Lectura crítica de artículos de investigación clínica en médicos residentes de oncología

González-Ávila, Gabriel; Leyva-González, Félix Arturo
November 2009
Revista Medica del IMSS;nov/dic2009, Vol. 47 Issue 6, p689
Academic Journal
Objective: to estimate the development degree to critical reading aptitude of clinical investigation papers among oncology residents. Methods: a transversal study with 40 oncology residents (surgical oncology, 17; medical oncology, 15; and radio-oncology, 8) was done. An instrument containing six abstracts of clinical articles selected according to a clinical purpose, methodological design and approach to the three most frequent malignancies in Mexico with 150 items to explore three critical reading aptitude indicators was constructed; experts validated it. A pilot test was done in 20 internal medicine residents; a Kuder-Richardson coefficient of 0.90 was obtained to estimate the internal reliability. The instrument was applied simultaneously. Results: the overall scores were low without difference among specialties (37.5, 35.5 y 38.0, respectively; maximum score: 150). According to indicators, the best score was observed to interpret and to treat, while the score to propose decreased in accordance with the higher specialty degree. Conclusions: the aptitude development degree to critical reading among oncology residents was deficient. A better environment to develop a more critical and reflexive education should be considerated.


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