Keywords
Internship and Residency
Professional Competence
Educational Measurement
Employee Performance Appraisal
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Abstract
Objetivo: Elaborar una Actividad Profesional Delegable (APD) para el tratamiento quirúrgico de fracturas en la extremidad distal del radio para la Residencia Médica en Ortopedia y Traumatología. Métodos: Utilizando una lista de pasos quirúrgicos para el tratamiento de este tipo de fractura, se empleó el método de consenso Delphi electrónico para la elaboración de la APD. Veinte especialistas en Cirugía de Mano indicaron la importancia de cada ítem en una escala de Likert de 9 puntos (1 - ninguna importancia hasta 9 - extremadamente importante). El consenso para la retención del ítem se alcanzó cuando ≥ 75,0% de los encuestados indicaban una puntuación entre 7 y 9, y el ítem se descartaba cuando ≥ 75,0% indicaban una puntuación de 1 a 3. Los ítems que no alcanzaban consenso se mantenían y se realizaba una nueva ronda de consulta hasta que hubiera consenso entre todos ellos. Resultados: A partir de la lista inicial de 25 ítems, fueron necesarias tres rondas para obtener consenso. El cuestionario final consta de 27 ítems divididos en procedimientos preoperatorios, intraoperatorios y postoperatorios, junto con una pregunta de evaluación general. Conclusión: La APD se elaboró con éxito, generando un instrumento que puede utilizarse en la evaluación de médicos residentes en Ortopedia y Traumatología.
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