Instrumento para el desarrollo del razonamiento clínico

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dc.contributor.authorSilva, Verónica
dc.contributor.authorMcColl, Peter
dc.contributor.authorPérez, Carolina
dc.contributor.authorSearle, Mariana
dc.contributor.authorGoset, Jessica
dc.date.accessioned2022-09-07T12:23:29Z
dc.date.available2022-09-07T12:23:29Z
dc.date.issued2018
dc.descriptionIndexación Scopuses
dc.description.abstractBackground: Teaching clinical reasoning is a challenge in medical education. Aim: To design a clinical reasoning assessment instrument. Material and Methods: Structured interviews were carried out to six physicians with at least five years experience. The Grounded Theory method was used to determine the relevant categories of the clinical reasoning process and the modified Delphi expert judgment method to validate the categories, the definition of observable behaviors and the format of the instrument. Results: The relevant reasoning categories were the reason for consultation, medical history, physical examination, additional tests, diagnosis, therapeutic options and reasoning reassessment capacity. Expert judgment assessed at a level of “strongly agree” and “agree” the sufficiency, clarity and pertinence of all categories, related observable behaviors and instrument format. The internal Kappa consistency yielded an index of 0.92. Conclusions: The resulting instrument was constructed with the following axes derived from the main categories and subcategories: reason for consultation, history, physical examination, additional tests, diagnosis, therapeutic options and reassessment capacity. © 2018, Sociedad Medica de Santiago. All rights reserved.es
dc.description.urihttps://www-scielo-cl.recursosbiblioteca.unab.cl/scielo.php?script=sci_arttext&pid=S0034-98872018001201466&lng=en&nrm=iso&tlng=en
dc.identifier.citationRevista Medica de Chile Volume 146, Issue 12, Pages 1466 - 1470 2018es
dc.identifier.doi10.4067/s0034-98872018001201466
dc.identifier.issn00349887
dc.identifier.urihttps://repositorio.unab.cl/xmlui/handle/ria/23766
dc.language.isoeses
dc.publisherSociedad Medica de Santiagoes
dc.subjectRazonamiento clínicoes
dc.subjectEducación médicaes
dc.subjectErrores de diagnósticoes
dc.subjectToma de decisiones clínicases
dc.titleInstrumento para el desarrollo del razonamiento clínicoes
dc.title.alternativeDevelopment of an instrument to assess clinical reasoninges
dc.typeArtículoes
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