Evaluation of surgical anatomy identification using ICT on surgical residents


La identificación de la anatomía quirúrgica mediante TIC: comparación entre dos formas de evaluación
Gerardo Chávez Saavedraa, *, Carlos Hidalgo Valadezb, José Jorge Maldonado Salasc, Dalila Monserrat Rodríguez Arvizuc, Rubén Alejandro Gersenowies Sánchezd

aLaboratorio de Morfología, Departamento de Medicina y Nutrición, División de Ciencias de la Salud, Campus León, Universidad de Guanajuato, México.
bRectoría, Campus León, Universidad de Guanajuato, México.
cLaboratorio de Destrezas Quirúrgicas Básicas, Departamento de Medicina y Nutrición, División de Ciencias de la Salud, Campus León, Universidad de Guanajuato, México.
dEstudiante de la Licenciatura de Médico Cirujano, Departamento de Medicina y Nutrición, División de Ciencias de la Salud, Campus León, Universidad de Guanajuato, México.

Recibido: 21-agosto-2017. Aceptado: 21-marzo-2018.

* Autor para correspondencia: Gerardo Chávez Saavedra. Blvd. Puente Milenio 1001, Fracción del Predio San Carlos, CP 37670 León, Gto. Teléfono: 01 477 267 4900, ext.: 3682. Correo electrónico: g.chavezsaavedra@ugto.mx

Palabras Clave

Tecnologías de la información y la comunicación; Educación quirúrgica; Competencias; Anatomía quirúrgica; Evaluación quirúrgica.

Keywords

Information and communication technologies; Surgical education; competences; Surgical anatomy; Surgical evaluation.


Abstract

Introduction: Traditionally the evaluation of the competences necessary for the execution of successful surgical procedures in residents of general surgery had centered on written exams. Even those attempts for measuring the aptitude to identify the surgical anatomy have been partial and subjective. To incorporate the use of TIC in the evaluations allows, by means of the simultaneous promotion of the digital literacy, to create a complementary evaluation that demonstrates the real degree of learning, without the need to expose the patient to unnecessary risks.

Objective: To propose a complementary evaluation to measure the capacity of the surgeon in training for the identification of the anatomical structures with surgical relevancy incorporating the use of TIC.

Method: An experimental trial was realized to 30 residents, from second to fourth year, of the general surgery residency program on surgical anatomy. It was compared a Group A with 15 residents to whom it was applied a written evaluation with questions of multiple option with a Group B of 15 residents to whom it was applied an evaluation based on a specialized software of anatomy (Essential Anatomy) within electronic tablets.

Results: The middle ages of the residents were 27 years (millennials), 67% corresponds to the masculine gender and 33 % to the feminine gender. The Groupe A obtain a global significantly minor qualification ( = 6.0333) in comparison with the one obtained by the Group B ( = 8.0467). It is due probably since the residents are more acquainted with the in vivo surgical own(proper) anatomy of the practical activities inside operating room, that with the surgical anatomy of the literature.

Conclusions: It is possible to use a complementary evaluation based on ICT, out of operating room and safe for the patient, to measure the ability to identify the surgical anatomy in residents of general surgery.