Elementos diagnósticos en medicina interna 2003-2010

introduction. from the course 2003-2004, we give in the faculty of medicine of the university of barcelona a matter called diagnostics elements in internal medicine, for the diagnostic through analysis of laboratory, functional proofs, of image and electrocardiogram. materials and methods. all the educational material is deposited in the page web of the topic and through it the students answer the 6 questionnaires. results. in the course 2008-2009, 61 students have choose the topic. 27 students (44,26%) answered correctly more than 50% of the questions. 31,15% did not achieve this figure and 24,59% did not complete the program of evaluations. the highest punctuations have given in respiratory functional proofs and the lowest in the evaluation of the thoracic x-ray. conclusions. it's not easy the evaluation of clinical skills. the cost of realization of the proofs and the resistance of the students to be evaluated remain skewed in this experience where the students participate voluntarily. the simplicity of the project would allow evaluating in clinical skills all the students of the faculty in the clinical courses period when it still is possible the training. the students have a good acceptance of the system proposed, and it could design a system of access to educational credits and a plan of specific training in the no surpassed matters.