RESUMEN
A diagnostic test was applied at the National Autonomous University of Mexico School of Medicine using a two-part format with 42 clinical cases and 210 multiple-choice items. Residents were randomized into two groups: group A (printed test) and group B (computerized test). Academic performance was measured by determination of media, standard deviation, and correct-answer score; the exam was measured by reliability, difficulty index, and discrimination index and question/item assessment were calculated for item analysis. Residents answered a survey questionnaire and time taken to answer was controlled. Results showed that the printed test had higher achievement; there was better reliability for computerized format, and resident opinion was more favorable toward computer use. The two parts of the test were analyzed and results were produced for the first part of the test; in part two, results were very similar. We conclude that lack of experience in computer use could be a determining factor in our results.
Asunto(s)
Computadores , Educación de Postgrado en Medicina , Evaluación Educacional/métodos , Impresión , HumanosRESUMEN
La elección de la especialidad médica es el resultado de un proceso dinámico, complejo, lento y gradual que se basa en las experiencias de la práctica clínica del pregrado, imagen profesional y expectativas económicas, entre otro factores. El estudio investiga en 165 residentes de otorrinolaringología fue personal en el 95 por ciento de los estudiantes encuestados, el 49 por ciento de ellos esta realizando la especialidad por ampliar conocimientos en un área de su interés y el 59 por ciento lo lleva a cabo en determinada institución porque considera que en ella puede tener la mejor práctica clínico-quirúrgica. El 81 por ciento indicó que desea trabajar en una institución del sector público al terminar la especialidad