Correlación de la prueba virtual complementaria de casos clínicos simulados por ordenador con la ECOE clásica y con la puntuación MIR.

Abstract

Introducción. A partir de 2021 se ofreció a las facultades de medicina españolas una Prueba Virtual Clínica Complementaria (PVCC) con casos clínicos simulados por ordenador auspiciada por la Conferencia Nacional de Decanos. Este estudio analiza la correlación entre las puntuaciones de la PVCC, la ECOE local con pacientes simulados y maniquíes, la nota del rotatorio clínico y los resultados en el examen MIR. Métodos. Estudio observacional de correlación que incluyó a estudiantes evaluados entre 2021 y 2025 en la Universidad de Las Palmas de Gran Canaria. Las correlaciones se analizaron mediante coeficientes de Pearson y Spearman. Resultados. Se incluyeron 652 alumnos, con datos disponibles del MIR en 202. La correlación entre ECOE local con la PVCC y con el MIR fue débil (Rho = 0,26; p

Introduction. Starting in 2021, Spanish medical schools were offered a Complementary Virtual Clinical Examination (CVCE) with computer-simulated clinical cases, sponsored by the National Conference of Deans. This study analyzes the correlation between CVCE scores, the local OSCE with simulated patients and mannequins, the clinical rotation score, and the results of the MIR exam. Methods. An observational correlation study was conducted, including students evaluated between 2021 and 2025 at the University of Las Palmas de Gran Canaria. Correlations were analyzed using Pearson and Spearman coefficients. Results. 652 students were included, with MIR data available for 2022. The correlation between the local OSCE and the CVCE and the MIR was weak (Rho = 0.26; p<0.001 and Rho = 0.31; p<0.001, respectively). The correlation between the Clinical Clinical Practice Assessment (CCP) and the Medical Residency Exam (MIR) was moderate and consistent over the five years (r = 0.56; p < 0.001). No correlation was found between the clinical rotation score and the CCP, the OSCE, or the MIR. Women performed better in the local OSCE history taking and in the clinical rotation, while men performed better in the CCP and the MIR. Conclusions. The CCP correlates more consistently with the MIR than the local OSCE, suggesting greater predictive value. The results suggest that the MIR and the local OSCE assess different domains of clinical competence, highlighting the complementary and exploratory nature of the skills each test evaluates.