familiar No. 10, Instituto Mexicano del Seguro Social (IMSS), Xalapa, México, D.F.
Objective:
To explore ability for critical reading of clinical research reports in groups of residents of four specialties: internal medicine, pediatrics, general surgery and gynecology/obstetrics.
Material And Methods:
A research was carried out in medical residents of 12 hospitals of the Instituto Mexicano del Seguro Social: 143 of internal medicine, 119 of pediatrics, 74 of general surgery and 74 of gynecology/obstetrics. An instrument was built and validated in order to explore the critical reading by three domains: interpretation, judgements and proposals.
Results:
No significant effect of years of training on the critical reading of clinical research reports was observed. The overall scores were low (maximum: 120): internal medicine = 35, pediatrics = 29, general surgery = 24.5 and gynecology/obstetrics = 25. 116 students (28%) obtained scores below of the level expected by chance.
Conclusions:
This study suggest that the training is not very fruitful in the development of the critical reading ability of clinical research reports, a low development of this ability was observed in medical residents.
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