dor_id: 4118382

506.#.#.a: Público

590.#.#.d: Los artículos enviados a la revista "Investigación en Educación Médica", se juzgan por medio de un proceso de revisión por pares

510.0.#.a: Sistema Regional de Información en Línea para Revistas Científicas de América Latina, el Caribe, España y Portugal (Latindex); Consejo Nacional de Ciencia y Tecnología (CONACyT); Periódica, Scientific Electronic Library Online (SciELO); Banco de Datos sobre Educación (Iresie); La Red de Revistas Científicas de América Latina y el Caribe, España y Portugal (RedALyC); Imbiomed

561.#.#.u: http://www.facmed.unam.mx/

650.#.4.x: Medicina y Ciencias de la Salud

336.#.#.b: article

336.#.#.3: Artículo de Investigación

336.#.#.a: Artículo

351.#.#.6: http://riem.facmed.unam.mx/index.php/riem

351.#.#.b: Investigación en Educación Médica

351.#.#.a: Artículos

harvesting_group: RevistasUNAM

270.1.#.p: Revistas UNAM. Dirección General de Publicaciones y Fomento Editorial, UNAM en revistas@unam.mx

590.#.#.c: Open Journal Systems (OJS)

270.#.#.d: MX

270.1.#.d: México

590.#.#.b: Concentrador

883.#.#.u: https://revistas.unam.mx/catalogo/

883.#.#.a: Revistas UNAM

590.#.#.a: Coordinación de Difusión Cultural

883.#.#.1: https://www.publicaciones.unam.mx/

883.#.#.q: Dirección General de Publicaciones y Fomento Editorial

850.#.#.a: Universidad Nacional Autónoma de México

856.4.0.u: http://riem.facmed.unam.mx/index.php/riem/article/view/395/366

100.1.#.a: Rizzoli-córdoba, Antonio; Peña-alonso, Yolanda Rocío; Pacheco-ríos, Aarón; Cerón-rodríguez, Magdalena; Pizarro-castellanos, Mariel

524.#.#.a: Rizzoli-córdoba, Antonio, et al. (2012). Evaluation of Forward Clinical Reasoning among Pediatrics Residents in a Third Level Hospital. Investigación en Educación Médica; Vol. 1 Núm. 1, 2012: Investigación en Educación Médica; 8-13. Recuperado de https://repositorio.unam.mx/contenidos/4118382

245.1.0.a: Evaluation of Forward Clinical Reasoning among Pediatrics Residents in a Third Level Hospital

502.#.#.c: Universidad Nacional Autónoma de México

561.1.#.a: Facultad de Medicina, UNAM

264.#.0.c: 2012

264.#.1.c: 2012-01-02

506.1.#.a: La titularidad de los derechos patrimoniales de esta obra pertenece a las instituciones editoras. Su uso se rige por una licencia Creative Commons BY-NC-ND 4.0 Internacional, https://creativecommons.org/licenses/by-nc-nd/4.0/legalcode.es, para un uso diferente consultar al responsable jurídico del repositorio por medio del correo electrónico revistainvestedu@gmail.com

884.#.#.k: http://riem.facmed.unam.mx/index.php/riem/article/view/395

001.#.#.#: 072.oai:ojs2.132.248.204.81:article/395

041.#.7.h: spa

520.3.#.a: Background: In forward reasoning, the physician makes inferences according to data obtained during history taking as well as from physical examination findings, strengthening a hypothesis until a diagnosis is reached. Objective: Evaluating the differences in forward clinical reasoning among groups with different levels of clinical experience in pediatrics (students, general practitioners accepted to start residence (GPASR) in pediatrics, and residents) with special interest in the initial diagnostic hypothesis. Methods: Two clinical cases were designed, one depicted an infrequent disease and the other one a frequent disease. Each case had a clinical vignette followed by 5 sequenced multiple choice questions focused on history data, physical exam, complementary studies, diagnosis, and treatment). Each diagnosis had a specific option in each question. The strongest information regarding the correct diagnosis was included as an answer option in the first question. The clinical vignettes were projected followed by the questions. The participants answered the questions immediately on an answering sheet in order to prevent modifications to previously given answers. Results: Clinical cases were answered by 154 participants, including 69 (44.8%) students, 38 (24.7%) GPASR, and 47 (40.5%) pediatric residents from the same hospital. The proportion of correct diagnosis was different between groups for the frequent disease (students vs. GPASR and residents OR = 0.484, 95% CI: 0.235 - 0.997; residents vs. students and GPASR OR = 3.5, 95% CI: 1.67 - 7.29) but not for the rare disease. The proportion of correct diagnosis was higher when the first question was correctly solved in all groups for the rare disease (OR = 62; 95% CI: 19.32 - 198.89) and the frequent disease (OR = 9.96; 95% CI: 4.36 - 22.71). Conclusion: Forward reasoning in pediatrics improved through the academic level, for the common disease but not for the uncommonly seen disease; the main factor associated with the correct diagnosis is the initial diagnostic hypothesis.

773.1.#.t: Investigación en Educación Médica; Vol. 1 Núm. 1 (2012): Investigación en Educación Médica; 8-13

773.1.#.o: http://riem.facmed.unam.mx/index.php/riem

022.#.#.a: ISSN electrónico: 2007-5057; ISSN impreso: 2007-865X

310.#.#.a: Trimestral

300.#.#.a: Páginas: 8-13

264.#.1.b: Facultad de Medicina, UNAM

doi: https://doi.org/10.22201/fm.20075057e.2012.01.00004

harvesting_date: 2024-02-23 00:00:00.0

856.#.0.q: application/pdf

file_creation_date: 2012-03-21 02:24:04.0

file_modification_date: 2013-07-31 17:28:58.0

file_name: 18c4881255976652257e615d6fbe044c8a7ec9ad53906c41d3c9d5034a2d8efb.pdf

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last_modified: 2024-02-23 00:00:08

license_url: https://creativecommons.org/licenses/by-nc-nd/4.0/legalcode.es

license_type: by-nc-nd

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