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Construcción de una estrategia para evaluar el razonamiento clínico de residentes de medicina interna mediante el uso de Script Concordance Test más Written Think Aloud

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dc.contributor.advisorSánchez Godoy, Jesús Armando
dc.creatorContreras Villamiza, Kateir Mariel
dc.creatorLasso Apráez, Javier Iván
dc.creatorCelis-Preciado, Carlos Andrés
dc.creator.degreeMagister en Educación para Profesionales de la Saludes
dc.creator.degreetypeVirtuales
dc.date.accessioned2023-01-12T15:20:18Z
dc.date.available2023-01-12T15:20:18Z
dc.date.created2022-11-21
dc.date.embargoEndinfo:eu-repo/date/embargoEnd/2025-01-12
dc.descriptionPropósito: El razonamiento clínico (RC) es una competencia que debe ser enseñada y evaluada. El Script Concordance Test (SCT) evalúa el RC en condiciones de incertidumbre y su validez está demostrada. El Written Think Aloud (WTA) es complementario para entender el RC. Este estudio describe el desarrollo y aplicación del SCT-WTA en residentes de medicina interna de una universidad en Bogotá D.C, Colombia. Métodos Estudio de caso instrumental mixto. Durante la elaboración, aplicación y calificación del SCT-WTA, los investigadores llevaron diarios de campo donde consignaron sus percepciones, observaciones y experiencias. El SCT-WTA se aplicó a 11 expertos y 11 residentes. Se hizo codificación y categorización de la información cualitativa y estadística básica para los resultados cuantitativos. Resultados Los factores determinantes para la construcción de los casos y las preguntas del SCT fueron: guion de enfermedad, complejidad y resultados de aprendizaje, mientras que para su aplicación el formato de los casos y la escala Likert fueron determinantes. El tiempo de elaboración, respuesta y calificación fue una dificultad, sin embargo, los expertos y los residentes consideraron que el SCT evalúa contenido, organización y uso de la información. Las respuestas entre residentes y expertos fueron similares. El WTA mostró ser complementario al SCT. Conclusiones La organización de la información en guiones de enfermedad, la complejidad de las preguntas y los resultados de aprendizaje esperados; así como el formato del test y la claridad de las opciones de respuesta en una escala tipo Likert deben tenerse en cuenta para la construcción, aplicación y calificación del SCT-WTA, el cual es percibido como útil para evaluar el RC y como estrategia de evaluación formativa.es
dc.description.abstractPurpose: Clinical reasoning (CR) is a competency that should be taught and assessed. The Script Concordance Test (SCT) assesses CR under conditions of uncertainty, and its validity has been demonstrated. The Written Think Aloud (WTA) is complementary to understanding CR. This study describes the development and application of the SCT-WTA in internal medicine residents at a university in Bogotá, D.C., Colombia. Methods Mixed instrumental case study. During the development, application, and scoring of the SCT-WTA, the researchers kept field diaries where they recorded their perceptions, observations and experiences. The SCT-WTA was applied to 11 experts and 11 residents. Qualitative information and basic statistics were coded and categorized for the quantitative results. Results For the construction of the cases and questions of the SCT, it was crucial to have expected learning outcomes and disease scripts and to resort to cases of daily practice. The time investment in elaboration, response, and scoring was high; however, experts and residents considered that the SCT allowed evaluation content, organization, and use of information. Responses between residents and experts were similar. Conclusions The SCT format is attractive to experts and residents, who consider it an excellent tool to evaluate CR, a fundamental competence for the internist and which does not have a specific chair or evaluation. The SCT-WTA was perceived as complementary and valuable as a formative assessment.es
dc.description.embargo2023-01-12 10:45:01: Script de automatizacion de embargos. Correo recibido 12ene2023: Por medio del presente correo, me permito solicitar que acceso restringido por dos años, al trabajo de grado de la maestría en educación para profesionales de la salud denominado "Construcción de una estrategia para evaluar el razonamiento clínico de residentes de medicina interna mediante el uso de Script Concordance Test más Written Think Aloud". El motivo para esta solicitud es que se encuentra en proceso de sometimiento para publicación, con requisito que no haya sido publicado previamente. Agradeciendo su colaboración, Cordialmente Javier Ivan Lasso Apraez Carlos Andrés Celis Preciado Kateir Mariel Contreras Villamizar Respuesta 12ene2023: Hemos realizado la publicación de su documento: Construcción de una estrategia para evaluar el razonamiento clínico de residentes de medicina interna mediante el uso de Script Concordance Test más Written Think Aloud, el cual puede consultar en el siguiente enlace: https://repository.urosario.edu.co/handle/10336/37864 De acuerdo con su solicitud, el documento ha quedado embargado por 2 años hasta el 12 de enero de 2025 en concordancia con las Políticas de Acceso Abierto de la Universidad. Si usted desea dejarlo con acceso abierto antes de finalizar dicho periodo o si por el contrario desea extender el embargo al finalizar este tiempo, puede enviar un correo a esta misma dirección realizando la solicitud. Tenga en cuenta que los documentos en acceso abierto propician una mayor visibilidad de su producción académica. De otra parte, dado que desea publicar su obra en una revista de prestigio, queremos invitarla a tomar una asesoría con nuestros asesores de información del CRAI, quienes podrán brindarle acompañamiento en la edición para publicación. La solicitud de asesoría puede agendarla en el siguiente link: https://n9.cl/agendamiento_servicios_crai Quedamos atentos a cualquier inquietud o sugerencia.
dc.format.extent26 ppes
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dc.identifier.doihttps://doi.org/10.48713/10336_37864
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/37864
dc.language.isospaes
dc.publisherUniversidad del Rosario
dc.publisherPontificia Universidad Javeriana. Facultad de Medicina
dc.publisher.departmentEscuela de Medicina y Ciencias de la Salud
dc.publisher.programMaestría en Educación para Profesionales de la Salud
dc.rightsAtribución-NoComercial-CompartirIgual 2.5 Colombia*
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dc.rights.urihttp://creativecommons.org/licenses/by-nc-sa/2.5/co/*
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dc.source.instnameinstname:Universidad del Rosario
dc.source.reponamereponame:Repositorio Institucional EdocUR
dc.subjectRazonamiento clínicoes
dc.subjectEvaluación en educaciónes
dc.subjectMedicina internaes
dc.subjectScript concordance testes
dc.subjectWritten think aloudes
dc.subject.ddcPromoción de saludes
dc.subject.keywordClinical reasoninges
dc.subject.keywordeducational assessmentes
dc.subject.keywordinternal medicinees
dc.subject.keywordscript concordance testes
dc.subject.keywordWritten think aloudes
dc.titleConstrucción de una estrategia para evaluar el razonamiento clínico de residentes de medicina interna mediante el uso de Script Concordance Test más Written Think Aloudes
dc.title.TranslatedTitleConstruction of a strategy to assess the clinical reasoning of internal medicine residents by using the Script Concordance Test plus Written Think Aloudes
dc.typebachelorThesises
dc.type.documentTrabajo de gradoes
dc.type.spaTrabajo de gradoes
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