Abstract

GUINAZU, Gonzalo G et al. Vaccination status inquiry and hierarchy of prevention and health education opportunities: Experience in a Pediatric Residency using the Mini-Clinical Evaluation Exercise. Arch. argent. pediatr. [online]. 2018, vol.116, n.4, pp.291-297. ISSN 0325-0075.  http://dx.doi.org/10.5546/aap.2018.291.

Introduction. The Mini-Clinical Evaluation Exercise (Mini-CEX) is a formative tool with two descriptors assessing the inquiry of vaccination status and the hierarchy of prevention opportunities. Objectives. Determine the prevalence of both items in pediatric controls and spontaneous demands. Compare the performance between first and third year of their training. Material and methods. Retrospective analysis based on trainees Mini-CEX charts. Results. There were 119 residents evaluated during their first year. The prevalence of vaccination status screening in controls was 94.9% (confidence interval -CI-: 91.09-98.91); in demands 73.1% (CI: 65.2-81; OR 5.33; CI: 2.2312.75; p 0.00004). The prevalence of prevention opportunities in controls was 69.8% (CI: 61.678); in demands 62.2% (CI: 53.5-70.9; OR 1.034; CI: 0.4638-2.306; p= 0.4673). There were 32 trainees compared between their first and third year performance in demands, without significant difference. Conclusions. We found high prevalence of vaccination inquiry and lower prevalence of hierarchization of prevention opportunities in controls, with less inquiry in demands.

Keywords : Mini-Clinical Evaluation Exercise, competency-based education, missed opportunities, vaccination, internship and residency.

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