Evaluation of Technical Skills of Undergraduate Medical Interns in Delivery Care

Abstract

Introduction: Delivery care by qualified personnel is a factor that influences the decrease in maternal mortality, for this reason is necessary to train and continuously evaluate health personnel or service providers for such care.
Objective: To assess technical skills in the delivery care by internal doctors of the Faculty of Medicine of the National Autonomous University of Mexico.
Method: Descriptive cross-sectional study, for the evaluation was used a 17 item checklist that evaluates 4 aspects. The exploitation and skills in childbirth care were classified as follows: score of 0-59% as insufficient, 60-79% sufficient, 80-94% good and 95-100% excellent. The evaluation was with low fidelity simulators, it was considered that in the fourth year of the degree, the students had 2 simulation activities for delivery care.
Results: There were 239 participants, who were enrolled in the clinics of Mexico City and the metropolitan area; of them, those who had rotated in the Obstetric Gynecology area during the medical internship, obtained an average of 45.7 in the evaluation, while those who had not rotated obtained 28.48, in both cases their exploitation and skills in the care of deliveries classified as insufficient; to compare both groups, the Wilcoxon non-parametric test was used, with p=0.00. In this evaluation, the measurement instrument obtained in Cronbach's alpha of 0.917.
Conclusions: In both groups, the skills in the delivery care were classified as insufficient, however, a significant difference was identified in those who rotated for the Obstetric Gynecology area, indicating that they had more skills. Strategies that promote the reinforcement and evaluation of delivery care skills in undergraduate students must be promoted; in our case, we can do it through clinical simulation.