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  1. Article ; Online: Análisis de la prueba de evaluación clínica objetiva estructurada (ECOE) de sexto curso en la Facultad de Medicina de la Universidad Miguel Hernández de Elche

    José M. Ramos / M. Asunción Martínez-Mayoral / Francisco Sánchez-Ferrer / Javier Morales / Tomás Sempere / Isabel Belinchón / Antonio F. Compañ

    Educación Médica, Vol 20, Iss , Pp 29-

    2019  Volume 36

    Abstract: Resumen: Introducción: La prueba evaluación clínica objetiva y estructurada (ECOE) es un método de evaluación de la competencia clínica con evidencia de validez, objetividad y confiabilidad. En este estudio nos propusimos analizar la prueba ECOE de los ... ...

    Abstract Resumen: Introducción: La prueba evaluación clínica objetiva y estructurada (ECOE) es un método de evaluación de la competencia clínica con evidencia de validez, objetividad y confiabilidad. En este estudio nos propusimos analizar la prueba ECOE de los estudiantes de sexto del grado de medicina. Material y métodos: Estudio transversal de la prueba ECOE realizada en la Facultad de Medicina de la Universidad Miguel Hernández de Elche en junio de 2016. Resultados: En la prueba participaron 116 alumnos. Había 7 (35%) estaciones de paciente estandarizado, 5 (25%) estaciones de informe, 4 (20%) estaciones de maniquí/procedimiento y 4 (20%) estaciones de tipo examen oral estructurado. La mediana de la puntuación de los alumnos fue de 7,14 (recorrido intercuartílico: 6,90-7,43). La mediana de la puntuación de los alumnos del primer día por la mañana fue de 7,10, del primer día por tarde fue superior (7,14) y la del segundo día por la mañana también lo fue (7,24; p = 0,1). La estación con menor puntuación fue la de informe (6,41) y la estación con mayor puntuación fue la de maniquí/procedimiento (7,88) (p < 0,001). Dentro de las estaciones de paciente estandarizado (mediana = 7,12), los resultados de los alumnos fueron mejores en las que el paciente era un facultativo en formación (7,52) que en las que el paciente era un actor (6,82) (p < 0,001). El área competencial con mejor puntuación fue la de los aspectos éticos legales y profesionalismo (8,56), seguida de las habilidades de comunicación (7,79). Conclusiones: El análisis de la prueba ECOE ha permitido comprender su naturaleza y las oportunidades de mejora que ofrece con vistas a futuras pruebas. Abstract: Introduction: The objective structured clinical examination (OSCE) is a method of evaluating clinical competence with evidence of validity, objectivity, and reliability. In this study an analysis is presented of the OSCE by sixth-year medical students. Material and methods: Cross-sectional study of the OSCE carried out in the School of Medicine of the ...
    Keywords Education (General) ; L7-991 ; Medicine (General) ; R5-920
    Language English
    Publishing date 2019-03-01T00:00:00Z
    Publisher Elsevier
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Degree of Accuracy of the BMI Z-Score to Determine Excess Fat Mass Using DXA in Children and Adolescents

    David Monasor-Ortolá / Jose Antonio Quesada-Rico / Ana Pilar Nso-Roca / Mercedes Rizo-Baeza / Ernesto Cortés-Castell / Asier Martínez-Segura / Francisco Sánchez-Ferrer

    International Journal of Environmental Research and Public Health, Vol 18, Iss 12114, p

    2021  Volume 12114

    Abstract: Obesity is caused by fat accumulation. BMI Z-score is used to classify the different degrees of weight status in children and adolescents. However, this parameter does not always express the true percentage of body fat. Our objective was to determine the ...

    Abstract Obesity is caused by fat accumulation. BMI Z-score is used to classify the different degrees of weight status in children and adolescents. However, this parameter does not always express the true percentage of body fat. Our objective was to determine the degree of agreement between the fat mass percentage measured by DXA and the stratification of weight according to BMI Z-score in the pediatric age group. We designed a descriptive cross-sectional study. The patients were classified as underweight/normal weight with Z-scores between −2 and +0.99, overweight from 1 to 1.99, obese from 2 to 2.99, and very obese ≥3. We included 551 patients (47% girls), with a mean age of 11.5 ± 2.8 years (3.7–18 years). Higher BMI Z-scores were associated with a higher percentage of total fat ( p < 0.001). However, there were important overlaps between both parameters, such that the BMI Z-score classified patients with the same percentage of total fat mass as having a different nutritional status classification. In conclusion, the stratification of weight status according to BMI Z-score revealed that 46.7% of patients had a fat percentage that did not correspond to their classification. For a more accurate weight assessment in clinical practice, we recommend combining anthropometric indices with diagnostic tools that better correlate with DXA, such as electrical bioimpedance.
    Keywords BMI Z-score ; childhood obesity ; body composition ; fat mass ; growth charts ; Medicine ; R
    Subject code 796
    Language English
    Publishing date 2021-11-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: The reach of Spanish-language YouTube videos on physical examinations made by undergraduate medical students

    José M. Ramos-Rincón / Isabel Belinchón-Romero / Francisco Sánchez-Ferrer / Guillermo Martínez-de la Torre / Meggan Harris / Javier Sánchez-Fernández

    Journal of Educational Evaluation for Health Professions, Vol

    2017  Volume 14

    Abstract: This study was conducted to evaluate the performance and reach of YouTube videos on physical examinations made by Spanish university students. We analyzed performance metrics for 4 videos on physical examinations in Spanish that were created by medical ... ...

    Abstract This study was conducted to evaluate the performance and reach of YouTube videos on physical examinations made by Spanish university students. We analyzed performance metrics for 4 videos on physical examinations in Spanish that were created by medical students at Miguel Hernández University (Elche, Spain) and are available on YouTube, on the following topics: the head and neck (7:30), the cardiovascular system (7:38), the respiratory system (13:54), and the abdomen (11:10). We used the Analytics application offered by the YouTube platform to analyze the reach of the videos from the upload date (February 17, 2015) to July 28, 2017 (2 years, 5 months, and 11 days). The total number of views, length of watch-time, and the mean view duration for the 4 videos were, respectively: 164,403 views (mean, 41,101 views; range, 12,389 to 94,573 views), 425,888 minutes (mean, 106,472 minutes; range, 37,889 to 172,840 minutes), and 2:56 minutes (range, 1:49 to 4:03 minutes). Mexico was the most frequent playback location, followed by Spain, Colombia, and Venezuela. Uruguay, Ecuador, Mexico, and Puerto Rico had the most views per 100,000 population. Spanish-language tutorials are an alternative tool for teaching physical examination skills to students whose first language is not English. The videos were especially popular in Uruguay, Ecuador, and Mexico.
    Keywords video recording ; physical examination ; medical education ; learning resources ; clinical skills ; spanish ; Special aspects of education ; LC8-6691 ; Medicine ; R
    Subject code 410
    Language English
    Publishing date 2017-12-01T00:00:00Z
    Publisher Korea Health Personnel Licensing Examination Institute
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: A simple equation to estimate body fat percentage in children with overweightness or obesity

    Ernesto Cortés-Castell / Mercedes Juste / Antonio Palazón-Bru / Laura Monge / Francisco Sánchez-Ferrer / María Mercedes Rizo-Baeza

    PeerJ, Vol 5, p e

    a retrospective study

    2017  Volume 3238

    Abstract: Background Dual-energy X-ray absorptiometry (DXA) provides separate measurements of fat mass, fat-free mass and bone mass, and is a quick, accurate, and safe technique, yet one that is not readily available in routine clinical practice. Consequently, we ... ...

    Abstract Background Dual-energy X-ray absorptiometry (DXA) provides separate measurements of fat mass, fat-free mass and bone mass, and is a quick, accurate, and safe technique, yet one that is not readily available in routine clinical practice. Consequently, we aimed to develop statistical formulas to predict fat mass (%) and fat mass index (FMI) with simple parameters (age, sex, weight and height). Methods We conducted a retrospective observational cross-sectional study in 416 overweight or obese patients aged 4–18 years that involved assessing adiposity by DXA (fat mass percentage and FMI), body mass index (BMI), sex and age. We randomly divided the sample into two parts (construction and validation). In the construction sample, we developed formulas to predict fat mass and FMI using linear multiple regression models. The formulas were validated in the other sample, calculating the intraclass correlation coefficient via bootstrapping. Results The fat mass percentage formula had a coefficient of determination of 0.65. This value was 0.86 for FMI. In the validation, the constructed formulas had an intraclass correlation coefficient of 0.77 for fat mass percentage and 0.92 for FMI. Conclusions Our predictive formulas accurately predicted fat mass and FMI with simple parameters (BMI, sex and age) in children with overweight and obesity. The proposed methodology could be applied in other fields. Further studies are needed to externally validate these formulas.
    Keywords Photon absorptiometry ; Fat body ; Pediatrics ; Statistical models ; Medicine ; R ; Biology (General) ; QH301-705.5
    Subject code 796
    Language English
    Publishing date 2017-04-01T00:00:00Z
    Publisher PeerJ Inc.
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Utility of eye-tracking technology for preparing medical students in Spain for the summative objective structured clinical examination

    Francisco Sánchez-Ferrer / J.M. Ramos-Rincón / M.D. Grima-Murcia / María Luisa Sánchez-Ferrer / Francisco Sánchez-del Campo / Antonio F. Compañ-Rosique / Eduardo Fernández-Jover

    Journal of Educational Evaluation for Health Professions, Vol

    2017  Volume 14

    Keywords Special aspects of education ; LC8-6691 ; Medicine ; R
    Language English
    Publishing date 2017-11-01T00:00:00Z
    Publisher Korea Health Insurance Licensing Examination Institute
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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    Inter-library loan at ZB MED

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