Effect of an educative intervention on the clinical ability of physicians in the risk factor identification of metabolic syndrome
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Abstract
Aim: To measure the effect of an educative intervention on the clinical ability of family physicians of two First Contact Units, (UMF, IMSS) from the metropolitan area of Guadalajara, in the Risk Factor Identification of metabolic syndrome. Methodology: A quasi-experimental study was carried out with a control group using basal and final measurements. The educative intervention of the experimental group included one in-the- classroom work and another at the consulting room. Instrument was validated by a panel of experts and consisted of 40 questions of five cases presenting problems, reaching a reliability index of 0.84. Results: There was no significant difference at base measurement among the different levels of clinical ability among groups (p = 0.82). At the end of the follow-up, a significant increase in the experimental group (29 with 20 - 23 vs 29 with 24 - 33 in the control group) was observed. Conclusions: The advantage observed at the different levels of the experimental group reflects the impact of the alternative educative program which needs to be a programmatic guide for future educative interventions for health workers seeking to transform their own clinical practice.
- Lerman, G.I., Aguilar-Salinas, C.A., Gómez-Pérez, F.J., Reza, A. A., Hernández, J. S. (2004) El síndrome meta- bólico, posición de la Sociedad Mexicana de nutrición y endocrinología, sobre la definición, fisiopatología y diagnóstico. Características del síndrome metabólico en México. Revista de Endocrinología y Nutrición, 12, 109-122.
- Luquez, H., De Loredo, L., Madoery, R.J. (2005) Sínd- rome Metabólico: prevalencia en dos comunidades de Cordóba Argentina de acuerdo con definiciones de ATP III y OMS. Revista de la Federacion Argentina de Cardiologia, 43, 80-95.
- Rodríguez, P.A., Sánchez, L.M., Martínez, V.L. (2002) Síndrome metabólico. Rev Cub Endocrinol, 13, 238-252.
- Dekker, J. M., Girmain, C., Rhodes, T., Nipjels, G. (2005) Metabolic Síndrome and 10 year cardiovascular disease risk in the Hoorn study. Circulation, 112, 666-673.
- Gutiérrez, G.S.N., Aguilar, M.E., Viniegra, V.L. (2001) Validación de un instrumento para evaluar la compet- encia clínica del médico familiar. Revista Medica del Instituto Mexicano del Seguro Social, 37, 201-210.
- Chávez, V., Aguilar, M. (2002) Aptitud clínica en el manejo de la familia, en residentes de Medicina Familiar. Revista Medica del Instituto Mexicano del Seguro Social, 40, 477-481.
- Burr, W.A. (2004) Diabetes UK. Diabetic Medicine, 21, 1-16
- Viniegra, V.L., Pérez-Padilla, J.L., (1991) JR. El desafío de la evaluación de la competencia clínica, Revista Medica del Instituto Mexicano del Seguro Social, 43, 87-95.
- Larios, M.H., Trejo, M.J.A., Cortés, G.T. (1998) Eva- luación de la competencia clínica. Revista Medica del Instituto Mexicano del Seguro Social, 36, 77-82.
- Rothman, A. I., Blackmore, D., Cohen, R., Reznic, R. (1996) The consistency and uncertainty in examiners’ definitions of pass/fail performance on OSCE stations. Evaluation & the Health Professions, 16, 322-332.
- Garfias, G.G., Aguilar, M.E., Viniegra, V.L. (1997) Cómo explorar las aptitudes de los médicos residentes de traumatología y ortopedia en traumatismo cráneo ence- fálico. Revista de la Federacion Argentina de Cardiologia, 35, 233-237.
- Carlos, A.H., Miriam, D., Sánchez, I., Pérez, C.P., Norberto, E. (2004) Aptitud clínica durante el internado de pregrado en hospitales generales. Revista de la Fede- racion Argentina de Cardiologia, 42, 469-476.
- Searle, J. (2000) Defining competency-the role of standard setting. Med Educ, 34, 363-366.