<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2007-5057</journal-id>
<journal-title><![CDATA[Investigación en educación médica]]></journal-title>
<abbrev-journal-title><![CDATA[Investigación educ. médica]]></abbrev-journal-title>
<issn>2007-5057</issn>
<publisher>
<publisher-name><![CDATA[Universidad Nacional Autónoma de México, Facultad de Medicina]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2007-50572023000200040</article-id>
<article-id pub-id-type="doi">10.22201/fm.20075057e.2023.46.22479</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Aptitud clínica en residentes de medicina familiar; una aproximación hacia su evaluación. Diseño multicéntrico]]></article-title>
<article-title xml:lang="en"><![CDATA[Clinical competence in family medicine residents; an approach towards its evaluation. Multicenter design]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Leyva González]]></surname>
<given-names><![CDATA[Félix Arturo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gómez Arteaga]]></surname>
<given-names><![CDATA[Gress Marissell]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gómez Clavelina]]></surname>
<given-names><![CDATA[Francisco Javier F.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Degollado Bardales]]></surname>
<given-names><![CDATA[Lilia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aguirre García]]></surname>
<given-names><![CDATA[María del Carmen]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vega Mendoza]]></surname>
<given-names><![CDATA[Santa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guerrero Hernández]]></surname>
<given-names><![CDATA[Rosa Elvia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ceja Aladro]]></surname>
<given-names><![CDATA[Alicia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez Ángeles]]></surname>
<given-names><![CDATA[Jesús]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Beltrán Lagunes]]></surname>
<given-names><![CDATA[Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Domínguez]]></surname>
<given-names><![CDATA[Ricardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández Hernández]]></surname>
<given-names><![CDATA[Miguel Ángel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Salinas]]></surname>
<given-names><![CDATA[Consuelo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Leyva Salas]]></surname>
<given-names><![CDATA[Rosalba Isabel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gómez Arteaga]]></surname>
<given-names><![CDATA[Martha Angélica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cruz Avelar]]></surname>
<given-names><![CDATA[Agles]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Contreras Angulo]]></surname>
<given-names><![CDATA[David Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Angulo Bernal]]></surname>
<given-names><![CDATA[Nancy Beatriz]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional Autónoma de México Facultad de Medicina ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Delegación en el Estado de Hidalgo Coordinación de Planeación y Enlace Institucional]]></institution>
<addr-line><![CDATA[ Hidalgo]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Nacional Autónoma de México Facultad de Medicina ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad Panamericana Facultad de Ciencias de la Salud Escuela de Medicina]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Instituto Mexicano del Seguro Social  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Instituto Mexicano del Seguro Social  Hospital General de Zona con Medicina Familiar #1]]></institution>
<addr-line><![CDATA[ Hidalgo]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af7">
<institution><![CDATA[,Instituto Mexicano del Seguro Social  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af8">
<institution><![CDATA[,Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado Clínica de Medicina Familiar &#8220;Gustavo A. Madero&#8221; ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af9">
<institution><![CDATA[,Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="A10">
<institution><![CDATA[,Secretaría de Salud Centro de Salud &#8220;José Castro Villagrana ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="A11">
<institution><![CDATA[,Instituto Mexicano del Seguro Social  ]]></institution>
<addr-line><![CDATA[Veracruz Veracruz]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="A12">
<institution><![CDATA[,Instituto Mexicano del Seguro Social  ]]></institution>
<addr-line><![CDATA[ Hidalgo]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="A13">
<institution><![CDATA[,Universidad Nacional Autónoma de México Facultad de Medicina ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="A14">
<institution><![CDATA[,Universidad Iberoamericana  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="A15">
<institution><![CDATA[,IMSS  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2023</year>
</pub-date>
<volume>12</volume>
<numero>46</numero>
<fpage>40</fpage>
<lpage>56</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2007-50572023000200040&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2007-50572023000200040&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2007-50572023000200040&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción En México, esta indagación hasta donde se tiene conocimiento representa el primer trabajo multicéntrico que estudia el grado de desarrollo de la aptitud clínica en cuatro Unidades de medicina familiar del Sector Salud. Por consiguiente, la interrogante de investigación es ¿Cuál es el grado de desarrollo de la aptitud clínica en tres instituciones de salud?. Este estudio proveerá conocimientos que permitirán emprender investigaciones en las cuales se ensayen estrategias educativas que propicien el desarrollo de esta aptitud.  Objetivo  Determinar el grado de desarrollo de la aptitud clínica en residentes de medicina familiar de cuatro sedes académicas.  Método  Diseño prospectivo, transversal, observacional y multicéntrico. Se estudió toda la matrícula del ciclo académico 2019-2020 con consentimiento informado. Se construyó un instrumento que evaluó la variable &#8220;aptitud clínica&#8221; mediante ocho indicadores y 182 ítems; la validez conceptual, de contenido y confiabilidad se valoró por cinco médicos familiares con experiencia docente y en investigación educativa.  Resultados  De las cuatro sedes, las calificaciones globales más altas en los indicadores fueron alcanzadas por los R1 de la Unidad de Medicina Familiar # 20 del Instituto Mexicano del Seguro Social (UMF20 IMSS), R2 y R3 del Hospital General de Zona # 1 (HGZMF1 IMSS). Los R1 de la UMF20 alcanzaron los más altos puntajes en 3/8 indicadores. Los R2 y R3 del HGZMF1 lograron las más altas puntuaciones en 2/8 indicadores. Se estimaron diferencias entre R1 (n=46), entre R2 (n=47) y entre R3 (n=40) de las cuatro sedes por indicador y no se encontraron diferencias estadísticas significativas en ningún caso.  Conclusiones  El grado de desarrollo de la aptitud clínica se puede considerar de nivel medio en las cuatro sedes académicas. Esto en parte se puede explicar a que el instrumento exploró situaciones clínicas problematizadas, que exigieron del residente la reflexión crítica de su experiencia clínica antecedente.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction  In Mexico, this inquiry to the best of our knowledge represents the first multicenter work that studies the degree of development of clinical aptitude in four Family Medicine Units of the Health Sector. Therefore, the research question is : What is the degree of development of clinical aptitude in three health institutions? This study will provide knowledge that will allow undertaking researches in which educational strategies that propitiate the development of this aptitude are tested.  Objective  To determine the degree of development of clinical aptitude in family medicine residents from four academic sites.  Method  Prospective, cross-sectional, observational and multicenter design. The entire enrollment of the 2019-2020 academic year was studied with informed consent. An instrument was constructed that assessed the variable "clinical aptitude" by means of eight indicators and 182 items; conceptual, content and reliability validity was assessed by five family physicians with teaching and educational research experience.  Results  Of the four sites, the highest overall scores on the indicators were achieved by the R1 of the Family Medicine Unit # 20 of the Mexican Social Security Institute (UMF20 IMSS), R2 and R3 of the General Zone Hospital # 1 (HGZMF1 IMSS). UMF20 R1s achieved the highest scores on 3/8 indicators. The R2s and R3s of HGZMF1 achieved the highest scores on 2/8 indicators. Differences were estimated between R1s (n=46), between R2s (n=47) and between R3s (n=40) of the four sites by indicator and no significant statistical differences were found in any case.  Conclusions  The degree of development of clinical aptitude can be considered medium level in the four academic sites. This can be partly explained by the fact that the instrument explored problematic clinical situations, which required the resident to reflect critically on his previous clinical experience.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Aptitud clínica]]></kwd>
<kwd lng="es"><![CDATA[médicos residentes]]></kwd>
<kwd lng="es"><![CDATA[investigación educativa]]></kwd>
<kwd lng="en"><![CDATA[Clinical aptitude]]></kwd>
<kwd lng="en"><![CDATA[resident physicians]]></kwd>
<kwd lng="en"><![CDATA[educational research]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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