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[Assessment of aptitude for anatomic-clinic correlation in pediatric pathology]
Alicia Rodríguez-Velasco1, Roberto Palemón González-Cobos2
1Instituto Mexicano del Seguro Social, Centro Médico Nacional Siglo XXI, Hospital de Pediatría, Servicio de Patología, Ciudad de México, México.
Introduction:
In the 18th Century, Giovanni Battista Morgagni demonstrated that localized injuries to different organs caused a great variety of clinical symptoms and signs. Since then, medical practice has evolved considerably and maintains the correlation of pathological changes with the signs and symptoms of the disease as part of the academic activity known as “anatomic-clinical session”. The evaluation of the aptitude for the anatomic-clinical correlation has not been empirically estimated in pediatric pathology.
Objective:
Construct and validate an evaluation instrument to quantitatively estimate the aptitude for the anatomical-clinical correlation in pediatric pathology (AA-CCPP).
Method:
Analytical cross-sectional study. An evaluation instrument was constructed with 90 true, false and I don’t know type statements, grouped based on three indicators: I, diagnostic integration; II, identification of pathogenic mechanisms and III, identification of clinical and paraclinical data. The instrument was applied to three groups of residents. The Kruskal-Wallis test was used to compare the results between the groups.
Results:
The AA-CCPP grade was very low in most residents. When comparing the global scores between the different groups, the pediatric pathology group was the highest. The indicator that obtained the best results was that of Diagnostic Integration.
Conclusions:
The level of development of the AA-CCPP observed allows us to deduce that the learning strategy known as clinical-pathological conference should be strengthened.
