Send to

Choose Destination
Rev Med Inst Mex Seguro Soc. 2015 Jan-Feb;53(1):30-9.

[Reliability and validity of an instrument to evaluate integral clinical competence in medical residents].

[Article in Spanish; Abstract available in Spanish from the publisher]

Author information

Dirección de Educación e Investigación en Salud, Hospital de Pediatría "Dr. Silvestre Frenk Freund", Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Distrito Federal, México.


in English, Spanish


The evaluation of clinical competence in medical residents is a complex procedure. Teachers need reliable and valid instruments to evaluate objectively the, clinical competence. The aim of this study was to determine the reliability and validity of an instrument designed to evaluate the clinical competence of medical residents.


We designed an instrument taking into consideration every part of the clinical method, and three different levels of competence were determined for each one. The instrument was examined with regards to the clarity, pertinence and sufficiency of each clinical indicator by five expert pediatricians. The instrument was finally constituted by 11 indicators. Each resident was evaluated independently by three pediatricians.


A total of 651 measurements were done in 234 residents. The instrument distinguished between extreme groups, had a value of Cronbach's alpha of 0.778 and the factorial analysis set apart two factors: clinical competence and complementary competences. No statistical differences were found between evaluators neither in global evaluation or in each indicator.


The instrument here proposed is valid and reliable. It may be used in formative evaluation of medical residents in clinical specialization programs.


Clinical competence; Evaluation; Medical residents

[Indexed for MEDLINE]

Supplemental Content

Loading ...
Support Center