Archivos argentinos de pediatría
versión ISSN 0325-0075
URMAN, Gabriela et al. Assessment of competence in pediatric postgraduate education: implementation of a pediatric version of the Mini-Cex. Arch. argent. pediatr. [online]. 2011, vol.109, n.6, pp. 492-498. ISSN 0325-0075. doi:10.5546/aap.2011.492.
Aims. Faced with the increased challenge of assessing competences in young doctors, the purpose of the study was to evaluate the implementation of a pediatric version of the Mini-Cex in pediatric trainees as well as the level of satisfaction of teachers and students with the new assessment tool. Methods and results. From July 2007 to August 2009, 54 pediatric trainees were periodically monitored in a variety of clinical settings by 50 teachers. The competences evaluated included medical interviewing, physical examination and counseling skills, humanistic qualities/ professionalism, clinical judgment, organization and overall clinical competence. The feasibility of this study was defned as an average 4 observations per participant, and observations in all clinical rotations. During the study, 388 observations were carried over 54 students (average of 7.18 observations per student); 57% took place in ambulatory settings, 60% were of low complexity and 85% involved healthy children programmed consultations. The ratings for specifc competences had little variation; the focus related to the setting. Conclusions. Used in a variety of settings, with different patient problems, the method was well accepted by both students and teachers.
Palabras llave : Medical education; Posgraduate; Pediatrics; Competences; Direct observation; Mini-Cex..