Abstract Introduction: Clinical aptitude (ClAp) is essential in medical interns' (MI) during their undergraduate internship. Its evaluation is indispensable. Aim: To compare the final clinical aptitude of MI in various hospital settings. Method: Medical Interns (MI) in natural groups who completed their undergraduate internship (UI) in five different hospitals. Seventy (70) MI were studied in a sample obtained in a census. A valid and consistent (KR: 0.77) final instrument was applied at the end of the UI and included 30 clinical cases (CC) and five indicators: risk factors (RF), diagnosis (DX), paraclinicals (PCL), treatment (Tx) and prognosis (PRN), encompassing internal medicine (IM), pediatrics (PED), family medicine (FM), emergency medicine (EM), general surgery (GS) and obstetrics-gynecology (OG). There were 75 items per module, totaling 450. We requested data on the MI grade average and university of origin. Incomplete or inadequately completed surveys were excluded. Non-parametric statistics: to compare every module's medians and that of every rotation (Kruskal-Wallis). Hospitals were compared (Mann-Whitney U test). The average university grade was correlated with the overall median (Spearman). Answers were determined randomly. Results: There was no correlation between the university grade averages and the overall medians. A low ClAp was detected in the hospital settings (Median: 177/450). There were significant differences in favor of Gì and G5 in almost all modules and indicators vs. G4. The highest medians were obtained in EM (50/75) and FM (43/75) while the lowest were in O-G (5/75). Results were NS in RF and PCL. The highest values were observed in PRN (48%), followed by DX (41%) and TX (33%). Comparisons between universities were NS in IM, GS, RF, PCL and PRN. Results were low in acute appendicitis, labor, preeclampsia and pyelonephritis. Comments: ClAp was found to be lacking. A stricter following of the MI's development is warranted.
Resumen Introducción: La aptitud clínica (APCL) es esencial en el médico internado de pregrado (MIP). Su evaluación es primordial. Objetivo: Comparar la aptitud clínica final del MIP en sedes hospitalarias. Método: MIP en grupos naturales que finalizaron su internado de pregrado (IP) en 5 sedes hospitalarias. Se estudiaron 70 MIP en una muestra por censo. Se aplicó un instrumento al final del IP, válido y consistente (KR: 0.77) con 30 casos clínicos (CC), con 5 indicadores: factores de riesgo (FR), diagnóstico (DX), paraclínicos (PCL), tratamiento (TRAT) y pronóstico (PRN). En medicina interna (MI), pediatría (PED), medicina familiar (MF), urgencias (URG), cirugía general (CG) y ginecobstetricia (GO). Reactivos 75 por módulo y 450 en total. Se solicitó el promedio y universidad de procedencia. Se excluyeron encuestas incompletas o mal llenadas. Estadísticos no paramétricos: para comparar las medianas de cada módulo y de cada rotación (Kruskal-Wallis). Se compararon las sedes, una contra otra (U de Mann-Whitney). Se co rrelacionó el promedio universitario con la mediana global (Spearman). Se determinaron las respuestas por azar. Resultados: No hubo correlación entre las calificaciones universitaria s y las medianas globales. Se observó una APCL baja en las sedes (Mdn: 177/450). Se encontraron diferencias significativas a favor de G1 y G5 en casi todos los módulos e indicadores vs. G4. Las medianas más altas se obtuvieron en URG (50/75) y MF (43/75) y las más bajas en GO (5/75). Los resultados fueron NS en FR y PCL. Los valores más altos se observaron en PRN (48%), seguido de DX (41%) y TX (33%). Entre universidades fueron NS en MI, CG, FR, PCL y PRN. Se obtuvieron resultados bajos en apendicitis aguda, trabajo de parto, preeclampsia y pielonefritis. Comentarios: Se observó una APCL aún insuficiente. Se amerita un seguimiento más estrecho de su desarrollo.