Situational diagnosis for the exercise of evidence based medicine in pediatric residents of a school hospital


Diagnóstico situacional para el ejercicio de medicina basada en evidencias en residentes de pediatría de un hospital escuela
Myriam Lucrecia Medinaa,b, Marcelo Gabriel Medinac,d

a Cátedra de Metodología de la Investigación Científica. Facultad de Medicina. Universidad Nacional del Nordeste. Resistencia, Chaco, Argentina.
b Unidad de Investigación. Hospital Pediátrico Dr. Avelino Castelán. Resistencia, Chaco, Argentina.
c Instituto de Medicina Regional. Universidad Nacional del Nordeste. Resistencia, Chaco, Argentina.
d Facultad de Medicina. Universidad Nacional del Nordeste.

Recibido: 27-julio-2017. Aceptado: 10-octubre-2017.

* Autor para correspondencia: Myriam L. Medina. San Lorenzo 534. Resistencia, Chaco, Argentina. CP 3500. Teléfono: 0543624420138.
Correo electrónico: dramyriammedina@yahoo.com.ar

Palabras Clave

Educación médica; Residencia; Aprendizaje basado en evidencias; Amenazas; Fortalezas.

Keywords

Medical education; Residency; Evidence-based learning; Hazards; Fortresses.


Abstract

Introduction:Evidence Based Medicine (MBE) is a key element in the training and acquisition of skills in residents of specialties.

Objective: To describe a situational diagnosis for the exercise of MBE in pediatric residents of a school hospital.

Method: Descriptive, observational study. Participants: resident physicians and resident nurses of Pediatrics. MBE questionnaire was applied at the beginning of the course.

Results: Twenty-six residents participated; 22 were resident physicians and 4 resident nurses. Technological strengths: 88.4% indicated having computers with internet and 84.6% reported having internet. Technological barriers: 46.1% reported limited access to digital libraries. Cultural / Personal Strengths: 57.6% indicated job responsibilities allow you 2 hours per week to read articles. 53.8% reported consulting scientific evidence of relevant cases. Cultural / Personal Barriers: 65.3% indicated very rarely or never have an exclusive search schedule. 61.5% indicated that they did not know how to better identify scientific evidence. 57.6% preferred to apply knowledge acquired in clinical practice than referred by scientific articles. 46.1% did not consult scientific literature because they did not know the search strategy. Strengths inherent to the institution: 50% indicated having an academic session to analyze scientific literature. The 57.6 indicated that the institution allows him to attend scientific seminars. Barriers inherent to the institution: 42.3% indicated that most articles recommend drugs that are not in the institution.

Conclusions: The situational diagnosis to exercise MBE in residents of our hospital indicated favorable conditions for its implementation. Having to correct barriers found, through unlimited access to digital libraries, availability of exclusive hours to electronic search, increase of MBE workshops, teaching English. All tools that will allow access, training and strengthen the human resource in training, granting them security when assessing the scientific evidence.