文章基本信息

标题：Calidad de las historias clínicas de los practicantes de un consultorio psicológico de una universidad colombiana
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作者：Verónica Córdoba-Sánchez ; Renato Zambrano-Cruz ; William Tamayo-Agudelo 等
期刊名称：Educación Médica
印刷版ISSN：1575-1813
出版年度：2019
卷号：20
页码：1-7
DOI：10.1016/j.edumed.2017.10.007
出版社：Elsevier B.V.
摘要：Introduction Academic internships in psychology programs in Colombia are a fundamental part of the curriculum. University Psychological Services are a scenario in which this activity is developed in the field of clinical psychology, making it necessary to review the information collected there in order to monitor the quality of such practices. Method A retrospective exploratory study in which the reasons for consultation, diagnoses, strategies of evaluation and intervention, therapeutic goals and sociodemographic data of 708 medical records were analysed, between 1999 and 2012, by students in the final semesters of the internship period in a Colombian university. Results It was found that the diagnoses mostly referred to psychosocial stressors rather than psychopathologies. The diagnostic tools and intervention strategies are not consistent with the diagnosis recorded in the clinical notes. Conclusions The need to strengthen basic training in clinical psychology is evident, in terms of its methods and scope, in order to provide users with a scientific basis, as well as to establish control protocols for the supervision of students in Clinical internships in undergraduate training.
关键词：Psychology ; Clinical training ; Health evaluation ; Medical records ; Internships